Chapter 357: Xu Qiu's Surgery? Stabilize!
Several directors' eyes turned, feeling like they were about to come out, but they always felt that they were a little bit worse.
Not to mention the attending physicians, they looked around and stared at the directors, hoping who could make a big splash.
At this time, Xu Qiu mentioned the last diagnostic clue.
"Professor Yan has been drowsy this month and has been sleeping most of the time.
And this also just conceals a very important symptom.
Skin weakness!”
As soon as these three words came out, several directors suddenly raised their heads, feeling like they were shaking the clouds and seeing fog, and blurted out: "Thymoma?!"
Thymoma can lead to many autoimmune diseases, many of which overlap with autoimmune encephalitis and are easily misdiagnosed clinically.
It also meets a series of symptoms that Professor Yan has.
In addition, muscle weakness, simple aplasia, etc. are all complications that can be caused by thymoma.
Director Huo quickly opened the examination report of his hospital again and realized that they had only checked a few simple adjunct tumor antibodies, which had little to do with thymoma.
He is a doctor within the Gods, so he naturally leans on diseases within the Gods.
There was no tumor in various cranial examinations, and Professor Yan did not show any obvious signs of thymoma, so he was easily ruled out.
Therefore, all inspections appear normal.
"Yes, thymoma makes sense!"
"From the book, the patient's symptoms are considered rare symptom of thymoma, which is also a common symptom of Kjavi disease."
The doctors were amazed.
After knowing the answer, everyone felt a sense of pleasure that was completely breathing in their hearts.
When Xu Qiu heard this last sentence, he shook his head and said, "The rare manifestations of common diseases are more common than those of rare diseases."
Everyone looked shocked, feeling like a wake-up call.
In Linhai First Hospital, Xu Qiu was diagnosed with a rare disease and was diagnosed with the atmosphere caused by a rare disease. At this moment, a sudden brake came.
Everyone woke up:
Before you have enough strength, a rare disease is a disease that doctors can only see once or twice in their lifetime.
Generally speaking, don't lean on this at all!
Rather than worrying about which rare disease has similar symptoms,
It’s better to take the time to look for it. What common diseases have such rare symptoms.
"Doctor Xu, I've been taught."
At the moment when the answer was revealed, Director Huo and the three directors of the outer hospital who were accompanying him stood up at the same time, feeling surprised, but more respect.
Xu Qiu's words were too deafening and awakened many doctors who had fallen into misunderstandings.
After returning, Director Huo must ask Director Xiao Liu to copy this sentence a hundred and eighty times and remember it for a long time!
...
...
The three words "Keya" were removed from Professor Chiu Yan's medical record.
When "thymoma" replaced it, the old man and his son felt that they finally waited for the dawn.
It's saved!
Thymoma is also terrible, and the risk of surgical removal is very high, but compared with Kjavi disease, which has a 100% mortality rate, it is nothing at all.
"Doctor Xu, did you do the surgery?" the old man asked quickly.
In the ward, Xu Qiu conducted further evaluation and nodded: "I'll do it."
"Stay stable," the middle-aged son patted his chest.
The old man said: "I'm totally relieved!"
Foreign patients may not know Xu Qiu’s medical skills. How can their family members at Linhai University still not know?
"You see here that the tumor has invaded the surrounding tissues and large blood vessels. The risk of surgery is definitely very high, and the procedure is relatively more complicated than ordinary thymoma resection..."
Xu Qiubi introduced the patient's chest radiograph.
The old man and his son nodded while touching their chins: "Well, that's it."
It's very similar to the professor talking about the cumbersome Navey-Stokes equation above. The students below can only understand d, v, and t, but still have the same expression.
Xu Qiu said: "Next, after doing a high-definition ct, after obtaining a 3D image of the chest, 3D reconstruction is needed to further confirm the surgical plan."
Old man: "The thymus should be an immune organ. Will this thymoma be affected by the immune function?"
"General surgery does only remove thymoma, but Professor Yan is different."
Xu Qiu analyzed: "Mysas gravis are accompanied by thymoma, not only should the thymoma be removed, but the thymus must also be removed."
The old man's expression changed again: "That, that, that..."
"Don't worry too much about this. The thymus of adults will gradually degenerate and shrink, becoming infunctional fat tissue.
At this age, whether there are thymus or not has a great impact on the body.
Even if there is a decrease in immune function, it is caused by surgery."
The old man quickly shook his head: "No, no, no, how could it be the problem of Dr. Xu's surgery? These complications are definitely unavoidable."
“…”
Xu Qiu was silent.
Shouldn't he use this to comfort the patient's family?
You said, what should I say?
“All in all, Professor Yan’s surgery is very complicated.
We need to cleanly remove the tumor, thymus, completely remove the invaded sternum and large blood vessels during surgery, and rebuild the chest to preserve the patient's respiratory function and upper limb mobility."
To live, you must live with a quality of life.
After the operation, the patient's life was saved, but he had to carry a ventilator for his whole life or could no longer hold up his chalk to write. For Xu Qiu, it was a failure of the operation.
"Hurry, Doctor Xu, if you have anything to sign, hurry up!" The old man and his son urged.
Xu Qiu was silent for a while and nodded: "I will arrange the operation as soon as possible."
...
With the cooperation of the family, Professor Yan's operation was progressing extremely smoothly.
Preoperative preparations are also underway.
In the imaging department, Zhang Hao was responsible for it, and all aspects were progressing very quickly. The lesion's chest model was also reconstructed. It was soon simulated countless times in the surgical team led by Xu Qiu, and the patina was almost disassembled.
Secondly, it is drug control to deal with muscle weakness.
Under the influence of hormonal drugs such as bromopyridine, combined with methylangrolon, Professor Yan's symptoms have improved to a certain extent and he finally has the opportunity to operate.
The most headache is the department of anesthesia.
Myasthenia gravis and thymoma are already critical. They have to adjust the plan at any time for anesthesia. They can neither affect the transmission of neuromuscles nor respiratory function. All kinds of muscle relaxants are almost prohibited. Fenagan, diazepam, morphine, ether, procaine, etc. must be very cautious.
Therefore, after several discussions on the surgical plan, Xu Qiu left the department of anesthesia and carried out more detailed and in-depth anesthesia formulation.
Relying on countless times to continuously adjust the amount of anesthetic in the simulated operating room,
Modify the composition of each anesthetic drug,
Xu Qiu finally found the best anesthesia plan.
After the last preoperative discussion, the director of anesthesia was extremely shocked with the confirmation of the final plan.
How did this guy do every solution proposed by the anesthesia team? He can immediately give the result after a few minutes of silence...
It's just like using this anesthesia method for the patient!
Xu Qiu said honestly: "I simulated it in my head."
Chapter completed!