Chapter 1848

"Boss Zheng, here you are." The doctor in CT room greeted Zheng Ren politely.

Zheng Ren smiled and saw him get up to operate the machine, exit and lift the patient. He glanced at the patient's system panel to confirm the diagnosis.

Then he sat directly in front of the console and began to watch CT films.

CT scan of the patient's brain showed diffuse areas of increased density and gray matter involvement.

The cisternal space between the brain and brain feet was blocked, and the submicroscopic structures surrounding the midbrain and arachnoid space in the upper part of the cerebral hemisphere began to disappear.

The typical imaging features of primary amebic meningoencephalitis were finally determined by Zheng Ren.

Just glanced, the patient's system panel is very red, but it's not that hopeless red.

It is estimated that it was discovered earlier. Although the disease progresses rapidly, phase II and III nausea, vomiting and epilepsy are combined, but after all, it only takes a few days. It seems that it should be treated.

Zheng Ren, director of Neurology, didn't know him, but he also judged that it was primary amoebic meningoencephalitis for the first time. There should be no problem with the treatment.

Zheng Renchang took a breath, stood up and turned away.

"Boss Zheng, don't you go to the neurology department?" Asked Zhou Litao.

"Nothing to see. The side has been diagnosed. The CT image is the standard image of primary amebic meningoencephalitis. There is no problem with the treatment. At least 50% hope to be saved."

50%……

Zhou Litao is a little depressed.

He hopes that everyone can be treated and discharged in good health. Even if they forget all the efforts made by everyone in the hospital after discharge, Zhou Litao still hopes that everyone will be well.

Boss Zheng said that the probability is too low.

"What's the matter? The 50% cure rate is still too low for you?" Seeing Zhou Litao's expression, Su Yun can guess what's on his mind.

"Er... Brother Yun, I know he is seriously ill, but the half-to-half chance is too low."

"Be content. The mortality of primary amoebic meningoencephalitis is very high, the course of disease is very short, and the prognosis is very poor. Early diagnosis and timely treatment are very necessary. At present, there is no definite effective drug." Su Yun said: "there is a half chance that it was discovered early."

"How to treat? With anti amoeba drugs?"

"No." Zheng Ren said: "the combination of intravenous drip and intrathecal injection of high-dose amphotericin B and miconazole may be effective. It should also be combined with oral rifampicin and other drugs, which is effective... That's it."

Zheng rennaohai suddenly came up with a strange idea, amoeba protozoa, is it a parasite?

If so, can Chu Nu ang Sai drive the parasite to leave the human body?

But it's just an idea, like a joke.

If Chu nu'ang can do this, he will monopolize the global parasite drug market.

If the heart is black again, you can take the initiative to create a wide range of parasitic diseases, and then sell drugs.

Of course, if Chunu Aung Sai does such a thing, it is likely to cause the kind of iron fist blow he can't afford, not even bone residue.

It's estimated that he can't. He has time and opportunity to ask. Don't look for Chu Nu ang Sai to cause a parasitic disease pandemic in DIDU.

Zheng Ren walked out of the CT room. Zhou Litao followed him and asked about the diagnosis and differential diagnosis of amoeba protozoa.

But they didn't go back to the emergency department with Zhou Litao. It's not necessary to go back again. At least Su Yun has finished what he wants to say.

"Go to the chest department to see the patients who will be operated on tomorrow." Zheng Ren said, "has the operation time been arranged?"

"Double esophagus deformity? It's arranged. Pick up the patient on stage at 11 o'clock on time. The chest department will do it. Let's just stand below and watch." Su yundao.

"Have you done it?" Zheng Ren is curious.

It is said that Su Yun should be very interested in all kinds of strange problems in cardiothoracic surgery. Why didn't he bother to go on stage this time?

"I've done two cases, nothing special." Su Yun said: "it is generally found in childhood, but it is rare in adults."

"Two cases!" Zheng Ren was a little surprised.

"Boss, you are a little doctor in Haicheng. How can you be richer than me in terms of clinical experience?" Speaking of this, Su Yun is a little proud.

Zheng Ren doesn't care. Double esophagus deformity, surgery is that kind of thing, and the difficulty is not high. It is only because of the special physiological structure and blood supply of the esophagus that postoperative complications will be worried.

Consult with the interventional department and watch it during the operation. The chest doctor will be more relieved.

Just take a look. Zheng Ren has no intention to follow on stage.

If the operation is unstable and you are worried about anastomotic leakage after the operation, take a big shelf.

When they came to thoracic surgery, they saw Fang Lin standing in front of the film reader in a daze.

"Fang Lin, what are you doing? Hiding from a dinner party and hiding from the wall?" Su Yun went in and patted Fang Lin on the shoulder.

"Er, Brother Yun, boss Zheng, why are you here?" Fang Lin was stunned. He was obviously distracted and was still thinking about the film.

Zheng Ren smiled. Just about to speak, he glanced at the film and gave a cry.

"What patient?" Zheng Ren strode to the reader and pushed Fang Lin and Su Yun away from the reader like a running beast.

"The following hospitals can't understand the foreign patients who come to DIDU for treatment." Fang Lin said: "the patient's family members go to the hospital and pick up people. I'll take a look at the film first."

"Oh?" Su Yun also glanced at the film at this time, stunned, twisted his shoulder and squeezed Fang Lin further.

Fang Lin smiled bitterly.

The first film is a standing chest film.

The anteroposterior film shows a collicular mass like dense shadow near the hilus of the right lung, the boundary of the lateral edge is clear, and the right hilar angle disappears.

Through the shadow of the lesion, the lung texture behind it is disordered, there seems to be a cross phenomenon, and the boundary of the right lower pulmonary artery trunk is unclear; The shadow of the right radiograph is located in the front and lower part, which is equivalent to the middle lobe of the right lung. Lung texture shadow can be seen in it with uniform density.

The texture of the right upper lung is slightly sparse, and the right diaphragm top is slightly elevated.

This... Zheng Ren thinks it's interesting. His eyes are straight.

Cross phenomenon? That is, the patient's lungs overlap.

Are the three lobes of the right lung intertwined with each other, the same as the intestine?

Normally impossible, human lung lobes are fixed with ligaments to ensure normal breathing and blood oxygen exchange. It is absolutely impossible to cross or overlap images.

"Has the patient ever had surgery?" Zheng Ren asked.

Looking at the image, it was not like cutting the lung lobe, but Zheng Ren asked out of caution.

"Well, I haven't done it." Fang Lin said, "it's because of chronic bronchitis, expectoration and blood in sputum. I went to the local hospital for examination."

Zheng Ren nodded and began to look for the film bag.

Look at the patient's name, find the lung CT film and insert it.