Chapter 357: Biliary Ascariasis
This matter is a bit winding, the husband and wife got sick before and after, they both took the neighbor's antipyretic medicine before the onset of the disease, and after taking the medicine, they both had symptoms of abdominal pain, nausea, and vomiting.
Qian Jianghong asked, "What about your father?" Where is it? ”
The man said, "Send it to the First Hospital of H City." ”
The First Hospital of H City is Qian Jianghong's old employer, and Qian Jianghong came out of that hospital.
Qian Jianghong asked: "Then what is wrong with diagnosing your father over there?" ”
The man said: "It's also about the bile ducts." It's weird. They said it might be cancer, and it would take surgery to do pathology to be sure. He sighed again and again, both of his parents were sick and sent to different hospitals, if it weren't for the fact that this family had two sons, what would have happened.
"Really?" Qian Jianghong said, "Then did your brother tell the doctor that your father only had nausea, vomiting, and abdominal pain after taking antipyretics?" ”
"I must have told you," the man said, "that my brother has a fellow who works there as a doctor, and there should be no problem." But I believe that my mother is definitely not cancer, she must have taken medicine to take bad food. ”
The man said with a particularly hesitant expression, "If you are not sure, either let us be discharged, and I will send my mother to the first hospital of H City." There we have acquaintances. ”
Qian Jianghong was very upset when he heard this, this is the First Hospital of Z Hospital, he has a patient from a lower-level town who has come, and he has to be transferred to the First Hospital of H City, that is not a slap in the face of the First Hospital of Z Hospital!
Qian Jianghong said: "Coincidentally, I came out of the First Hospital of H City, what is the name of the doctor you know?" ”
The man arrived: "It's Luo Yang, do you know me?" ”
"Huh." Qian Jianghong smiled noncommittally, Luo Yang took advantage of his internship in his department, could he not know?
Qian Jianghong asked Liu Qingqing: "What do you think?" But seeing Liu Qingqing's face was blue, his hands were covering his chest, as if he was about to vomit, Qian Jianghong said, "What's wrong with you?" ”
Qian Jianghong knew some things about Luo Yang and Liu Qingqing's past, but Liu Qingqing was sad when she heard Luo Yang's name.
But seeing that Liu Qingqing tried her best to endure the discomfort of her body, she said, "Director Qian, I think she has biliary ascariasis." ”
Liu Qingqing is able to see through, after coming down to the emergency room, it is natural to sweep the patient's abdomen first, and it turns out that the dense clumps of roundworms are peristalsis in the patient's gastrointestinal tract, and the scene is really like a strange invasion, some roundworms have crawled into the bile ducts, no wonder it causes the patient's severe abdominal pain, as well as jaundice.
"Really?" Qian Jianghong touched his bald head, and then took a closer look at the B-ultrasound single.
There is an ultrasound screenshot on ultrasound, but the effects of roundworms in the bile duct are not well understood.
In fact, if the examiner is experienced enough, ultrasound can be used to determine biliary ascariasis.
How to say, the results of B-ultrasound examination depend very much on the examiner's own diagnosis of the disease, and he will take a screenshot of the ultrasound image that he thinks is more valuable and display it on the result sheet.
If the examiner is ignorant of biliary ascariasis, then he will certainly not get much value when he takes a screenshot.
Therefore, the echo in the B-ultrasound result list that Qian Jianghong saw could not make him judge that it was a roundworm at once.
Ascaris was a common disease in children decades ago.
In the past, people often used manure to irrigate crops, and roundworm eggs were abundant in the soil of cultivated fields, and children or farmers could easily eat roundworm eggs in their stomachs if they did not wash their hands before eating.
However, in the past ten years, the economy of Daxia has been vigorously developed, the people's living standards have improved, and the level of hygiene has also improved.
It seems that this patient's hygiene habits are still not good.
Qian Jianghong said: "Make an appointment for a bedside emergency B-ultrasound, let's take a closer look."
By the way, the acidic environment is not conducive to roundworm activity, so son, you can either go to the nearby supermarket and buy some vinegar or sour plum soup for your mother to eat. Tell the bugs not to move, and your mother won't be in so much pain. ”
"Really?" The patient's son showed a skeptical attitude, "I had roundworms when I was a child, but it was not as painful as my mother, and the doctor here said that her eyes were yellow, jaundice, and liver and bile duct problems. ”
"That's right, your mother's roundworms crawled into the bile ducts, if not treated in time, not to mention that the bile ducts will become inflamed, and pancreatitis may be secondary to later."
"It's so scary," the patient's son asked worriedly, "and will my mother still have surgery?" ”
Qian Jianghong said: "If ascariasis is confirmed, you can treat it with medication first. It doesn't have to be a surgery. Hurry up, there's a small supermarket around here, you can check it out. ”
The patient's son went suspiciously.
Liu Qingqing was also quite entangled, "Director Qian, look, I think his father may also have ascariasis, if he has ascariasis, then there is no need for surgery, after all, surgery has a great impact on a person's body, should I call Luo Yang?" ”
When it came to Luo Yang, Qian Jianghong also felt a little strange in his heart, because the patient's son actually said that he wanted to send the patient he was seeing to Luo Yang, and it was too exaggerated to read a book.
In Qian Jianghong's eyes, Luo Yang is still the intern!
Qian Jianghong waved his hand: "If you want to fight, you can fight, but I think it's useless to fight." ”
"Hmm." Liu Qingqing avoided outside and dialed Luo Yang's phone.
Toot, toot------
It rang twice and was picked up.
"Qingqing, is that you?" Luo Yang received Liu Qingqing's call very strangely, and he was a little excited, and his tone changed. "What's the matter with you?"
"That's right, Luo Yang, did you take in a patient with epigastric pain, nausea, and vomiting, it is said to be our fellow countryman, Luo Huahong's husband."
"yes, how do you know?" Luo Yang said, "He is from the village next door to us, and it is said that he took the antipyretic medicine of the neighbor before the onset of the disease, but the B ultrasound showed that it was a problem with the bile ducts, and Director Zeng said that it looked like bile duct cancer, so he decided to do laparotomy." Just sent to the operating room, Director Zeng will do it himself. ”
Luo Huahong's husband Kang Ming was able to be operated on in such a short period of time, and there is no doubt that Luo Yang contributed to his mediation.
However, it is not cancer, so it does not need surgery-------
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