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Chapter 34 Preparing for Treatment
Chen Wen's disease is Cushing's syndrome, but it's not Cushing's syndrome.

Sun Li'en looked at the weeping Shen Qingmei, with mixed emotions in his heart.From a doctor's point of view, he actually hopes that Chen Wen's illness is just Cushing's syndrome.In this way, as long as the tumor near her pituitary gland is removed, it can be completely cured.

But echinococcosis cannot.

Hydatid disease is probably one of the most troublesome parasitic diseases in the world.It can be very serious and even fatal to a patient.But it is also possible that the damage is so minor that there are no symptoms at all.It may not be discovered until the patient undergoes surgery for other reasons, or it may not be noticed until the patient dies of natural causes.The symptoms and severity of echinococcosis, as well as its progression and duration, all depend on three key factors—where the eggs land on the bloodstream, how big they are, and how many worms there are. bag.

The eggs of echinococcosis are like a cancer that begins to spread through the blood and lymphatic system.Entering the brain, it is cerebral echinococcosis.Into the lungs, it becomes pulmonary echinococcosis.The most common case is that after the eggs pass through the intestinal tract, they directly follow the blood into the liver.Hepatic echinococcosis, also known as "cancer in pastoral areas".

It is different from the traditional way of recovering from taking medicine and deworming.None of the drugs currently produced by humans can cure echinococcosis.Echinococcosis can only be treated by surgically removing all the cysts as cleanly as possible.

And the location of those 27 insect sacs... Sun Lien felt desperate just thinking about it.The worm eggs travel through the brain tissue along with the blood vessels, and then stay in the deep brain tissue.Then slowly develop into worm cysts.

There are worm cysts deep in the brain tissue, like tofu with peas embedded in it.It's an almost impossible task to remove the peas without ruining the tofu.

Using surgical instruments to remove peas from tofu means that surgical damage will inevitably occur.The specific mechanism of action of the human brain is still not fully understood by modern medicine.Although it is possible to plan a surgical approach that least damages the brain according to the different positions of the eggs, this still cannot avoid damage to Chen Wen's brain function.The most frightening thing is that no one knows what kind of damage she will have.Might just become color weak, left and right reversed.But it is also possible to have a personality disorder, lose memory, or even directly become a vegetative state.

"If it's echinococcosis, her recovery process may be very long. Even the condition will recur." Sun Lien took a few deep breaths, and continued to explain to Shen Qingmei, who was about to collapse.The biopsy he mentioned earlier is called "directed three-dimensional intracerebral lesion biopsy".According to current standards, it is a standard third-level operation.It needs to be reported to the director of the department, and the operation will be performed by a senior attending physician or deputy chief physician.

"This biopsy operation will be presided over by Xu Yourong, the youngest deputy chief physician of neurosurgery." Sun Lien pre-approved Xu Yourong's promotion without authorization. "She is a doctor of medicine graduated from Johns Hopkins University, and the level of neurosurgery in that school is the first in the world."

Shen Qingmei signed it.

Chen Wen's condition did not become stable due to the diagnosis of cerebral echinococcosis.The gangrene on her chest was still there and getting worse.Under the intervention of Vice President Liu, the Neurosurgery and General Surgery of the Fourth Hospital quickly organized a capable surgical team.Xu Yourong was in charge of neurosurgery, and she also brought the assistant she had when she operated on Lin Lan in the morning.On the other hand, General Surgery sent Professor Zhao Saijuan, who is known as Ningyuan's first mammary gland surgery.

Prof. Zhao Saijuan and Prof. Li from the Department of Hematology are colleagues.But she is also an old senior of Professor Li.Professor Zhao Saijuan, who is 79 years old this year, is a specially-appointed expert specially hired back by Ningyuan Medical College.In nearly 60 years of medical practice, Professor Zhao Saijuan has performed as many as tens of thousands of breast surgeries. It is almost wishful thinking in China to find a doctor with the same rich experience in breast surgery as Professor Zhao Saijuan.

Due to the surgical location and approach, Chen Wen could only sit on the operating bed.The head was firmly held by the retainer, and Xu Yourong would sit in front of her and manipulate the sampling needle through her nasal cavity and into the skull.

During this period, Professor Zhao Saijuan, who is nearly [-] years old, will monitor the progress of gangrene in Chen Wen's chest together with her students and assistants.If they believed that the gangrene would break through the abdominal wall, the brain sampling operation would be stopped directly and a mastectomy would be performed instead—Chen Wen's heart had suffered a myocardial infarction in the morning, and her body was too weak.If necrotizing fasciitis occurs, Chen Wen's risk will be much higher than the average person.

There's nothing to see about this surgery.Although the "doctor in charge" was appointed by Director Liu, Sun Li'en really didn't have time to go to the operating room to watch Chen Wen's operation progress - he still had three patients to worry about.As for whether Chen Wen needs to have her mammary glands removed, or when, Sun Lien believes that Professor Zhao Saijuan must know better than herself.

In addition to being unable to help, there was another reason why Sun Lien stayed in the emergency room - the results of Zheng Xiaoyu's cerebrospinal fluid test came out.

"A large number of pallid spirochetes were detected." Hu Jing, the head nurse, handed the inspection list to Sun Lien. "The results of the liver biopsy haven't come out yet, but it should be coming soon."

"Treat according to neurosyphilis first. Give him prednisone first." Sun Lien put down the checklist. Neurosyphilis means that the course of syphilis has entered an advanced stage.If penicillin is used rashly at this time, a large number of dead spirochetes will release a large amount of toxins and wastes into the human body.This triggers a systemic immune response.This immune response, known as the "Hertz reaction", can cause headaches, fever, muscle pain, shortness of breath, and even cause disseminated blood clotting in the lungs, eventually leading to death.The use of hormones before formal antibiotic treatment can effectively suppress the body's own immune system activity.Thereby reducing or even completely avoiding the occurrence of the Hershey's reaction.

On the other hand, bad news came from Dr. Jiang Lun, who spoke Sichuan dialect.The middle-aged woman who is habitually flirtatious, and a large number of young guys who have "followed her for a long time", all tested positive for syphilis in blood tests.The aunt was on the phone with other lads who "hadn't been with her long".It is estimated that there will be another six to seventy people.

At the same time, nearly 100 people were found to have positive syphilis reactions. After receiving a call from the Fourth Central Hospital, the staff on duty at the Ningyuan Center for Disease Control and Prevention almost choked to death on their own saliva.

(End of this chapter)