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2180 Compression fracture of lumbar vertebra

Zheng Ren was relieved when Gad Woods' team left yesterday. He was particularly uncomfortable with the business work such as lectures.

Today, Director Kong and Ling Ge said they wanted to have dinner together, which was a celebration banquet.

It is said that President Yan has agreed to report the matter of Lin Ge's transfer and will be able to come down in the past half month.

Although no one could say anything unexpected would happen before the last moment, it would be strange if the adjustment of a cadre in the hospital, President Yan said nothing.

After driving Dahuangya away, Zheng Ren, Director Kong, and the medical team went downstairs.

"Boss Zheng, what was the disease of the doctor just now?" Director Kong asked as he walked. "Upper semicircular canal cleft syndrome, this disease is easily missed. This is a rare disease and was first discovered in 1998."

"Rare disease, you will know it just one glance?" Su Yun blew, and his black hair was floating on his forehead.

"It's just a suspicion, the patient's symptoms are similar. I suggest you do a thin layer of CT scan of the temporal bone, and let's talk about it after it." Zheng Ren smiled.

"What is the upper semicircular canal fissure syndrome?" Director Kong became interested in listening to the thin layer of the temporal bone.

This kind of examination rarely occurs in clinical practice.

"Under normal circumstances, there will be two holes in the bone structure around the inner ear. However, the bones on the top of the inner ear of patients with upper semicircular canal fissure syndrome will become thinner or missing, resulting in a third hole. Generally speaking, it is a plane, and the air pressure changes occur..."

"Boss, your butt is too crooked, you are all your own people. Can you tell the truth?" Su Yun said contemptuously.

"Hey." Zheng Ren did not retort, but smiled.

Director Kong recalled the location of the temporal bone and laughed.

Boss Zheng said that the bones on the top of the inner ear will become thinner or missing. This very written and official word is to cover up a fact - trauma.

According to the medical dispute just now, I met a "nosy" person after a fraud. As for what happened later, everyone knew it in their hearts.

"A survey of Rare Diseases in the United States shows that about 1% of people will have a third hole in their inner ear. It is this extra hole that causes hearing imbalance." Zheng Ren ignored Su Yun's words and continued, "In fact, it is not considered a rare disease, but it is difficult to find it. It has been confirmed in the past 2 or 30 years."

"It was really late to discover it in 1998." Director Kong smiled.

"Well, in 1998, Dr. Minor reported a group of cases in which strong sound stimulation, changes in middle ear pressure or intracranial pressure into induced vertigo, and intraauricular vibration and balance disorders are clinical manifestations."

"The temporal bone thin CT shows that the bone defect in the upper semicircular canal is defective and the nystagmus direction induced by the upper semicircular canal plane..."

"Boss, why don't you let the nystagmus test?"

"I'm too lazy to write." Zheng Ren said irresponsibly for the first time.

Su Yun shrugged, "If this guy Dahuangya continues like this, he will die sooner or later without a place to die."

"It's almost the same." Zheng Ren said, "But it's really uncomfortable to get this disease. You can hear the sound of gland secretion, which is impossible for ordinary people to bear."

"Don't pay attention to him." Su Yun said, "If I were you, I would put him in the hospital and check him for four or five days first."

"I dare not get admitted to the hospital." Zheng Ren admitted frankly, "If I really can't stand it, what should I do if I feel emotionally broken and retaliated against the society. The ward is full of patients, and it is not appropriate to hurt anyone."

"Hey, you think he'll do it if you give him a note of advice on checking?"

"Whether it is done or not has something to do with me?" Zheng Ren smiled honestly.

There is a metaphor that everyone is queuing up to walk a path without returning.

While queuing up, the doctor kept pulling some people out of the line and lined backwards, a little further away from the finish line.

A doctor with a high level can make this distance longer, and a doctor with an average level will have some effect. Some quack doctors and even miraculous doctors will even do the opposite.

That's right, as for whether Dahuangya believes it or not, when will the examination be done, Zheng Ren doesn't care and doesn't want to worry about it.

Talk and laugh, the medical team went to have a meal happily.

...

...

At this time, in the operating room of Guta Hospital, the largest orthopedic hospital in the imperial capital, Professor Tian, ​​who once went to Haicheng to fly a knife, performed his last operation today.

There are many surgeries here every day, and patients from all over the country flock to it. Professor Tian mainly focuses on spinal surgery, and can rank among the top ten in China.

Professor Tian had a day of surgery, which was the last case. The patient's condition was not very serious, so he was scheduled to do it in the afternoon.

The patient was a 55-year-old female. After carrying heavy objects one week ago, she felt pain in her waist, but she didn't pay attention at the time. She thought it was a sprain or something and would be cured for two days.

After resting for a few days, the pain became heavier and heavier. Oral pain medication did not have any particularly good results. It hurts as soon as you move, and even the pain was quite severe when you lie down.

In the local prosecution, the tenderness and percussion pain of l2 spinous process were positive, the forward flexion and post-extension movement was limited, and the standing and walking were limited.

No abnormalities were found in the lumbar x-ray film; the lumbar spine nuclear magnetic field showed a slightly concave edge of the l2 vertebra, continuous bone interruption, and high lipid inhibition sequence; it was diagnosed as osteoporosis compression fracture of the l2 vertebra and severe osteoporosis.

Local doctors recommend percutaneous kyphosis, which is often called local bone cement to support the fracture and osteoporosis.

When the family heard that the surgery was going to be done, they did not dare to neglect it, so they immediately took the patient to the imperial capital.

After all, it is spinal surgery. Once it is not done well, lower limb paralysis will occur. This is the simplest understanding of spinal surgery for ordinary people.

Compressive lumbar fracture is just a minor problem, but it becomes a serious disease when it comes to paralysis of the lower limbs.

Nowadays, whether it is airline, high-speed rail or highway, it is very convenient. It is a bit annoying to register after coming to the imperial capital.

Professor Tian took the patient up, had a clear diagnosis, and there were no surgical contraindications before the operation, so he arranged the operation directly.

This kind of surgery is not big, and Professor Tian has performed hundreds of cases. Compared with orthopedic hip replacement, vertebral resection and other surgeries, percutaneous kyphosis is indeed a minor operation.

Although it was a minor operation, Professor Tian looked at the patient's lumbar magnetic field before the operation, and the overall surgical process was already clear in the chest.

This is a habit. Only when the practitioner is careful can he try to avoid the occurrence of complications.

"Teacher Tian, ​​please brush your hands." Professor Tian's assistant reminded after setting the position for the patient.

The surgery is local anesthesia, and the patient takes prone to flex his hips and knees.

It’s a bit uncomfortable to put this position, but the operation is not long, so it doesn’t matter.

"The operation will not hurt, so let it be relaxed." Professor Tian comforted the patient, then went to wear lead clothes, brush his hands, and go to the stage.
Chapter completed!
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