After 100 Days Of Signing In, The First Operation Shocked The Medical Community!

Chapter 191 Carcinoid Syndrome

“It’s true that there is no precedent and no medical history. At first I asked my family members, but they all clearly stated that they did not have asthma. I have to worry about whether my medication has allergic asthma. But since the last time I changed the medication, this is already the second time. I have asthma symptoms again.”

Liu Xin frowned and looked at the patient on the hospital bed. He already had some guesses in his heart: “If the asthma is caused by the patient after being admitted to the hospital, there can only be one reason.”

“what?”

“Carcinoid syndrome.”

Director Wu looked surprised.

“Carcinoid syndrome? What is that?”

“Carcinoid syndrome is a tumor of neuroendocrine cells that synthesizes and stores amines and peptides. If I am not mistaken, he is suffering from a very rare small intestinal carcinoid activity among carcinoids. Secretions enter the circulatory system or the lymphatic system.”

“Then what tests are needed to determine the source of the disease?” Director Wu wondered.

“Test the results of the measurement of H5IAA in the urine, the determination of hydroxytryptophan, and the 5-peptide gastric secretion hormone. If these are normal, then only chromogranin can be tested.”

When Director Wu heard this, he nodded lightly. It will take at least three days for these tests, but the patient’s situation is not optimistic.

“Doctor Liu, is there any way you can make him stabilize the situation for the time being?”

Liu Xin helplessly shook his head: “It is not certain at present. If it is used indiscriminately, it is very likely to cause other conditions. I suggest injecting physiological saline to increase the concentration and produce urine crystals. If necessary, direct urine out instead of This is the safest way to pass through the bladder.”

“Okay! You and I want to fight the same! I immediately ordered to have an examination, as soon as the results are available, I will immediately notify you of Dr. Liu!”

Liu Xin nodded lightly: “Okay, then I will go back to the emergency department first. There are still patients there. I am worried that there is not enough manpower over there.”

“Okay! Hard work, Doctor Liu.”

Back in the emergency room, before Liu Xin could sit down and drink some water, some patients were delivered by ambulance.

Others have dealt with other troubles a long time ago, and Liu Xin can only rush into it.

In the ambulance, one person was pushed out of the car. The white stretcher was stained red with blood, and the relatives who followed were crying.

“what’s the situation?”

“The patient has more injuries and broken arteries, so he needs to undergo surgery immediately!”

“Okay! Immediately sent to the operating room No. 3, I will pass now.”

Without saying anything, Liu Xin put on the surgical gown, then turned and walked into the operating room. When he was sent to the operating table, Liu Xin could not see the patient clearly. He was covered in blood, or even bloody.

Fortunately, the nurses in the field hospitals are all highly qualified medical workers. In the face of such a situation, they can still deal with it calmly. After passing through the decomposition of clothing and wounds, they can barely see that they are individuals.

“There is more damage to the cortex. The depth of the wound is more than five centimeters visually, and the artery is damaged in the neck. Hemostatic agents are injected to repair the artery damage.”

Liu Xin took out the tweezers and opened the flesh and blood on the patient’s neck. Even though hemostatic agents were injected, hemorrhage continued to occur.

“Hemostatic forceps.”

The hemostatic forceps clamped both ends and Liu Xin sutured them alternately. After a few minutes, the arteries were sutured but swelled like a cyst.

“This…what’s going on?”

The surrounding nurses are puzzled, the intravascular pressure is too high, but it is still very troublesome to solve it.

“Check other parts, if the organ is damaged, there should be very serious bleeding.”

“good!”

After some examinations, Liu Xin finally discovered the cause of the patient’s high blood pressure. The spleen was broken, the cut was bleeding, and the mixture of skin and flesh was hard to detect.

Faced with this situation, Liu Xin can only choose to partially remove it, which has reached the point where it cannot be repaired.

After ten hours of surgery, the patient has been sutured intact. Under the radiography machine, various damages have been internally injured and naturally, Liu Xin does not need to be resolved.

“Push it out. The wound has basically been stitched up, and the rest will be handled by other doctors. You can do whatever you want.”

“What about the results of the first diagnosis?”

Liu Xin glanced at the report and sighed slightly: “Head damage, shoulder and neck fracture, multiple fatal wounds on the body, rupture of the spleen, almost all arteries and blood vessels damaged and deformed.”

The nurse did not expect that a person who could almost only give up would be rescued by Liu Xin through a ten-hour operation, but even if it was rescued, it is still a problem whether he can wake up.

Liu Xin, who walked out of the operating room, was already exhausted. He just wanted to lie down and sleep.

“Liu Xin!”

Duan Shuang’s voice rang in his ears, and Liu Xin opened his eyes and found that he was already lying on the hospital bed unknowingly.

“how do I……”

“You are too tired. I was also terrified when the nurse sent you over. I asked the doctor in the emergency department to find out that you had been in the operation for more than ten hours.”

“How is that person now?”

“Vital signs have been restored, but they have not yet awakened, but it will take you more than ten hours of hard work to save his life.”

Liu Xin took a sigh of relief and unplugged the infusion tube in his hand.

“Where are you going?”

“When is it now?”

Liu Xin asked.

“a little.”

At one o’clock in the afternoon, Liu Xin knew that he had slept for a few hours.

“No, there should be results in the nephrology department. I have to go and take a look.”

“You are like this now, why are you still thinking about going to the nephrology department?” Duan Shuang lost his temper to Liu Xin for the first time.

“If it is really carcinoid syndrome, it will be very troublesome.”

“No need to get up.”

A voice came from outside the ward, and the two of them cast their eyes to one side at the same time. Dean Lu walked into the ward with a smile, looked pale and shook his head as Liu Xin looked pale: “You are already a mature doctor, why can’t I take care of it? Your own body and the patient are certainly important, but the field hospital is not just you as a doctor, but I have to praise you. His condition is really urgent. If it weren’t for you, you wouldn’t be able to survive.”

“The Dean…”

The two called at the same time.

Dean Lu took out a test report from behind: “Director Wu’s patient has been diagnosed with carcinoid syndrome. I talked to him and it was the same as your prediction, but now you don’t need surgery. Carcinoid syndrome. With the medical level of our hospital, it is difficult to be completely cured, so you have been transferred to the hospital for treatment, so don’t worry.”

Liu Xin couldn’t wait to watch the report, and let go of his hanging heart.

“Fortunately, it seems that the situation is not too serious.”

Dean Lu sat down on the hospital bed and smiled slightly: “You, I heard that you were a desperate Saburo in the hospital before. Now it seems that you really have to take a good rest. I have arranged a spare time for you.”

“Ah? I’m not so weak, it’s just that I haven’t rested well in the past two days.” Liu Xin explained hurriedly.