latelenovela Chapter 363
Chapter 363
IgG4-related pancreatitis!
This is a kind of pancreatitis that is different from ordinary pancreatitis, many doctors may not know its existence, Lin Feng is also because of his rich experience, he knows it.
It is an autoimmune pancreatitis, formerly also called 'mass' pancreatitis, which refers to the formation of a mass in the pancreas, but this mass is not pancreatic cancer, but inflammation.
Its manifestation is enlargement, which is not much different from the contrast-enhanced CT manifestations of pancreatic cancer...
However, this disease is rare, 0.001% ...
Lin Feng felt that it might not be it.
......
Lin Feng told the patient about "IgG4-related pancreatitis".
"Really?"
The patient Lao Lin was excited,
His mood is like a roller coaster, going to heaven for a while, going to hell for a while.
If it weren't for pancreatic cancer, it would be crazy!
"Doctor Lin, what now? How to check? "
"You have to do gallstone surgery anyway, you could have chosen sonic lithotripsy, but now considering the problem of pancreatic cancer, or I will give you an operation, and then when you take the stone, by the way, take a part of the pancreatic head tissue next door and take it for testing..."
"No problem, no problem!!"
The patient Lao Lin now treats himself as pork on a chopping board, and Lin Feng can do whatever he wants, and he absolutely does not object.
"Then I'll operate on you tomorrow night..."
The patient Lao Lin nodded in agreement.
Admission to hospital,
water and fasting,
......
The next night, in the evening,
The patient, Lao Lin, was pushed into the operating room.
Outside, my wife is constantly praying: Don't have pancreatic cancer!
And the two sons who were studying also came, waiting anxiously outside the waiting hall in the operating room.
In the operating room,
Lin Feng main knife,
Disinfectant cloth anesthesia...
Open the knife, open a small opening...
Wandering, probing...
Cut the bile duct, then remove the stone, suture ...
It took about an hour...
Then Lin Feng began to wander away from another place - the pancreas.
Open your horizons,
Take a look!
"Huh..."
Lin Feng looked at the pancreas in front of him,
with pancreatic cancer,
The difference is very big!
The head of the pancreas, in particular, although enlarged, looks more like a chronic inflammatory change.
"Is it really not pancreatic cancer?"
"It's IgG4-associated pancreatitis?"
With such doubts,
Lin Fengyou probed the surrounding lymph.
Under normal circumstances, around pancreatic cancer, there will be lymphatic erosion and lymphadenopathy.
Lin Feng probed several times,
No signs of swollen lymph nodes were found.
"It seems that it is really possible that it is pancreatitis, not pancreatic cancer!"
But
The eyes will deceive,
Everything has to be based on the results of the pathological examination to know whether it is pancreatic cancer or pancreatitis.
Take out part of the tissue...
Send for biopsy...
And on the operating room side, stop for the time being, wait for the results of the biopsy ...
That is: the operation was interrupted.
Half an hour later,
The histopathological biopsy results are in
Results: Pancreatitis considered... No pancreatic cancer...
Lin Feng sweated wildly,
It turned out to be pancreatitis!
Patient, this is a big luck!
Since it is pancreatitis,
Then there is nothing to say about the operation,
Direct abdominal closure,
End surgery!
......
Operating room lights off,
The patient pushes out of the operating room...
"Doctor Lin? What do you think? "
The patient's wife and two sons rushed over.
His expression was full of apprehension and prayer.
Lin Feng smiled: "To tell you the good news, the patient's pancreatic head tissue has been sampled and examined, and it has been determined that it is only pancreatitis, not pancreatic cancer..."
"Huh?"
At this moment,
His wife and two sons felt happiness fall like a waterfall.
Thrilled!
"Thank goodness!"
"It's good that it's not pancreatic cancer..."
The family is happy...
......
The next step is simple, because the gallstones have been removed, which is considered to cure the cause of jaundice. As for pancreatitis, just take anti-inflammatory treatment directly.
An hour later,
The patient, Lao Lin, woke up from anesthesia.
When I learned that I was not pancreatic cancer, I cried with excitement, and I was ghostly closed!
Close call!
......
Lin Feng came out of the ward and prepared to go home.
outcome
As soon as I arrived at the emergency door, I saw a nurse walking around the door in a panic.
When the nurse saw Lin Feng, she was overjoyed.
"Doctor Lin, you didn't go back??"
"I just finished surgery and am ready to go home!"
"Great, Dr. Lin, help... Just came several waves of ambulances, several doctors were busy, and then just heard a call from a 120 ambulance, saying that a patient fainted at home and is now being delivered, with 4 minutes to the hospital! "
“........................"
Lin Feng wanted to turn around and go home.
I really don't want to be in the hospital tonight!
"Well... Tell me specifically..."
Lin Feng finally returned to the consultation room and put on a white coat...
The nurse introduced on the side:
"Just on the phone, it said that the patient was 26 years old, male, and the doctor who accompanied the car said that the patient's family complained that the patient had had a cold for several days, and then suddenly fainted on the ground during half an hour's money and eating..."
"Faint?"
Lin Feng asked, "How about an electrocardiogram?" "
Nurse: "The doctor on board said: Nothing too abnormal..."
Lin Feng: "What about blood sugar?" Did you test it? "
Nurse: "It's tested, it's no problem..."
Lin Feng nodded.
Standing outside the emergency department gates, waiting...
It didn't take a few minutes...
Beep Beep ~~~~~~·
An ambulance came at a speed.
Nurse: "The license plate number is correct, it's this car..."
Lin Feng's spirit was lifted, and he was exhausted and disappeared!
Brake——————
The ambulance stopped,
As soon as the rear door of the car opens,
Accompanied by the anxious roar of the doctor accompanying the car:
"The patient's chamber is trembling, quick!!"
Lin Feng's face changed.
Whoops!!
"Quick, send to the rescue room!!"
"Prepare the defibrillator!"
Lin Feng yelled at the nurse at the nurse station inside!
————————
ps: Three more ends...
。