Chapter 757 [757] The Patient Does Not Know

The ambulance stopped at the entrance of the emergency room, and a patient got out of the ambulance and got into a hospital wheelchair. It can be seen that the patient's condition is not serious.

Xie Wanying walked up to the patient and found that the patient's face was very familiar: By the way, it was the school girl Li Yaxi that Li Qi'an mentioned.

Why are you coming to the hospital again? And this time I didn't go to general surgery and transferred to hepatobiliary surgery?

"This is her medical record." The nurse who brought the patient gave the medical record to Xie Wanying.

After receiving the medical record, Xie Wanying opened it to review the attached examination report and the referral opinion written by the doctor.

The latest CT examination showed that there was something wrong with the patient's pancreas.

This result made Xie Wanying blink, remembering that she asked Li Qi'an to observe this patient more than two months ago. Perhaps, she had the idea that Li Qi'an should not have too many tasks when he started studying, but why didn't he ask Li Qi'an to observe other patients, but this was the person. It turned out that her intuition predicted that the patient's condition was serious.

Pancreatic cancer is called the king of cancers because it is too difficult to detect. When it is discovered, the patients are basically in the middle and advanced stages.

First of all, many clinical symptoms of pancreatic cancer are so confused with other diseases that it is difficult to identify them.

Like this patient, before coming to the second general surgery department for examination, it was suspected that there was a problem with the stomach and duodenum. Upper gastrointestinal symptoms may be one of the early symptoms of pancreatic cancer. But the general doctor will not suspect the pancreas first. It is because patients with pancreatic cancer are much rarer than patients with other gastrointestinal tumors. The high-incidence age is men in their forties, and Li Yaxi does not meet these conditions at all.

The doctor was not irresponsible when the patient was hospitalized, and prescribed a general examination to rule out other causes.

Li Yaxi had a routine B-ultrasound of the liver, gallbladder and pancreas. Unlike liver and gallbladder, the positive detection rate of B-ultrasound for early pancreatic cancer is pitifully low. There are often patients like this, everything was normal in the B-ultrasound examination three months ago, and the examination three months later showed a pancreatic tumor and was about to die.

do ct? Sorry, it is also difficult to detect early pancreatic cancer with routine CT. Multi-layer thin-slice enhanced CT scanning is required, and it cannot be found out without a particularly experienced imaging doctor to perform this examination on the patient.

Therefore, even if the patient can be found to have a pancreatic tumor now, it must have been instructed by an expert, because it is not yet at an advanced stage.

When the nurse handing over the patients was about to leave, she lightly squeezed Xie Wanying's arm and gave a hint with her eyes.

Xie Wanying said that she received a reminder: the patient does not know what disease she has for the time being.

Young, college students, if told to die of cancer. This blow will be like a catastrophe, completely destroying the patient's spirit.

Folding the medical record, Xie Wanying stuffed it into the pocket of her white coat and pressed it tightly with a stethoscope so as not to accidentally fall out and be seen by the patient.

The emergency nurse here helped bring an oxygen bag and connected the oxygen tube so that the patient could continue to inhale oxygen on the way to the inpatient department.

Li Yaxi, who is sitting in a wheelchair, is obviously much thinner than two months ago. It was written in the medical record that it was because of this unexplained weight loss that she had to go for another checkup. At the beginning, 80% of the time it might not be found out again. I don’t know which expert instructed her to do a CT scan, so it was found out.

In addition, the patient's spirit is quite good, no change from two months ago, he may think that he came to the hospital again for a quick check-up, and his attitude is still a bit high.