Chapter 1847 Weird Chest X-Ray (Monthly Ticket 34000 Plus More × 68)

"Boss Zheng, you're here." The doctor in the CT room greeted Zheng Ren politely.

Zheng Ren smiled, seeing him get up to operate the machine to exit and lift the patient, and then glanced at the patient's system panel to confirm the diagnosis.

Then he sat directly in front of the console and began to watch CT films.

CT scan of the patient's brain showed areas of diffuse hyperattenuation involving gray matter.

The cisternal spaces between the brain and the peduncles were occluded, and the submicroscopic structures surrounding the midbrain and arachnoid space in the upper cerebral hemispheres began to show signs of disappearing.

Zheng Ren finally got the final confirmation of the typical imaging features of primary amebic meningoencephalitis.

Just glanced at it, the patient's system panel was very red, but not hopelessly red.

It is estimated that it was discovered relatively early. Although the disease progressed rapidly, the second and third stages of nausea, vomiting and epilepsy combined, but after all, it only lasted a few days. It seems that it should be curable.

Zheng Ren, the director of the neurology department, didn't know him, but he immediately judged that it was primary amebic meningoencephalitis, and the treatment should be fine.

Zheng Ren heaved a sigh of relief, stood up and turned to leave.

"Boss Zheng, why don't you go to the neurology department?" Zhou Litao asked.

"There's nothing to see. The diagnosis has already been given on that side. The CT image is a standard image of primary amebic meningoencephalitis. The treatment is no problem. There is at least a 50% chance of recovery."

50%...

Zhou Litao was a little depressed.

He hoped that everyone would be healed and discharged in good health. Even if they will forget all the efforts made by everyone in the hospital after they are discharged from the hospital, Zhou Litao still hopes that everyone will be well.

The probability that Boss Zheng said is too low.

"What's the matter? Do you think the 50% cure rate is low?" Su Yun could guess what was going on in this guy's head by seeing Zhou Litao's expression.

"Uh...Brother Yun, I know the illness is serious, but the odds of half to half are too low."

"Be content. Primary amebic meningoencephalitis has a very high mortality rate and a short course of disease. It usually dies within a week and the prognosis is extremely poor. Early diagnosis and timely treatment are very necessary. There is no sure effective drug yet." Su Yun said: "There is a half chance that it is discovered early."

"How to treat it? Use anti-amoeba drugs?"

"No." Zheng Ren said: "Intravenous infusion and intrathecal injection of high doses of amphotericin B and miconazole may be effective. It also needs to be combined with oral rifampicin and other drugs. Let's do it."

A strange thought suddenly popped up in Zheng Ren's mind, amoeba, are they considered parasites?

If so, can Chunuangsai drive the parasites to leave the human body?

But this is just an idea, similar to a joke.

If Chunu Angsai can do this, he will monopolize the global parasite drug market.

If the heart is darker, you can actively create a large-scale parasitic disease epidemic, and then sell medicines.

Of course, if Chu Nuang Sai did such a thing, it would probably cause such an iron fist blow that he couldn't afford to offend, not even a bone left.

I guess he can't do it, he has time and opportunity to ask. Don't look for Chu Nuang Sai, and then cause a parasitic disease epidemic in the imperial capital.

Zheng Ren walked out of the CT room, followed by Zhou Litao and asked about the diagnosis and differential diagnosis of amoebas.

The two of them didn't go back to the emergency department with Zhou Litao, there was no need to go back, at least what Su Yun wanted to say had already been said.

"Go to the chest department to see the patient who will be operated on tomorrow." Zheng Ren said, "Is the operation time arranged?"

"Double esophageal deformity? It's been arranged. The patient will be picked up on stage at 11 o'clock. The chest department will do it. Let's just stand below and watch." Su Yun said.

"You did?" Zheng Ren was curious.

Ordinarily, Su Yun should be very interested in all kinds of strange problems in cardiothoracic surgery, why didn't he come to the stage this time?

"I've done two cases, nothing special." Su Yundao: "It's usually discovered in childhood, and it's rare for adults."

"Two cases have been done!" Zheng Ren was a little surprised.

"Boss, you're just a little doctor from Haicheng. In terms of clinical experience, how can you have more experience than me?" Su Yun was a little proud at this point.

Zheng Ren didn't care too much. The double esophagus was deformed, so the operation was just that, and the difficulty was not high. It is only because of the special physiological structure of the esophagus and the problem of blood supply that we worry about postoperative complications.

Consult with the interventional department, and the chest doctor will feel more at ease during the operation.

Just a quick glance, Zheng Ren didn't have much interest in following along to the stage.

If the operation is unstable and you are worried about anastomotic leakage after the operation, then put on a big shelf.

The two came to the Thoracic Surgery Department and saw Fang Lin standing in front of the film reader in a daze.

"Fang Lin, what are you doing? Hiding the dinner party and hiding by the wall?" Su Yun went in, patted Fang Lin's shoulder and said.

"Uh, Brother Yun, Boss Zheng, why are you here?" Fang Lin was stunned, obviously very distracted, still thinking about the movie.

Zheng Ren smiled, and was about to speak when he glanced at the film and let out a snort.

"What patient?" Zheng Ren strode to the viewer, pushing Fang Lin and Su Yun away from the viewer like a giant running wildly.

"The hospital below can't understand the non-local patients who come to the imperial capital for medical treatment." Fang Lin said: "The family members of the patients are going to be hospitalized and pick them up. I will take a look at the film first."

"Oh?" Su Yun also glanced at the film at this time, was stunned for a while, twisted his shoulders, and pushed Fang Lin further away.

Fang Lin smiled wryly.

The first film is an upright chest radiograph.

The frontal view showed a dense mass-like mound near the hilum in the right lung, with a clear boundary on the outer edge and the disappearance of the right hilar angle.

Through the shadow of the lesion, the rear lung texture is disordered, and there seems to be a cross phenomenon, and the boundary of the right lower pulmonary artery trunk is unclear; the shadow on the right radiograph is located in the front and bottom, which is equivalent to the position of the right middle lobe, and the lung texture shadow can be seen inside, with uniform density.

The right upper lung markings are slightly sparse, and the right diaphragmatic roof is slightly elevated.

This... Zheng Ren thought it was interesting, his eyes straightened.

cross phenomenon? This means that the patient's lungs overlap.

The three lobes of the right lung are intertwined, are they the same as the intestine?

Ordinarily impossible, the human lung lobes are fixed by ligaments to ensure normal breathing and blood oxygen exchange. There is absolutely no possibility of crossing or overlapping images.

"Has the patient had any surgery?" Zheng Ren asked.

Looking at the video, it doesn't look like the lungs have been cut, but Zheng Ren still asked out of caution.

"Well, I haven't done it." Fang Lindao, "It's because of chronic bronchitis, coughing up sputum, and blood in the sputum. I went to the local hospital for an examination."

Zheng Ren nodded and started looking for the film bag.

After seeing the patient's name clearly, he found the CT scan of the lung and inserted it.