On Monday morning, the hospital was very busy, and the number of patients had increased a lot over the past two days. The department should roughly plan the work for the coming week.
Zhang Fan had not gone to work in the morning, so he went to tell his boss Ouyang early that although he met Zhu Bing relatively late, a series of things had made their relationship very good.
In the special needs ward, Uncle Jin Teeth recovered very well after the operation, which also made his family feel relieved about the upcoming operation.
But Uncle Jinya can hardly survive these days.
Because it was a stomach surgery, in order to recover quickly, the surgeon directly deprived Uncle Jin Teeth of food and water.
Although the doctor injected all the energy and nutrients needed by the human body through veins, due to normal physiology, his stomach began to feel as uncomfortable as a cat scratching as soon as it was time to eat.
While walking in the hospital in the morning, when he saw others eating steamed buns, his saliva flowed out from the gaps between his gold teeth.
His disease is not serious, if the stone is not big, there will be almost no symptoms, but his wife's disease is troublesome.
In fact, the human body is a balanced electrolytic solution reaction vessel. Various complex ions keep this reaction going.
Once the balance is disturbed, disease ensues. This is the situation now for Uncle Jinya’s wife Mayila.
Although she didn't have much money in her early years, her living standard was pretty good, and because of her race, before she got sick, Mayila was tall, fat, and very wealthy.
But because he was accidentally infected with hydatid disease by his own dog, he had an operation, and then the disease recurred.
Then, in less than half a year, Mayila, who was originally tall, fat and fair, turned into a woman with a sallow complexion and a withered body. She was weak when speaking, had no appetite for food, and was suffering from liver and other pains day and night.
Liver hydatid, to the naked eye, looks like a small white worm the size of a grain of rice. People with poor eyesight can't see it, so it doesn't seem to be scary.
But under a microscope, this thing looks very domineering. The body is like a white train, with rows of long barbs on the body. The barbs are covered with cilia and look very evil, connected in rows.
The surface of the body is also covered with suction cups that look like human eyes, which means that this thing can not only hang the liver with hooks, but also attach to the intestinal wall with suction cups.
If this thing grows to the size of an average dog, it is estimated that an adult will definitely not be able to handle this thing.
At its very end is a suddenly enlarged telson, which is its gestational sac. An adult worm has about sixty testicles (a) balls and a uterus of about 800. It can produce more than 5,000 worms at a time. egg.
The eggs mature into adults in 8 weeks, and the adults can survive for a year. What’s even more frightening is that during the asymptomatic period, the eggs will be excreted with the patient’s stool, once a dog licks the stool. Well, a complete chain of infection is formed.
That is to say, this parasite only grows slowly. If it grew faster, this disease would be more terrifying than cancer.
The growth of cancer is at worst a predatory growth, that is, it robs normal cells of nutrients.
But parasites are different. They not only rob the human body of nutrients, but can also cause mechanical damage.
To put it simply, it not only absorbs nutrients from the human body, but also takes a bite of human organs from time to time to change the taste.
After eating and drinking, it won't stop and will be excreted. This is a complete toxin. After entering the blood, it will fight with the body's immune cells, leading to allergies, asthma, and even mental symptoms.
Because this thing is scary and hermaphrodite, as long as one insect egg enters the human body, it does not need to find a partner, it can have fun with itself, and then give birth to countless offspring.
Once these offspring feel that the house of the liver is too small, they will travel while eating. The surrounding stomach, intestines, kidneys, and even the brain and eyes are their chocolate rooms.
The first surgery for this disease is very important. Once the treatment is not done thoroughly the first time and the eggs enter the brain, bone marrow or eyes, it will become an immortal cancer and you can only take anti-parasitic drugs to stay alive.
In the special needs ward these days, although the weather is very hot, the nurses almost wrap themselves into balls of flesh. It was originally a good department, but now there are pregnant nurses who want to be transferred to other departments.
Although there is no intermediate host and it is impossible to infect, no one is uncomfortable when thinking about this thing. After get off work, the little girls’ hands were almost torn from washing.
Zhang Fan took the general surgery doctors to the special needs ward for ward rounds and saw Uncle Jin Teeth. Apart from saying that he was very hungry and thirsty, the uncle was recovering well.
Entering Mayila's ward, the first thing you can smell is an unpleasant smell. Zhang Fan wrinkled his nose and began to examine his body.
"How are you? How have you been feeling these past few days?" Zhang Fan was doing a physical examination and the nurse who followed him translated.
"I feel so uncomfortable that my intestines are about to vomit out. I can't survive!" Mayila said weakly.
Because she has hives all year round, the scars on her skin that she scratched are very obvious, one after another.
"I used albendazole, but her reaction was too great and she vomited extremely violently." The doctor in charge of the general surgery department stood aside and explained to Zhang Fan.
"Oh, is the inspection complete?" While Zhang Fan was inspecting, Mayila coughed, and occasionally coughed up something like tofu dregs.
Well, if she chews this tofu dregs, she will definitely taste the meat, because these are insect eggs.
"After the treatment, there are obvious calcifications of worm eggs in the lungs, as well as in the intestines, and there are a large number of worm eggs in the liver."
While talking, Zhang Fan took the medical records. I started to frown when I looked at him. It was so serious that the possibility of radical surgery had been lost.
When the hydatid bug reached this level, Zhang Fan had no choice but to do anything. There is no point in doing surgery. It will relapse not long after the surgery, and it will also cause greater damage. The gain outweighs the loss.
"Treat conservatively first, wait for a course of treatment, and prepare for PAIR!"
"Isn't it too dangerous?" The doctor in charge of the general surgery department was an attending doctor. He said hesitantly when he heard that Zhang Fan was going to do PAIR.
"There is no other way. Once the eggs enter the brain, it will be troublesome."
PAIR, which is a method of percutaneous puncture treatment of liver hydatid, was invented early, but now it is almost abandoned by doctors.
In fact, it is very simple to say, it is just a long needle, with the help of color ultrasound.
Insert directly into the nest of liver hydatid from outside the body, and then inject insecticide, such as 95% absolute ethanol.
This method is simple and the effect is very obvious, but it is easy to relapse. The biggest disadvantage is that once the operation is not done well and the drug enters the biliary tree, liver damage will follow, and it is very serious liver damage, and even liver failure.
Therefore, generally in clinical practice, few doctors take the initiative to use it, and poor treatment is a medical malpractice.
Zhang Fan took the patient's CT, MRI and B-ultrasound. After looking at them in detail several times, he said, "You can try it and talk to the family members!"
"Ah!" The doctor in charge couldn't wrap his head around it, "Zhang Yuan, really do it!"
"Do it! As long as she does it well, she can live a few more years. It's worth it!"
"But……"
"We can't just watch her get eaten by bugs like this. Let's talk."
Helpless, this is the consequence of eating raw meat and not washing your hands after hugging the dog. But as a doctor, as a systematic doctor, this kind of difficult surgery is not an improvement, nor is it a kind of training for oneself.
