Live Surgical Broadcast

Chapter 933 A Life Only in Winter

After Zheng Ren saw the weird video data, he felt very tired.

The body is tired, and the heart is even more tired.

What a wonderful world it would be if no one got sick.

At that time, I have nothing to do, I go shopping with Xiao Yiren every day, even if I ride a roller coaster.

But it was just a dream, he immediately dismissed the unrealistic thoughts and concentrated on watching the film.

In the office, there was no sound.

The patient's condition is very special. At first glance, it looks like more than a dozen spleens are growing in the stomach at the same time. But in fact, in Zheng Ren's eyes, these spleens are like grapes on a bunch of vines, it can be regarded as a giant spleen.

As for the area, the spleen occupies about 40-50% of the volume of the abdominal cavity, and the intestines, stomach and even the kidneys are displaced to varying degrees.

this……

"The possibility of Gaucher's disease is relatively high. Is there any relevant examination?" Zheng Ren asked.

Hearing what he said, Professor Yang clapped his hands excitedly, and said, "I'll just say it's Gaucher's disease!"

"Have you done the glucocerebrosidase activity test?" Zheng Ren looked at the film and asked.

"Sent for examination." Professor Yang said with a smile: "This rare disease, if you don't tell it from your mouth, I always feel that something is close."

"No way." Zheng Ren said lightly, without any relief.

"Are you worried about the surgery?" Professor Yang asked.

Zheng Ren nodded.

Gaucher's disease, the incidence rate of the yellow race is lower than that of the white race, and it is estimated that less than 500 people in the whole country suffer from this disease.

In the patient in front of him, the spleen occupies half of the abdominal cavity, and although Zheng Ren did not see the patient, it is estimated that the patient looks thin and dry, but has a big stomach.

It's like people who ate Guanyin soil during the famine in the old society. Perhaps because of low platelets, there will be bruises and purple marks on the body.

Many times, patients also suffer from pathological fractures. Fractures generally occur at the femoral neck.

Just relying on his understanding of Gaucher's disease, Zheng Ren had already sketched the image of the patient in his mind.

As for surgery, it's even more difficult.

The spleen is an organ that stores blood and is an immune organ. Generally speaking, the spleen stores 40-50ml of blood. Patients with liver cirrhosis and splenomegaly can store more than 1000ml of blood at most.

And the patient in front of me... said that 3000ML of blood was stored in that big lump of spleen, which is to say the least.

Half to more than half of the blood in the human body is in the spleen and does not participate in the circulation. If the patient is in good health, he has seen a ghost.

The key to surgery is not the excision, but the proper amount of blood flow. If there are too many, the patient will definitely have complications such as heart failure. If there is less, it will affect the recovery.

And whether to keep the spleen or not is another question. As far as the patient is concerned, if the spleen is completely removed, the postoperative immunity will be extremely low.

Patients with Gaucher's disease are absolutely different from patients with ordinary trauma and ruptured spleen.

Another tricky case.

Zheng Ren watched the film, took a deep breath, and began to sketch in his mind the picture of the tragic death of the experimental subject after countless failed surgical trainings.

"Where's the patient? Take a look at the patient." Zheng Ren said.

"Going for an auxiliary examination, I'll go up and take a look, and I'll tweet you if I come back." Professor Yang hurried back after finishing speaking.

"Zheng Ren, can you do this operation?" Director Kong looked at the spleen in his stomach, and his head grew bigger.

"Try your best." Zheng Ren said, "Actually, I want to see if I can get involved in embolization therapy. But such a large spleen needs to be embolized at least ten times or twenty times. Whether the patient's family's financial situation can accept it depends on how big it is." The problem."

Director Kong thought about it, Zheng Ren was indeed thinking about it.

For hypersplenism caused by liver cirrhosis, interventional embolization is an option. It's just that after the operation, the patient will have high fever and other symptoms due to spleen necrosis.

The bolt can be tied, but with such a large spleen, ten or twenty times of embolization may not be able to cure it.

"You go to see the patient in a while, don't forget to come down early." Director Kong said with a smile: "I will treat you tonight, and I will clean up Lao Pei."

"Okay, come back as soon as possible." Zheng Ren simply agreed.

"Remember to call your girlfriend. I don't have time to accompany you during the day, and you don't take it with you for dinner at night. Be careful of your girlfriend's opinions." Director Kong explained to Zheng Ren as a person who came here.

"Uh..." Zheng Ren didn't want to take Xiao Yiren with him, but he hesitated because of what Director Kong said.

Professor Pei smiled and said, "I heard that you have an equipment nurse yourself? It was the little girl who was so busy when I went to Haicheng last time?"

Zheng Ren nodded shyly.

"Collect materials locally, you're considered grass on the edge of your nest." Professor Pei made a rare joke.

"It's shit luck." Su Yun said.

"I'm going to see a patient, and I'll come down for dinner later." Zheng Ren was a little unaccustomed to this kind of people's jokes on many occasions.

Even as a gentleman, Zheng Ren is still not very used to this way of communication.

...

In the ward, a thin, withered little boy was lying on the bed wrapped in a down jacket.

Although the outdoor temperature has already been more than ten degrees above zero, many people have already changed into half sleeves, and some young girls can't wait to show their greasy thighs to increase the rate of turning heads, but for this little boy, life is only winter.

His mother sat by the bed, looking at all kinds of people in the ward, a stone finally fell to the ground.

The child has been weak and sick since he was a child, but it's okay to do various checks for the child. When I was a little older, I found that I often went home black and purple. At that time, I thought it was a child who was naughty and accidentally broke it.

But as the age grows, the child's disease becomes more and more serious.

Three years ago, after the local inspection, the whole CT room was a sensation.

When she saw doctors in white coats rushing to the CT room one after another, she knew that she must be seriously ill.

The first thought was leukemia...

But when the doctor explained the condition to her, he said no.

It just said that the child's stomach is full of spleen, and there is no cure for this disease in the local area. She asked her to take the child to a higher-level hospital for treatment.

Her husband passed away five years ago, and her mother-in-law's family asked a fortune-teller because the child was always sick, saying that the child committed a crime of evil spirits and wanted to restrain others. Until all relatives are killed.

Otherwise, how could such a strange thing grow.

The parents-in-law believed it and began to alienate the mother and son quickly. Her natal family advised her to leave the child with her grandparents so that she could remarry.

After all, it is difficult to remarry with children.

But as a mother, how could she be willing to abandon her child? Besides, she knew that with the nature of her parents-in-law, the child was with them, not to mention medical treatment, and she would not even be able to eat a full meal.

Thus, the mother and son began a long journey of seeking medical treatment.

But this disease was so weird that the local doctors couldn't cure it. I went to three or four hospitals in the provincial capital, but I still got a notice that it was inoperable.

At some point, she had the idea of ​​dying with the child in her arms.

...

...

I am rushing to draft, and strive to add two more days at the end of the month. No change, the old man has no face to issue a single chapter, read it at the end, and ask for a monthly ticket~

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