Medical road ahead

"what happened?"

After lunch, Xiang Hao, who returned to the emergency department, saw this scene, first rushed forward to help the security guard up, and then looked at the middle-aged man, and was also taken aback.

The left side of the man's face was completely festered from the corner of the mouth to below the cheekbones, not to mention bloody and bloody, and it also smelled bad, as if someone had poured sulfuric acid on it.

"Are you a doctor?"

When the man saw Xiang Hao, he hurried forward and grabbed her as if he saw a life-saving grass.

"Hey! What are you doing?"

The security guard finally came to his senses, immediately performed his duty, pulled the man's hand away from Xiang Hao's arm, stood up in front of Xiang Hao, resisted his fear and nausea, and asked in a trembling voice: "You? Did you come to see a doctor?"

"Yes!"

The man nodded heavily, took a step back, and after bowing and apologizing to the shocked Xiang Hao, he pointed to his festered left cheek and begged, "Doctor, please save me!"

"Are you burnt by sulfuric acid?"

Xiang Hao was not sure, so he took a closer look.

The man shook his head: "It's not an external injury, but the ulcer inside is rotten."

"Is the ulcer rotten?"

Xiang Hao was shocked, and simply held up his left side face for a closer look.

"Didn't the ulcer grow in the mouth? How could it rot?"

The security guard on the side was also at a loss.

However, after learning that the man was a patient who came to see a doctor, he was no longer afraid, but kindly suggested: "Why don't you just go to the doctor's consulting room to check, it's not convenient for people to come and go here." , if you don't worry about me, just give me the medical card, and I'll go to the emergency room for you."

"thanks, thanks!"

The man hurriedly thanked him, then took out his medical card and handed it to the security guard, and gave him a few hundred dollars.

"Xiao Li, please refer him to the dental department."

After explaining to the security guard, Xiang Hao quickly brought the patient to his consulting room.

"My surname is Xiang, what's your name, brother?"

The man said, "My name is Shang Jun."

"Come on, please sit down and tell me about your specific situation."

Xiang Hao invited him to sit down, and took out a new medical record to record.

Shang Jun swallowed his saliva and began to talk about his condition.

"I am 46 years old and I am a truck driver. Because it is not convenient to smoke while driving, I learned to chew betel nuts to pass the time. After chewing, I found that betel nuts can help refresh people, and the effect is not worse than tobacco. Therefore, I developed a Get into the habit of chewing at least two packs a day.

I originally thought that chewing betel nuts was harmless, and it was not like smoking or alcohol, which would make my body worse. But in August this year, I suddenly discovered that I had oral ulcers, mainly on the left side, and they were fierce and painful. It's too bad.

I went to the hospital for an examination, and the doctor said that I had an ulcer on the left buccal mucosa, and treated me with anti-infection and detumescence.The effect was good at first, and the ulcer was no longer painful, but within a few days, the ulcer recurred, and it was worse than before. The pain was so painful that I couldn't drive anymore.

I had no choice but to suspend work temporarily. I changed to several hospitals for examination, but there was no improvement. What was even more frightening was that I found that my left cheek was rotten, as if an ulcer had grown out of it. Come to City C.

I know you are the best hospital in southern Sichuan, please save me, I am worried that if this continues, my whole face will be destroyed! "

Speaking of the latter, Shang Jun was so excited that he couldn't help himself, and the wound on his left face was affected, and an unspeakable stench came over him. Even though he was separated by a table, Xiang Hao could still smell the stench taste.

"Ahem! Calm down first."

Xiang Hao got up and poured him a glass of warm water, and continued to ask: "How long have you been in the habit of eating betel nuts? Have you had it for five or six years?"

"Nearly ten years." Shang Jun pinched his fingers and said.

"ten years?"

Hearing this, Xiang Hao frowned, then pulled up the mask, leaned closer to Shang Jun for a closer look, and muttered to himself: "In almost four months, the lesion has pierced through the cheek skin and grown outward rapidly. It is also accompanied by festering necrosis, and a foul smell."

