2021年2月17日星期三

what does a hemorrhoids look like,Anemia to faint, how can this be? ?

    Sometimes, some events will make you unforgettable for life.

    The protagonist of the story, Mr. Gang, originally had white skin, but recently it has become whiter, to the point where there is no blood, like a piece of white paper. One day, after going to the toilet, I didn’t stand up. Fortunately, someone in my family was rushed to Jiangsu Provincial Hospital of Traditional Chinese Medicine. Upon investigation, hemoglobin was only 3.5 grams. No wonder his face was so pale, suspended red blood cells were infused, and fluids were added. The hemoglobin returned to 7.2 grams.

    Asked about the medical history, Mr. Gang, he had blood in the stool for 3 months. He always thought it was bleeding from hemorrhoids, but recently he felt weak to walk and his legs were a bit unable to move. He thought it would be good to rest and rest. Who knew that fainting would happen.

    A complete set of examinations were done. Gastroscopy: gastric antrum, gastric horn occupying, pathology: adenocarcinoma, CT, MRI: cerebral ischemia of the right basal ganglia, irregular thickening of the gastric horn and gastric wall, accompanied by involvement of adjacent liver parenchyma, abdominal Multiple lymph nodes adjacent to the aorta were swollen, the stage was late, and there was no obstruction or hemorrhage for the time being. I received 1 interventional chemotherapy and 2 courses of intravenous chemotherapy.

    Surgical exploration: gastric cancer invades adjacent organs and liver

    Underwent total gastrectomy + liver metastasis resection

    Surgery: Professor Liu Fukun, Director Yao Xuequan, Dr. Wu Xiaoyu, Zou Kun

    Anesthesia: Director Bai Hongmei, Dr. Huang Libing

    Nurses: Lu Yu, Lu Xiaoqing

    Pathology report: Gastric antrum small curvature ulcer type cancer, combined with immunohistochemistry, considered poorly differentiated neuroendocrine cancer. The cancer tissue penetrates the entire thickness of the stomach wall and invades the liver tissue. There are tumor thrombi in the vessels, 1/55 of the lymph nodes. Stage IV (T4 N1 M1)

    Film reading: Director Zhang Yifen, Director of Pathology Department, Director Shen Longshu

    Reflection

    Hematochezia is actually a commonplace topic. The digestive tract can cause cancer and ulcers from the import to the exit and the digestive glands that flow in. The upper digestive tract can cause hematemesis and melena, and the lower digestive tract bleeding can cause melena. The amount is small, bloody stool is not visible to the naked eye, and the stool occult blood test is positive. Clinically, it occurs almost every year, and some people think it is bleeding from hemorrhoids to detect rectal cancer, colon cancer, melena, inflammatory bowel disease, stomach cancer, and bowel cancer. Blood in the stool is actually a signal. Once it appears, even if it is only once, it must be paid attention to. There must be a reason. It is recommended to see a doctor so as not to delay Qing Qing's life.

    Blood loss, when the human body loses less than 400ml of blood, it can be supplemented by the body's own blood supply function, there is no danger, it is called "safe blood loss". When the blood loss is between 600 and 800ml, it is called "dangerous blood loss". When the blood loss is 1200ml, it is called "death blood loss", which may cause death at any time. Therefore, when the blood loss is about 600ml, blood should be transfused in time to prevent your life from being threatened.

    Anemia refers to the symptom that the volume of red blood cells in the human peripheral blood is decreased and is lower than the lower limit of the normal range. Clinically, hemoglobin Hb concentration is often used instead. Chinese adult male Hb<120g/L, adult female non-pregnant Hb<110g/L, and pregnant women Hb<100g/L have anemia. The degree is divided in this way, generally Hb: 90~110g/L is mild anemia, Hb: 60~90g/L, moderate anemia, and Hb<60g/L severe anemia.

    Borrowing Bahman Farzad's beautiful lotus pictures, I hope he will remember this unforgettable experience.

    The patients have used aliases

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    As a general doctor who has been engaged in tumor surgery for a long time, he knows more about the sufferings and difficulties of patients

    The existence of this form of official account can refresh you!

    "Singing in Sickness"

    Shao Yong (Song)

    Yaofu's March disease caused the people of Luoyang to be worried.

    It's not just friendship, it's like a dear.

    Recommend doctors sincerely, and seek medicine with diligence.

    Ander as the day before, came to thank this kindness.

    Suffering from a tumor is a bolt from the blue for the common people, and it is a big event when the sky is falling. The whole family mobilizes and uses all human resources, and often goes to the doctor in a hurry, and some patients are deceived into some non-professional units. Choosing the wrong treatment not only increases the pain and costs money, but also delays the best time for surgery. It has been my wish for patients to clarify doubts for a long time, as an oncology surgeon who can guide patients to choose the appropriate treatment plan accurately from the perspective of professional treatment, hoping to provide some help to the groups in need.

    ————Yao Xuequan

    Medical is not expensive to heal the disease, but the precious can heal the difficult disease; the disease is not expensive to be treated, and the precious can be the true doctor. Husband’s world affairs, I can do it, people can do it, and it is difficult to do things; when the world is sick, I can heal it, and people can heal it. However, the difficulty of the matter can be understood by the very people; the difficulty of the disease can be cured by the very doctor, so there must be extraordinary people, and then extraordinary things; there must be extraordinary doctors, and then extraordinary diseases can be treated.

    ------Zhang Jingyue

    As it happens, today, you are in a good mood and you are patient and insist on seeing the end of the article. If you really like this article, please, move a little bit of Shichengjin’s Qianqianyu hand, tap it, share it with your circle of friends, and tell you New and old friends of, sometimes just a little effort, can help many, many people, spread medical knowledge, spread positive energy, your friends will thank you. Gifts of roses, hand a fragrance.

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