Chapter 338
Chapter 338
Lin Feng glanced at the image of B ultrasound, there was a strange thing, based on the image alone, based on Lin Feng's experience, the probability is liver abscess, but liver cancer cannot be ruled out.
The female patient's face turned pale: "Doctor Lin, will I die?" "
Lin Feng comforted: "Don't worry first, it may not be liver cancer, but liver abscess... And even if liver cancer is cured, there is hope for cure, and I have done a lot of liver cutting surgery..."
The female patient was slightly relieved when she heard this.
But still scared.
Everyone knows liver cancer,
Fatty liver is also a trifle,
So what is a "liver abscess"?
It is actually a suppuration in the liver, and pus accumulates together to form an abscess.
However, it should not be taken lightly, although it is much better than liver cancer, but if the abscess once enlarged or infected into the blood, causing shock or liver failure, it will kill people in minutes.
"Doctor, now, are you going to do a puncture biopsy?"
The husband suddenly asked at this time.
Lin Feng was surprised that this man actually understood.
Then nod:
"A needle biopsy is also possible... But you can also do another one - enhanced CT angiography..."
The female patient quickly shouted: "I choose CT!" "
Puncture!
It's terrifying to hear!
Lin Feng couldn't help but say: "The contrast agent may cause damage to the kidneys, and some people may be allergic to the contrast agent, so the injection of contrast agent must sign the "Informed Consent Form"... Of course, the probability is very small! "
"I sign..." The female patient was decisive.
Now she has an idea to confirm whether it is liver cancer!
After all, this is a lifelong event.
A small side effect, count it as a fart!
"Okay, I'll bill you now..."
Lin Feng, brush brush and open bills...
Enhanced CT contrast scanning
Why can non-contrast CT scan see tumors?
Because the blood vessels of cancer cells are very rich, after all, cancer cells want to grow wildly, of course, more blood vessels are needed to bring more blood and nutrients.
Therefore, after injecting the contrast agent, the contrast agent flows into the liver, so that it can be clearly seen whether there is liver cancer.
The female patient signed the "informed consent form", and then took the "enhanced CT plain scan" list to pay,
Start the third round of inspections.
At this time, it was almost noon, and when the results came out, it would take at least afternoon to find Lin Feng for a follow-up consultation.
If you change specialists, it is estimated that it will take several days to cycle...
That's the difficulty of seeing a doctor.
......
Afternoon!
When Lin Feng went to work,
The female patient walked into the consultation room with the CT results...
With a smile on his face.
· CT Result: Not liver cancer, but liver abscess!
This is definitely a happy event!
As long as it's not liver cancer, everything is good to say.
Then back to square one: why do female patients have fevers?
Because: Most liver abscesses are symptoms of high fever and abdominal pain.
As for the antipyretic drugs and antibiotics taken, why are they useless, because these things cannot treat liver abscesses.
Treat the symptoms but not the root cause.
Naturally, I had repeated fevers.
......
The cause of the "liver abscess" was found,
Then the next thing is how to treat.
Step 1,
To drain the liver abscess!
Without drainage, antibiotics alone will not work, because antibiotics cannot enter the abscess.
Therefore, it is necessary to find a way to cut the abscess and let the pus flow out, so that the abscess can heal and control the infection.
How to 'cut'?
The hospital has long been very mature until now.
No need to 'cut'!
Just "pierce" it!
A long, thin needle can be inserted into the liver abscess to draw out the pus.
The effect is the same as 'cut'.
Of course, this also requires accurate puncture under the image guidance of ultrasound.
"Huh? Or do you have to pierce? "
The female patient looked bitter.
She was afraid of pain.
The husband comforted: "Just once, after you get it, you don't have to have a fever and feel uncomfortable... It's better than an open knife, right..."
The female patient is pretentious, she knows the weight, so she agrees.
......
Admission to the hospital,
Arrange a B-ultrasound puncture...
Lin Feng operated it himself, in fact, it was very fast.
One needle goes down,
The needle was very long, shining cold, and the female patient's scalp was numb.
Lin Feng pumped out,
Then I saw the yellow of pouring into the syringe.
Exactly pus!
After 4 minutes,
A total of 34 ml of liver abscess pus was drawn!
These pus will then be taken to the laboratory department, to be tested.
The goal: to identify what bacteria can be used more accurately with targeted antibiotics.
Lin Feng didn't want the patient to toss so much, so Lin Feng called the laboratory department.
At 3 p.m.,
The results of the laboratory department came out, all of them were Escherichia coli.
......
Next
Now that you know what bacteria are, you can use antibiotics in a targeted manner.
The next day,
Morning
Lin Feng came to check the room,
The temperature of the female patient has subsided.
My appetite began to improve, and my physical energy began to recover a lot.
Everything, apparently, is getting better.
......
......
At this point,
On the other side,
A park playground in the imperial capital.
Yingying swallow, green fat red thin, all in sight, let the better LSPs feast their eyes.
Right now.
"Bang!"
With a loud bang, the entire playground suddenly fell silent.
This was followed by terrified screams.
I saw that on the bungee jumping project, a young man was hung in mid-air by a leash and slammed into the building on the side.
It came a few times before stopping.
The man had lost consciousness and passed out.
The person in charge of the playground suddenly panicked and asked people to pull the leash up the platform.
Hurriedly ran towards the bungee platform.
soon
120 ambulances are coming.
The doctor who accompanied the car looked at it and was shocked...
"The elbow joint was violently valgus, and it was initially judged that the medial epicondyle was avulsed by violently contracted flexor and pronator muscle groups."
The doctor said with a solemn face, a little angry.
"What's the safety measures in your playground!"
"Regardless of my business, they themselves want to play pranks!"
The person in charge is called a wrong.
The bungee jumping project has been carried out in the playground for less than half a year, and there have never been any accidents.
Previously, this person was kicked down by his accompanying partner, and the struggle caused the tow rope to get knotted, and this accident occurred.
The patient was pushed onto a flat cart and taken to the emergency department of Harmony Hospital.
。
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