"After we came here this morning, we heard that Yongzhe's brother had chest pain. The doctor on duty notified the patient's attending doctor to come and treat him inside." Li Qi'an reported, his expression was as indescribable as the other boys. Because it was said that the patient's attending doctor was the famous playboy, no one thought Chang Jiawei was reliable.
Fearing that Geng might be upset, Ren Chongda took the student to the doctor's office to rest and wait for news.
Chest pain, electrocardiogram did not show abnormalities such as myocardial infarction, only a fast heart rate. The initial cause was suspected to be bronchitis and orthopedic problems, and no cardiothoracic surgery was called in. The situation actually seemed to be better and not life-threatening for the time being. But the patient was crying in pain, and the family must be anxious. How should the doctor deal with it? For this kind of neuralgia, in addition to surgery to remove the cause, the only medication is painkiller injections or even local blockade (local anesthesia with other drugs injected into the nerve area for analgesic and anti-inflammatory treatment).
Don't give painkillers randomly. Painkillers are basically addictive, and they only temporarily relieve pain but cannot eliminate the cause of the disease. Domestic clinicians have always been very cautious in using them. The condition of the patients inside is worrying.
"Cao Yong." Upon learning that he had arrived, Ren Chongda asked the squad leader to accompany the others and he walked out of the office to call him.
Cao Yong turned around and asked him, the insider: "What's the patient's condition?"
Ren Chongda said, "Chang Jiawei didn't call you, did he? He said last night that he might need a neurosurgeon's consultation. We were going to send him for a cranial CT scan today. After the film came out yesterday, we can see that there is a mass outside the dura mater at the level of the thoracic vertebrae 5 to 7, which is considered to be an epidural tumor. Maybe for this reason, Chang Jiawei asked for CT scans of other parts of the body."
For example, epidural tumors are mostly metastatic tumors, and most of them are malignant. Doctors must be more careful. The surgical methods for malignant tumors are different from those for benign tumors. For example, in spinal surgery, if it is judged to be malignant, the first thing to think about is not removing the tumor but how to reduce pressure to prolong the patient's physiological function during survival and improve the happiness index during survival. Resection is not very meaningful. If it is benign, it should be removed as cleanly as possible to prevent recurrence.
"Where is the movie? Let me take a look at it." Cao Yong said.
...
...
Ren Chongda took him to the office. The others followed Cao Yong like little followers.
The films from last night were taken out and hung on the light board one by one. I couldn't see clearly because I was far away yesterday. Today, I finally have the opportunity to see the patient's films up close. Xie Wanying took the opportunity to stand a little closer. Orthopedic films are more complicated than those of other departments. Just think about a vertebra. Anyone who has read anatomy knows that its morphological structure is already very complicated. Every bone in the human body has its own special shape and its own special physiological significance. It is as difficult to figure out the significance of a bone as it is to study an organ.
"Here, here." Ren Chongda helped Cao Yong point to the lesioned area, allowing Cao Yong to grasp the key points of the case more quickly in a short period of time.
Cao Yong watched the movie without saying anything.
"If it is really a metastatic tumor, wouldn't it be better to do a whole-body CT scan?" Ren Chongda asked him for his opinion.
Metastatic tumors do not necessarily originate from outside the skull and brain. Metastatic tumors of the spine do not seem to account for the majority.
While waiting for Brother Cao to express his opinion, Xie Wanying could hear her classmates around her whispering and discussing privately.
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