468 Bugs that don't need to be married
On Monday morning, the hospital was very busy, and the accumulation of two days has increased the number of patients. The department should have a rough plan for the coming week's work.
Zhang Fan hadn't gone to work in the morning, so he went to tell the boss Ouyang early, although he met Zhu Bing relatively late, but a series of things also made their relationship very good.
In the special needs ward, Uncle Gold Tooth recovered very well after the operation, which also made the family feel a lot more relieved about the next surgery.
It's that Uncle Golden Tooth can't survive these days.
Because it was a stomach operation, in order to recover quickly, the doctor in charge of the bed directly fasted the water to Uncle Goldtooth.
Although the doctor injected all the energy and nutrients needed by the human body through the veins, because of normal physiology, his stomach began to feel as uncomfortable as a cat as soon as he arrived at the meal.
Walking in the hospital in the morning, when he saw others eating steamed buns, his saliva flowed out through the gaps between his golden teeth.
His illness is not serious, if the stone is not big, there are almost no symptoms, but his wife's illness is troublesome.
In fact, the human body is a balanced electro-solution reactor. A variety of complex ions keep this reaction going.
Once the equilibrium is upset, illness follows. Mayila, the wife of Uncle Golden Tooth, is now in this situation.
Although there was not much money in the early years, the standard of living was okay, and because of the race, Mayila before she got sick was tall and fat, and she was very rich.
But because he was accidentally infected with echinococcosis by his dog, he underwent an operation, and then there was a recurrence.
Then, in less than half a year, Mayila, who was originally tall and white, became a woman with a yellow complexion and a dry body, weak in speech, no appetite for eating, and liver pain tormented her day and night.
Liver hydatid, this thing is a white worm the size of a grain of millet to the naked eye, and people with bad eyes can't see it, and it doesn't seem to be anything to be afraid of.
But under the microscope, this thing looks very domineering. The body is like a white train, and the body is lined with long barbs of elders, and the barbs are covered with cilia, which look very evil, and they are connected in rows.
The surface of the body is also covered with suction cups that resemble human eyes, which means that this thing can be attached to the liver with a hook or attached to the intestinal wall.
If this thing grows to the size of an average dog, it is estimated that an adult will never be able to do this thing.
At its very caudal end is a suddenly enlarged caudal segment, which is its gestational sac, an adult worm with about 60 testicles (a) pills, and a uterus with about 800 eggs, which can produce more than 5,000 eggs at a time.
The eggs mature at 8 weeks of adulthood, and adults can live for up to a year. What's even more terrifying is that during the asymptomatic period, the eggs will be excreted with the patient's stool, once a dog licks the stool. Well, a whole chain of infection is formed.
It's just that the parasite grows slower, and if it grows faster, the disease is more terrible than cancer.
The growth of cancer is a predatory growth, that is, robbing normal cells of nutrients.
Parasites, on the other hand, not only rob the human body of nutrients, but also cause mechanical damage.
To put it simply, it not only absorbs nutrients from the human body, but also takes a bite of the human organ from time to time to change the taste.
After eating and drinking, it still does not stop, but also excretes, this is a complete toxin, after entering the blood, it will start a war with the body's immune cells, allergies, asthma, and even mental symptoms.
Because this thing is terrible is hermaphroditism, as long as an egg enters the human body, it doesn't need to find any mate, it can have fun with itself, and then give birth to countless offspring.
Once these offspring feel that the liver is too small, they will travel while eating, and the surrounding stomach, intestines, kidneys, and even the brain and eyes are its chocolate room.
The first surgery for this disease is very important. Once the first time is not done thoroughly, let the eggs enter the brain, bone marrow or eyes, it is an immortal cancer, and you can only take insecticides to maintain life.
In the special needs ward these days, although the weather is very hot, the nurses have almost wrapped themselves into meat balls. It used to be a good department, but now there are pregnant nurses who want to be transferred to other departments.
Although there is no intermediate host and cannot be infected, when I think of this thing, there is no one who does not respond. After work, the little girls' hands were almost washed out.
Zhang Fan took the doctors from the general area to the special needs ward for rounds, and saw Uncle Goldtooth, who not only said that he was very hungry and thirsty, but also recovered well.
When you enter Mayila's hospital room, the first thing you can smell is a bad smell. Zhang Fan wrinkled his nose and began to check his body.
"How's it going, how are you feeling these days. Zhang Fan checked his body while interpreting the little nurse who came with him.
"It's so uncomfortable, my intestines are about to vomit out. I can't survive!" Mayila said weakly.
Because of the perennial hives, the scars on her skin that were scratched by herself are very obvious, one by one.
"I used Albenda, but her reaction was too great and she vomited very badly. The doctor in charge of the bed stood aside and explained to Zhang Fan.
"Oh, is the inspection perfect. Zhang Fan was checking, and Mayila coughed, and occasionally coughed up something like tofu dregs.
Well, if she chews on this tofu dregs, she will definitely be able to taste meat, because these are worm eggs.
"When I was done, there were obvious egg calcifications in the lungs, the intestines, and a large number of eggs in the liver. ”
As he spoke, Zhang Fan took the medical records. Looking at him, he began to frown, it was too serious, and the possibility of radical surgery had been lost.
To this extent, Zhang Fan has no good way. There is no point in having surgery anymore, it will recur after a short time, and it will bring more damage, and the gains outweigh the losses.
"Conservative treatment first, wait for a course of treatment, and prepare PAIR!"
"Isn't it too dangerous. The doctor in charge of the bed outside the general hospital is an attending doctor, and he said a little hesitantly as soon as he heard that Zhang Fan was going to be a PAIR.
"There's no way around it, once the eggs get into the brain, it's troublesome. ”
PAIR, also known as percutaneous treatment of hepatic hydatids, was invented early, but is now almost abandoned by doctors.
In fact, it is very simple to say, it is a long needle, with the help of color ultrasound.
Insert directly into the nest of hepatic echinococcids** from outside the body, and then inject an insecticide, such as 95% absolute ethanol.
This method is simple, the effect is also very obvious, that is, it is easy to recur, the biggest disadvantage is that once the operation is not good, once the drug enters the bile duct tree, it will be liver damage, and it is very serious liver damage, and even liver failure.
Therefore, in clinical practice, few doctors take the initiative to use it, and poor treatment is medical malpractice.
Zhang Fan took the patient's CT, MRI and B-ultrasound, and after looking at it in detail a few times, he said, "You can try it and talk to your family!"
"Ahh
"Do it! As long as she does it well, she can live a few more years, and she can get it!"
"But ......"
"I can't watch her get eaten by insects like this, let's talk. ”
Helpless, this is the consequence of eating raw meat and not washing your hands after holding the dog. But as a doctor, as a systematic doctor, this kind of difficult surgery is not a kind of improvement, and it is not a kind of honing of oneself.