Head pressed into water
How many seconds can you hold on?
The unbearable suffocation hit
Guinness World Records holder for longest breath hold underwater
The maximum time is 22 minutes
And this occasional breathless torture
76-year-old Zhang Bo (pseudonym) can no longer bear it
Normal breathing and breathing
It has become his most unattainable luxury
Since 20 years ago
His brain encounters a sinister “Tumor”
Severe illness
Also let the whole family fall into endless anxiety and worry
“Fighting the disease in the first place
Our struggle is circuitous, passive, and tricky”
Son Zhang Wei (pseudonym) said
“It’s the Zhejiang one expert who made Death let go of the trigger”
Let the father beat the disease
Also bring the family back to life
How can lesions in the brain spread to the lungs?
Another 20 years?
Experts have something to say!
Every day after going to bed, my mother would touch my father’s nose to see if he was still breathing
Zhang Wei (pseudonym), born in 1982, is from Xiaoshan, Hangzhou. He is the eldest son and has a younger brother. In the general thoracic surgery ward of the First Affiliated Hospital of Zhejiang University School of Medicine, he has been waiting in front of the bed, helping his father pinching his legs and feet from time to time. Before being discharged from the hospital, Zhang Bo (pseudonym), who had difficulty breathing, uncomfortable lying down, and uncomfortable sitting and uncomfortable. , has been able to get out of bed and walk slowly.
In mid-March, Chief Physician Tu Zhengliang, Director of General Thoracic Surgery (II), took out a huge mediastinum 28cmx26cmx10cmlarger than a “rugby ball” from Zhang Bo’s chest cavity Internal tumor. Once, Zhang Bo’s right thoracic cavity was tightly packed by this huge tumor, his lungs were compressed, and his mediastinum and heart were compressed, making him unable to breathe.
“We went to so many hospitals, and they all refused to operate on my dad because the operation was too difficult. I was also very pessimistic about his disease, but Zhejiang University The first hospital has given our family the last glimmer of light, even if the chance is slim, we will definitely give it a shot.” Son Zhang Wei couldn’t stop his eyes from getting wet when he talked about his medical experience over the years.
In 2001, Zhang Bo, who had not yet retired from the work unit, started to have numbness on one side of his face, a single eyeball bulging, and hearing loss. The ENT department of the nearby hospital could not find out why, and he gradually developed into One ear was completely inaudible before he went to the big hospital to start a comprehensive examination – the result was worrying for the whole family, Zhang Uncle had an egg-sized meningioma in his head.
After surgical removal, Zhang Bo had serious sequelae: cerebral edema, hemiplegia, after a period of recovery, the vicious meningioma came back again… Zhang Bo had three craniotomy operations in total. In 2010, during Zhang Bo’s second meningioma surgery, he was found to have a 3-4cm “pulmonary nodule” in the right lung. “Considering the frailty of his wife and the slight sequelae left by the brain surgery, Aunt Zhang rejected the doctor’s suggestion to verify the identity of this “pulmonary nodule”.
By the second half of 2021, the original “small stone” in the lungs has become a “big stone”, causing the old man to have difficulty breathing, chest tightness and suffocation, He coughed non-stop, gasping for breath when he moved a little. What’s worse is that he can’t lie flat, and can only squint a little while leaning on the pillow every night. My wife sleeps on the side with anxiety, and in the middle of the night, every once in a while,Try under his nose to see if there is still gasp.
Lung images of the elderly
The doctor’s hard choice: no cut, wait for death; cut, the line between life and death
In March of this year, when Zhang Bo was sent to the specialist clinic of Director Tu Zhengliang of General Thoracic Surgery, the blood oxygen saturation was only 80% (the normal value should be 95%~98%) in the Hypoxic state.
“The tumor is huge, almost filling the entire right thoracic cavity. Such cases are rare.” Director Tu, who has rich clinical experience, introduced that this “big stone” may not be a simple one. Lung cancer, combined with Zhang Bo’s previous history of meningioma, he highly suspected that the meningioma had recurred and metastasized to the lungs.
After systematic examination, it was found that Zhang Bo’s thoracic tumor was about 27 or 28 cm in diameter, and the tumor had obvious compression on the heart and lungs. The solution is surgical excision.