"Doctor Xiang, I got the number. I specially got the number of Director Xing of the Department of Stomatology."

At this moment, the security guard Xiao Li knocked on the door of the consulting room and handed the registered number to Xiang Hao.

After thanking Xiang Hao, he immediately brought Shang Jun to Director Xing's clinic in a hurry, and quickly told him about his situation.

"come on in."

Director Xing only glanced at Shang Jun's left face, and immediately waved to him, and ordered his assistant to postpone the following patients temporarily, or transfer them to other doctors.

Xiang Hao followed in, listened from the side, and picked up a notebook to record carefully.

She originally thought that Shang Jun had oral cancer caused by oral ulcers, but after listening to what Director Xing said next, she realized that her initial judgment seemed to be wrong. Unfortunately, Shang Jun suffered from buccal cancer, and it was an advanced buccal cancer. cancer.

"Advanced cheek cancer?!"

Shang Jun was also shocked, and his whole body fell into a slump, "Then there is no cure?"

"Don't worry, since you are here, we will try to cure you."

Director Xing patted him on the shoulder, asked him about his condition, and then called Dr. Su from the maxillofacial surgery to ask him to come immediately.

Doctor Su arrived quickly, and after examining Shang Jun carefully, he said cautiously: "Director Xing's guess is correct, Mr. Shang is indeed advanced buccal cancer, but we still need to have a medical examination first, and then make a diagnosis."

During the period, Dr. Su said to Xiang Hao: "Actually, your deduction is not wrong. Cheek cancer is a common type of oral cancer, but it is difficult to encounter such patients in the emergency department."

"At first I thought he was shocked by someone throwing sulfuric acid on him." Xiang Hao said with a sneer.

Doctor Su nodded with a smile, "It's really similar, and it's really scary."

Xiang Hao frowned and asked, "Then can he really be completely cured?"

"It's difficult, but we will do our best."

Doctor Su still spoke cautiously.

After the examination, Shang Jun was diagnosed with buccal squamous cell carcinoma.

Because his condition was serious and life-threatening, Dr. Su immediately arranged for him to be hospitalized for preoperative examination.

Two days later, Shang Jun was pushed into the operating room, and at this time he was exhausted.

"Don't worry, you will be fine." Xiang Hao comforted.

Shang Jun nodded slightly, then closed his eyes.

The operation was performed by Dr. Su, assisted by Director Xing, and Xiang Hao watched and learned from the sidelines.

Dr. Su and his assistants and nurses first carefully handled the primary lesion on Shangjun's left cheek, and performed extensive resection of the tumor, segmental resection of the mandible, partial resection of the maxilla, and radical lymphadenectomy on one side of the neck. .

Then, Director Xing led his assistants and interns to make a facial flap covering the huge buccal defect. According to the situation during the operation, he designed and prepared flaps with a size of 12×11 cm and 11×7 cm on the anterolateral and medial thighs. cm large skin flaps, and then transplanted them on the surface, and successfully completed the microscopic anastomosis of the blood supply vessels of the flaps and the neck vessels.

Immediately afterwards, Director Xing and Dr. Su worked together to close the two skin flaps according to the defect in the operation area, and then positioned and sutured the two skin flaps and the defect area point by point, and finally performed angular mouth surgery.

This kind of operation is to delicately suture the skin flap and lip tissue during the restoration, so as to restore the continuity and integrity of the lip and form a satisfactory "artificial corner of the mouth".

"call"

After nearly ten hours, the operation was finally successfully completed.

Looking at Shang Jun's stitches extending from his left cheek to his neck, Xiang Hao couldn't help joking: "It looks like a stitched doll."

"Pfft! It really looks like it."

Doctor Su chuckled, and then said, "However, it's a living doll."

Because Shang Jun's life was finally saved.