Medical road Qingyun

Yeon-yeon's condition is very serious, and although she has been treated promptly, some organs in her body have been affected.

Moreover, the most helpless thing is that Yanyan has a high probability of other comorbidities.

The treatment of leukemia, except for hematopoietic stem cell transplantation, which requires surgery, is generally controlled by drugs at other times, and rarely requires surgical intervention.

However, Zhao Yuan discovered a latent problem when he did a physical examination for Yeon-yeon.

It must be solved surgically.

The key is whether Yanyan's body can undergo surgery?

Of course, at this moment, Zhao Yuan can't jump to conclusions.

He is not Yeon-yeon's attending doctor, just a rotation doctor.

Leukemia can be subdivided into many types

, and Yanyan has acute lymphoblastic leukemia, referred to as acute drenchemia.

Leukemia usually has several causes.

One is caused by radioactive elements. For example, the island nation next door was dropped with an atomic bomb after World War II, which subsequently caused many people to suffer from leukemia. As a result, the island nation is leading the way in research in the field of leukemia.

The second is chemical pollution, long-term exposure to various chemicals people have a higher infection rate, such as decoration workers, the glue in the decoration raw materials contains benzene or formaldehyde, which is the murderer of leukemia.

In addition, some special viruses cause leukemia, and no specific conclusions have been reached for the time being.

Finally, it's hereditary.

The pathogenesis of leukemia is not as complex as imagined.

Hematopoietic stem cells multiply in large numbers under the stimulation of certain factors. After these hematopoietic stem cells multiply, they do not become mature red blood cells, white blood cells, and platelets, and these immature cells have no effect, squeezing the living environment of normal cells. And these immature cells are white, so they are called leukemia.

To use a popular analogy, the warehouse is full of a lot of grain, but many of these grains are deflated, and I want to fill it with intact grain, but I find that the warehouse is no longer stuffed.

Over time, if the deflated grain without grains cannot feed people, people will starve to death.

Leukemia and other cancers have a similar pathology.

The root cause of cancer is also the continuous replication of a large number of malignant cells in the body, crowding out the living space of normal cells, and eventually some organs of the human body are occupied by bad cells, and life will come to an end.

Of course, with the development of science and technology and the emergence of targeted drugs, some types of leukemia can be treated with drugs. In particular, patients with chronic leukemia have more hope of survival. Targeted drugs can prolong the lives of these patients by changing or inducing mutated genes so that immature stem cells are no longer produced in the body.

However, the price of this kind of targeted drugs is expensive, and the drugs from regular channels cost almost 300,000 yuan for a patient to eat for a year. Although the generic drugs in India are also effective, they cannot reach the efficacy of the original drugs.

The popular movie "I Am Not the God of Medicine" a few years ago tells a story related to this targeted drug.

At the same time, it also shows the strength of a medical powerhouse.

When you have a level of medical care that surpasses that of other countries, you can plunder the resources of other countries through drug pricing, which is not only easy but also justifiable.

However, acute leukemia can only be relieved by chemotherapy, and hematopoietic stem cell transplantation is still the main way to cure acute leukemia.

The principle of chemotherapy is like a computerized reinstallation system.

When there are more and more viruses in the computer, affecting the normal operation and even crashing, at this time, redo the system, whether it is good cells or bad cells, all formatted.

This method is a bit of a ruin, but it can leave room for the survival of good cells, so that the fire of life can continue.

However, because the source of the virus in the computer has not been eradicated, and the growth rate of bad cells is faster than that of good cells, bad cells will still dominate.

Bad cells will still come back, and the symptoms will not cure the root cause.

Because Yanyan's disease was discovered relatively late, many organs have been affected, the most serious being the spleen.

Hepatosplenomegaly occurs in 50% of leukemia patients, and acute lymphoblastic leukemia is the most obvious hepatosplenomegaly, so doctors may overlook some potential problems when examining Yeon-yeon.

Zhao Yuan found Zhu Haixia, Zhu Haixia was discussing Yanyan's treatment plan with two doctors, Zhu Haixia was a little surprised when she saw Zhao Yuan appear, "Xiao Zhao, is there something wrong?" Zhao Yuan

glanced at the two young doctors, the female was called Xu Qin, and the male was called Huang Gang.

Both of them are doctoral students brought by Zhu Haixia now, and it is no surprise that in a few years, they will become the humeral strength of the hematology department of Tianhua Hospital.

Xu Qin squinted at Zhao Yuan, her positioning of Zhao Yuan: a passerby.

The Wheel Doctor will leave in a month, and he will basically not be able to meet him in the future.

Huang Gang didn't even look at Zhao Yuan, he has always had a strong sense of superiority, and it is a rare opportunity to work in Zhu Haixia's team.

Not surprisingly, Huang Gang will also become a well-known expert in the field of blood diseases in the future.

Huang Gang takes Zhu Haixia as an example in his heart, not limited to well-known experts, and his goal is academicians.

The appearance of Zhao Yuan disturbed them to discuss issues with Academician Zhu.

Xu Qin and Huang Gang both felt a trace of displeasure in their hearts.

A rotational intern, it's good to go through the motions, why bother looking for a sense of existence?

For the sake of Yanyan's condition, Zhao Yuan did not hesitate.

"Director Zhu, I went to the ward to see Yanyan, her spleen is in a very bad condition.

Huang Gang knew that Zhao Yuan was a medical student in Lailunke, and although he knew that Zhao Yuan was a little famous in the hospital, challenging his profession made him quite uncomfortable.

Huang Gang said casually, "Acute lymphoblastic leukemia hepatosplenomegaly is very common in clinical practice.

Xu Qin also expressed her opinion, "Although Yanyan's spleen is obviously enlarged, she already has a targeted treatment plan, which will be controlled by medication, so there is no need to make a fuss."

Zhao Yuan put forward the idea: "I propose to increase the examination of protein C, protein S and antithrombin III.

Zhu Haixia's expression was solemn, "Do you think Yanyan has thrombophilia?"

Zhao Yuan secretly thought that Zhu Haixia was worthy of being an experienced academician.

After a little prompting, she immediately thought of what she was worried about.

Huang Gang felt that Zhao Yuan was too self-righteous.

Yan Yan's condition was followed up by Zhu Haixia with them, if there is any special situation, wouldn't they know about it?

Huang Gang twitched the corner of his mouth, "Children with acute drenching and thrombophilia, this probability is very low!"

Zhao Yuan knew that it was difficult to convince them for a while.

After all, I guessed myself.

He made his judgment based on a physical examination and through his own experience.

Thrombophilia is a hereditary disorder, and he examined Gao Xiaolan.

Gao Xiaolan also has symptoms of thrombophilia, so Zhao Yuan came to a conclusion.

Zhao Yuan said: "If it is really thrombophilia, Yanyan's situation is very dangerous, once the spleen is embolized, resulting in infarction, the consequences are unimaginable."

Zhu Haixia didn't know why Zhao Yuan was so sure that Yanyan had thrombophilia, she still told Xu Qin and Huang Gang, "Take Yanyan to do a relevant examination, be cautious in everything, and eliminate all possible hidden dangers."

Seeing Zhu Haixia's support for Zhao Yuan, Huang Gang was depressed in his heart, but he still squeezed out a smile, "I'll arrange it." "

Huang Gang just went out.

A male doctor in his forties walked in outside, holding an examination report in his hand and handing it to Zhu Haixia.

"Academician Zhu, this patient's condition is very bad! I need you to hurry over and take a look.

Zhu Haixia's expression instantly turned cold, "Hurry up and notify the cardiac surgery department and arrange a joint consultation with experts!"