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Times reporter Chaiyue Ying correspondent Shao Liang Wan
"Tumor before surgery than expected bigger, the texture is very hard very brittle, flipping heart may at any time break anymore, we look tense nerves." When cut open the chest an instant, Hangzhou Red Cross Hospital, Douglas Hsu, director of thoracic surgery and thoracic Shanghai Hospital experts, the back are slightly oozing sweat. The surgery should grow huge tumor on the heart of the roots to move up, the heart is likely to suddenly break anymore, I watched the 44-year-old woman died instantly.
Tumor location and extent of specific violations of the heart, heart can withstand the strength of how much, who do not know. But in the swollen pericardium, the heart has been squeezed tumor size of 16 cm to the left rear, beat difficulties, there have been symptoms of pericardial tamponade, a sharp deterioration of cardiac function, at any time may stop beating. In most life only 1-2 months, she and time to make a deal,converse blanche, if successful risking surgery, she may regain health.
Diagnosis is a tug of war
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Ms Wang to see at first glance, could not help but wonder why until now only see the doctor do She rubbed her husband behind in clothes shrink, do not speak.
"Can not blame her, the past year saw the number of hospitals do not know is what the disease can not be diagnosed." Helplessly to her husband Huang Jun said. This time, Ms Wang forward from the Red Cross Hospital for Thoracic Surgery Division of Tuberculosis. To meet her, she was smiling Douglas Hsu director.
Back at the office, Director Xu carefully review all medical records of Ms Wang. A year ago, Ms Wang feel chest tightness, shortness of breath, when she is alert, at a local hospital shines through X-ray, CT and B ultrasound, did not check out, and later to Hangzhou, Shanghai and many other hospital,piumini peuterey 2015, or what not confirmed disease.
Nearly two weeks, her body more and more uncomfortable, lower limb edema, can not sleep lying down, night after night can only sit, walk out of breath. Hangzhou again ran several large provincial hospital, doctors found Ms Wang's heart bag with effusion, suspected tuberculous pericarditis. So she recommends to the Red Cross Hospital Surgical treatment of tuberculosis. Turn, appears in a B-ultrasound after admission.
"B ultrasound room Yang carefully examined, even found a huge lump on the heart. The next make further CT and MRI,golden goose sneakers super star, the tumor diameter of 16 cm, and with the heart grow together." At the time, Ms Wang did not believe,spaccio moncler, six months Check the front is normal, sudden such a big tumor,hogan milano, how she can not figure out.
Three risk let her die on the operating table
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Year, the tumor to scratch, a rule of thumb, most malignant. According to the family requested, the provincial Red Cross Hospital invited well-known experts in hospital, but saw the film, everyone shook his head. The tumor is too large, and the heart no boundaries, you can not cut clean, but there have been heart failure patients, most only 1-2 months of life,air max one, such as high mortality, experts believe that surgery is not necessary.
"There is no way out, no matter what, be sure to give my wife the surgery,tiffany e co, even death on the operating table, we do not want to die, I will never give up." Director Xu before her husband Huang Jun tone will firm. A determination to see them, and invited Director Xu Shanghai Chest Hospital expert consultation together.
"Although the risk is great, but the tumor resection is still possible." Hear the experts to the conclusion that despair Jun Huang will see a glimmer of hope.
There are three major risk surgery. First,cartier bracciali, the tumor is too brittle, intraoperative bleeding heart may rupture causing death; secondly, the heart of a long oppression, suddenly remove the tumor, heart loses pressure, heart failure may worsen, but also cause serious and fatal arrhythmias ; again,louboutin homme, intraoperative tumor was found widespread violations of the heart if not excision, can only do cytoreductive surgery, then later quickly relapse,abercrombie milano orari, the prognosis is poor.
To adjust Ms Wang's heart function, to surgical conditions. Doctors decided to use half of the time to do preoperative preparation.
"Patients pericardial tamponade,woolrich uomo ebay, heart failure, systemic edema, large amounts of water accumulated in the body parts, can not be discharged, after a sudden return to the heart, causing heart overburdened, a sharp decline in cardiac function, resulting in death. It is primarily through urine, add white protein and other drugs,hogan bambino, rapid rid the body of excess water accumulation, two weeks her weight dropped 15 kg succeed. "
Huge tumor and did not bursting pericardium
10:30, surgery began, Ms Wang is sawed median sternotomy. Cut the swollen pericardium, revealing three fist large tumor, which completely blocked the heart. The following violations of the heart do not know what position How widespread violations Experts carefully put part of the tumor 6,7 block first six or seven minutes to dig out from the pericardium, and then exposed side of the heart is squeezed, is faintly beating. Then surgery to the most critical time --- resection of tumor invasion of the right atrium,air max bw, everyone's heart hanging in the throat, breathing held their exclusion.
"Cancer is hard and brittle, our heart will probably pulled suddenly break anymore,hogan sito ufficiale, the patient may die instantly."
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Intraoperative frozen section pathology report came out, Ms Wang's cardiac tumors are malignant myofibroblastic sarcoma. In order to cure, the doctor must invade the tumor in the right atrium cut. Without stopping the heart, without cardiopulmonary bypass,peuterey milano, excision of tumor invasion of the right atrium is challenging, experts with superb technology, successfully removed the tumor invasive tumor in the right atrium. So far this huge heart tumor was successfully removed.
Surgery, the anesthesiologist closely monitored the patient's vital signs, using a variety of measures to maintain stable vital signs, and create conditions for surgery. Red Cross Hospital has a strong team of anesthesiologists also key this surgery can be completed successfully.
13:30, the end of surgery, Ms Wang was admitted to the intensive care unit.
She can live how long is still unknown
Three days after, Ms Wang transferred to intensive care. After two weeks, Ms Wang heart function returned to normal after inspection, systemic edema has subsided, chest tightness, shortness of breath after no activity was discharged.
"The incidence of heart cancer have been less, only a few dozen miles,louboutin sale, and released early non-specific symptoms, regular inspection is difficult to find,louboutin, these patients can be easily misdiagnosed and missed. Such disease surgery is the most effective treatment of chemotherapy and radiation therapy imprecise. Ms Wang's disease may have a familial tendency. "Director Xu tells guess hearts. "Her father 20 years ago because of mediastinal tumor and died. We are working to bring up the medical records from her father had treatment the hospital for further research."
Director Xu checked a large number of domestic and foreign literature, malignant cardiac myofibroblastic sarcoma prognosis is not optimistic, the majority of patients after one year might not live. In order to try to extend the life of Ms Wang, reduce relapse, but also for her postoperative chemotherapy.
"She really can be much longer, can not rely on simple judgment literature, perhaps, it will be a miracle again "
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