Path of Medicine With a System

On Monday morning, the hospital was very busy, and the accumulation of two days had increased the number of patients a lot. The department should roughly plan the work for the coming week.

Before Zhang Fan went to work in the morning, he went to tell his boss, Ouyang, that although he and Zhu Bing met relatively late, a series of things made their relationship better.

In the special needs ward, Uncle Gold Tooth recovered very well after the operation, which also made the family feel relieved about the next operation.

On the other hand, Uncle Jinya couldn't make it through the past few days.

Because it was a stomach operation, in order to recover quickly, the doctor in charge directly gave Uncle Jinya abstinence from food and water.

Although the doctor injected all the energy and nutrients needed by the human body through veins, due to normal physiology, his stomach began to feel uncomfortable like a cat scratching as soon as it was time to eat.

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

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

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

Once the balance is broken, disease follows. This is the case with Uncle Gold Tooth's wife Mayila.

Although she didn't have much money in her early years, her standard of living was not bad, and because of her race, before she got sick, Mayila was tall, fat, and very rich.

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

Then, not even half a year later, Mayila, who was originally tall and fat, turned into a woman with a yellow complexion and a withered body. She was weak in speaking, had no appetite for eating, and suffered from pain in her liver day and night.

Liver hydatid, this thing is a small white worm the size of a grain of rice to the naked eye. People with bad eyesight can't see it, so it seems nothing to be afraid of.

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

The surface of the body is also covered with suckers like human eyes, which means that this thing can not only hang the liver with hooks, but also use the suckers to attach to the intestinal wall.

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

Its most tail end is a suddenly enlarged telson, which is its gestational sac. An adult worm has about 60 testes (a) balls, and the uterus has more than 800. It can produce more than 5,000 worms at a time. egg.

The eggs mature in 8 weeks to the adults, and the adults can live for a year. What's even more frightening is that during 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 is at most a predatory growth, that is, it robs normal cells of nutrients.

But parasites are different. This thing not only plunders the nutrition of the human body, but also causes mechanical damage.

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

After eating and drinking, it does not stop, but also excretes. This is a complete toxin. After entering the blood, it will fight against the body's immune cells, causing allergies, asthma, and even mental symptoms.

Because this thing is terrifying because it is a hermaphrodite, as long as one egg enters the human body, it doesn't need to find any mates, it can have fun with itself, and then produce countless offspring.

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

The first surgery for this disease, is very important. Once the first time is not done thoroughly,

Let the worm eggs enter the brain, enter the bone marrow or enter the eyes, it is an immortal cancer, and it can only maintain life by taking insecticides.

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

Although there is no intermediate host, it cannot be infected, but when thinking of this thing, no one is immune to it. After get off work, the little girls' hands are almost washed out.

Zhang Fan brought doctors from general surgery to the special needs ward for rounds. He saw Uncle Gold Tooth. Apart from expressing that he was very hungry and thirsty, the uncle recovered well.

Entering Mayila's ward, the first thing you can smell is an unpleasant smell. Zhang Fan wrinkled his nose and began to check his body.

"How's it going? How are you feeling these few days?" Zhang Fan checked his body and followed the little nurse who came to translate.

"It's hard, I'm about to vomit out my intestines. I can't survive!" Mayila said weakly.

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

"Albendadazole was used, but her reaction was too strong, and she vomited very badly." The doctor in charge of general surgery stood aside and explained to Zhang Fan.

"Oh, is the inspection complete?" While Zhang Fan was inspecting, Mayila coughed, occasionally coughing up something like bean curd residue.

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

"It's done. There are obvious calcifications of eggs in the lungs, as well as in the intestines, and there are a lot of eggs in the liver."

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

With hydatids at this level, Zhang Fan has no other way. There is no point in doing surgery anymore, and it will relapse not long after the operation, and it will cause more damage, so the gain outweighs the gain.

"Conservative treatment first, wait for a course of treatment, and prepare for PAIR!"

"Isn't it too dangerous?" The doctor in charge of general surgery is the attending doctor, and he said hesitantly when he heard that Zhang Fan was going to be a pair.

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

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

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

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

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

Therefore, generally in clinical practice, few doctors take the initiative to use it, and if the treatment is not good, it is a medical malpractice.

Zhang Fan took the patient's CT, MRI and B-ultrasound, looked at it several times in detail, and said, "You can try it, let's talk to the family members!"

"Ah!" The doctor in charge of the bed couldn't turn his head, "Zhang Yuan, you really do it!"

"Do it! As long as she does it well, she can live a few more years. It's worth it!"

"But……"

"She can't help but be eaten by bugs like this, let's 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 kind of difficult operation is not a kind of improvement, is it not a kind of training for oneself.

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