v3 Chapter 2715： Stones in the lungs

"It looks a bit fuzzy here, it looks like a real image." Zhao Wenhua said, "Boss Zheng, do you think it is a tumor?"

文 Zhao Wenhua looked for a moment. It ’s a typical imaging material. I only asked Mr. Zheng to take a look for some careful thinking. How does it seem that he does n’t mean it?

It showed a large mass-like consolidation of the lung tongue lobe, which was related to the collapse of the lung lobe, and the left hilar and subtracheal lymph nodes were enlarged. Zhao Wenhua took a closer look at the film to rule out what he missed, and then nodded after confirming it again.

I heard the word tumor and the young man next to him was a little soft and panicked.

"Not a tumor." Zheng Rendao, "Carefully ... Unfortunately, there is only one X-ray film. The image density here is not the same as the tumor. It is higher. Do you think it is a bit like bone?"

文 Zhao Wenhua looked at the image of Baihuahua and tried to find out the places with different density.

But he can't.

正常 If it is normal to encounter similar patients in the outpatient clinic, Zhao Wenhua should ask the patient to perform a plain CT scan of the lungs, then find the problem, and then perform 3D reconstruction.

问题 After increasing the intensity of the inspection, you will find the problem.

Boss Zheng Zheng's reading ability is countless times stronger than Zhao Wenhua, especially the reconstruction ability is vividly reflected here. Zheng Ren can see the problem from Bai Huahua's video, but Zhao Wenhua can't.

"Doctor ..."

"Called Professor Zheng." Zhao Wenhua said slightly harshly.

"Oh, oh, Professor Zheng, what are you saying? My dad isn't lung cancer," the patient's son asked.

Zheng Ren shook his head and said, "It's not like lung cancer. Combined with your medical history, I think it's airway stones."

"Stones? Isn't there a stone in the kidney?" The patient's son asked a little bit.

All he knows is kidney stones. If you recall them carefully, you can think of gallstones. But the airway stones were too strange for him to understand what Zheng Ren was talking about.

"Emm, that's it." Zheng Ren clicked on the viewer with the pen in his hand. "Accurately, it should be called bronchial stones. It happens on the right side. But your father is special, on the left side." Broncholithiasis, also known as kerolithiasis, refers to the occurrence of calcified or ossified components in the bronchial cavity or bronchial wall, which is a relatively rare clinical disease. "

"Stones? Cough comes out?" The patient's son found it difficult to imagine the picture.

"Huh." Zheng Ren nodded and said, "Many people do n’t pay attention to the coughing stones, and do n’t think about the stones growing in the trachea, so this disease is generally found by clinical examination. . "

呃 "Uh ... there are stones in my lungs, can you understand that, big ... Professor Zheng," the patient's son asked.

"You can say so." Zheng Rendao.

"Where did that come from? Is it such a long stone?" The patient's son still refused to believe. He judged with his own logic, which is impossible. If it weren't for Zhao Wenhua's presence, showing respect and trust in the young Professor Zheng, he would have been angry.

"There are several sources. The first is that the airway foreign body attracts or infects secretions to form the core of the stone, and the surrounding area is gradually formed by the deposition of calcium salts. In short, it is caused by some foreign body in the respiratory tract. It's the kind of small flying insect that **** into the air intake. "

"The second is hilar lymph node calcification or intrapulmonary calcification that erodes the bronchi and enters the bronchial lumen, which is most common in clinical practice. But I don't see it this way when I look at the images."

"The third most common type is the tracheal ring cartilage shedding ..."

"Professor Zheng, do you mean that the bones have fallen?" The patient's son thought for a moment with his own understanding, thinking carefully.

"You can say that, but it's not the same as you think." Zheng Ren said with a small dot on the upper left lung. "Looking here, your father should have had tuberculosis before."

"..." The patient's son looked blank.

Now tuberculosis is not like it was more than a hundred years ago. Many people got nothing at all and then healed themselves.

Even the patient did not know that he was still a patient with tuberculosis.

This is very common clinically, and Zheng Ren didn't feel anything.

He briefly explained to the family members the mechanism of action of tuberculosis bacteria on tracheal cartilage, leading to cartilage shedding and bronchial stones.

In fact, Zheng Ren mainly talked to Zhao Wenhua.

"I won't tell you in detail if it is too specific." Zheng Ren said, "Go home and take your father to the nearest larger hospital."

Zheng hesitated for a moment, Zheng Ren continued, "At least the city's top three hospitals, or go to the provincial capital, the city's top three hospitals are rare."

What was the patient's son to ask, was hit by Zhao Wenhua and swallowed the rest.

"Boss Zheng, I'll arrange it over there. What inspection do you want to do? Bronchoscopy for stones?" Zhao Wenhua asked.

"Well, get a doctor with more experience to get it. If the bronchial stones are not handled properly, the complications are still very serious." Zheng Rendao, "Just rest assured, I think it is not lung cancer."

Zheng Ren's last word reassured the patient's son. He happily held the film and thanked Wenhua Zhao, then turned and left.

文 Zhao Wenhua wanted to stop him. Boss Zheng, who watched the video, didn't say thank you, how could he be so rude?

But his reaction was a little slower. The patient's son had already left happily ~ www.novelhall.com ~ Professor Zhao, at first you thought it was lung cancer. Zheng Ren asked with a smile.

Zhao Wenhua was already discouraged when he faced Boss Zheng. He could n’t be thrilled to be competitive. He honestly said, “Well, I see high-density shadows, irregular edges, and burrs in the shadow of inflammation in the lower left lung. It's lung cancer. "

"Why look at me then?" Zheng Ren sat back on his seat, picked up the red thread and started to weave the red rope.

"Because there was hemoptysis, blood stasis, and blood clots may cause bronchial obstruction, forming higher density shadows, covering bronchial stone shadows, and easily misdiagnosing as lung cancer. I could n’t eat, and I wanted my classmates to have a CT But didn't I see you? "Zhao Wenhua laughed.

Zheng Ren edited the red rope, and didn't think about it. Zhao Wenhua always said that he was half hidden and saw himself? This should not be the case. He came back from the clinic with a film, and normally came by himself.

I may not be sure what happened, so I took a look at myself. However, these careful thoughts are so tired, Zheng Ren does not want to ponder more, and continues to edit the red rope.

"Oh, right." Zheng Ren remembered something, and Zhao Wenhua said: "Because it takes a long time and there is granulation tissue proliferation, it is easy to be misdiagnosed as a new organism under bronchoscopy. At this time, a biopsy needs to be performed before the tumor is eliminated. Stone removal treatment "

"Did you not confirm the diagnosis?" Zhao Wenhua asked a little puzzled.

"Just a glance, a little thought, can not be diagnosed. The only thing that can be diagnosed is pathology, watching movies are guessing." Zheng Ren said.