862 Porcelain Gallbladder
Like a great painter, a simple picture soon appeared on a4 paper.
Looking at this picture, Mu Tao's eyes lit up.
Without explanation, Mu Tao seems to have already understood several important nodes. Go back and compare the magnetic diffusion film. I think there should be a new breakthrough. That's what Mu Tao thinks.
"Old Mu, I won't tell you, you can go back and see it yourself." After Zheng Ren finished painting, he said, "If you don't understand or have any doubts, leave me a message directly, or come early tomorrow, let's discuss it together."
Mu Tao nodded, he understood what Zheng Ren meant.
Chang Yue went to call the next patient's family. Mu Tao saw Zheng Ren still pondering, and his heart felt a lot of feelings.
This is a selfless teaching, and I am afraid that I will not understand it, so I try my best to explain it to myself.
Using the idea of a normal person, this is such a fool!
This thought flashed through Mu Tao's mind.
Isn’t the rapid progress of human society because of such people? Edison received venture capital investment, summed up the experience of his predecessors, and created a light bulb before all the money was spent, and wanted to monopolize DC power.
He kept suppressing Tesla, but AC still came into being, breaking Edison's dream.
Tesla did not use alternating current patents to obtain patent fees that are more than 10 billion yuan, and it is used free of charge.
This move has greatly promoted the application of AC power.
Zheng Ren did exactly this kind of thing.
Great goodness!
Looking back on the first time I came into contact with Zheng Ren in the imperial capital, until the scene after scenes in Pengxi Township, and now, Zheng Ren's image has become three-dimensional and vivid in Mu Tao's mind.
In the following explanation, Zheng Ren draws a simple picture for Mu Tao every time.
Mu Tao took pictures, marked them, took care of the pictures, and waited for himself to look back and study them carefully.
Unfortunately, there are too many surgeries and the time is too short, and Mu Tao is afraid that he will not be able to thoroughly study it before the operation.
Following Boss Zheng to do research is much better than in Mayo Clinic, Mu Tao sighed sincerely.
After the three patients in the Department of Gastroenterology communicated one after another, Zheng Ren said hello to the hospitalized officer and took Chang Yue and Mu Tao to the Department of Hepatobiliary Surgery.
It was lunch break, and Zheng Ren didn't want to disturb Professor Yang Rui and Yang's rest.
But when he came to the doctor's office of the hepatobiliary surgery department, Zheng Ren saw Yang Rui reading the film, which was a T-picture on the upper abdomen.
"Brother Yang, I'm here." Zheng Ren was not polite and greeted him with a smile.
"Boss Zheng, come on." Yang Rui didn't even move his eyes from the film, but just called Zheng Ren over.
"Hmm? What movie?" Zheng Ren asked.
Professor Yang must have asked himself to watch the movie and make a diagnosis.
"I was a 62-year-old female patient. During the physical examination, she found that the gallbladder area had changed, so she did a T in the upper abdomen." Professor Yang said, "Under the fourth section of the liver, there is no gallbladder in the gallbladder area, only a cystic wrap. There is calcification and deposition, which looks a bit strange, like a porcelain gallbladder, but it is different from the porcelain gallbladder I have seen before."
"Oh? No gallbladder?" Zheng Ren walked over and asked first, then raised his chin to start reading the film.
On t, the gallbladder area imaged like a large bubble. The original gallbladder was located and the gallbladder disappeared. A huge cystic space occupied appeared there, with uneven texture and looked very strange.
Is it a tumor?
Zheng Ren doesn't think so. Generally speaking, tumors are solid and cystic.
What is that?
Mu Tao took a look at the movie and became interested.
Those who intervene, except for the monsters like Zheng Ren, are basically doctors from images.
Whether it is X-ray flat film or t, nuclear magnetism has certain research.
This film is interesting. Mu Tao temporarily forgot about the patients with advanced tips surgery for cirrhosis, and like Zheng Ren, he started watching the film.
Chang Yue was very helpless. It was a waste of time when he came out with Mr. Zheng to see the patient.
I said I looked at the patient, but after seeing a t-ampered belly, I stopped again. When will I finish the work?
But soon, within a few minutes, Zheng Ren said, "Brother Yang, I think the porcelain-shaped gallbladder you mentioned is correct, and there are malignant tissues in the gallbladder."
"I think so too." Yang Rui said, "Are Boss Zheng interested?"
"Hmm?" Zheng Ren looked at Professor Yang, "The patient has been hospitalized?"
"I'm living." Professor Yang said, "I can do the surgery, but the possibility of completely removing the porcelain gallbladder is not high. When are you free?"
"I'll have tips surgery tomorrow, the day after tomorrow?" Zheng Ren's hand was a little itchy, he smiled and said.
The porcelain gallbladder is a reference to the gallbladder walls that form hard, fragile and light blue in a special shape due to calcification.
In terms of clinical pathological characteristics, the porcelain gallbladder has its own characteristics.
Since rnell first reported and proposed the concept of "ceramicized (sexual) gallbladder" in 1959, sporadic related documents have been published abroad.
The correlation between porcelain gallbladder and gallbladder cancer is particularly proposed. Porcelain gallbladder is prone to gallbladder cancer, and porcelain gallbladder cancer often occurs in the body of the gallbladder and occasionally occurs in the bottom and neck.
The patient in front of him tends to be porcelain-like in the entire gallbladder.
Therefore, it is best to remove this calcified lesions intact. Once broken, it may lead to tumor transplantation and metastasis.
But as the name suggests, the entire gallbladder is as crisp as ceramic, so it is not easy to cut it out intact.
So when Professor Yang came, he invited Zheng Ren to participate in the operation without hesitation.
The autologous liver transplantation of liver hydatosis is done by Zheng Ren. Yang Rui no longer needs to worry about face or not in front of Zheng Ren.
If you are not sure if you can do it, then do it.
However, the porcelain gallbladder was only a preliminary diagnosis, and Zheng Ren asked about the patient's liver function, hydatum antibodies, bsp; and a19-9 assay indicators.
The laboratory tests were normal, and there was no special history of previous medical history and family history.
"Considering the possibility of a simple porcelain gallbladder, I didn't see any cancerous areas." Zheng Ren finally said with certainty, "But you still have to be more careful in the operation. On stage the day after tomorrow, Brother Yang, call me and I'll help me."
"Okay." Yang Rui took off the film with a smile.
"Two patients with advanced cirrhosis, let me take you to see you." Yang Rui didn't rest, took Zheng Ren to see the patients first, and then called him to the doctor's office one by one. Zheng Ren explained the condition to the patient's family.
Yang Rui wasn’t very interested in Zheng Ren’s drawings. After all, he was a surgeon. He was disgusting when he saw the bloody liver area. Can he still be interested in a sketch?
It is estimated that only doctors like Zheng Ren who are involved in the ordinary and intervening can draw such sketches.
After communicating with the patient's family, Zheng Ren and Professor Yang greeted him and returned to the interventional department.
Chang Yue did not go with Zheng Ren, she stayed directly and explained the live broadcast of the surgery to the patient's family.
Chapter completed!