After 100 Days Of Sign-In, The First Operation Shocked The World

Chapter 442

If it is "sickle cell anemia," then the boy's endemic disease in front of him can be explained clearly.

·Small cell hypochromic anemia is caused by thalassemia + sickle anemia

·One of the classic manifestations of sickness crisis: finger inflammation.

·One of the classic manifestations of sickle crisis: hepatosplenomegaly.

·Hb-F (fetal hemoglobin) is much higher than the normal value, which is the combined effect of thalassemia and sickle anemia.

everything,

It's all smooth!

Clear and clear, clear and clear! !

Lin Feng seemed to have a drink of cold spring water, cool! ~!

Lin Feng's own discovery, told his young mother.

"Ah? Isn't it thalassemia? Why does an anemia come out again?"

The young mother can't remember the sickle...

Lin Feng said: "It's "sickle cell anemia"... Now, all the evidence shows that it is this "sickle cell anemia". "

Young mother: "Well, Dr. Lin, you can treat whatever you arrange. As long as my son can be cured, everything is up to you..."

100% trust.

Lin Feng: "Wait...Before the treatment, we still have to check again..."

Young mother: "Confirm what?"

Lin Feng: "Sickle cell anemia" is a disease that has a high incidence in Heizhou and Kaikou countries. It is rare in our country. Without a family history, a new patient will mutate. This probability It’s too low... So, you have to ask clearly, which side of the man’s family or the woman’s family has this genetic disease? "

This is also Lin Feng's doubts.

If this is not resolved, Lin Feng would not dare to easily judge it as "sickle cell anemia."

The young mother said at this time: "There is no open country or Africa...but I know that my grandmother's grandmother is from Southeast Asia..."

Lin Feng pondered: "In Southeast Asia, there are a large number of Kaiguo people living together. Maybe your ancestors have Kaiguo ancestry, but that may not necessarily be..."

Young mother: "I'll call and ask..."

2 minutes later,

Young mother hung up the phone.

confirmed.

Grandma's grandmother's mother is a Chinese...

And the news of "sickle cell anemia" was quickly fried in the family chat group, causing a panic.

This is a dominant genetic disease!

There is a high probability that it will go to the next generation.

Moreover, some relatives have combined the symptoms of "sickle cell anemia" and found that their usual symptoms are very similar, which means that they should also have "sickle cell anemia."

This is a bolt from the blue!

...

Lin Feng found ‘the real murderer! ’

With a sigh of relief.

This time,

It is 99% certain that it is "sickle cell anemia".

but,

There is also a "sickling test": the red blood cells are incubated and then checked for sickle-shaped red blood cells.

This time, it takes four or five days...

The little boy needs to stay in the hospital and wait for the results of the examination...

Once the "sickling test" is positive, targeted treatment can be carried out.

...

Got a special patient,

Lin Feng was excited, and his sense of accomplishment was +1+1+1+1+1...

Continue treatment.

Just returned to the clinic,

A male patient with abdominal pain walked in.

Zhang Wei, 30 years old, male.

"Doctor Lin, help me see what the problem is, it hurts..."

The patient Zhang Wei was sweating profusely and his face was pale.

He clutched his right lower abdomen, bent over, and walked into the consulting room.

A very painful look.

"Lie down on the bed, let me see..."

Lin Feng directly let him lie down on the bed.

"Where does it hurt?"

"It hurts everywhere..."

"Let me see... don't be nervous... relax..."

Lin Feng all the way to the past...

His face was serious.

The patient Zhang Wei's abdominal muscles were obviously very tense, the whole abdomen had obvious tenderness, and rebound pain, and the pain at Mc's point in the right lower abdomen was the most severe.

Mai's point?

(Mc’s point, the projection point on the body surface at the root of the appendix, is also called the appendix point.)

Lin Feng's first reaction was appendicitis.

"Wait... How many scars do you have here (Mc's point position + 2 other scars)... Do you have a laparoscopic appendicitis operation?"

0 ········Find flowers·····

"Yes, I did it. Appendicitis was performed half a year ago, and then I had an excision operation in the hospital..."

Lin Feng was puzzled.

McDonald’s point, it’s about appendicitis...

Then, the patient said that the appendix had been removed!

So strange?

Where does it hurt?

"Have you brought the medical record?"

"Take it... the doctor asks every time I go to the hospital, so I will sort it out later..."

"This is the best way. The medical records must be sorted out...otherwise I will have to do more checks for you, a waste of money..."

Lin Feng started to see the medical records.

· Six months ago, underwent laparoscopic appendectomy, and the postoperative pathology showed "acute suppurative appendicitis".

. 0 ...

·Behind, continuous pain in the right lower abdomen, accompanied by fever.

·Went to three hospitals and had three appendix scans. No appendix was seen. Finally, after anti-infective treatment, they all got better.

Lin Feng saw this,

The rich experience made him subconsciously give a judgment:

·The first appendicitis operation was not done cleanly, leading to "appendicitis"! !

"Appendix stump inflammation": The textbook has its characteristics. The reason is that the stump was too long during the first appendectomy, which is similar to turning a long appendix into an appendix and then becoming more inflamed.

Appendectomy is the most common operation and the most entry-level operation!

Many ordinary people who are not doctors and nurses know that it is a minor operation.

In clinical practice, it is basically handled by frontline doctors on duty. It is easy to get started. New colleagues are basically independent surgeons after three months.

Lin Feng used to be in the No. 1 Hospital of the city, and it was almost the same. Surgery's regular trainees had this operation and practiced their hands very early.

but,

Although the operation is small, the risk is also great!

Reason: The doctor is too young!

...

"I suspect it is appendicitis stump inflammation, you can do a few tests..."

Lin Feng prescribed several examinations to the patient...

·CT abdominal enhancement

·Abdominal ultrasound

·Blood routine + hypersensitivity C-reactive protein

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ps: The update ends today.

. again.