Chapter 246: Maybe There's Still Hope!
In order to comfort the man's emotions, Wu Jiang also had to speak with a clear conscience.
If lung cancer is really diagnosed, how can there be a cure!
It's just to delay the disease and prolong a certain life.
Generally speaking, as long as lung cancer is diagnosed, the 5-year survival rate is only about 10%, and it is difficult to exceed 20%.
In other words, even if lung cancer has undergone surgery, no more than 10% of people will still be alive after 5 years.
No wonder the man was frightened and helpless.
Listening to the man's pleading, Lin Yi involuntarily walked over.
Wu Jiang saw Lin Yi coming, as if he had seen a savior, and without waiting for Lin Yi to ask, he said directly:
"Lin Yi, this patient mainly suffered from coughing for half a year, and came over for half a month. There is no medical history. ”
"In the past half a month, the cough has worsened, and it is an involuntary cough, and occasionally there is bloody sputum. I also have a history of smoking, but I don't have more than one pack a day. ”
"Occasionally, it is accompanied by a low-grade fever, which generally does not exceed 38 degrees. After I came, I made a chest T for him, and the film looks like this, you see. ”
When the young man saw another doctor coming, he stopped begging Wu Jiang.
He looked at Lin Yi with blank eyes, waiting for his conclusion.
Lin Yi took a look at his chest and found that at the bottom of the man's left lung, there was a shadow the size of a dime, and there seemed to be burrs around it, which was not clearly demarcated from the surrounding tissues.
Judging from the man's chest X-ray alone, the first consideration was lung cancer, and it was peripheral lung cancer.
Combined with the man's symptoms, cough, hemoptysis, and a history of smoking, the possibility of lung cancer is very high.
It's no wonder that this man, when he heard about his lung cancer, almost collapsed emotionally.
When the man saw Lin Yi, he didn't speak after watching the film, and hurriedly turned his target to him.
looked at Lin Yi with a sad face and said:
"Doctor, my illness is not very serious, please find a way to save me, I can't die."
As a doctor, as long as you watch such a film, nine times out of ten, you will be diagnosed with lung cancer.
If the diagnosis is 100% confirmed, further histologic examination is definitely required.
But regardless of whether there is a final examination or not, based on this film alone, the young man has basically been sentenced to death.
Even if he has the chance of surgery, even if he does not metastasize, the survival rate after 5 years is extremely low.
Lin Yi looked at the panicked and helpless young man and pondered for a moment.
Lin Yi did not answer the young man's words, but said to Wu Jiang:
"Judging from his films, it is true that lung cancer is very likely. But I think he should still have a flexible bronchoscopy and take a biopsy of the pathological tissue. ”
"After 100% of the diagnosis is confirmed, we will consider his follow-up treatment."
Wu Jiang immediately nodded and said:
I thought the same thing, and I told him, but he didn't believe it. He always felt like he was 100% lung cancer and hopeless. ”
Now that Wu Jiang has already thought of doing a fiber bronchoscopy on the man.
Then Lin Yi didn't remind him more.
Because this young man only needs to check the fiber bronchoscope, then the truth of his condition will be revealed.
At that time, it will be shocking news for the man.
However, flexible bronchoscopy is not just a matter of doing it.
At the moment, young men still have to endure some psychological pain.
The shadow of the man's lungs, which is highly suspected of being lung cancer in the film.
But it is also possible that something has entered the pulmonary bronchi, and it will also be shown in this way.
Everything still has to be checked first.
Seeing that the young man was still looking at him, Lin Yi turned his head to him and comforted:
"You don't have to worry too much. This film doesn't say exactly what you want right now, and after you have a flexible bronchoscopy, it may not be what you imagined. ”
"So before the results come out, you put your heart in your stomach first, don't think so much."
Wu Jiang naturally thought in his heart that what Lin Yi said was just to comfort the man's mood.
Immediately, he also put on a sincere look and looked at the man.
"I'll make an appointment for you to do a bronchoscopy first, and I can do it in the afternoon. After the inspection, we will make up our minds, and maybe it won't be a big problem. ”
The young man knew in his heart that the two doctors were only trying to comfort him.
But having said that, he couldn't dwell on it any longer, so he left anxiously, waiting for the fiber bronchoscopy in the afternoon.
Lin Yi and Wu Jiang were chatting about the young man's lung cancer, when a nurse broke in and shouted:
"The ambulance immediately brought in a critical patient, Dr. Lin, you can take care of it!"
"Good!"
Wu Jiang grabbed the stethoscope and hurriedly rushed out the door.
Lin Yi followed behind and hurriedly walked out.
As soon as I was at the entrance of the emergency department, an ambulance roared in.
After the emergency doctor got out of the car, he hurriedly introduced the simple condition.
"Male, 53 years old, fever for 2 days, unconscious for 1 hour, 5 days ago due to left knee injury, simple debridement sutures were done in the clinic, now it appears that the wound has signs of infection, blood pressure 60/40Hg. The patient's condition is initially considered to be septic shock. ”
"Quick, push the rescue room!"
Wu Jiang hurriedly shouted.
"First use dopamine 200 mg intravenous infusion, correct blood pressure, and continue intravenous dextrose and succinylgelatin injection intravenous drip ......"
Pushing the patient to the emergency room, Wu Jiang hurriedly gave a series of rescue orders.
Septic shock is also a very dangerous disease.
Now that the patient has gone into shock, the main treatment principles are anti-shock, blood volume replenishment, blood pressure raising, and anti-inflammatory treatment.
However, after two minutes, the nurse still did not apply the liquid.
The patient's consciousness is also becoming more and more blurred.
Wu Jiang was immediately anxious when he saw this situation.
"What do you eat? So far, the needle has not been pierced, and the patient still needs medicine? ”
The nurse who pricked the needle was not a newcomer, but an old nurse who had been working for several years.
The doctor reprimanded her and didn't dare to fight back, but explained in a low voice: "His blood pressure is too low now, and his blood vessels are completely flattened, and he can't penetrate it!" ”
Seeing that the patient was getting heavier and heavier, but the needle could not be pierced, and the medicine could not be infused, Wu Jiang was also anxious.
But what the nurse said was also true, and he was helpless.
And doctors generally don't stick needles, even if they go up to the nurse or even worse.
"If it doesn't work, please ask the anesthesiology department to come over and do a deep venous catheterization!"
Wu Jiang gritted his teeth and said.
Deep venous catheterization is the practice of leaving a catheter in the central vein.
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Chapter 246: Maybe There's Still Hope! Free to read.