The 63 -year -old aunt coughing at night was fierce, and the puncture of the nodule showed the original shape under CT guidance

Author:Anesthesia Medical Group Time:2022.07.09

Aunt Mo, 63 years old, started coughing, sputum, coughing a little white mucus and sputum after being cold half a year ago. Began to increase cough, decrease appetite, and decreased by 10 pounds, so he went to the respiratory department for treatment.

After the consultation, Dr. Zhou, in charge of the doctor, immediately improved the relevant examination: the three conventional (blood, urine, urine, stool), liver and kidney function electrolytes, tumor markers, fasting blood sugar and chest CT examination.

However, the chest CT examination found that there is a nodule in the right lung, about 2.0 × 2.6cm in size. Further the chest CT enhanced scan, considering a malignant tumor.

Aunt Mo heard that her lung minister had something, her body trembled, and she was scared.

Dr. Zhou told Aunt Mo, don't worry, there will always be a way.

After multiple disciplines, the hospital decided to formulate a diagnosis and treatment plan: first use the CT guidance to puncture nodules for some tissue for pathology, and the proof of the pathogenesis will be treated with the next step.

After understanding the hospital's plan, Aunt Mo and his family felt that the trauma was small, and she promised to cooperate with the treatment.

Dr. Nie Qing is a technician in the imaging department. Considering that Aunt Mo was very nervous and very nervous, he came to comfort her, and explained her about the approximate process of CT puncture and cooperation with precautions.

On the day of the examination, Dr. Zhou operated the CT machine to scan the CT machine after placing the fence on the skin. Smoking a layer by layer, one angle and a angle slowly tone, ensuring the accuracy of the puncture.

After determining the inlet angle and depth, Dr. Zhou sterilized the sterilizer of the puncture site, and the injection bureau hemp medicine Lidoine 10ml.

After that, the biopsy gun was taken out of the tumor tissue after a special puncture positioning needle. Before and after the needle, Dr. Nie Qing scanned the puncture site again to ensure that there were no obvious bleeding and pneumothorax phenomenon.

Overall, the whole process was smooth. Aunt Mo could not feel the pain and did not have obvious discomfort.

After putting down Aunt Mo's scanning bed, Aunt Mo said, "Is this good? There is no terrible imagination, I can walk back by myself."

Two days later, the pathological results came out and were lung cancer.

After that, Dr. Zhou began to systematically standardize Aunt Mo according to the guidelines for diagnosis and treatment of lung cancer.

Because this example is an adult, you can generally choose the bureau hemp. If you encounter patients or children who cannot cooperate, the anesthesiology department needs sedative or venous anesthesia to achieve puncture.

Many people talk about color changes, but not all nodules are not good. Below, let's learn about this knowledge:

The lung nodule refers to a lung nodules that are clearly bound, imaginated, diameter ≤3㎝, and surrounding the lung nodules that are completely surrounded by gas -lung tissues. It is characterized by no lungs, enlargement of the pulmonary, and the thoracic effusion. The size and feature information of the nodule is of great significance for the judgment of benign and malignant and formulating subsequent treatment plans.

The clinicians will conduct auxiliary examinations of the clinicians after the lung nodules. After a comprehensive assessment, formulate the next plan. Analysis and discussion of the MDT (multi -disciplinary consultation team) of the difficult cases, comprehensively evaluating and formulating treatment plans, and conducting nutrition and psychological health education.

The increasing number of elderly people over the age of 60, coupled with the trend of illness of the disease, must be emphasized that "early detection, early diagnosis, early treatment" must be emphasized. At the same time, we must continuously improve the awareness of self -health care and health examination.

Some people will say that there will be problems with more or less medical examinations.

In fact, many diseases do not have to worry too much. Science is progressing, doctors will give reasonable treatment plans according to the situation.

Regular health check -up is very necessary. You can know your physical condition through the medical examination and find out the body abnormalities early. Pay attention to the active treatment of doctors who need to be treated, and pay attention to life without treatment. In addition, it is necessary to promote the development of a healthy lifestyle, cultivate a positive and healthy psychology, and improve the quality of life.

In the end, we have to emphasize again that lung cancer is focusing on prevention, and early diagnosis and early treatment are the key!

Author: Director of Nie Qing in charge of technician Funan County People's Hospital Imaging Department

[Reminder] Pay attention, there are a large number of professional medical sciences here to reveal those things about surgical anesthesia ~

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