NovelTags Chapter 330
Chapter 330
An electrocardiogram was given to the patient...
Results: No myocarditis, no other heart problems.
Then the patient has indications for gastroscopy.
"Go pay the bill... Then come back for gastroscopy..."
"Good."
Where did the middle-aged man dare to delay, quickly paid the money, and then went to prepare for the examination.
gastroscopy,
All the way through the mouth, throat, esophagus...
Very easily, Lin Feng found a big sarcoma.
As a result, the lumen of the esophagus is severely narrowed and bleeding occurs.
Even because of the problem of gastroscopy, there was friction, and then the bleeding was a little worse.
Lin Feng looked at this sarcoma and directly concluded:
Esophageal carcinoma!!
Moreover, because the bleeding was a little serious, Lin Feng did not dare to continue to go deeper, and could only reluctantly check the nearby esophageal wall.
He found several small swellings.
It looks like small cancerous tissue...
Withdrawal of gastroscopy.
"How? Dr. Lam? The middle-aged man resisted the urge to nausea and vomit and asked anxiously.
Lin Feng's face was serious: "It's unfortunate to tell you that this is a tumor... In my experience, it could be esophageal cancer! "
Lin Feng directly ruled out the problem of fish bones.
The fish bones are there, and a part of the lesion may occur, forming a lump.
But it is not the same as the lump of the tumor, and Lin Feng feels that this is not a lump formed by fish bones.
"I have... Cancer? "
The middle-aged man was dumbfounded on the spot.
The whole person's head went blank all of a sudden!
"Doctor Lin, can I still save it?" The middle-aged man clutched Lin Feng's arm tightly and pleaded.
"Don't worry, temporarily visually detect esophageal cancer, but I don't know if it's really esophageal cancer, even if it's esophageal cancer, if it doesn't spread and metastasize in the early stage, it can still be resected, and there is hope for cure..."
But in fact, Lin Feng has seen other traces of suspected esophageal cancer bulges through the esophagoscope, if it is really esophageal cancer, it means that this esophageal cancer may already be intermediate and advanced esophageal cancer.
Esophageal cancer is a common digestive tract tumor, and China is one of the most common areas of esophageal cancer in the world, with an average annual death of about 150,000 people.
"You call your family... Then, I open an order, you go for a "esophageal swallow barium X-ray double contrast angiography". "
This "esophageal swallowing barium X-ray double contrast angiography", the gold standard for esophageal cancer, is also the simplest and most effective method.
This means that after swallowing pasted barium sulfate (developer), the diagnosis of upper gastrointestinal diseases can be carried out through the development process of barium through the esophagus to the stomach and duodenum, and the characteristic changes of esophageal cancer can be found.
......
Next
Start with hemostasis.
Finally, Lin Feng synthesized the patient's conditions and first carried out interventional hemostatic treatment.
The conditions for open surgery are not mature because the location of the bleeding is in the cancer, and if the surgery is performed, it may damage the cancerous tissue, which is afraid of causing cancer to grow.
Interventional surgery is convenient and fast, the prognosis is fast, the patient has a little money, no longer cares about money, and even more desperate, directly chose this interventional surgery.
An hour later,
The interventional operation ended and the patient successfully stopped bleeding.
However, the patient's treatment is not finished, because more detailed examination for esophageal cancer continues.
......
At this point,
The middle-aged man's wife also came to the hospital in a panic.
"How can esophageal cancer bewitch?"
The patient's wife was a little sad and a little hesitant, because the man was the pillar of the family after all.
(At this time, the honest wife did not know that her husband had been cheating for several years and had changed several juniors, because she was so focused on the education of her children.) ）
Lin Feng explained: "There are too many causes of esophageal cancer, such as eating more sauerkraut, nitrite aggregation, or drinking hot soup and tea... Or genetics or something. "
There are too many causes, and there is no point in pursuing this.
......
