Chapter 982: : Is it ... I'm good at making calls? (Big

The young couple, who sent the elderly, were not natives of the capital.
The old man is called Zhao Kai. He is 77 years old. His wife left seven or eight years ago and lives alone.
There are two children and two daughters, both in the capital.
When the old man was young, he also had the ability to open a factory in Langfang and made a lot of money.
I also tossed a few houses in the capital to catch up with the good times.
In the past, the houses were all small square meters, and a family of six could not live at all. At that time, no large flat floor was popular. The old man bought a small community with two floors on each floor. This would undoubtedly make it much more convenient.
Really want to say rich, not so rich.
Later, when the child got married, the house was given to the child, and he left the old house to live.
Once it was the old quarter, the son and the girl didn't look down on it, and secondly, he also had some in his heart. When the child was older, he didn't like to guard him.
After my wife left, the old man simply cleaned up the house and vacated a house to rent out. Otherwise, it would be unpopular and troublesome.
However, the renting out caused trouble. First, the boss came back and wept for a while, saying that the grandson went abroad to study, the new house bought by the family had to repay the loan, and the economy was tense.
The old man was soft-hearted, thinking that anyway, when they get old, they will be them, so let the tenant pay the rent directly to his son.
The second child also knew about this, and the two girls also came.
After a fight, the old man was helpless. Only two sons could rent one year in a row.
Once the issue of money is involved, it is a big problem.
In the past two years, the old man was too weak to live by himself. An old friend was going to introduce him to a wife.
He said that this person, old age can not be too lonely, it is easy for a person to leave early.
After such a discussion, a few old friends are going to introduce an old lady to the old man.
Such a thing, the old man also refused at first, after all ... feels the same as the second marriage.
As a result, they got along and found that it was quite good, so the two did not receive their licenses, and they lived together with their friends, and the days stopped.
But after being known by a few children, he returned to Zhao Kai and said.
"Dad, people are greedy for our house, but this area of ​​our home is in a good location, with a lot of land and gold, and 200,000 yuan for one demolition per square meter!"
"Yes, you can't get a certificate. The old lady has three sons at home. It is said that one of them is not married yet. What should I do if I depend on my family then?"
"Yes! Dad, you can't be confused!"
"That's how sad my mother knows!"
These four people talked and made a noise again, and made the old lady in her 70s weeping and crying, and left overnight.
The angry Zhao Kai scolded everyone: "You bastards, that forced me to die early, didn't I? It's best to die when the house is demolished, can you still get a demolition fund?"
For this reason, the old man was seriously ill.
But after this incident, the old people and children also became estranged.
In other words, the children also took the opportunity to alienate themselves from the elderly.
However, Zhao Kai has also learned savvy since then. He has a commercial pension and a corporate pension, a lot of money a month.
He couldn't use it alone, but this time he held it in his hands.
After all, what the older generation is saying is still very reasonable.
Now Zhao Kai can still jump and move, but it seems that these children are afraid of sticking and can't get rid of them.
...
...
The police contacted the family members, but they did not come late.
But the results of the elderly inspection came out.
Chen Cang pushed the elderly to do abdominal ct. As soon as the result came out, Chen Cang was diagnosed with acute pancreatitis.
A CT scan of the abdomen showed that there was a well-defined mass in the second part of the duodenum, the volume of the pancreas increased, and the main pancreatic duct slightly expanded.
This result made Chen Cang and Li Yue a little confused!
Pancreatitis is certain, but ... what is this mass?
Tumor?
Unlike!
Li Yue frowned, looking at the doctor in the radiology department: "What's the situation? Tumor?"
The radiologist frowned: "Not quite like tumors ... so big?"
When Chen Cang saw it, he suddenly said, "Dr. Wang, sweep a few more layers up!"
The doctor of the radiology department nodded after hearing it!
It didn't take long before the results came out!
