Chapter 1848: Weird chest

Zheng boss, you are here. "The doctor in the CT room was greeted with Zheng Ren and said hello."
Zheng Ren smiled and saw him get up and operate the machine to quit, lift the patient, and glanced at the patient's system panel to confirm the diagnosis.
Then he sat directly in front of the console and began to watch the CT film.
CT in the patient's brain showed areas of increased diffuse density and involved gray matter.
The cerebral ventricle at the brain and between the feet and the feet is occluded, and the submicroscopic structures surrounding the midbrain and arachnoid space in the upper part of the cerebral hemisphere begin to show signs of disappearance.
Very typical imaging features of primary amoebic meningoencephalitis, Zheng Ren finally got the final determination.
Just glanced at the patient's system panel is very red, but not the kind of hopeless red.
It is estimated that it is relatively early to find out, although the disease progresses rapidly, the second and third phases of nausea, vomiting and epilepsy merge, but after only a few days, it seems that it should be able to treat.
Zheng Ren, director of the Department of Neurology, did not know, but he also judged the primary amoebic meningoencephalitis in the first time. The treatment should be no problem.
Zheng Ren took a deep breath and stood up and turned away.
"Zheng boss, you don't go to the neurology department?" Zhou Litao asked.
"Nothing to look at, that side has been diagnosed. The CT image is the standard image of primary amoebic meningoencephalitis. There is no problem with the treatment. At least 50% of the hope can be saved."
50%...
Zhou Litao is a little depressed.
He hopes that everyone can be healed and healthy and discharged. Even after they left the hospital, they would forget all the efforts made by the hospital. Zhou Litao still looks forward to everyone's good.
The probability that Zheng boss said is too low.
"How? 50% cure rate are you too low?" Su Yun sees Zhou Litao's expression can guess what is in the head of this goods.
"Hey... Yun Geer, I know this is a serious illness, but the chance of a half-to-half is too low."
"Faith, the primary amoebic meningoencephalitis has a very high mortality rate, a short course of disease, usually within a week, and the prognosis is extremely poor. Early diagnosis and timely treatment are necessary. There is no sure drug available." Su Yundao: "Half of the chances are early."

How to treat? Use anti-amebic drugs?

"No." Zheng Rendao: "Intravenous infusion and intrathecal injection of high doses of amphotericin B and miconazole may be effective. Also with oral rifampicin and other drugs, effective ... then back Let's go."
Zheng Ren’s mind suddenly had a strange thought, the amoeba, is it a parasite?
If so, can Chu Angsai be able to drive the parasites away from the body?
But this is just an idea, like a joke.
If Chu Ang Ai Sai can do this, the global parasite drug market will be monopolized by him.
If the heart is darker, you can take the initiative to create a wide range of parasitic diseases and then sell drugs.
Of course, if Chunuonse made such a thing, it would probably cause the kind of iron fist that he couldn't afford, and there would be no bones left.
It is estimated that he can't, have time, have the opportunity to ask. Don't look for Chu Ang'an, and then cause a parasitic disease pandemic in the emperor.
Zheng Ren walked out of the CT room, and Zhou Litao followed up with some questions about the diagnosis and differential diagnosis of some amoeba.
The two did not return to the emergency department with Zhou Litao, and it is not necessary to go back. At the very least, what Su Yun has to say is already finished.
"Go to the chest to see the patients who will be operated tomorrow." Zheng Rendao: "Is the operation time scheduled?"
"Double esophageal malformation? Arranged, 11:00 on time to pick up the patient on the stage, the chest is done, let's stand and look at it." Su Yundao.
"Have you done?" Zheng Ren is very curious.
It is said that all kinds of bizarre problems in cardiothoracic Surgery Su Yun should be very interested. Why did you not go to power this time?
"I have done two cases, nothing special." Su Yundao: "It is generally found in childhood, and adults are rare."
"I have done two cases!" Zheng Ren was a little surprised.
"Boss, you are a small doctor in Haicheng. On clinical experience, how can you be richer than me?" Su Yun is somewhat proud of it.
Zheng Ren did not care, double esophageal malformation, surgery is the case, the difficulty is not high. Only because of the special physiological structure of the esophagus, blood supply problems, will be worried about postoperative complications.
Looking for an interventional consultation, looking at the surgery, the doctor of the chest will be more assured.
Just look at it, Zheng Ren has no thoughts to follow.
If the operation is unstable, and there is a fear of anastomotic leakage after surgery, then the next big shelf.
The two came to the thoracic surgery, and Fang Lin was standing in front of the reader.
"Fang Lin, what are you doing with this goods? Do you want to hide and eat to hide in the wall?" Su Yun went in and patted Fang Lin's shoulder.
"Hey, Yun Geer, Zheng Boss, how come you?" Fang Lin stunned, apparently distracted, and still pondering the film.
Zheng Ren smiled and just wanted to talk. He glanced at the film and snorted.
"What patient?" Zheng Ren strode to the front of the reader, like a mad beast, and squeezed Fang Lin and Su Yun from the reader.
"The hospitals below can't understand, and the foreign patients who come to the emperor for medical treatment." Fang Lindao: "The patient's family went to the hospital for treatment, picking up people, I will take a look at the film."
"Oh?" Su Yun also glanced at the film at this time, squatting, twisting his shoulders and directly squeezing Fang Lin farther.
Fang Lin smiled bitterly.
The first film is a standing chest.
The anterior segment showed a dense, dense image of the mound-like mass near the hilar in the right lung. The border of the lateral margin was clear and the right hilar angle disappeared.
Through the shadow of the lesion, the posterior lung texture is disordered, and there seems to be a crossover phenomenon. The boundary of the right lower pulmonary artery is unclear; the shadow of the right lateral slice is located at the front lower side, which is equivalent to the position of the right middle lobe, and the lung texture is visible inside, and the density is uniform.
The texture of the right upper lung is slightly sparse, and the right dome is slightly elevated.
This... Zheng Ren feels interesting ~ EbookFREE.me ~ eyes are straight.
Cross phenomenon? That is to say, the patient's lungs overlap.
The three lungs of the right lung are intertwined, the same as the intestines?
It is impossible to say that the human lung leaves have ligament fixation to ensure normal breathing and blood oxygen exchange. It is absolutely impossible to have an intersection on the image or overlap.

The patient has not had a surgery?
Zheng Ren asked.
Looking at the image, it is not like cutting the lungs, but Zheng Ren is cautious, still asks.
"Well, I haven't done it." Fang Lindao, "Because of chronic bronchitis, coughing, blood in the sputum, go to the local hospital for an examination."
Zheng Ren nodded and began to look for a pocket.
Look at the patient's name, find the CT film of the lungs, and insert it.