blenderwars Chapter 365
Chapter 365
Chapter 365
IgG4-related pancreatitis!
This is a type of pancreatitis that is different from ordinary pancreatitis. Many doctors may not know its existence. Lin Feng also knew about it because of his rich experience.
It is a type of autoimmune pancreatitis, previously also called ‘massive’ pancreatitis, which refers to the formation of a mass in the pancreas, but this mass is not pancreatic cancer, but inflammation.
Its manifestation is swelling, which is not much different from the enhanced CT manifestations of pancreatic cancer…
However, this disease is rare, 0.001%…
Lin Feng thinks it may not be it.
…
Lin Feng told the patient about “IgG4-related pancreatitis”.
“real?”
The patient Lao Lin was excited,
His mood is almost like a roller coaster, going to heaven for a while and hell for a while.
If it weren’t for pancreatic cancer, it would be crazy!
“Doctor Lin, what should I do now? How to check?”
“You have to have gallbladder stones surgery anyway. You could choose sonic lithotripsy, but now considering the problem of pancreatic cancer, or I will give you a surgery, and then when the stones are taken, I will take a part of the pancreatic head next door by the way. Organize, take it for testing…”
“No problem, no problem!!”
The patient Lao Lin now regards himself as pork on the cutting board. Lin Feng can do whatever he wants. He definitely has no objection.
“Then I will perform surgery on you tomorrow night…”
The patient Lao Lin nodded in agreement.
Admitted to hospital,
Water and fasting,
…
The next night, in the evening,
The patient Lao Lin was pushed into the operating room.
Outside, the wife kept praying: Never pancreatic cancer!
The two sons who were studying also came, waiting anxiously outside the waiting room of the operating room.
Operating room,
Lin Feng is the chief knife,
Disinfecting drapes for anesthesia…
Surgery, open a small opening…
Dissociate, explore…
Cut the bile duct, then remove the stone, suture…
It took about an hour…
Then Lin Feng began to free another place-the pancreas.
Open the field of vision,
one look!
“Huh…¨々…”
Lin Feng glanced at the pancreas in front of him,
With pancreatic cancer,
The difference is very big!
Especially the head of the pancreas, although there is swelling, it looks more like a chronic inflammatory change.
“Is it really not pancreatic cancer?”
“It’s IgG4-related pancreatitis?”
With this question,
Lin Feng has probed the surrounding lymph.
Under normal circumstances, there will be lymphatic erosion and swollen lymph nodes around pancreatic cancer.
Lin Feng probed several times,
No signs of swollen lymph nodes were found.
“It seems that it is really possible that it is pancreatitis, not pancreatic cancer!”
but,
Eyes can deceive,
Everything needs pathological examination results to know whether it is pancreatic cancer or pancreatitis.
Take out part of the tissue…
Send for biopsy…
And here in the operating room, stop temporarily, wait for the result of the biopsy…
In other words: the operation was interrupted.
Half an hour later,
Histopathological biopsy results came out
·Result: Consider pancreatitis…no pancreatic cancer…
Lin Feng sweats wildly,
It turned out to be pancreatitis!
The patient is lucky!
Since it is pancreatitis,
Then there is nothing to say about the operation,
Close the abdomen directly,
End the operation!
…
The lights in the operating room are turned off,
The patient is pushed out of the operating room…
“Doctor Lin? How is it?”
The patient’s wife and two sons rushed over.
The expression was filled with anxiety and prayer.
Lin Feng smiled: “I’m telling you the good news. The patient’s pancreatic head tissue has been sampled and examined, and it is confirmed that it is just pancreatitis, not pancreatic cancer…”
“what?”
this moment,
The wife and two sons feel happiness falling like a waterfall.
Excited!
“Thank God!”
“Fortunately, it’s not pancreatic cancer…”
The whole family is happy…
…
The next step is simple, because the gallstones have been removed, then the cause of jaundice is cured. As for pancreatitis, just take medicine for anti-inflammatory treatment.
after an hour,
The patient Lao Lin recovered from the anesthesia.
When I learned that I was not pancreatic cancer, I cried with excitement.
Escape from the dead!
…
Lin Feng came out of the ward and was about to go home.
result,
As soon as I walked to the door of the emergency department, I saw a nurse walking around the door in a panic.
When the nurse saw Lin Feng, she was overjoyed.
“｀” Doctor Lin, did you not go back? ? ”
“I just finished the operation and I’m about to go home!”
“Great, Dr. Lin, help me…I have just arrived in waves of ambulances and several doctors are busy, and then I just heard a call from a 120 ambulance saying that a patient fainted at home. It’s being delivered now, and we have 4 minutes to get to the hospital!”
“……………………”
Lin Feng wants to turn around and go home.
I really don’t want to be planted in the hospital tonight!
“Well… tell me more specifically…”
Lin Feng finally returned to the clinic and put on a white coat…
The nurse introduced:
“On the phone just now, the patient was 26 years old and he was a male. The doctor in the car said that the patient’s family complained that the patient had a cold for several days, and then within half an hour, he suddenly fainted while eating…”
“faint?”
Lin Feng asked: “How is the ECG?”
Nurse: “The doctor in the car said: There is nothing too unusual… (of Li’s)”
Lin Feng: “What about blood sugar? Have you tested it yet?”
Nurse: “It’s been tested, no problem…”
Lin Feng nodded.
Standing outside the door of the emergency department, waiting…
Within a few minutes…
Beep Beep Beep Beep~~~~~~·
An ambulance came quickly.
Nurse: “The license plate number is correct, this is the car…”
Lin Feng lifted his spirits and was exhausted!
brake——
The ambulance stopped,
As soon as the back door of the car opened,
Accompanied by the anxious roar of the doctor in the car:
“The patient has ventricular fibrillation, hurry up!!”
Lin Feng’s face changed.
Hoo! ! and!
“Quick, send to the rescue room!!”
“Prepare the defibrillator!”
Lin Feng yelled at the nurse at the nurse station inside!
————————
ps: The three shifts are over…
. .