There may also be abnormal morphology in the stomach, but it is not clear what is going on.
ct NMR is not a panacea, and what you can see is also limited.
Chen Cang watched a dozen videos in the computer and immediately fell into contemplation!
At this time, Chen Cang was surprised, because he discovered a magical thing!
The perfect level of abdominal imaging + four-dimensional model of the human body produced a magical response!
Chen Cang could wish to combine the structure of each layer on the film to wish the patient's abdominal cavity.
this moment!
Chen Cang almost jumped up in excitement.
He stared at the four-dimensional map carefully, and then continued to redo with the information from each ct feedback to form an upper abdominal structure. Wish!
at this time!
Time passes by every minute.
Chen Cang looked at this strangely shaped gastrointestinal tract and suddenly thought of a special disease!
A duplication of duodenum and stomach!
This kind of intussusception is very rare.
Li Yue looked at Chen Cang with a happy face at this time and couldn't help asking: "Little Chen, what do you think is happening?"
Chen Cang nodded: "Well, guess some, but the patient needs a gastroscope to confirm it."
Hearing Chen Cang's words, the two turned around and stared at Chen Cang: "Oh? What's the situation?"
Chen Cang pointed directly at a few films on the computer and said, "Look at these five together."
"This may be an atypical manifestation of gastroduodenal intussusception, also known as balloon syndrome, a rare disease!
Look here! It is actually caused by the prolapse of the pedicled gastric wall into the duodenum. "
Everyone was stunned when they heard about this rare disease.
Radiologists have heard of this disease, but they really don't know much about it.
But Li Yue is different. As an experienced surgeon, Li Yue frowned and asked, "But, I know the balloon syndrome, but why is it pressing the ampulla of vater? Also, what is the bulge?"
Chen Cang heard Li Yue's words, took a deep breath, and said sharply: "If I didn't guess wrong ... it may be a tumor. Look carefully, this thing is actually different from the signal at the tail. I doubt this. It's a tumor in the tail. "
"And this is also the culprit causing many cases of patients!"
"Gastroduodenal intussusception caused by gastric cancer tends to occur in the distal part of the stomach, mainly in the gastric antrum, and is less common in the gastric body, fundus, and anastomosis.
However, the downward pull of the intussusception on the duodenal wall may distort and hinder the ampulla of the vater.
The nested head reaches the second part of the duodenum, so the patient has a special shape!
This causes vater ampulla compression and is associated with acute pancreatitis and biliary obstruction. "
Chen Cang's remarks directly made Li Yue and the doctor of radiology a little lost!
In fact, every imaging doctor is a "modeler"!
They combined the flat CT scans, and needed to form an anatomical map in their minds.
This not only requires a lot of reading ability!
It also requires an excellent anatomical foundation, a sense of space, etc ...
Soon after the two came back and looked at it twice, Li Yue's eyebrows also opened up. If he really said to Chen Cang, everything could be explained!
As an emergency surgeon, this diagnostic ability is really too strong!
There is a word circulating in the medical circle:
What is the best performance of surgeons?
The answer is: become a physician!
What does that mean?
Physicians have stronger diagnosis and treatment capabilities than surgeons, after all, they have specialties in surgery.
However, at this time, Chen Cang just made his diagnosis ability no less inferior to the physician.
Of course, Chen Cang's ability to watch movies also logically surpassed "see doctors!"
At this time, the doctor of the radiology department couldn't help but say, "Dr. Chen, you are too great!"
"It's better than watching videos in my profession! Is there any skill?"
Chen Cang coughed: "Without him, only skilled."
...
...
Installed a force, Chen Cang quickly took Li Yue to the ct machine to "take" the patient.
After all, the elderly do not have family members to help them, they can only do it.
But the radiologist stayed there, I always felt that I hadn't heard this sentence.
After pushing the old man out, Zhao Kai seemed to have relieved the pain, and couldn't help but say, "Doctor, what's wrong with me?"
