Yueyang Hospital Respiratory Center Internal Surgery Joint Treatment for Difficult and Complicated Diseases, Coughing Blood for Four Months, Finally Survived
Mr. Deng, who had been troubled by a persistent illness of coughing up blood for several months, was treated by the Respiratory Center of Yueyang Integrated Traditional Chinese and Western Medicine Hospital affiliated with Shanghai University of Traditional Chinese Medicine with a combination of internal surgery and traditional Chinese and Western medicine. He finally recovered and was officially discharged today.
69 year old Deng has been troubled by coughing blood since April this year. Although the coughing blood volume is not large, the prolonged condition is worrying. After a series of examinations at the external hospital and symptomatic medication, Lao Deng still did not improve and decided to seek help at Yueyang Hospital.
After receiving the diagnosis, Wang Zhenwei, the director of the Respiratory Department at the Respiratory Center, decisively admitted the elderly person to the hospital and provided treatment such as hemostasis, phlegm reduction, and anti infection. One week later, Lao Deng's cough blood volume significantly decreased, but the bleeding was not completely stopped. On the fixed consultation day every Tuesday, Wang Zhenwei provides a detailed introduction to the patient's condition to Chen Tongyu, Director of Cardiothoracic Surgery at the Respiratory Center. Chen Tongyu carefully read the film and believed that although the lesion was concentrated in the middle lobe of the right lung, it is urgent to further clarify whether the bleeding point is only in the middle lobe and whether there are also bleeding points in other trachea.
After Lao Deng transferred from the Department of Respiratory Medicine to the Department of Cardiothoracic Surgery, Chen Tongyu conducted an airway examination for him. The outer diameter of this ultra-fine bronchoscope is only 3 millimeters, which can enter the 8th grade bronchus, making it convenient to thoroughly explore all bleeding points in the airway.
After ultra-fine bronchoscopy examination, it was found that fresh blood was continuously flowing out of a small bronchus in the outer segment of the middle lobe of Lao Deng's right lung, which was further divided into three levels downwards. No bleeding points were found in the lumens of the other lobe segments. After careful evaluation, surgical resection is the best and most effective treatment plan for Lao Deng.
The patient and their family trusted the medical team very much. After improving the preoperative preparation, Chen Tongyu performed a right lower lobe resection for Lao Deng. During the surgery, it was found that the tumor was located at the bifurcation of the bronchus in the right lower lobe of the lung and was tightly fixed to the common trunk of the lower pulmonary artery. Experts carefully separated the trachea and blood vessels before performing a complete resection of the right middle and lower lung, and cleaning the lymph nodes. Intraoperative frozen pathology suggests poorly differentiated cancer. "Thank goodness, we really found the right hospital this time!" Old Deng's lover couldn't help but sigh, "I didn't expect it to be a malignant tumor. You saved his life, thank you so much!" From then on, the "stubborn illness" that had been affecting the family for months was solved. After the surgery, Wang Zhenwei prescribed traditional Chinese medicine for tonifying qi and nourishing yin to Lao Deng. Under the careful treatment and care of the team, Lao Deng quickly recovered.
In this diagnosis and treatment, the Respiratory Center of Yueyang Hospital fully utilized the advantages of combining traditional Chinese and Western medicine with "1+1>2". Faced with the long-standing problem of cough and blood, the Respiratory Department first used Western medicine to control bleeding, resist infection, and do a good job in airway management; Taking over further evaluation and timely surgical treatment in the field of cardiothoracic surgery; In the postoperative recovery stage, the respiratory department uses traditional Chinese medicine for regulation to promote patient recovery. Collaboration between internal and external departments, interdisciplinary linkage, and equal emphasis on traditional Chinese medicine and Western medicine methods, with patients at the center and diseases as the main body, selecting the most suitable methods at different stages of the disease process to achieve the best therapeutic effect and maximize the benefits for patients.
Wang Zhenwei reminds that traditional Chinese medicine has unique advantages in the treatment of lung cancer. Individualized traditional Chinese medicine treatment, such as traditional Chinese medicine decoctions, acupoint thread embedding, and techniques, can be used in various stages of lung cancer treatment to enhance efficacy, reduce adverse reactions, and promote body recovery. Chen Tongyu suggested that pulmonary nodules and early lung cancer have no obvious symptoms, and regular physical examinations are very important. With the help of low-dose thin-layer CT and other examinations, tumors can be detected early or even ultra early. By early prevention, intervention, and treatment, the occurrence and development of cancer can be avoided or delayed.
It is reported that Yueyang Hospital has established 18 collaborative clinical centers of traditional Chinese and Western medicine, including a respiratory center with respiratory medicine and cardiothoracic surgery as its core. Providing patients with "one-stop" services and a multidisciplinary collaborative diagnosis and treatment model significantly reduces their commuting and also saves medical expenses to a certain extent.