The operation ends at 13:25.

The operation lasted almost 4 hours before it was over.

"The patient's vital signs were stable, and the arteriovenous pressure was within the normal range." The anesthesiologist reports the data on the monitor.

Li Xiyang nodded, "It's over!" ”

Then the two interns were told to wait for the patient to wake up from anesthesia and then send him to the intensive care unit for 24 hours.

The two interns nodded, and their calves were already sore.

With such a long operation, they can only stand, even if they are young, but they are a little unbearable.

I heard that Mr. Li performs at least seven or eight surgeries a day, I really don't know how he does it!

It's an iron man!

Li Xiyang and Zheng Xiaoyu cleaned up and walked out of the operating room.

On the bench outside the door, the patient's wife was sitting in her seat with red eyes and sobbing softly.

And the two in-laws had a red face, and they kept scolding and complaining to their daughter-in-law.

"If my son has three long and two short, it will be all your fault!"

"I really don't know what my son likes about you!"

"I'm confused every day!"

Suddenly, the door of the operating room opened, and the old couple saw Li Xiyang come out.

hurriedly greeted him, "Doctor, my son he..."

"Don't worry, the operation went well!"

"Ah, really, great, great, thank you, doctor!"

The old couple looked excited, and thanked Li Xiyang again and again.

Zheng Xiaoyu, who was on the side, found that the patient's wife was standing behind with red eyes and an aggrieved face.

Zheng Xiaoyu said, "It is the duty of our doctors to treat diseases and save people, if you are grateful, thank your daughter-in-law, it was she who chose the second option and did not give up on your son." ”

Hearing Zheng Xiaoyu's words, the old couple both sneered.

"Ah, that's it, Lijuan, what... Don't blame your parents-in-law, we're also worried about our son..."

The old couple admitted their mistake, and the patient's wife glanced at Zheng Xiaoyu gratefully.

Zheng Xiaoyu and Li Xiyang glanced at each other, and only hoped that the two old men could change their attitudes towards their daughters-in-law in the future.

……

At three o'clock in the afternoon, Qian Min hurriedly ran to the office.

"Dr. Li, there's a patient you need to see!"

Seeing that the latter was so anxious, Li Xiyang realized that the patient was probably not simple.

Hurriedly left the office and went to the ward.

On the way, Li Xiyang seized the time to ask, "What's the specific situation?" ”

Qian Min said, "A suspected leukemia patient was just admitted. ”

Leukaemia?

Li Xiyang was taken aback.

But how does leukemia come to the emergency room?

Shouldn't I go to a hematology department, or an oncology department?

Qian Min shook her head, she didn't know why the patient's family wanted to go to the emergency department.

However, when she heard that the patient had acute abdominal pain, she had already asked her to go for an examination first.

Li Xiyang nodded, "Let's take a look at the patient first!" ”

Soon, the two arrived in the hospital room.

I saw a lady in her thirties lying on the hospital bed, her face painful and pale.

At the edge of the bedside stood a very anxious man, older than the female patient, who was supposed to be the patient's husband.

After seeing Li Xiyang come in, the man said anxiously, "Doctor, help my wife take a look, what's wrong with her?" ”

"Don't worry, I'll check it first!"

Li Xiyang took out a stethoscope and put it on the patient.

"Does it hurt here?"

"Yes, yes, there it is!"

The woman's voice was hoarse, and the whole person looked very painful.

At this time, the light screen in front of Li Xiyang flashed.

[Lung: alarm alarm, virus invasion, obstruction of spontaneous breathing]

[Bone marrow: third-degree fibrosis, inactivation of hematopoietic function]

[Heart: Woo woo, I've only been working for 30 years, am I going to be laid off]

Seeing the dialogue of the organs, Li Xiyang frowned.

The lungs and bone marrow are both very important tissues and organs of the human body, and there is a problem here, trouble.

The third degree of fiber of the bone marrow loses its hematopoietic function, which is undoubtedly leukemia.

If there is a viral invasion of the lungs, it is likely to be acute pneumonia.

At this time, the door of the ward opened, and the little nurse ran in with the examination report.

"Dr. Li, the test results are in!"

Li Xiyang hurriedly took the CT film and observed it carefully.

Sure enough, the film showed that the patient had a nodule about one centimeter in diameter in the lower lobe of the left lung.

It should be the scarring of the lungs caused by inflammation after infiltrating the normal tissues of the lungs, and then causing structural abnormalities after abnormal repair, also known as pulmonary fibrosis.

Fortunately, the effects on lung function are not yet severe.

But the most problematic thing for patients is myelofibrosis.

Myelofibrosis is a clonal stem cell disease in which the bone marrow hematopoietic tissue is replaced by fibrous tissue at the onset of the disease, affecting the hematopoietic function, accompanied by the pathological state of extramedullary hematopoiesis of the spleen, liver and other organs.

The pathogenesis of the disease has not been elucidated, and it is presumed that fibroblast proliferation is reactive and secondary and has increased sensitivity to cytokines, while hematopoietic cells develop clonal or neoplastic proliferation.

Most of them are 50-70 years old, with a slow onset, and most of them are asymptomatic or atypical in the early stage;

The main symptoms of disease progression are anemia and compressive symptoms due to splenomegaly; Severe anemia and bone pain are late manifestations of the disease.

It is not considered a malignant tumor, but it is just as dangerous.

Normally, the body's bone marrow fluid appears under a microscope and its hematopoietic cells appear in a uniformly distributed spherical shape.

After myelofibrosis, the patient's bone marrow fluid appears as a barren desert under the microscope.

In conclusion, the disease seriously affects the hematopoietic function of the bone marrow.

Over time, myelofibrosis can develop into leukemia.

The female patient in front of her has myelofibrosis and has developed leukemia symptoms, and the bone marrow's hematopoietic ability has also disappeared.

At present, there is only one path in front of this patient, and that is a bone marrow transplant.

It refers to a comprehensive treatment measure that makes the body lose the ability to reject allogeneic tissues after immunosuppression pretreatment of the patient, and rebuilds blood function through bone marrow transfusion.

Therefore, it is also called hematopoietic stem cell transplantation.

Seeing that the doctor's face gradually became solemn when he stared at the film, the patient's husband panicked.

He looked at Li Xiyang nervously, and asked in an almost trembling voice, "Doctor... Doctor, my wife she... What the hell happened to her? Is it serious? ”

Li Xiyang sighed slightly, "The bone marrow puncture of patients is mostly dry pumping, most of the bone marrow hyperplasia is reduced, hematopoietic cells are significantly reduced, and non-hematopoietic cells can be increased.

Increased uric acid and vitamin B12.

Hepatosplenomegaly! ”

After Li Xiyang finished speaking, he saw that the patient's husband was at a loss.

Li Xiyang finally sighed and said directly, "It's leukemia!" ”

"What... What?! ”

The man's legs were weak and he fell directly in front of the hospital bed.

"Family, family!"

Qian Min and the little nurse in the ward hurriedly stepped forward to help.

The man shook his head, and hurriedly looked at Li Xiyang and said anxiously, "Doctor, leukemia is also salvable, right?" ”

Li Xiyang nodded, "Theoretically, there is indeed salvation, if... If you can find the right bone marrow. ”