Chapter 909： the best (2/2)
Tumors with liver metastases, due to their strong metabolism and relatively insufficient blood supply, will have symptoms of necrosis at an early stage. It is the center of the lesion that a large number of tumor cells will starve to death, resulting in a low-density shadow in the center.
Because the tumor cells in the center die, and thus have different gray levels, and a larger range of tumors have different gray levels from normal cells, such tumors are called pupil signs under CT scans. That is, the lesion looks like the pupil.
If the range of central necrosis is so large that the necrosis range is larger than the tumor, the performance in the CT film is the circle cake sign.
Those in between are called bull's eye signs.
Xiao Dai's liver metastasis is not very extensive, which is also the basis for his surgery, but the tumor obviously has not stagnated ...
”Did chemotherapy once?” Ling Ran whispered.
”Yes.”
”See if you can make further adjustments and try to start the surgery tomorrow.” Ling Ran did not immediately request surgery. For cases of liver cancer with liver metastasis, first perform a certain degree of chemotherapy, and then the effect of surgery will be better.
Dr. Yan also remedied related articles in the last two days, nodding his approval, and glanced at Xiao Feng, saying to Ling Ran, ”Dr. Ling, the patient's family is here. Would you like to say a few words?”
”Say what?” Ling Ran asked straightforwardly and simply.
Dr. Yan froze and said, ”Talk before surgery?”
”Zuo Cidian has already talked to him.” Ling Ran paused and said, ”Family choose surgery, but also want to extend their survival time, right?”
”That's for sure.” Dr. Yan sighed and understood Ling Ran's meaning.
Liver-stomach combined radical operation, said to be radical, is unlikely to be cured. Only very few people have miraculously long survival times, and most ordinary patients have a three-year survival rate even after the operation. It is also infinitely close to zero, and the five-year survival rate is no longer necessary for statistics.
However, compared with waiting for death in the ICU, or even dying in an instant, there is a certain probability of survival for two years and a higher probability of survival for one year, which is the significance of this surgery. It is only the choice of the patient and his family that the money and energy consumed by it and the pain caused to the patient.
Dr. Yan couldn't help looking at Xiaofeng and Xiaodai, and said, ”For them, even if only one year, they are happy.”
Ling Ran also looked over there for a while, and then continued his rounds. The patients who had undergone liver resection a few days ago have not yet been discharged from the hospital. For these patients, a liver resection operation is also a life-threatening experience. The past experience is unknown.
Didi ...
The monitor of a hospital bed ~~ was no surprise.
Ling Ran leaned to her leg and straddled the past. She took a look and said, ”ST raises, myocardial infarction, inform the cardiology department.”
Talking, Ling Ran started to start chest compressions.
”Dr. Ling is still doing CPR by himself?” Wang Chuanwen changed his brother to come in at this time, visited Wang Chuanli, and saw that Ling Ran was pressing at his physical strength.
For effective cardiopulmonary resuscitation, the requirements for chest compressions are extremely high, and in-hospital rescue is the most efficient. Ling Ran naturally started directly.
The little nurse next to him was also familiar with CPR, holding his heart in both hands: ”Because Dr. Ling's CPR is the best.”
”The most effective.” Another nurse silently changed the patient's medication, her eyes slightly drifted, and said in favor.
”It's really good.” The senior nurse who knew Wang Chuanwen emphasized it.
Wang Chuanwen smiled, thoughtfully.