Since 1981 Health School

Suddenly, Xu Jinxing seemed to think of something. Chen Qi's eyes are vicious. He has seen it himself. He can even see a newborn's lung cancer. Could it be possible to read a film wrong?

After all, you are an old doctor. Although you won't admit it easily, you won't simply deny it either.

So Director Xu read the X-rays carefully again and again. When you have a natural impression in your mind, the more you look at this oval shadow, it is indeed a bit like inflammation.

"Come on, I'll take you to the CT room myself, I also want to see, what is this thing?"

Doctors are particularly interested in difficult and miscellaneous syndromes, and Director Xu is no exception. Who doesn't have a heart for gossip.

One hour later, the film was rushed out, and Director Xu was stunned as soon as he got it, because the "dumbbell-shaped shadow" could be clearly seen on the film.

Have you seen dumbbells?

The primary lesion and enlarged hilar lymph nodes look like the two ends of a dumbbell, and the drainage lymphangitis in the middle is like the iron in the middle of the dumbbell (the place where the hand is held).

This image is a typical manifestation of "primary tuberculosis".

Xu Jinxing smacked his lips, and said to the two little doctors from the Fourth Hospital next to him:

"It seems that your Dean Chen is about to overturn this time, and the CT film came out. This is tuberculosis, and there is nothing wrong with it."

Yang Tihao and Zhang Xingshun looked at each other in astonishment again, then scratched their heads.

Because they thought their dean was so amazing, how could he be wrong about what he was looking for? But now the person who questioned Chen Qi was his master's supervisor, his teacher, so he couldn't refute it.

Xu Jinxing was also considered responsible, and took two small doctors to the internal medicine department for another round. The two internal medicine directors glanced at it, and impatiently diagnosed it as tuberculosis. This is a real hammer.

Chen Qi received a call from Director Xu in Yuezhou.

"Haha, boy, I heard that you insisted that a tuberculosis was pneumonia, and then you sent it to our hospital after a long time of treatment but failed to cure it?"

Chen Qi has black lines all over his head. He was not the one who admitted this patient in the first place, but he has to take the blame for it.

"Ms. Xu, how are you doing? How's the CT result?"

"I saw a dumbbell-shaped shadow on the CT film. What do you think of the result?"

Director Xu originally thought that he, a new graduate student, would jump up in surprise, or crawl into the ground in embarrassment, but Chen Qi replied surprisingly calmly.

"Dumbbell-shaped impact, um, that's right, it's even less likely to be tuberculosis."

Director Xu choked for a moment, "I said, are you stupid? Why is it even less likely to be tuberculosis if you are in the shape of a bell?"

Chen Qi could only patiently explain:

"Ms. Xu, it's like this. This patient has received one tuberculosis treatment three years ago, and this time he has also received anti-tuberculosis treatment in our hospital for more than a month. The two treatments have not seen any effect.

At that time, I saw the shadow from the X-ray film. Have you noticed that there is a part of the shadow with a particularly high density? "

"Then why do you think the dumbbell-shaped shadow is not a tuberculosis?"

"Director Xu, you still have to pay attention to the two ends of the dumbbell. Take a closer look. Are these two ends enlarged lymph nodes, or are you abscess inflammation?"

While making a phone call, Director Xu moved his head close to the CT scan, almost touching his eyes.

This look really revealed a problem. If it is a swollen lymph node, the boundary should be clearer.

As for the two ends of the pair of "dumbbells", if you look closely, you can still see that the density is wrong, and the boundary is still slightly blurred.

On the whole, it does look like hilar lymph nodes caused by tuberculosis, but if you cover up the whole film and only a small section is exposed, it looks like inflammation.

Director Xu switched the phone to the other ear,

"Chen Qi, according to your judgment, it's hard to convince people with just this CT scan. Do you have a better way?"

"Yes, I suggest doing an additional CT, er, if possible, it is best to do a 3D reconstruction of the lungs, so that you can clearly see what the lesion is like."

Director Xu laughed angrily: "Stop farting, where did the 3D reconstruction come from? I've never heard of this concept. I guess it's something you play in plastic surgery?"

Chen Qi knew that he had made a slip of the tongue, and accidentally mentioned an important auxiliary inspection for future generations, so he hurriedly changed the topic.

"Mr. Xu, think about it. If the two ends of the dumbbell are inflammatory substances, then the continuous line in the middle is unlikely to be a drainage lymphatic vessel. You should pay more attention when doing enhanced CT."

