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The First Affiliated Hospital of Zhejiang University School of Medicine
The daily work of medical staff
It's a tug-of-war with death
Here, there are all kinds of patients every day
The stories of some patients are far more exciting than TV dramas and novels
Aunt Wang (pseudonym) from a village in Ningbo
Because of pesticide poisoning, he was rushed to the emergency department
After being poisoned, she reported the crime decisively
The police must track down the "poisoning" behind the scenes
Solving the case is full of doubts
But after successful detoxification
The story takes place "God turned"
Aunt Wang was blessed with misfortune
The cancer was found on further examination and radically cured
The world is sometimes a little magical
But there is also no shortage of shining points of positive energy
Four cabbages in three days, the 66-year-old aunt was "overturned"
The 66-year-old Aunt Wang always lamented that her life was not good, when her son was less than 3 years old, her husband left them and left, for many years she and her son depended on each other for their lives, watching their son marry and have children, the only grandson went to college, Aunt Wang finally felt raised her eyebrows. However, in 2016, the daughter-in-law, who has always been capable, fell ill and died, and Aunt Wang, who had already moved out to live in another place, "has not enjoyed the blessings of several years", and has re-assumed the heavy responsibility of taking care of her children and grandchildren and becomes the "hostess" of this family of three. She guarded a few fields by herself, planted peanuts and vegetables, and waited every day for her son to come back to eat.
In the early morning of Friday, March 25, Aunt Wang picked four fresh cabbages with dew from the field. One of them, she made half an egg cabbage fried rice cake at noon, her son did not come back, and in the evening she fried the remaining half and ate some porridge. The remaining three, the grandson came back at the weekend, she burned 6 meals before and after Saturday and Sunday two days ago, and also successively ate soup, stir-fry, cold mix, etc. with the family, the son and grandson because they love to eat meat, cabbage ate less, most of them were eaten by the saved Aunt Wang, she did not have an abnormal reaction on Sunday night.
On March 28 (Monday), the grandson returned to school, the son went to work, and Aunt Wang, who was alone at home, began to "wrong", she not only had a sore throat, her stomach was getting more and more painful, she kept pulling and vomiting, her head was groggy, and she was forced to hold on until the afternoon, and her stomach hurt so much that she couldn't get out of bed, so she called her son back from the factory in town.
The son originally insisted on sending Aunt Wang to the hospital to see, but Aunt Wang thought that in recent years, she was not rich in hand, her heart was distressed, and she had to spend money, thinking that it would be better to take a rest and carry a shoulder. She asked her son to go to the vegetable patch to pick some fresh vegetables, leave her alone, and cook dinner by herself.
When the son went to the vegetable field to see it, he was shocked - the original green cabbage and peanut seedlings were all "stopped", and the green vegetables and grass were all dead. With his planting experience, his son judged that these vegetables may have been caused by malicious spraying of herbicides, and immediately associated with Aunt Wang's symptoms: "Could it be that my mother ate these vegetables sprayed with herbicides and was poisoned by pesticides?" ”
Poisoning? Eating? The public security organs are still further investigating
The son told Aunt Wang about all the vegetables dying, and Aunt Wang vaguely recalled that on the way to the vegetable field early in the morning of the 25th, she had seen from a distance that the farmers hired by the large grain growers next door were spraying pesticides, because the fields of the two families were only separated by an irrigation ditch about 70 or 80 centimeters wide, so it was not clear whether it was her own family or her family's field.
Previously, the two families had quarreled over sharing the same field and digging ditches. Aunt Wang held up her last strength and went to find the family theory, "They said they would take care of it, and then they refused to admit it, and the old woman of the family said that she sprayed the enemy grass quickly." Aunt Wang, who was hateful and afraid in her heart, reported the case to the local police station with "poisoning" before seeking medical treatment, and after receiving the alarm, the local police launched an investigation into the case.
