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1848 Weird Chest X-ray (monthly ticket 3400068)

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

Zheng Ren smiled, saw him get up and go to operate the machine and exit, lifted the patient, glanced at the patient's system panel to confirm the diagnosis.

Then he sat directly in front of the operating table and started watching ct movies.

The patient's brain CT showed diffuse areas with increased density and involved gray matter.

The cerebral cisterna space between the brain and the peduncle is blocked, and the submicrostructures surrounding the upper part of the cerebral hemisphere and the arachnoid space begin to disappear.

Zheng Ren finally got the final determination of the imaging characteristics of very typical primary amoeba meningoencephalitis.

I just glanced at it and the patient's system panel was very red, but not the hopeless red.

It is estimated that it was discovered earlier. Although the disease progressed quickly, the second and third stages of nausea, vomiting and epilepsy were combined, it only took a few days after all, and it seemed that it could be cured.

Zheng Ren, director of the Department of Neurology, did not recognize him, but he immediately determined that it was primary amoeba meningoencephalitis, and treatment should be fine.

Zheng Ren breathed a sigh of relief, stood up and turned around and left.

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

"There is nothing to see. The side has been diagnosed. The CT image is a standard image of primary amoeba meningoencephalitis. There is no problem with the treatment. At least 50% hope it can be saved."

50%…

Zhou Litao was a little depressed.

He hopes that everyone can be treated and discharged from the hospital healthily. Even if they will forget all the efforts made by everyone in the hospital after they are discharged, Zhou Litao still hopes that everyone will be fine.

The probability that Boss Zheng mentioned is too low.

"What's wrong? Do you think the 50% cure rate is low?" Su Yun could guess what this guy was thinking in his head when he saw Zhou Litao's expression.

"Uh... Brother Yun, I know this is seriously ill, but the probability of half-in-half is too low."

"Just be content, the mortality rate of primary amoeba meningeencephalitis is extremely high, the course of the disease is very short, usually die within one week, and the prognosis is extremely poor. Early diagnosis and timely treatment are very necessary. There is currently no confirmed effective drug." Su Yun said: "There is half the chance of discovering it 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 should also be combined with oral rifampicin and other drugs, which is effective... that's it."

A strange thought suddenly appeared in Zheng Ren's mind: Is the Amoeba protozoa considered a parasite?

If so, can Chu Nu'angsai drive the parasite to leave the human body?

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

If Chu Nu'angsai can do this, he will monopolize the global parasite medicine market.

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

Of course, if Chunu Anse did such a thing, it would probably cause an iron fist blow that he could not afford to offend, and even his bones would be left.

I guess he can't do it. If he has time and has the opportunity to ask. Don't look for Chu Nu'angsai, and it will cause a parasite disease pandemic in the imperial capital.

Zheng Ren walked out of the CT room, and Zhou Litao followed behind and asked about some things like the diagnosis and differential diagnosis of Amoeba Protozoa.

However, the two did not go back to the emergency department with Zhou Litao, and there was no need to go back. At least, everything Su Yun had to say had been finished.

"Go to the chest department to see the patients who will be undergoing surgery tomorrow." Zheng Ren said: "Have the surgery schedule been scheduled?"

"Dual esophageal deformity? Arranged, pick up the patient on time at 11 o'clock, and the thoracic people do it. Let's stand below and watch." Su Yun said.

"Have you done it?" Zheng Ren was very curious.

Su Yun should be very interested in all kinds of strange problems in cardiothoracic surgery. Why didn’t he go on stage this time?

"I have done two cases, nothing special." Su Yun said: "It is usually found in childhood, and it is rare for adults to be accustomed to adults."

"I did two cases!" Zheng Ren was a little surprised.

"Boss, you are a young doctor from Haicheng. How can you be more experienced than me in terms of clinical experience?" Su Yun was a little proud of this.

Zheng Ren didn't care. The surgery was just that and it was not difficult. It was only because of the special physiological structure and blood circulation of the esophagus that he was worried about postoperative complications.

If you seek consultation with the interventional department, look at it during the operation, the thoracic doctor will be more at ease.

Just take a look, Zheng Ren had no intention of following him on stage.

If the surgery is unstable and you are worried about anastomosis leak after the operation, then you will be stubborn.

The two of them 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 to treat guests to dinner and hiding on the wall?" Su Yun went in and patted Fang Lin's shoulder and said.

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

Zheng Ren smiled and was about to speak, he glanced at the movie and uh.

"What patient?" Zheng Ren strode to the video reading device, and squeezed Fang Lin and Su Yun away from the video reading device like a running giant beast.

"The hospital below cannot understand it, and a foreign patient who came to the imperial capital for medical treatment." Fang Lin said: "The patient's family went to the hospital and picked up someone. I'll take a look at the movie first."

"Oh?" Su Yun also glanced at the movie at this time, was stunned, twisted his shoulders and directly squeezed Fang Lin further away.

Fang Lin smiled bitterly.

The first film is a chest radiograph with a standing position.

The orthotopic film shows a dense shadow of the right lung in the mosaic clump near the parahira of the hilar, the border of the lateral margin is clear, and the corner of the right hilar is disappearing.

The lung texture behind the lesion is disordered, and there seems to be crossing, and the boundary of the right lower pulmonary artery is unclear; the shadow on the right slit is located at the anterior and lower part, which is equivalent to the position of the middle lobe of the right lung, and the lung texture shadow can be seen inside, with uniform density.

The texture of the upper right lung is slightly sparse, and the top of the right diaphragm is slightly elevated.

This... Zheng Ren felt interesting and his eyes were straight.

Crossing phenomenon? That is to say, the patient's lungs overlap.

Are the three lobes of the right lung intertwined, just like the intestine?

It is impossible. The lung lobes of the human body have ligaments fixed to ensure normal breathing and blood oxygen exchange. It is absolutely impossible to have crossovers or overlaps on the image.

"The patient hasn't had any surgical operations?" Zheng Ren asked.

Looking at the image, it didn't seem like the lung lobe was cut, but Zheng Ren asked out of caution.

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

Zheng Ren nodded and began to look for a film bag.
Chapter completed!
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