I am Dr. Krypton Gold

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Working in the emergency room is busy and fulfilling.

Just now, Yang Tian was busy with a small operation, and a small child’s arm was broken and a long hole was opened. Surgical sutures are required.

Originally, it would be more difficult to stitch up such a child. After all, the child has been crying, and one does not cooperate.

But fortunately, Yang Tian’s speed was very fast, three minutes to complete, and the wound was stitched very beautifully and neatly. I received a compliment from my family.

“Are there any more surgeries to be done?” Yang Tian came out of the temporary operating room and asked a doctor.

“Yang Tian, you go to Zhang Zongrong’s side to take a look, I see that he is sitting in the clinic and performing surgery today, he is quite busy.” Dr. Wang said with a smile. Since Yang Tian in the emergency room, the entire emergency room has become a lot easier.

Because Yang Tian not only did the operation well, but also did it very quickly. One person for three people has reduced the workload of many doctors.

“Okay, I’ll take a look.” Yang Tian walked to Zhang Zongrong’s sitting room.

At first glance, there are really many patients lining up.

At this time, Zhang Zongrong was treating a patient.

At this time, he frowned nervously, picked up an examination report and looked at it, then frowned again, put it down and picked up another medical record to look at it, frowning again.

“Lao Zhang, what’s wrong? Look at you always frowning. Yang Tian walked in and asked with a smile.

“Xiao Yang, you came just in time, I met a patient here who can’t detect the cause!” Zhang Zongrong faced Yang Tiandao.

“Oh? Let me see. Yang Tian took which examination reports looked up, including intestinal examination, gastroscopy, but the examination report proved. It’s normal!

“Doctor, can’t even you see what my problem is?” The middle-aged man asked with a bitter face.

“What happened to the patient?” Yang Tian asked with a frown.

“The patient has difficulty swallowing, abdominal pain, bloating, abdominal mass, jaundice or melena. At first I thought it was an ordinary intestinal indigestion or stomach problem. As soon as I heard that he still had jaundice, I thought it was appendicitis. These examination reports were all examined by him in other hospitals. But the checked report says nothing out of the ordinary! Zhang Zongrong said in a deep voice.

“Doctor, when I first had this situation, I had a test at the county hospital and took medicine, but it didn’t work. The results of the test are normal. I went to the city hospital for a check-up, and it was still normal! Then I went to another hospital in the city to check, and there was still no difference, once I heard that Jiangbei First Hospital is the best hospital in the province and a famous hospital in the country, so I came… What’s wrong with you? The male patient said with exhaustion.

After running so many hospitals, not only was the disease not cured, no, I didn’t even know what kind of disease I was, and I spent a lot of money. But in the end, it didn’t work.

“Lao Zhang, can’t you see it either?” Yang Tian asked the other party. Zhang Zongrong is a relatively senior attending physician and is ready to be promoted to deputy director. He can’t see what is wrong, then this patient’s patient is a little strange!

“I don’t see it at the moment, and I think a department-wide examination is needed to make a judgment.” Zhang Zongrong could only sigh and said.

He knew that a comprehensive examination would definitely cost the patient more money, but there was no way. This disease is indeed a little strange.

Do you say that the stomach hurts, there is no problem with the stomach, you say jaundice, it is not appendicitis!

Hearing this, Yang Tian immediately opened the surgical diagnosis to investigate.

The next moment, a piece of information appeared in his mind – neuroendocrine tumor!

“It turned out to be this disease!” Yang Tian’s heart was strange. This disease is difficult to check out!

Neuroendocrine tumors do not grow long except for hair and nails, and can occur in multiple organs and tissues in the body, and the clinical manifestations are extremely complex and changeable. The most famous case was the onset of the pancreas, which took away the founder of the fruit company.

This disease is not to mention ordinary people, even doctors in many small hospitals do not know enough about this disease, including its genetic level, biological characteristics, different treatment responses, and different medications. Therefore, there will be misdiagnosis and failure to detect.

Because he needs special examination methods, such as tumor marker examination, imaging test and pathology examination.

Among them, imaging examination is an important means for locating and diagnosing neuroendocrine tumors by endoscopy, endoscopic ultrasound, ultrasound, CT, PET-CT, MRI, somatostatin receptor scintigraphy, etc.

Most neuroendocrine tumors are sporadic, and the exact cause is unknown. However, a small number of neuroendocrine tumors are related to genetic factors, involving the deletion and mutation of some genes, such as multiple endocrine tumors and Lindau syndrome.

According to whether the tumor has hormone secretion function and whether there are clinical symptoms caused by hormones, neuroendocrine tumors are divided into two categories: non-functional (about 80%) and functional (about 20%). Non-functional gastrointestinal pancreatic neuroendocrine tumors are mainly manifested as non-specific gastrointestinal symptoms or local mass symptoms of tumors, such as progressive dysphagia, abdominal pain, bloating, diarrhea, abdominal mass, jaundice or melena; Functional gastrointestinal and pancreatic neuroendocrine tumors are mainly manifested as related clinical symptoms caused by tumor secretion of biologically active hormones, such as skin flushing, sweating, asthma, diarrhea, hypoglycemia, refractory peptic ulcer, diabetes, etc. Functional gastrointestinal and pancreatic neuroendocrine tumors are mainly pancreatic neuroendocrine tumors, including insulinoma, somatostatinoma, glucagonoma, gastrinoma, etc.

That is to say, at present, this disease is not only rare, more difficult to diagnose, the probability of misdiagnosis is relatively large, and the other is that it is not easy to treat.

Clinical treatment of neuroendocrine tumors generally adopts biological therapy, chemotherapy and surgical resection, among which somatostatin analogues can be used as basic treatment, such as long-acting octreotide, which can reduce tumor secretion and inhibit tumor growth by promoting apoptosis and stagnating the cell cycle.

Having this disease not only costs a lot of money, but I don’t know if I can succeed. Anyway, with this disease, it is difficult to engage!

“Yang Tian, what do you think?” Zhang Zongrong asked Yang Tian.

“Let him have a CT scan of neuro-tumors.” Yang Tian spoke.

“Huh? Is this related to neurological? Zhang Zongrong was stunned. _

Feilu reminds you: three things to read – collect,