Aunt Wang, who has diarrhea more than ten times a day, was sent to the local hospital in Ningbo for medical treatment, and the local medical team did not dare to rush to detoxify, recommending them to the emergency department of the first hospital of Zhejiang University, because the first hospital of Zhejiang University is the zhejiang provincial poisoning emergency prevention and control center and the poisoning treatment base in Zhejiang Province, with the only secondary washing and elimination center in Zhejiang Province, and has many years of professional experience in various types of poisoning treatment.
"This kind of case is like 'hide and seek', which brings great difficulties to clinical rescue, and doctors have to rescue patients while turning into 'Sherlock Holmes' to solve the case." Lu Yuanqiang, chief physician of the emergency department, conducted a series of tests urgently after receiving Aunt Wang, and finally determined that Aunt Wang was poisoned by organophosphorus pesticides. After a series of detoxification treatments, Aunt Wang, who was not deeply poisoned, quickly improved.
Before being discharged from the hospital, Aunt Wang, who still felt heartburn, bloating, and hiccups, had a gastrointestinal endoscopy under the advice of experts. As a result, when Li Bo, a doctor of gastroenterology (2), performed a gastroscopy, an area of abnormal size located at the corner of the stomach of about 1x1.5cm came into view, which was locally rough and red, slightly uneven, but not much different from the color around the normal gastric mucosa. The experts of the fire-eyed golden eye immediately felt that "the visitor was not good", and was diagnosed by electronic staining, and was highly suspected of early stomach cancer (EGC).
The doctor then removes a small piece of gastric corner mucosal lesion tissue for biopsy. Sure enough, the pathological results showed that the "bump" of Aunt Wang's stomach that was the size of a fast coin was superficial bulging high-differentiation adenocarcinoma. Subsequently, by the Department of Gastroenterology (II) Li Aiqing chief physician for Aunt Wang to carry out early gastric cancer endoscopic submucosal dissection (ESD) radical surgery, compared with traditional surgery, gastroscopic minimally invasive surgery has little trauma, fast recovery, less cost, very smooth, Aunt Wang is currently recovering well and has been discharged safely.
Over 40 years old, no symptoms should be treated with gastroscopy
Chen Hongtan, chief physician of the Department of Gastroenterology (II) of the First Hospital of Zhejiang University, introduced that in order to effectively reduce the occurrence of stomach cancer, in addition to paying attention to eating less high-salt, pickled and barbecue foods in the diet, and timely eradication of Helicobacter pylori, gastroscopy is indispensable.
"Because of the early detection of stomach cancer and its precancerous lesions, there is only gastroscopy, there is no other better way!" Director Chen Hongtan stressed: Most of the early stomach cancer has no special symptoms, if you do not take the initiative to screen, it is easy to be missed and delayed, many people often appear black stool, anemia, emaciation, abdominal mass, pain nature change and other symptoms to check, the result 90% are already in the progression period, heart-wrenching.
Experts stress again
The most important feature of early gastric cancer is that there are no symptoms!!!
How to stay away from stomach cancer? In addition to early detection and eradication of Helicobacter pylori (Hp), develop good eating habits, avoid excessive stress, maintain a good attitude and rest, experts emphasize that both men and women, after the age of 40 and have any of the following, must be regularly screened for stomach cancer.
1
Populations in areas with a high incidence of gastric cancer;
2
Helicobacter pylori infection;
3
Previously, there were chronic atrophic gastritis, gastric ulcers, gastric polyps, postoperative stomach residue, hypertrophic gastritis, pernicious anemia and other gastric precancerous diseases;
4
First-degree relatives of patients with gastric cancer;
5
Other risk factors for stomach cancer (e.g., high salt intake, pickled diet, smoking, heavy alcohol consumption, etc.) are present.
Screening methods
Includes serological screening, which includes blood testing for serum pepsinogen (PG) and gastrin-17. The latter include electronic gastroscopy, magnetron capsule gastroscopy and high-definition magnification endoscopic screening.
Expert outpatient table of the First Hospital of Zhejiang University
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