"Okay, leave it to me."

Director Xu put down the phone, thought for a while, and wrote another inspection application form on the paper:

"Then, Jin Wenyao's family, please pay the fee, and we will make an appointment for an enhanced CT in the afternoon."

When Jin Kangsheng heard that he was going to pay again, although he felt heartbroken, he obediently ran away.

An old farmer was wearing a tattered black handbag, which contained all the money he borrowed from the village, which was already all his belongings.

At the price-marking window, Jin Kangsheng carefully handed in the list, and then he heard the crackling sound of abacus inside.

After a while, a staff member shouted: "A total of 289 yuan."

Jin Kangsheng's hands trembled when he heard that, "It's so expensive, isn't it just a chest x-ray."

Staff seem impatient:

"You old man, if Director Xu hadn't rushed you, do you think you could line up so quickly? The contrast agent injections for enhanced CT are all imported. Do you think anyone can do it? Really, love can't be done. Do it, don't do it and get out of the way."

Who said that only the salesmen of supply and marketing cooperatives or restaurants are fierce these days? Hospital staff are even more vicious.

Jin Zhishu, who called the wind and rain in the village, was completely dumbfounded when he arrived in the provincial capital, so he could only quickly apologize:

"Comrade, don't worry, I'll count the money right away, count the money right away."

There was not much money left in the bag. Thinking that his grandson should be saved this time after being diagnosed and treated by Chen Qi and the doctor of the provincial capital hospital, Jin Kangsheng didn't feel sorry for the money anymore, so he gritted his teeth and handed the money in.

In the evening, the enhanced CT report came out, Director Xu read it hastily as soon as he got it, and then slapped the table.

"Good boy, Chen Qi really has two brushes."

As soon as the words came out, because Chen Qi was involved, the doctors in the CT room surrounded him, including Yang Tihao and Zhang Xingshun, who quickly took advantage of the favorable terrain.

"Director Xu, did you find anything?"

"It's the director, tell us about it."

Xu Jinxing greeted quickly: "Come on, everyone, take a look and refer to it. What do you think it is?"

Everyone's eyes followed Director Xu's fingers, and they saw a linear shadow in the patient's right chest on the CT scan, and it was quite long.

"what is this?"

Everyone was also shocked, "Why is there a long and thin thing in the lung, with a diameter of at least 10cm, it's not easy."

"It's really not easy!"

In the fourth hospital of Yuezhong, after Chen Qi got the film, he opened it and looked carefully at the first time, and then pointed his fingers heavily:

"This is a foreign body! All of Jin Wenyao's current symptoms come from the infection caused by this foreign body."

After three years, Chen Qi finally solved the case.

Indeed, as Chen Qi had guessed before, this was the foreign body somehow entering the lungs, causing inflammation, and then three years of low-grade fever, cough, and chest pain.

Anyone with such a long thing in their lungs would not be able to bear it.

When the border alliance heard that it was a foreign body, it became excited: "Then we can operate? Take the foreign body to the patient and heal."

Chen Qi shook his head:

"I'm afraid it's not that simple. Look at the film. This location is very sensitive. It can be clearly seen that one end of the foreign body is suspected to be stuck in the pulmonary artery. After a long time, it will affect the right heart, resulting in increased right heart pressure, and then right heart. Exhausted.

Therefore, the patient will have the performance of gastrointestinal congestion, poor appetite, abdominal distension and other external symptoms. Now the patient is already very weak at this time, with right heart insufficiency, or even failure, whether he can afford the operation is another matter.

In addition, the bamboo stick directly pierced the left pulmonary artery. To take it out completely, the pulmonary artery must be sewn up. The artery is not as simple as sewing clothes. The operation is too difficult and the risk factor is too great. "

A group of small doctors are even more gossip, focusing on what is this thing in the lungs?

"Hey, what do you think this thing is? Could it be an iron needle? In novels, it is said that if someone hurts someone, you will give a child a needle, and then let the child die."

"Yeah, yeah, I've heard of it too, but it seems like there are more girls being stabbed, right?"

"You have read too many novels, and the intensity doesn't look like metal at all."

"Do you think this Jin Wenyao is stupid? There is such a long thing in his body, and he doesn't even know?"

"That is to say, say it earlier, so as not to be delayed for 3 years, and now people are dying."

Chen Qi was also listening to the gossip of his subordinates with great interest. The director Bian next to him couldn't stand it anymore and reminded:

"Head Chen, what shall we do now?"

