Chapter 125: Maternal-Fetal Cancer Cells

As the days passed, the emergency department became busier.

Five surgeries were performed in a row until more than 3 p.m.

After ordering a takeout, before I could eat two bites, the triage nurse hurriedly pushed open the door of the lounge.

Li Xiyang motioned for Chen Xu and the three of them to continue eating, and he went over to see the situation first.

On the way, the triage nurse gave a quick talk about the patient's condition.

According to the family, the patient's stomach suddenly hurt after lunch, but it got better soon, and the family members still brought him to the hospital because they were not at ease, but it started to hurt again just now, and he fainted directly!

Li Xiyang's first reaction may be acute appendicitis.

The abdominal pain caused by appendicitis will move, the pain will be dull pain in the upper abdomen or umbilicus in the early stage, and then the inflammation will involve the parietal peritoneum, and the pain will gradually transfer to the right lower abdomen, and then it will become a severe pain in the whole abdomen, and even cause coma.

This type of patient is usually caused by a complete obstruction of the appendix by fecal stones, and the pain may be instantly reduced due to the perforation, and sometimes treatment is delayed because the condition is getting better.

The symptoms are consistent, but they need to be looked at specifically.

Soon, Li Xiyang came to the rescue room.

But at this time, the patient actually got up on his own.

Li Xiyang stepped forward to check and found that there was no response from the virtual light screen this time.

Is it faking illness again?

But why is this patient so thin!

Li Xiyang glanced at the patient's registration list.

Male, 27 years old, network engineer!

"Shen Xu?"

"Not kidney-deficient."

The patient turned pale and shook his head firmly.

Even if you endure severe pain, you have to maintain your dignity as a man.

"I mean your name."

"Huh?"

"Oh, yes, yes, my name is Shen Xu."

The patient looked embarrassed.

"You lie down first, I'll give you a check!"

The patient rushed to bed and lay down.

"What exactly does it hurt?"

"If you can't say it, it feels like a needle is pricking in your stomach!"

Li Xiyang reached out and pressed on the patient's right upper abdomen, "Does it hurt here?" ”

"Hiss~ Pain!"

"What about here?"

Li Xiyang pressed the umbilicus again.

"It hurts!"

After that, Li Xiyang pressed the left lower abdomen and the position close to the xiphoid process.

I saw that the patients' feedback was getting stronger and stronger.

"Hey, doctor, don't press it, I hurt anywhere."

The patient's face was almost distorted, apparently not faking illness.

However, his abdomen was soft, there was neither muscle tension nor rebound tenderness, which would essentially rule out acute appendicitis.

"Did you say it started to hurt when you ate?"

"Yes, doctor, what kind of disease do I have, it hurts me to death!"

"Do you have a history of stomach ulcers or other gastrointestinal problems?"

"No, I'm in good health and never get sick!"

As he spoke, the patient suddenly bowed into a big secret and shouted, "Doctor, here you go again, it seems that someone is pricking me with a needle!" ”

Li Xiyang's brows furrowed, it was the first time he had encountered this situation.

But he was sure that there must be something wrong with the patient's stomach.

"I'll give you a gastroscopy first!"

"Huh?"

"Are you going to poke me in the throat with a pipe?"

Li Xiyang glanced at him, "If you like, you can also enter through the nose!" ”

"Huh?"

Shen Xu shuddered directly.

Thinking about that picture, even the abdominal pain seems to be much lighter.

Li Xiyang said with a smile, "Don't worry, painless gastroscopy will give you anesthesia!" ”

"If you have anesthesia, that's good!"

Shen Xu suddenly breathed a sigh of relief.

Li Xiyang smiled and shook his head, if there is a patient who hates the most examination items, gastroscopy will definitely be ranked first by many people.

Usually when a doctor mentions gastroscopy, the patient's first reaction is, "Doctor, can I take any medicine, I don't want to do gastroscopy, it's too uncomfortable." ”

However, the doctor's recovery is always, "No, gastroscopy is the most important means to check for stomach diseases, and only through gastroscopy can we see stomach diseases and diagnose them for treatment!" ”

Although painless gastroscopy has now become widespread, anesthetics are still not available for some special groups.