But surgery is difficult:
1
First of all, the huge tumor occupies the entire right thoracic cavity, and it is almost impossible to extend it into the thoracic cavity for surgery. It is like a bucket filled with a watermelon, and the hands cannot reaching the bottom of the barrel;
2
Secondly, the tumor has a wide range, compressing the mediastinum, heart and other organs, and the boundary with them is unclear. The blood vessels in this area are the thickest in the body. Once they are not separated properly, massive bleeding is likely to occur, with unimaginable consequences.
3
The normal operating position requires the patient to lie on the left side during surgery, but this patient was left lying on the left side, compressing the heart and risking cardiac arrest.
Huge mass filling the entire right thoracic cavity
Furthermore, the tumor squeezed the right lung into a small corner and was poorly demarcated from the right lung. If the surgery is likely to remove the tumor and the entire right lung, this huge change will bring a fatal blow to the small heart.
For a long time, with the responsibility of life, the desire to explore difficult cases and the enterprising spirit of the career, people from Zhejiang have been constantly challenging “high-precision” surgery, breaking through the restricted area, and relieve the pain of the patients. The full support of the family members gave the expert team confidence and courage. After repeated discussions among the general thoracic surgery, anesthesiology, blood transfusion, cardiopulmonary bypass and ICU experts, the expert team decided to launch a tough battle to help Zhang Bo took out this huge mediastinal mass, and not only formulated a complete surgical plan, but also formulated a corresponding treatment plan for possible postoperative complications.
Zhang Bo’s condition is the bigger problem of anesthesia operation. Director Zhou Yanfeng of the Department of Anesthesiology led his team to carefully analyze the patient’s condition, aiming at the oppression caused by the huge tumor. A series of emergency plans have been formulated for the problems of airway, mediastinum and lungs, such as difficulty in anesthetized tracheal intubation, severe cardiac compression when changing position, hemorrhagic shock that occurs at any time during surgery, and postoperative recruitment pulmonary edema. Shi Liping, chief physician of the cardiopulmonary bypass team, is ready for preventive cardiopulmonary bypass pre-intubation.
Surgery site
Extremely difficult anesthesia procedures
On a Saturday afternoon, the expert team successfully removed the “bomb” on Zhang Bo’s chest, which was bigger than a football. The operation lasted more than 3 hours and was very successful. The removed huge tumor weighed 6 catties. Postoperative pathological results confirmed that this behemoth was indeed a distant metastasis of meningioma.
After the operation, the general thoracic surgery nursing team also performed a series of refined nursing care for Zhang Bo, including airway management, respiratory function training, and tailor-made diet plans, which moved Zhang Bo’s family. .
If you have these symptoms, watch out for lung tumors
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Introduced by experts in neurosurgery of the First Hospital of Zhejiang University, meningiomas are common primary central nervous system tumors in the brain. Most meningiomas are benign tumors, and only 2% to 10% are malignant. Meningioma metastases are very rare, accounting for only about 0.1% of all meningiomas. It metastasizes through blood vessels, lymphatics, and cerebrospinal fluid, and it most commonly metastasizes to the lungs, followed by the abdomen and liver, cervical lymph nodes, long bones, pelvis and skull, pleura, spine, central nervous system, and mediastinum.
Director Tu Zhengliang introduced that lung tumors focus on early prevention, early detection, and early treatment. Most patients are found during physical examination, and there may be no obvious clinical symptoms, and a small number of patients may have symptoms such as cough, expectoration, blood in sputum, shortness of breath, chest and back pain, and difficulty breathing. In recent years, lung tumors have shown a trend of rejuvenation. So, which groups must be paid enough attention to and should be checked as soon as possible?
1
Long-term smoking and the “smoked”
2
Persons exposed to harmful gases
3
Hereditary or medical history: a history of cancer, tuberculosis, or a family history of lung cancer, etc.
4
Excessive mental stress, depression and anxiety
In your daily life, try to:
1.
Quitting
2.
Less contact with all kinds of harmful gases (such as smog, car exhaust, harmful gases from range hoods, etc.)
3.
Be less angry, avoid overwork, and maintain good immunity
4.
Try to avoid frequent renovations and pay attention to indoor convection ventilation