Medical road

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 for the next week.

Before Zhang Fan went to work in the morning, he went to tell his boss Ouyang early that although he met Zhu Bing relatively late, a series of things made the relationship between them become very good.

In the special needs ward, Uncle Jinya recovered very well after the operation, which also made the family rest assured about the next operation.

But Uncle Jinya can't make it through these days.

Because it was an operation on the stomach, in order to make a quick recovery, the tube bed doctor directly forbidden water for Uncle Jinya.

Although the doctor injected all the energy and nutrients needed by the human body through the vein, because of his normal physiology, his stomach began to scratch as soon as he reached the meal.

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

His illness is not serious, if the stone is not big, there are almost no symptoms, but his wife's illness is troublesome.

In fact, the human body is a balanced electric solution reactor.Various complex ions keep this reaction going.

Once the balance is broken, the disease immediately follows.Mayila, Uncle Jinya's wife, is like this now.

In the early years, although money was not much, the standard of living was not bad, and because of her race, Mayila, who was not sick before, was tall and fat, and very rich.

But because I was accidentally infected with echinococcosis by my own dog, I underwent an operation and then relapsed again.

Then, after not even half a year, Maila, who was originally tall and white, became a woman with yellow complexion and withered body, weak in speech, no appetite for eating, and pain in her liver, which tortured her day and night.

Liver hydatid, this thing is a small white worm the size of a millet to the naked eye. People with bad eyes can't see it, and 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 of elders on the body. The barbs are covered with cilia, which looks very evil, connected in rows.

The surface of the body is also covered with suction cups that look like human eyes, which means that this thing can not only hang the liver with a hook, but also can be adsorbed on the intestinal wall with a suction cup.

If this thing grows to the size of an average dog, it is estimated that an adult will definitely not be able to do this thing.

Its tail end is a sudden enlarged tail section. This is its gestational sac, an adult worm, there are about 60 test (a) balls, there are about 800 uterus, and it can produce more than 5000 worms at a time. egg.

The eggs mature by 8 weeks of adults, and the adults can survive for one year.What is even more frightening is that in the asymptomatic period, the eggs will be excreted with the patient's stool, once a dog licks the stool.Well, a complete chain of infection is formed.

That is to say, the growth rate of this parasite is slower. If the speed is faster, this disease is more terrible than cancer.

The growth of cancer, the big deal is a predatory growth, that is, it robs normal cells of nutrients.

Parasites are different. This thing not only robs the body of nutrition, but also produces mechanical damage.

To put it simply, it not only absorbs the nutrients in the human body, but also takes a bite of the human organs to change the taste.

After eating and drinking, it doesn't stop, but it has to be excreted. This is a complete toxin. After entering the blood, it will fight the body's immune cells, causing allergies, asthma, and even mental symptoms.

Because this thing is terribly hermaphrodite, as long as one egg enters the human body, it does not need to find any mates. It can have fun with itself, and then give birth to countless offspring.

Once these offspring feel that the liver is too small, they will travel while eating. The surrounding stomach, intestines, kidneys, and even the brain and eyes are its chocolate rooms.

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

In the special needs ward these days, although the weather is very hot, the nurses have almost wrapped themselves into meatballs.It used to be a good department, but now there are pregnant women nurses who want to transfer to other departments.

Although there is no intermediate host and cannot be contagious, when I think of this stuff, there is no one who doesn't respond.After get off work, the little girls almost broke their hands.

Zhang Fan took the general doctors to the special needs ward for rounds. He had seen Uncle Jinya. Apart from expressing that he was very hungry and thirsty, he had recovered well.

When you enter Mayila's ward, you can smell an unpleasant smell first.Zhang Fan wrinkled his nose and began a physical examination.

"How is it? How are you feeling these days." Zhang Fan followed the young nurse to translate while checking his body.

"Uncomfortable, the intestines are almost vomiting out. They can't survive!" Maila said weakly.

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

"I used albendazole, but her reaction was too big, and her vomiting was particularly severe." The general hospital tube bed doctor stood aside and explained to Zhang Fan.

"Oh, is the inspection complete." While Zhang Fan checked, Mayila coughed, and occasionally coughed up something like tofu.

Well, if she chewed on this tofu residue, she would definitely be able to taste the meat, because this is a worm egg.

"When it's done, there are obvious egg calcification foci in the lungs, there are also in the intestines, and there are a lot of eggs in the liver."

While speaking, Zhang Fan took the medical record.He frowned as he watched him. It was too serious and the possibility of radical surgery was lost.

Zhang Fan can't do anything about the hydatid disease.There is no point in surgery anymore, and it will recur soon after it is done, and it will also cause more damage, which is not worth the loss.

"First conservative treatment, after a course of treatment, prepare for PAIR!"

"Is it too dangerous?" General Wai's tube bed doctor is an attending doctor. He hesitated when he heard that Zhang Fan was going to do PAIR.

"There is no other way. Once the eggs enter the brain, it will be troublesome."

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

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

Directly insert the nest of hepatic hydatid from the body, and then inject insecticide, such as 95% absolute ethanol.

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

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

Zhang Fan took the patient's CT, MRI, and B-ultrasound. After reading it several times in detail, he said, "You can try it and talk to your family!"

"Ah!" The doctor tube bed couldn't change his mind, "Zhang Yuan, really do it!"

"Do! As long as she is done well, she can live a few more years, it's worth it!"

"but……"

"I can't help but let her be eaten by bugs like this, talk."

Helpless, this is the consequence of eating raw meat and not washing your hands after hugging the dog.But as a doctor, as a systematic doctor, this kind of difficult operation is not a kind of improvement or a kind of training for oneself.