For example, patients who are allergic to anesthetics and sedative drugs;

Have severe lung diseases, such as filial asthma, dyspnea;

Have serious heart disease, such as bradycardia, severe arrhythmia, high blood pressure, severe heart failure, acute phase of myocardial infarction;

acute perforation of the stomach, esophagus, duodenum;

and pregnant and lactating women.

For these people, having a gastroscopy is tantamount to suffering a sin.

Soon, a doctor from the Department of Gastroenterology came to receive the patient.

About twenty minutes or so, I took it out!

Gastric cancer!

After getting the test results, Li Xiyang was a little hard to believe that stomach cancer usually occurs in men over 40 years old, and he is only 27 years old!

So Li Xiyang added an abdominal ultrasound to the patient.

This time, Li Xiyang followed the whole process.

The B-ultrasound instrument used in the emergency department is SIUIC7-310C type, and the probe frequency is 3.5MH.

The patient was instructed to drink 10 ml of gastric B-ultrasound contrast agent in a sitting position, and then drink 500 ml of warm boiled water, and the flow of liquid into the gastric cavity should be observed in real time by B-ultrasound.

As the probe enters the cardia, fundus, antrum along the lower part of the patient's esophagus, ...

Li Xiyang finally heard the voice of the organ again.

[Stomach: Mom, I woke up from sleep, why did this thing get bigger again]

[Ouch, this thing poisoned me, and it bleed me directly]

[I have a good stomach, who provokes whom, how can I grow such a thing]

[Blood: Hey, I felt something was wrong when I was in the umbilical cord, and sure enough, now I've grown into a big demon king]

[Stomach: This thing hurts for a while, making me dizzy all day long, and I can't work, think of a way]

Umbilical cord blood?

Li Xiyang instantly understood that this was a cancer cell brought out of the mother's womb.

Nearly 50 hereditary cancers have been identified worldwide.

Most tumors are brought from the mother's womb, and the parent's occupation is crucial.

For example, long-term exposure to paints, pesticides, pesticides, hydrocarbons, dyes, gasoline and other items,

In particular, the mother's exposure to electromagnetic radiation and ion rays in the first 3 months of pregnancy will increase the risk of disease in children;

There are also toxic gases such as benzene, formaldehyde, and radon in home decoration, and air and water pollution are also the culprits.

Generally, after the birth of a child, 1~3 years old is the peak incidence of various blastomas.

Li Xiyang once read a medical journal, which included a case of removing a 9-kilogram tumor for a 1-year-old child.

There is also a 4-pound tumor taken out of the abdominal cavity of a 2-year-old child.

A 2.2 kg tumor was removed from the left ovary in a 3-year-old girl......

These are a microcosm of hereditary tumors worldwide.

With the increase of age, the incidence rate decreases year by year, such as osteosarcoma, lymphoma, thyroid cancer, and the incidence of gastrointestinal adenocarcinoma peaks in adolescence and young adulthood.

This is obviously the case with Shen Xu!

After coming out of the ultrasound room, Li Xiyang instructed the nurse to send the patient back to the observation room.

He took the test sheet to Mokai's office.

"Teacher, take a look at this patient."

Mo Kai took the report and quickly scanned it, The patient has a bulging tumor in the stomach cavity?

The tumor protrudes into the cavity and has infiltrated the mucosa, submucosa, and muscular layers, and the serous layer has a small invasion.

Mo Kai smacked his lips and said, "27-year-old stomach cancer patients are rare!" ”

handed the report back to Li Xiyang and said, "Send it to the oncology department!" ”

It is Zhang Zhenhua's rule that all cancer patients are transferred to the oncology department.

But Mo Kai's hand stretched out for a long time, but Li Xiyang, this kid, didn't answer.

Mo Kai looked up at Li Xiyang, who suddenly said with a serious face, "Teacher, I want to do this surgery!" ”

Mo Kai was stunned for a moment, then smiled.

"Coincidentally, I also want to do such a rare case!"

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Chapter 125 Maternal-Fetal Cancer Cells Free Read.