Chapter 526
Chapter 526
Just when the people in the dining hall were gossiping and talking...
An old doctor walked in.
The dining hall suddenly quieted several degrees at once.
It is Director Guoxiang, the right advocate of this gossip.
The Lord is here, then the others do not dare to gossip, and quickly change the topic.
The doctor opposite Lin Feng is a B-ultrasound doctor in the Department of Obstetrics and Gynecology.
"Today I met a very special expectant mother... She is pregnant with two babies..."
"What's in this? Aren't they twins? "
"Don't worry... This expectant mother is not an ordinary twin, but a big one and a small, one 8 weeks old and one 6 weeks old..."
Burst~~~~
Several doctors and nurses were sprayed in the audience.
"Isn't it? Babies every two weeks? And such a special case? "
"Miraculous..."
"Could you be mistaken? Actually the same week? "
"yes, could it be a mistake?"
Talk.
The obstetrician and gynecologist laughed: "These two babies are definitely not together, because the expectant mother also asked me to do a B-ultrasound 2 weeks ago, when there was only a 6-week baby, and there was no other embryo or gestational sac..."
The abdominal ultrasound can see the 5-week gestational sac, but at 4 weeks, the gestational sac is too small, and it is difficult to see the 4-week gestational sac with B-ultrasound.
But
There is a problem here.
Why is there a big and a small situation?
After becoming pregnant, why can I get pregnant again?
It stands to reason: after a woman becomes pregnant, there will be a series of hormonal level changes in the body, which will inhibit ovulation, so that she will not get pregnant again and protect pregnant women (tens of thousands of years of genetic optimization?). Fittest? )。
But
There are always expectant mothers with special physiques, who are more awesome.
This type of pregnancy is medically called superfoetion.
Similar cases are not many recorded in the literature, and the probability of returning to pregnancy is only about one in a million occurrences.
In 2017, there was a very famous surrogacy incident.
A couple in our country, find another bunch of white + black couples for surrogacy. After the surrogacy, the white + black couple continued to play the game and then became pregnant.
So, two children appeared.
At that time, the couple in my country was very excited, because they were two babies, so they gave double the surrogacy fee.
Suddenly, 10 months passed and the baby was born.
It turns out a black baby, a yellow baby.
Then as soon as I did DNA, I found out the truth.
At that time, my husband and wife wanted to get back the double surrogacy fee, but the other party refused, so they filed a lawsuit, and then it was on the news, and then it caused a sensation in the world.
......
In the end, the hospital took a step back and lost money.
The family was satisfied with this and left.
Later, I learned that these people were not professional medical dispute teams, but the families of patients, local clans, and after hearing the news, they were indignant and ran to the hospital to settle the account.
The hospital lost money, and the family stopped making trouble.
As for how to deal with that Dr. Zhang Guoxiang, it is estimated that in the end, it will not be done, after all, all hospitals in the country attach importance to scientific research, more than clinical.
Scientific talents are the most valuable (manual dog heads).
......
A new day.
Lin Feng continued to work,
This morning at 10:12, the 18th patient,
Met a special patient.
Child, 3 years old, male...
The little boy's hand, the characteristics are very obvious.
One hand, normal growth.
But the fingers of the other hand (the right hand) are only one-third the size long, about 1.5 centimeters.
"Dr. Lin, help me see my son, his hands... Woo hoo... What will I do in the future..."
The parents of the dust servants came from the provinces from thousands of miles.
They all heard that Lin Feng was powerful, and they wanted to cure their son's illness here in Lin Feng.
Lin Feng looked at this hand,
2-5 fingers of the right hand with dysplasia,
There are two diseases that correspond to this feature:
Polban syndrome (Poland syndrome): a rare syndrome containing a variety of deformities, more common in men, about 98%, more right-side, features: absence of pectoral large and small muscles, absence of ribs, can be combined with absent fingers at the same time, short finger deformity, carpal hypoplasia, infundibulum thorax and spinal deformity, sometimes R atrial absent.
Achondroplasia, also known as achondroplasia, also known as cartilage dystrophy dwarfism: characteristics: short limbs, but normal trunk and head development, intelligence is rarely affected, according to the typical figure, appearance, limb shrinkage, and finger trident shape is not difficult to diagnose.
Obviously,
The characteristics of the second disease are not the same as this.
It should be: "Wave column syndrome".
"Come and show me..."
Lin Feng pulled up the child's blouse.
really
It is clear that the patient's right (ipsilateral) ribs, costal cartilage are dysplasia, and the chest is collapsed.
Confirmed by Poland syndrome.
The patient's family: "Dr. Lin, my son is this...?" "
Lin Feng: "It's "Wave Column Syndrome"..."
And then explain it...
Mother: "Dr. Lin, can my son cure this?" "
Lin Feng shook his head: "At present, there is no early surgical method to lengthen the phalange, maybe later or at an older age to perform the phalange extension surgery to improve the function and shape of the hand, or there is already a new technology at that time." "
"As for this thoracic development, surgery can be done at that time, if "pectoralis major muscle defect", do "latissimus dorsi flap transfer coverage", if "ipsilateral latissimus development is thin", do "free flap transplantation or prosthesis implantation"... These are all corrections in terms of body shape..."
Lin Feng gave the answer though.
But apparently the boy's parents were not very satisfied.
After all, the plan given by Lin Feng is a cure for the symptoms but not the root cause, and they want to find a solution once and for all.
But how is this possible?
The cause of Poland syndrome is unknown, but may be due to abnormal development of the pectoral muscle buds in the fetal period.
And the treatment method is also passive treatment, treating the symptoms but not the root cause.
"Thank you Dr. Lin..."
The patient's parents took the little boy, left disappointed, and said thank you before parting.
Lin Feng sighed, although he wanted to help, but this really couldn't be helped.
......
At this point,
A certain operating room.
An operation is underway.
Patient, female, Chen Yufang, 35 years old,
Fibroidectomy because of fibroids.
This was the second operation, and the first operation could not be completely removed, so the second operation was performed.
The sound of the main knife is Zhang of the obstetrics and gynecology department.
This operation is actually not difficult, for the experienced Zhang Zhizhi, hand to hand.
Outcome......
Something unexpected happened!
Halfway through the operation, anesthesiologist Dr. Chen discovered that the patient's oxygen saturation and blood pressure began to drop!
Blood pressure reduced to 50mmHg/40mmHg,
Oxygen saturation dropped to 85%
The operating room, a mess.
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