Chapter 357 Xu Qiu's surgery? It's stable!

Several directors rolled their eyes, feeling like they were about to come out, but they always felt that it was just a little bit off.

Not to mention the attending physicians, who were looking around and staring at the directors, hoping who would make a splash.

At this time, Xu Qiu mentioned the last diagnostic clue.

"Professor Yan has been feeling groggy for the past month and has been sleeping most of the time.

And this just conceals a very important symptom.

Muscle weakness! "

As soon as these three words came out, several directors suddenly raised their heads and blurted out: "Thymoma?!"

Thymoma can cause many autoimmune diseases, many of which have symptoms that overlap with autoimmune encephalitis, making it easy to be misdiagnosed clinically.

It is also consistent with the series of symptoms presented by Professor Yan.

In addition, myasthenia and simple aplastic anemia are complications that can be caused by thymoma.

Director Huo quickly reopened the examination report from his own hospital, and then realized that they had only tested a few simple paraneoplastic antibodies, and these antibodies had little to do with thymoma.

He is a doctor within the gods, so he naturally relies on diseases within the gods.

Various cranial examinations showed no tumors, and Professor Yan showed no obvious signs of thymoma, so he was easily ruled out.

Therefore, all inspections appear normal.

"Yeah, thymoma makes sense too!"

"Judging from the words in the book, the patient's performance is a rare symptom of thymoma, which happens to be a common symptom of Creutzfeldt-Jakob disease."

The doctors were amazed.

After knowing the answer, everyone felt a sense of relief that they had completely let out the stuffy feeling in their hearts.

When Xu Qiu heard the last sentence, he shook his head and said: "The rare manifestations of common diseases are more common and more common than the common manifestations of rare diseases."

Everyone looked stern and felt like a wake-up call.

In Linhai No. 1 Hospital, the trend caused by Xu Qiu's diagnosis of a rare disease came to a sudden halt at this moment.

Everyone suddenly woke up:

Before there is sufficient strength, rare diseases are diseases that doctors can only see once or twice in their lifetime.

Under normal circumstances, don't lean on this at all!

Instead of worrying about which rare disease has similar symptoms,

It is better to take the time to find out what common diseases have such rare symptoms.

"Doctor Xu, I've learned a lesson."

At the moment when the answer was revealed, Director Huo and the three directors of the foreign institutes who were accompanying him stood up at the same time. They were surprised, but more of a respect.

Xu Qiu's words were so shocking that they woke up many doctors who had fallen into misunderstandings.

After returning home, Director Huo must ask Chief Xiao Liu to copy this sentence a hundred and eighty times to improve his memory!

…

…

The words Creutzfeldt-Jakob disease were completely removed from Professor Yan’s medical records.

When "thymoma" replaced it, the old man and his son both felt that the light had finally come.

There's help!

Thymoma is also scary, and the risk of surgical removal is very high, but it is nothing compared to Creutzfeldt-Jakob disease, which has a 100% fatality rate.

"Doctor Xu, are you doing the surgery?" the old man asked quickly, speaking quickly.

In the ward, Xu Qiu conducted further evaluation and then nodded: "I will do it."

"Steady, steady." The middle-aged son patted his chest.

Old Man Le: "I'm totally relieved!"

Patients from outside may not necessarily know about Xu Qiu's medical skills, but how can they, their own family members at Linhai University, not know about it?

"Look here, the tumor has invaded surrounding tissues and large blood vessels. The risk of surgery must be very high, and the procedure is relatively more complicated than ordinary thymoma removal..."

Xu Qiubi introduced the patient's chest X-ray.

The old man and his son touched their chins and nodded: "Yes, that's right."

It looks like the professor above is talking about the complicated Navier-Stokes equations, while the students below can only understand D, V, and t, but they still have the same expression.

Xu Qiudao: "Next, we will do a high-definition CT. After processing the 3D image of the thorax, we need to do 3D reconstruction to further confirm the surgical plan."

Old man: "The thymus should be an immune organ, right? Will the immune function be affected when this thymoma is removed?"

"General surgery only removes thymoma, but Professor Yan is different."

Xu Qiu analyzed: "Myasthenia gravis is accompanied by thymoma. Not only the thymoma must be removed, but the thymus must also be removed."

The old man's expression changed again: "That, that, that..."

"Don't worry too much about this. The adult thymus itself will gradually degenerate and shrink, turning into non-functional fat tissue.

At Professor Yan's age, whether he has a thymus or not has little impact on his body.

Even if there is a decline in immune function, it is still caused by surgery. "

The old man quickly shook his head: "No, no, no, why is it Dr. Xu's surgery? These complications are definitely unavoidable."

"..."

Xu Qiu was silent.

Shouldn't these words be used by him to comfort the patient's family?

You said it, what should I say?

“All in all, Professor Yan’s surgery was complicated.

We need to cleanly remove the tumor and thymus, completely remove the violated sternum and great blood vessels during the operation, and reconstruct the thorax to preserve the patient's respiratory function and upper limb mobility. "

To live, you must live with quality of life.

The patient's life was saved after the operation, but he had to wear a ventilator for the rest of his life or could no longer hold up a piece of chalk to write. To Xu Qiu, this was a failure of the operation.

"Hurry, Dr. Xu, if there is anything you need to sign, hurry up!" The old man and his son urged.

Xu Qiu was silent for a while, then nodded: "I will arrange the operation as soon as possible."

...

With the cooperation of the family members, Professor Yan's operation went very smoothly.

Preoperative preparations were also underway.

In the imaging department, Zhang Hao was in charge, and all aspects were progressing very quickly. The thoracic model of the disease was also reconstructed. Soon, the surgical team led by Xu Qiu simulated it countless times, and it was almost patinaed.

Secondly, it is the drug control of myasthenia.

Under the action of hormone drugs such as pyridostigmine bromide and methylprednisolone, Professor Yan's symptoms improved to a certain extent, and he finally had the opportunity for surgery.

The most headache is the anesthesia department.

Myasthenia gravis combined with thymoma is already critical, and they have to adjust the plan at any time. They can neither affect the transmission of nerves and muscles nor the respiratory function. Various muscle relaxants are almost banned, and phenergan, diazepam, morphine, ether, procaine, etc. must be used with extreme caution.

Therefore, after several surgical plan discussions, Xu Qiu stayed in the anesthesia department to develop a more detailed and in-depth anesthesia plan.

Relying on countless times to adjust the amount of anesthetics in the simulated operating room,

modifying the composition of each anesthetic drug,

Xu Qiu finally found the best anesthesia plan.

After the last preoperative discussion, with the confirmation of the final plan, the anesthesia director was extremely shocked.

How did this guy manage to give a result immediately after a few minutes of silence for every plan proposed by the anesthesia team...

It was just like using this anesthesia method on the patient!

Xu Qiu said honestly: "I simulated it in my head."

The anesthesia director was shocked, looked at the other anesthesiologists, and laughed: "Doctor Xu is really a joke."