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1460 Inoperable patient (Meng Zhangzimu-3)

Zheng Ren, Su Yun and Director Kong separated and went directly to the hepatobiliary surgery department.

"Boss, friends abroad have started asking me about tips surgery." Su Yun said.

"Hmm? What does it mean?"

"Their rumor is that this year's Nobel Prize in Medicine has been established as our tips project." Su Yun smiled.

"The possibility is not high. Do your best to do your best and leave it to fate." Zheng Ren said this and suddenly laughed: "Besides, even if the Nobel Prize is given to our medical team, it is still the case. What is an internal order?"

"..." Su Yun looked at Zheng Ren with a fool's gaze, and was silent for a few seconds, saying, "Boss, I really appreciate your confidence."

"When will the second phase student come?" Zheng Ren asked casually.

"Can you please respect experts, professors and scholars from all over the world?" Su Yun said.

"I already have a lot of respect. I think respect for a medical staff must first be reflected in their number of surgeries." Zheng Ren said: "I only have one requirement. If you can have 100 tips within 2 months after you go back, you can't do surgery. If you just want to study, you can rank a little behind."

"You will force people to death."

"Or what would they do if they learned tips surgery?"

"Okay, then I'll write it down. I guess people will be able to come in about a week. The imperial capital will be the same as Zhou Chunyong."

"Um."

"Zhu Liangchen, what are you going to do?" Su Yun asked.

Today, when Zheng Ren calls Director Kong to call Director, Zhu Liangchen becomes a hidden danger.

"What should I do if I don't have anything to do. If I want to learn tips surgery, I will ask him to do it too. If he wants to find another way, whether it is gastric fundus artery embolization or liver cancer intervention and surgical treatment, he can try it." Zheng Ren said.

Su Yun was also a little moved.

In just a few months, there are so many projects that can be produced.

In the past, there was no technical breakthrough in the intervention discipline, and you would cherish any new discoveries.

Now in the medical team... the cooperation between interventional treatment of liver cancer and surgical management is not strictly considered a new technology, but it has great strategic significance for live surgery.

The fundus and left gastric artery embolization surgery are a big surgery with a wide range of money!

How many girls across the country are willing to lose weight?

It's better than eating unreliable things randomly. After all, if Zheng Ren can study it clearly and be willing to do it, the reliability will be guaranteed.

Uh... When did I have such strong confidence in Zheng Ren?

Su Yun was also a little helpless when he found this.

Maybe there is no precedent for the operation to fail, and over time, I have formed a fixed mindset.

All the way, they were silent, thinking about things, and came to hepatobiliary surgery.

Professor Yang did not come on stage and was sitting in the office, making something.

"Brother Yang, you haven't had the surgery." Zheng Ren came in and greeted with a smile.

"This is not about looking for you today. I want to discuss something, but I didn't arrange the surgery." Professor Yang stood up and said with a smile.

"I'm late to report to the work in the hospital." Zheng Ren sat down and saw Professor Yang studying a film, so he came over.

"What job?" Professor Yang asked casually as he watched the movie.

"Pre-stage diagnosis and treatment of latent liver metastatic cancer."

"..." Professor Yang paused and looked at Zheng Ren in shock.

As a professor of hepatobiliary surgery, how could he not know that the diagnosis of latent liver cancer is simply a fantasy?

Zheng Ren did not notice Professor Yang's emotional changes. He took a look at the movie and was attracted to him.

"Brother Yang, this patient is quite serious!" Zheng Ren rubbed towards Professor Yang's side, squeezing to occupy a better position.

"The patient was admitted to the hospital due to liver damage in the local area. The examination found that there was a space-occupying lesion in the liver." Professor Yang saw that Zheng Ren was focusing on watching the movies, so he did not think about the diagnosis of latent liver metastatic cancer for the time being, and began to introduce the patient.

The introduction is just a simple matter, but it explains the essence of the problem.

This patient has no cirrhosis nodules on the liver, but there is diffuse liver damage. Liver function is greatly affected.

Zheng Ren roughly judged that the patient had about 20% of his liver function.

The liver itself has strong regeneration ability. Even if the left half of the liver or the right half of the liver is removed, the remaining livers in many patients will proliferate rapidly.

Therefore, preoperative evaluation should take into account the estimated ratio of the remaining liver to the total liver volume.

Those with normal liver and ratio less than 25%; those with liver disease and ratio less than 40% are contraindications for liver resection.

The patient has chronic liver damage and the residual liver function is about 20%.

If the surgery is not performed, the patient will only be around 3 months old.

But if you have to undergo surgery, you may die in a few days due to liver failure after the operation.

"How many years has the patient's drinking history for such a heavy alcoholic liver?" Zheng Ren asked.

"30 years, I was said to have drunk it last night." Professor Yang replied helplessly.

"last night?"

"Well, I checked the rounds early in the morning and smelled alcohol on the patient, so I asked the nurse on the night shift." Professor Yang said: "The nurse said that he found him drinking in the ward and stopped him on the spot. The patient also cooperated and said he would not drink anymore."

Zheng Ren smiled bitterly.

"Later, according to clinical people, he went out to drink, with two bottles of Red Star Erguotou in a bag of peanuts, and drank them until after 10 o'clock in the evening. However, the wine was pretty good, and when he came back, he was quiet and there was no trouble."

"Su Yun, look, it is necessary to drink less." Zheng Ren pointed to the nuclear magnetic film in the liver and said to Su Yun.

This is very annoying.

"Don't talk nonsense, I've tested it. The various enzyme spectrums of the ethanol dehydrogenase oxidation system are more than 121 times that of normal people. If I drink alcohol, it won't cause alcoholic liver." Su Yun said expressionlessly.

"Brother Yang, do you know this patient?" Zheng Ren asked.

"Well, I know." Professor Yang sighed, "If I don't know each other and still don't cooperate with the treatment, I will be kicked out of the hospital."

"That's quite troublesome." Zheng Ren sighed.

Patients can at least diagnose an alcohol dependence, acute attack of chronic liver injury, and liver malignancy.

Not to mention malignant tumors, liver damage alone is enough to be fatal, and this patient is still drinking alcohol, constantly aggravating liver damage.

"He is my junior high school classmate." Professor Yang sighed deeply and said, "The liver function reserve is insufficient and there is no surgery, but I really can't bear to let him go home and wait for death."

Professor Yang didn't say the rest, but Zheng Ren already knew what he wanted to say.

"You can do it." Zheng Ren said: "You can do portal embolization first. After one month, the liver reserves will be enough. Whether you have surgical resection or I have interventional embolization + radiofrequency ablation, it is OK."

...

...

Note: A liver cancer patient two years ago said that he was not afraid of death. When he heard that his liver cancer lesions had disappeared, he was so happy that he jumped up. He said that he was afraid of death and repeatedly warned him not to drink alcohol, or to drink it in the hospital ward with a bottle of wine.

Later, he died six months after the operation. It was not because of liver cancer, but because of heavy drinking and liver failure.
Chapter completed!
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