Next
A deep part of the examination for esophageal cancer is done.
Blood routine
Tumor markers
·「 Esophageal swallowing barium X-ray double contrast angiography"
It took a total of 3 hours, barium imaging twice, and finally came up with a result:
Small niche shadow signs
There are obvious irregular stenosis and filling defects, stiff tube walls, and some degree of dilation of the esophagus on the lateral oral cavity above the stenosis.
Obviously,
It's already an advanced tumor!
And
The location of esophageal cancer, there are eight locations, has metastasized to the stomach, duodenum, liver ...
Obviously,
The cancer has metastasized!
This situation is much more serious than expected!
If the upper part of the esophagus is present, surgery may also be performed to remove it.
But now... 'all over'.
There are no indications for surgery.
It can only be switched to chemotherapy and radiotherapy.
But in fact, whether it is radiotherapy or chemotherapy, the effect will not be good.
"I don't want to die...!!"
The middle-aged man completely collapsed after Lin Feng explained his condition to him.
"I made so much money..."
"I'm still young..."
"I can still play a lot of young and beautiful women..."
"How could I just die?"
He was out of mind and yelled constantly.
I didn't notice the shocked look of the honest 'yellow-faced' wife who was originally very sad.
"You... You...... You actually ..."
The wife pointed at her husband and trembled with anger.
The middle-aged man cursed emotionally: "What's wrong with me? What happened to me liking young women? Just you, the yellow-faced woman, at home every day, can't dress up, I don't even have the interest to take a look! ...... I can tell, I have 5 juniors, you just don't know, angry with you..."
After the wife listened, she collapsed, squatted in the corner and cried ...
Lin Feng: "..........................."
A family farce...
soon
The middle-aged man was admitted to the oncology department and received professional nursing treatment...
But at this time, the whole hospital knew about his terminal cancer and raising his junior.
That evening,
The middle-aged man suddenly vomited blood, and the scene was once very scary, and blood sprayed on a nurse next to him, and sprayed all over the ground.
Artery, ruptured again...
Blood pressure dropped directly to 80/40mmHg...
Shock on the spot.
The oncology department rushed to rescue, and even called doctors from other departments to come over.
All kinds of rescue,
Finally, it is estimated that there is no Lin Feng, the lucky halo doctor town,
Directly ventricular fibrillation!
Then the heart stopped beating soon after!
Cardiopulmonary resuscitation for 20 minutes, the middle-aged man could not be rescued...
Died in a hospital bed.
After a few hours of phone calls, the patient's wife came the next day and sent the patient to the crematorium for cremation with a blank face. (Generally, it is not sent home, it is the hospital that arranges to send it directly to the crematorium, the state is more strict, and the body is not allowed to flow out...) ）
......
The next day,
Lin Feng goes to work,
When he heard the news that the middle-aged man died last night, he did not have the slightest sympathy.
On the contrary, they felt that their wives were a blessing in disguise, and they no longer needed to mourn the death of their husbands, and they were comfortable receiving property and raising their children.
Work
Open the clinic...
The first patient...
"Please ask Wang Hua to consult room 3..."
"Ahem~~~~"
A young man came into the consultation room with a cough.
If you don't see them, hear them first.
"Dr. Lin... Ahem........."
Lin Feng suddenly noticed the patient's cough.
"You came to cough?"
Lin Feng looked at this patient, his face was rosy and shiny, and he didn't look like he was in a sick state.
Only coughing...
"Yes, Dr. Lin, I've been coughing for a year, and I haven't been well..."
Then, the young man begins to introduce his medical history little by little.
Wang Jiahua, 35 years old,
Cough developed a year ago. It was winter and the New Year, the weather was relatively cold, coughing, phlegm ...
Subsequently, I found Chinese medicine and Western medicine, and took a lot of medicine, but it was useless... Cough repeatedly, after taking medicine, up and down...
Currently getting sicker, will be breathless...
。。。。。