Pushing the bed, Chen Cang said, "Don't worry, it's acute pancreatitis and biliary obstruction, so your stomach hurts and you feel nauseous and vomiting. Don't worry."
After hearing the words of Chen Cang, instead of relaxing, Zhao Kai sighed.
Suddenly, he slowly said, "Hey ... I know my situation. I have been eating less for more than a year. In the past year, I have lost 20-30 pounds."
"Doctor, don't lie to me. When my wife is alive, I am a doctor. I also know a lot. I feel like I may have a bad illness."
"Actually, let's go. I'll be honest. I'm not afraid. People are rare in the 70s. I should have enjoyed the good fortune at this age, and I have seen for everyone!"
Chen Cang heard the old man talking slowly and did not interrupt.
The old man's speaking regulations are very clear and his education level is quite high.
However, this sad mood is not desirable. Chen Cang simply changed the topic: "Master, you should be quite cultural, what do you do?"
The old man sighed and heard Chen Cang's problem. He couldn't help but take a moment to calm down and said, "Oh, I haven't lived in vain in this life. , And later the People ’s Republic of China came to the scene to see the establishment of the People ’s Republic of China. At that time ... I was so excited!

"Following the Chairman, everyone is full, and everyone is beginning ... Later, when reform and opening up, I was bold and followed the wind and went to Langfang to open a soda factory. Orange-flavored soda. At that time, We have a lot of domestic sodas, Arctic Ocean, Shanhaiguan ... and the formula is shared, there are no patents. In more than nine years, Pepsi and Coca-Cola bought them ... "
An old man who is about to turn seventy-seven, born in 1933, is really a witness to New China.
Listening to the old man, Chen Cang and Li Yue thought to themselves that it might be a matter of signing for a while.
77-year-old man is at risk for gastroscopy, and his family members are not there. Who will sign?
Should the elderly be OK?
Generally speaking, although the law stipulates that I and my immediate family members can sign it!
However, the patients themselves, especially the 77-year-old at risk, like the elderly, even if they signed up, something went wrong, and their families still brought trouble.
In other words, in fact, sometimes, the patient himself only has the right to disagree with the operation and not the right to decide on the operation.
The elderly now have acute pancreatitis and acute biliary obstruction, and duodenal intussusception may cause tumors.
Perhaps many people do not understand why patients can cause acute pancreatitis.
This actually involves an anatomical issue!
Common bile duct and pancreatic duct open to the ampulla of vater accounted for 80, after entering the duodenum!
However, at this time, the high pressure in the duodenal cavity caused the duodenal fluid to flow back into the pancreatic duct and activated pancreatic enzymes to produce acute pancreatitis.
Therefore, in this way, it leads to acute biliary obstruction and acute pancreatitis.
In fact, this is the same as autoimmune disease.
Your own immune cells kill your own tissues and cells.
And this pancreatitis is that his own digestive juice has digested his pancreas and caused lesions.
Actually, this situation of the human body is really complicated.
After returning, the nurse Yang Jie said directly, "I contacted the police station, but ... I still can't come, what should I do?"
In a word, Li Yue and Chen Cang said something anxious!
When will it not come yet ~ EbookFREE.me ~ At this time, the test results also came out.
Chen Cang took a look: "The white blood cell count is 17,200 μl; the aspartate aminotransferase level is 183ul; the alanine aminotransferase level is 81ul; the bilirubin level; the amylase level is 3686ul."
Basically the condition can be diagnosed clearly.
But ... the most important cases are acute pancreatitis caused by gastric cancer, biliary obstruction and gastroduodenal intussusception.
Family conversations are a must.
Chen Cang couldn't help but said, "How many calls, I'll call!"
Yang Jie reported the eldest son by phone.
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When the doctor opened the plug-in hand grip ruler Chapter 98 Chapter 2: Is it ... I am good at making calls? (Big chapter) Read for free