"What should I do? Tell the Jin family the truth. Conservative treatment will definitely lead to death. If you have surgery, you have to remove one lobe of the lung. Whether the other end that is stuck into the pulmonary artery can be removed is a problem. The success rate of the operation is only half at most. Either it succeeds , or fail, and die on the operating table on the spot if they fail, let them make up their own minds.”

"Then what if they don't agree to the operation?"

Chen Qi curled his lips: "It's good to have a clear diagnosis, I'm not their real father, I love them forever."

in the ward

When Jin Kangsheng's family heard such a result, they couldn't believe their ears.

"Director Bian, are you saying that there is a 10-centimeter-long thing in my grandson's lung, which caused my grandson to be sick for three years? Didn't you say it was tuberculosis?"

Director Bian had to take the film and explain it for a long time, but when you interpret the CT film to the farmers, it is like playing the piano to a cow. It is strange that people understand it.

Jin Kangsheng was still dissatisfied: "Director Bian, tell me, how did this 10-centimeter thing get into my grandson's lungs? It can't be eaten?"

This question is the key, normal people can't swallow such a long thing, and they can't swallow it, so Jin Kangsheng doesn't believe that there is such a thing in his grandson's lung.

Director Bian was helpless, "It wasn't eaten. According to our judgment, it should have penetrated through the skin. If you don't believe me, I'll find the scar for you."

After finishing speaking, Director Bian pulled up the clothes of the patient Jin Wenyao, pushed his glasses, and then searched for the wound with the family members.

It is absolutely impossible for a 10cm foreign body to be swallowed orally. The only explanation is that it penetrated through the skin. This is the consensus of the previous case analysis meeting.

But everyone searched for a long time but couldn't find any obvious wounds, which embarrassed Director Bian and made the Jin family more and more suspicious of the authenticity of this diagnosis.

(God sees it, a small needle-like wound has healed in 3 years, where can I find it?)

Director Bian did not give up, and asked Jin Wenyao on the hospital bed:

"Ninth bed, think about it carefully, have you ever been stabbed in the chest by something three years ago? It is reasonable to pierce so deeply, it should be very painful."

The eyes of the doctors and family members all focused on the client on the hospital bed.

Jin Wenyao thought for a long time but couldn't think of anything, so he could only shake his head weakly:

"I, I have no impression, should I not?"

At this moment, Luo Cuifeng couldn't bear it any longer, and asked back: "Director Bian, is there any problem with your diagnosis?"

The grandma next to her was also unhappy: "What kind of foreign body do you think this is? Then what is this?"

Director Bian smiled bitterly and said, "Old lady, we don't know what it is, we need surgery to confirm it."

Jin Kangsheng was reasonably sensible, and prevented his family from questioning him. He had already made up his mind, and this time he must cure his grandson's illness.

Otherwise, if you get sick again, even if you don't die, how can you marry a wife and have children with this small body that is half dead? How to pass on the lineage?

"Director Bian, if you say surgery, go ahead and do it, as long as my grandson's illness can be cured."

Director Bian was a little embarrassed again:

"Surgery, well, Dean Chen brought a sentence, he said that the success rate of surgery is only half, why, because half of this inexplicable thing in the lung is stuck in the lung, and the other half may be stuck in a large blood vessel The surgery is very difficult."

Luo Cuifeng couldn't help asking again:

"What? The operation is only half successful? What happens if it doesn't work?"

"Then, then you can't get off the operating table, and the person will simply die."

As soon as these words came out, the complexion of the Jin family members changed, and Jin Wenyao on the hospital bed was so frightened that he fainted, and the ward became a mess all of a sudden.

Jin Kangsheng is a farmer, but he is not a pure farmer. If he can become the head of the clan and the secretary of the village party committee, which one is not the hero of the village?

As long as he is a hero, he has a weakness, that is, he is suspicious, such as that wife lover Cao Cao.

Now he suspects that this Chen Qi didn't want to treat the disease at all, so he found such a strange problem, and then managed to kill his grandson on the operating table, so that Jin Kangsheng could have no children and grandchildren.

Thinking of this, Jin Kangsheng gritted his teeth, blood began to rush to his brain.

I thought to myself that I bullied your family back then, didn't give you a good land, and broke the bones of the silly elder sister. As for such revenge?

It can only be said that suspicion and hostility finally caused the Jin family to lose their basic judgment and began to create an irreparable situation.