bookmarkrole Chapter 304
Chapter 304
Chapter 304
Summarize the results of Lin Feng’s questioning of elderly patients just now.
·Current symptoms: chest pain, chest tightness
·Medical history: 3-year history of coronary heart disease, regular medication history, 2 heart stents done 1 year ago
·Physical examination: the liver is beyond the position of ordinary people; the pain position is on the right side of the liver area + the heart
Lin Feng analyzed the approximate condition of the disease:
·Increase of coronary heart disease (atherosclerosis), narrowing of some blood vessels…
·The position of the stent leads to thrombosis, which narrows the blood vessel…
·Liver problems…
Lin Feng pondered for a moment.
“Have you had liver disease before? For example, hepatitis (hepatitis B, hepatitis C) or something…”
“do not know……”
“The position of your liver is a bit wrong. It has either become larger or shifted. If it becomes larger, it may be caused by some disease. Go for a blood test and liver function test…”
“Then, go for a CTA, angiography, and see if the coronary arteries have narrowed…”
“Also, do a CT of the liver to see what’s wrong with the liver… how?”
Lin Feng looked at the elderly patient Jiang Tiecheng.
Old man: “Okay, no problem.”
Years of history of coronary heart disease has made the elderly full of trust in doctors.
What Lin Feng said, he will have no objection.
Swipe~~~~
Lin Feng issued an order for “Liver Gong”, “Heart CTA”, “Chest CT”…
Where the printer,
The elderly are skilled in printing out CT films, and then go to another machine to print out the checklist.
At a glance, he was immediately cold! !
· Chest CT results: 6cmX8cm high-density shadows can be seen, consider liver tumors! !
“Tumor!!!”
Like a bolt from the blue!
The head was dumbfounded all of a sudden.
Then the world revolved around.
Gudong~~~~~~~
The old man fell to the ground all of a sudden!
The patients and family members around were shocked.
“Someone fell down!”
“Nurse, come on!”
For a time, the whole hall suddenly became a mess.
Soon the nurse rushed over.
After checking, there was no problem breathing, no bleeding or anything.
“Uncle, what’s wrong with you? Wake up…”
Uncle woke up leisurely, revealing a sad look.
“Why do I have such a hard life, coronary heart disease before, and now I have a tumor…”
Burst into tears.
The nurse girl was relieved to see the old man like this, and it seemed that there was nothing wrong with the fall (especially the brain disease).
Seeing the old man so sad, the kind-hearted nurse girl comforted:
“Uncle, don’t be afraid of tumors. Many tumors can be treated now, and if liver cancer does not metastasize, the hope of cure is greater than other tumors.”
“real?”
The old man’s eyes brightened all of a sudden.
“Really, there are a lot of tumors that can be cut off, and there is no recurrence…”
With the nurse’s comfort, the old man finally recovered his anger, but he was still worried.
After all, this is a tumor!
Smell of discoloration!
…
Emergency Department,
Lin Feng prescribed some medicine to a patient with fever.
Then I saw the old man Jiang Tiecheng walk in with a pale face.
“Uncle, what’s the matter?”
“Tumor…”
“Huh? A tumor?”
Lin Feng took the CT examination and looked at it.
·Cardiac CTA: The coronary artery is in good condition, the stent is good, and there is no problem.
· Chest CT: 6cmX8cm high-density shadow can be seen, consider liver tumor!
Lin Feng looked serious,
Take the chest CT film and place it on the CT light box (light box: in the TV movie, the thing on the wall used to see the CT film).
10 minutes later……
Lin Feng looked at most of the CT films very carefully and was further diagnosed!
This is-liver cancer!
It’s huge, 6cmX8cm!
As big as a fist!
But fortunately, it has not spread!
Fortunately, its location avoids the rich hepatic portal of the aorta!
At this moment,
Lin Feng looked at the hospital’s system.
I scanned the old man Jiang Tiecheng’s personal case page, and found that the old man’s blood and liver function test had come out.
·Liver function results: hepatitis B index increased, alpha-fetoprotein 10 times…
I won’t talk about hepatitis B for now,
The “alpha-fetoprotein” is worth noting.
Alpha-fetoprotein is a protein that is generally produced by liver cancer cells, or increased in some patients with chronic hepatitis B, and also in some tumors of the reproductive system.
It just verified the result of CT inspection.
“Doctor Lin, I…will I die?”
The old man has lost his original vitality.
When he first stepped into the consulting room today, although he was uncomfortable, he looked complacent and full of confidence in the doctor. He felt that only coronary heart disease could not trouble the doctor.
And now,
The tumor was like a bolt from the blue sky, drawing away his energy.
Lin Feng considered his tone for a while, not only had to have a comforting effect, but also had to be taken seriously by the patient, not to report the good or the bad.
“Your illness is a bit serious at the moment…”
“The tumor is as big as a fist…”
The mood of the elderly-10,000! !
“But the good news is that its location is relatively safe. If it is surgically removed, no major surgery is required. At the same time, fortunately, it has no signs of spreading.”
The old man was surprised.
Good mood +10000!
Lin Feng continued: “Two years ago, I had an operation on a liver cancer patient who was more serious than yours. Her liver cancer was also a big fist. What’s more troublesome was that his tumor was located in the hepatic portal…” ( Chapter 58 Seems)
“Do you know what the hepatic portal is? It is the most dangerous place in the liver. There are many arteries, veins, hepatic ducts, lymphatic vessels, etc…!”
Upon hearing this, the old man quickly asked: “In the end, how was she?”
Lin Feng: “In the end of 000, I performed an isolated liver resection for her, which is to take the liver outside, perform the excision, and then put it back in… Now the healing is pretty good. Apart from taking medicine, it is with ordinary people. It makes no difference…”
Surprise for the elderly.
Good mood +20000! !
In such a dangerous position, can the operation be successful if the liver is directly cut out?
Wouldn’t it be easier to succeed as a ‘mild patient’ yourself?
Restore confidence!
However, he still had doubts.
The old man asked curiously: “If a liver as big as a fist is cut off, wouldn’t it cause any damage to the body?”
Lin Feng explained: “The liver has a strong regenerative capacity. Even if most of the liver is removed, the liver will gradually grow in a few years, even close to the normal liver size…”
The old man heaved a sigh of relief when he heard it…
Completely relieved!
I feel like I don’t have to die!
Good mood +10000! !
At this time, Lin Feng said again:
“But uncle, you are a bit old, and you have coronary atherosclerosis (coronary heart disease), the risk of surgery is not small…”
Elderly: “……………………”
After being turned by Lin Feng, he flashed his waist directly!
Good mood-10000! !
Lin Feng smiled: “Uncle, go home first and discuss it with your family… But what I want to say is: you are a malignant tumor. If you don’t remove it, it will easily spread to the whole body, and it will be more troublesome at that time!”
Old man: “………………”
Doctor, can’t you comfort me more?
You return my good mood!
Good mood-10000! !
. .