Chapter 1460: Inoperable patient

Zheng Ren and Su Yun and Kong Director separated directly to the hepatobiliary surgery.
"Boss, foreign friends began to ask me about TIPS surgery." Su Yundao.

Well? What does it mean?

"They rumored that this year's Nobel Prize in Medicine has been decided to be our TIPS project." Su Yunxiao smiled.
"There is not much possibility. This kind of thing, do your best, listen to the fate." Zheng Ren said here, suddenly smiled: "Moreover, even if the Nobel Prize is given to our medical team, it should be, what is the default?"
"..." Su Yun looked at Zheng Ren with a look at the fool, silent for a few seconds, said: "Boss, I really appreciate your confidence."
"When is the second-stage student, when will it come?" Zheng Ren casually asked.

Can you please respect the experts, professors and scholars all over the world?
Su Yundao.
"I have been very respectful. I believe that the respect for a medical staff must first be reflected in their amount of surgery." Zheng Rendao: "I only have one request, I can do 100 TIPS surgery within 2 months after going back. Priority. You can't do surgery, just want to study, just behind."
"You will kill people."
"Or else they have learned TIPS surgery, what are they going to do?"
"Well, then I will write it down. It is estimated that people can come in about 1 week, and the emperors are all liver and gallbladder, or Zhou Chunyong."
"Ok."
"Zhu Liangchen, what are you going to do?" Su Yun asked.
Today, listening to the director of Zheng Ren Guan Kong called the director, then Zhu Liangchen became a hidden danger.
"Nothing to do, if you want to learn TIPS surgery, let him do it too. If he wants to find another way, whether it is gastric fundus embolization or liver cancer intervention and surgery, you can try it." Zheng Rendao.
Su Yun also has some feelings.
Only a few months ago, there are so many projects that can be handed.
There have been no technical breakthroughs in the past interventional disciplines, and any new discoveries are self-respecting.
And now in the medical group ... liver cancer interventional therapy and surgical cooperation, in strict terms, is not a new technology, but has great strategic significance for the live broadcast.
The fundus and the left gastric artery embolization are a big way of making money!
How many girls in the country are willing to lose weight?
It’s better to eat those things that are not reliable, but if Zheng Ren can study and understand, the reliability is guaranteed.
Hey... When did you have such strong confidence in Zheng Ren’s goods?
Su Yun found this, but also some helplessness.
It may be that there is no precedent for failure in surgery, and over time, it leads to the formation of a mindset.
Silent all the way, each thinking about things, came to the hepatobiliary surgery.
Professor Yang did not come to power, was sitting in the office, getting something.
"Yang Ge, no surgery." Zheng Ren came in, and he smiled and said hello.
"This is not looking for you today, I want to discuss something, I have no surgery." Professor Yang stood up and smiled.

Going to the hospital to report the work, it’s late.
Zheng Ren sat down and saw Professor Yang studying a film, and he scraped it together.

What work?
Professor Yang looked at the film and did not take it. He asked.
"Pre-diagnosis and treatment of latent liver metastases."
"..." Professor Yang gave a hand and looked at Zheng Ren.
As a professor of hepatobiliary surgery, how can he not know that the diagnosis of latent liver cancer is the ultimate night?
Zheng Ren did not notice Professor Yang’s emotional changes. After taking a look at the film, he was attracted.
"Yang Ge, this patient is very heavy!" Zheng Ren went to Professor Yang and smashed it, squeezing to occupy a better position.
"The patient was admitted to the hospital because of liver damage. The examination revealed that the liver had a space-occupying lesion." Professor Yang saw Zheng Ren's focused film, and he did not think about the diagnosis of latent liver metastases. He began to introduce patients.
Introduction, just a matter of fact, is very simple, but it explains the essence of the problem.
This patient has no cirrhotic nodules on the liver, but has diffuse liver damage. Liver function is greatly affected.
Zheng Ren roughly judged that the patient also had about 20% of liver function.
The liver itself has a strong ability to regenerate. Even if the left or right hepatic liver is removed, the liver of many patients will proliferate rapidly.
Therefore, preoperative assessment should take into account the estimated ratio of residual liver to total liver capacity.
The liver is normal, the ratio is less than 25%; combined with liver disease, the ratio is less than 40%, for the liver resection, it is a contraindication.
The patient has chronic liver damage and the liver has a residual function of about 20%.
If you don't have surgery, the patient will have about 3 months of life.
But to do surgery, it may be due to liver failure after surgery, and it will die in a few days.
"How many years has the patient's alcohol history been so heavy?" Zheng Ren asked.
"Thirty years, I said that I still drink it last night." Professor Yang answered with some helplessness.
"last night?"
"Well, I checked the room early and smelled the patients with alcohol. I asked the nurse at night." Professor Yang said: "The nurse said that he found him drinking in the ward and stopped on the spot. The patient also cooperated and said that he did not drink. It is."
Zheng Ren smiled bitterly.
"According to the clinical person, he went outside to drink, a bag of peanuts with two bottles of red star Erguotou, drinking more than 10 o'clock in the evening. But the wine is still good, quiet when returning, no trouble."
"Su Yun, you see, it is necessary to drink less." Zheng Ren pointed to the nuclear magnetic film of the liver, and Su Yun said.
This is particularly annoying ~EbookFREE.me~ Don't talk nonsense, I have tested, the enzyme zymogram of the alcohol dehydrogenase oxidation system is more than 121 times that of normal people. I drink alcohol and will not cause alcohol liver. Su Yun said with no expression.
"Yang Ge, do you know this patient?" Zheng Ren asked.

Well, I know.
Professor Yang sighed.
If you don’t know, you still don’t cooperate with the treatment, and you are discharged directly.

"That is very troublesome." Zheng Ren sighed.
Patients can at least diagnose an alcohol dependence, an acute onset of chronic liver damage, and a liver malignancy.
Not to mention malignant tumors, liver damage alone is fatal, and this patient is still drinking, constantly increasing liver damage.
"He is my junior high school classmate." Professor Yang sighed deeply and said: "The liver function is not enough, there is no surgery, but I really can't bear to let him go home and die."
For the rest, Professor Yang did not say, but Zheng Ren already knew what he wanted to say.
"You can do it." Zheng Rendao: "First to do portal embolization, liver storage is enough after 1 month, whether you are doing surgical resection or I am doing liver cancer interventional embolization + radiofrequency ablation, it is ok."
......
......
Note: A liver cancer patient two years ago said that he is not afraid of death. Once he heard that his liver cancer has disappeared, how much music is high. Said that he is afraid of death, repeatedly told not to drink, or drink the bottle in the hospital ward.
Later, he died half a year after surgery, not because of liver cancer, but because of heavy drinking and liver failure.
Very sorry.
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