Chapter 473

Name:Medical road Author:臧福生
On Monday morning, the hospital was very busy, and the accumulation of two days increased the number of patients. The Department should roughly plan the work in the coming week.

Before Zhang Fan went to work in the morning, he went early to tell his boss Ouyang. Although he met Zhu Bing late, a series of things also made their relationship very good.

In the special needs ward, uncle Jinya recovered very well after the operation, which also reassured his family about the next operation.

Uncle Jinya can't get through these days.

Because it was a stomach operation, in order to recover quickly, the tube bed doctor directly banned water for uncle Jinya.

Although the doctor input all the energy and nutrition needed by the human body through the vein, because of normal physiology, his stomach began to feel like a cat scratch as soon as it reached the meal point.

Walking around the hospital in the morning, when he saw others eating steamed stuffed buns, his saliva flowed out along the gap between his golden teeth.

His disease is not serious. If the stone is small, there are almost no symptoms, but his wife's disease is in trouble.

In fact, the human body is a balanced electric solution reaction vessel. Various complex ions maintain the continuation of this reaction.

Once the balance is broken, disease follows. This is the case now, Mayila, uncle Jinya's wife.

In the early years, although there was not much money, the living standard was fairly good. Moreover, due to the race, Maila was tall, fat and rich before she got sick.

But it was because he was accidentally infected with echinococcosis by his dog, he had an operation, and then there was a recurrence.

Then, not even for half a year, the fat and white Maira became a yellow and dry woman. She had no energy to speak, no appetite to eat, and liver pain tortured her day and night.

Liver hydatid, this meat is a white bug the size of a small grain of rice. People with bad eyes can't see it. It doesn't seem to be terrible.

But under the microscope, this thing is very domineering. The body is like a white train, with rows of long barbs. The barbs are covered with cilia, which looks very evil. They are connected in rows.

The surface of the body is also covered with suction cups like human eyes, which means that this thing can not only hang the liver with hooks, but also adsorb it on the intestinal wall with suction cups.

If this thing grows to the size of an ordinary dog, it is estimated that an adult can't do it.

Its caudal end is a suddenly enlarged caudal segment, which is its gestational sac. An adult has about more than 60 testis (a) pills and about 800 uterus, which can produce more than 5000 eggs at a time.

The eggs mature in 8 weeks, and the adults can survive for a year. What's more terrible is that in the asymptomatic period, insect eggs will be discharged with the patient's stool. Once a dog licks the stool. Well, a complete chain of infection is formed.

That is, the parasite grows slowly. If it grows faster, the disease is more terrible than cancer.

The growth of cancer is a predatory growth, that is, robbing the nutrition of normal cells.

Parasites are different. They not only plunder human nutrition, but also produce mechanical damage.

To put it simply, it not only absorbs nutrients from the human body, but also bites human organs from time to time for taste.

After eating and drinking, it doesn't stop, but also excretes. This is a complete toxin. After entering the blood, it will fight with human immune cells, allergies, asthma and even mental symptoms.

Because this thing is terrible and androgynous. As long as an egg enters the human body, it doesn't need to find any partners. It can have fun with itself and give birth to countless offspring.

Once these offspring feel that the house of liver is too small, they will eat and travel. The surrounding stomach, intestines, kidneys, even brain and eyes are its chocolate room.

The first operation for this disease is very important. Once you don't do it thoroughly for the first time, let the insect eggs enter the brain, bone marrow or eyes, which is an immortal cancer. You can only take insect repellents to maintain your life.

In the special needs ward these days, although the weather is very hot, the nurses almost wrapped themselves into meat balls. Originally a good department, now there are pregnant women nurses who want to be transferred to other departments.

Although there is no intermediate host and can not be infected, there is no one who does not respond to the thought of this thing. After work, the little girls' hands were almost washed out.

Zhang Fan came to the special needs ward for ward rounds with doctors from general foreign studies. He saw Uncle Jinya. Besides saying that he was hungry and thirsty, he recovered well.

When you enter Maira's ward, you can first smell a bad smell. Zhang Fan wrinkled his nose and began to check his body.

"How are you? How are you feeling these days?" Zhang Fan checked his body while the little nurse followed him while translating.

"I feel bad. My intestines are almost spitting out. I can't live! " Maila said weakly.

Because of urticaria all year round, the scars scratched by herself on her skin are very obvious, one by one.

"She used albendazole, but her reaction was too big and she vomited very badly." The general practitioner stood aside and explained to Zhang Fan.

"Oh, is the inspection perfect?" While Zhang Fan was checking, Maila coughed and occasionally coughed up things like bean curd residue.

Well, if she chews this bean curd residue, she will be able to taste meat, because this is insect eggs.

"After that, there are obvious egg calcifications in the lungs, in the intestines, and in the liver."

Speaking, Zhang Fan took the medical record. Looking at him, he began to frown. It was too serious and had lost the possibility of radical surgery.

To this extent, Zhang fan can't help it. There is no point in doing surgery. It will relapse after a short time, and it will also bring greater damage. The gain is not worth the loss.

"First conservative treatment, after a course of treatment, prepare pair!"

"Is it too dangerous?" The general practitioner is an attending doctor. As soon as he heard that Zhang Fan wanted to do pair, he hesitated.

"There's no way. Once the egg enters the brain, it's in trouble."

Pair, a method of percutaneous treatment of hepatic hydatid, was invented early, but now it is almost abandoned by doctors.

In fact, it's very simple. It's a long needle with the help of color Doppler ultrasound.

Insert directly into the nest of liver hydatid * * from outside the body, and then inject insecticides, such as 95% absolute ethanol.

This method is simple, the effect is also very obvious, that is, it is easy to relapse. The biggest disadvantage is that once the operation is not good, once the drug enters the bile duct tree, there will be liver damage, and it is very serious liver damage, even liver failure.

Therefore, generally in clinical practice, few doctors take the initiative to use it. Poor treatment is a medical accident.

Zhang Fan took the patient's CT, MRI and B-ultrasound, looked at it carefully several times and said, "you can try and talk to your family!"

"Ah!" The bed doctor couldn't turn his head, "Zhang Yuan, really!"

"Do it! As long as she does well, she can live a few more years, which is worth it! "

"But..."

"You can't just let her be eaten by insects and talk."

Helpless, this is the consequence of eating raw meat and not washing hands after holding the dog. But as a doctor, as a systematic doctor, this difficult operation is not a kind of improvement, nor is it a kind of self-discipline.