After Zheng Ren saw the strange video materials, he felt so tired.

When the body is tired, the heart is even more tired.

If no one got sick, how nice it would be to have a world like that.

At that time, I don't have anything to do, I go shopping with Xiaoyi people every day, even if it's a roller coaster.

But it was just a dream, and he immediately dissipated his unrealistic thoughts and concentrated on watching the film.

In the office, there was silence.

The patient's condition is peculiar, at first glance it looks like more than a dozen spleens growing in the stomach at the same time. But in fact, in Zheng Ren's eyes, these spleens are like grapes on a bunch of grapevines, which can be regarded as a giant spleen.

The spleen occupies about 40-50% of the volume of the abdominal cavity, and the intestines, stomach and even the kidneys are displaced to varying degrees.

This one......

"Gaucher disease is more likely, are there any tests related to it?" asked Zheng Ren.

When Professor Yang heard him say this, he clapped his hands excitedly and said, "I'll just say it's Gaucher disease!"

"Has the glucocerebrosidase activity test been done?" Zheng Ren asked as he looked at the film.

"It's been sent for inspection. Professor Yang said with a smile: "This rare disease, if it doesn't come out of your mouth, I always feel that something is missing." ”

"No. Zheng Ren said lightly, without a trace of ease.

"You're worried about surgery. Professor Yang asked.

Zheng Ren nodded.

Gaucher disease is less common in yellow people than in white people, and it is estimated that less than 500 people in the country will get this disease.

In the patient in front of him, the spleen occupies half of the abdominal cavity, and although Zheng Ren did not see the patient, it is estimated that the patient is thin and dry on the outside, but the belly is very large.

It's like the people who ate Guanyin soil when there was a disaster and famine in the old society. Perhaps because of low platelets, there will be traces of bruises and purple on the body.

In many cases, patients also develop pathological fractures. Fractures, which usually occur at the neck of the femur.

With just his knowledge of Gaucher disease, Zheng Ren has already sketched out the image of the patient in his mind.

As for surgery, it's even harder.

The spleen, which is the organ that stores blood, is an immune organ. In general, the spleen stores 40-50 ml of blood. Cirrhosis of the liver, in patients with splenomegaly, can store up to more than 1000ml of blood.

And the patient in front of him ...... TO SAY THAT THERE IS 3000ML OF BLOOD STORED IN THAT BIG LUMP OF SPLEEN IS TO SAY THAT IT IS TOO LITTLE.

Half or more of the blood in the human body is in the spleen and does not participate in the circulation.

The key to surgery is not to remove it, but to return the right amount of blood. If there are more, the patient will definitely develop complications such as heart failure. If it is less, it will affect the recovery.

And whether the spleen is preserved or not is also a question. In the patient's case, if the spleen is completely removed, the postoperative immunity will be horribly low.

Patients with Gaucher disease are definitely different from patients with ordinary trauma and spleen rupture.

Another tricky case.

Zheng Ren looked at the film, took a deep breath, and had already begun to sketch out in his mind the picture of the tragic death of the experimental subject after countless failed surgical training.

"What about the patient? Zheng Rendao.

"I'm going to go for an auxiliary examination, I'll go up and take a look, and if I come back, I'll be yours." After Professor Yang finished speaking, he hurried back.

"Zheng Ren, can you do this surgery?" Director Kong looked at the spleen in his belly, and his head was big.

"Try your best. Zheng Ren said, "Actually, I want to try if I can intervene in embolization treatment." But such a large spleen has to be embolized at least ten or twenty times. Whether the patient's family's financial situation is acceptable or not is a big problem. ”

Director Kong thought about it, Zheng Ren was thinking about it.

For hypersplenism caused by cirrhosis, interventional embolization is an option. However, after surgery, patients will have symptoms such as high fever due to spleen necrosis.

The embolism can be tethered, but with such a large spleen, ten or twenty embolisms may not be cured.

"You go see the patient later, and don't forget to come down early. Director Kong said with a smile: "I will treat you at night and wash the dust for Lao Pei." ”

"Okay, come back soon. Zheng Ren simply agreed.

"Remember to call your girlfriend, I don't have time to accompany you during the day, and I don't bring it to dinner at night, be careful if your girlfriend has an opinion. "Director Kong, as a person who has come over, explained to Zheng Ren.

"Uh......" Zheng Ren didn't want to take Xiao Yiren with him, but because of what Director Kong said, he hesitated.

Professor Pei smiled: "I heard that you have an instrument nurse yourself? is it the little girl who was busy last time I went to Haicheng?"

Zheng Ren nodded a little shyly.

"Use local materials, you can be regarded as grass on the edge of the nest. Professor Pei made a rare joke.

"It's shit luck. Su Yun said.

"I go to see the patient and come down to eat later. Zheng Ren is a little unaccustomed to this kind of joke that people talk about on many occasions.

Even as a big man, Zheng Ren is still not very used to this way of communication.

……

In the ward, a thin, withered little boy was lying on the bed wrapped in a down jacket.

Although the temperature outside has been more than ten degrees above zero, many people have changed their sleeves, and even young girls can't wait to start showing their white thighs to improve their return rate, but for this little boy, life is only winter.

His mother sat on the edge of the bed, looking at the various people in the ward, and a stone finally fell to the ground.

The child has been frail and sickly since childhood, but it is okay who does all kinds of examinations for the child. When I was a little older, I found that I often went home with a blue and a purple patch. At the time, I thought it was a child who was naughty and accidentally broke it.

But as the child gets older, the child gets sicker and sicker.

Three years ago, after a local check-up, the whole CT room became a sensation.

When she saw one doctor after another in white coats rushing to the CT room, she knew that she must be seriously ill.

The first thought was leukemia......

But when the doctor explained her condition, he said no.

just said that the child's belly was full of spleen, and there was no legal rule for this disease in the local area, so she asked her to take the child to a higher-level hospital for treatment.

Her husband died five years ago, and her mother-in-law's family found someone to tell her fortune because the child was always sick, saying that the child was destined to be a curse and wanted to overcome people. Until all the relatives are killed.

Otherwise, how could such a strange thing grow?

The in-laws believed it and began to quickly distance themselves from the mother and son. Her family persuaded her to leave the child to her grandparents so that she could remarry.

After all, it is difficult to remarry with children.

But as a mother, how could she be willing to leave her children behind? Besides, she knew that with her in-laws, the children were with them, let alone cured, and they couldn't even eat a full meal.

So, the mother and son began a long journey to find a doctor.

But this disease is so strange that the local doctors can't cure it, so I went to three or four hospitals in the provincial capital, and I still got a notice that it was inoperable.

I don't know when she started, she had the idea of dying with her child.