Teenagers encounter rare diseases

“Teacher, I feel uncomfortable.” “Teacher, I don’t think I can get angry with my chest.” “Teacher, I can’t exercise vigorously.” Doesn’t it sound like the usual tricks when skipping classes in student days? But for Xiao Zhang, these symptoms have plagued him for 17 years. Until a medical examination before the college entrance examination this year, he realized that his body had a big problem.

Xiao Zhang felt that his physical strength was worse than his peers. He was a young man who climbed four or five floors and was physically weak. Originally thought to be only weak, but the lung shadow on the chest of the college entrance examination gave Xiao Zhang a head. At that time, there were only less than 100 days left in the college entrance examination. Xiao Zhang and his family fell into deep panic and worry.

After many inquiries, the family came to Shao Yifu Hospital affiliated to Zhejiang University School of Medicine. Professor of Respiratory Medicine should be able to judge this is a typical patient with pulmonary arteriovenous fistula by virtue of years of clinical experience. The examination found that Xiao Zhang had hypoxemia and multiple vascular malformations in both lungs.

Under normal circumstances, pulmonary arteriovenous fistula can not rely solely on drug treatment, but also surgery. However, Xiao Zhang will soon take the college entrance examination. The trauma of surgery and the long recovery time will make him lose a lot of valuable preparation time. However, if not treated in time, Xiao Zhang’s physical strength will become increasingly insufficient, and can not keep up with the pace of the college entrance examination sprint, if the condition is aggravated, there will be life-threatening.

How to do? Professor Ying Kejing thought of interventional minimally invasive embolization treatment, so he contacted the deputy chief physician of the Radiology Interventional Therapy Group.

Dr. Wu said that the normal person’s blood oxygen is 100%, and Xiao Zhang’s blood oxygen is only 84.4%. The long-term lack of oxygen makes Xiao Zhang suffer. After the hospital discussed, whether it is from the present or the long-term, Xiao Zhang The situation is not suitable for traditional surgical treatment, only minimally invasive intervention. Minimally invasive surgery has minimal damage to the patient. The procedure requires only local anesthesia and does not cause secondary damage to the patient’s body. At the same time, there is also a risk of surgery. Because the arteries and veins of Xiao Zhang are in abnormal communication, if there is a mistake, the coil will directly return to the heart through abnormal blood vessel communication, and may enter the brain and form a cerebral embolism.

In the end, after more than four hours of intervention, the operation was successfully completed. After the operation, Xiao Zhang felt that his breathing was much smoother. The next day, blood oxygen increased from 84.4% to 99%, almost the same as normal people. On the third day after surgery, Xiao Zhang returned to hospital. The life that was disrupted by the medical checklist finally recovered, and Xiao Zhang returned to the intense college entrance examination preparations, and finally recovered the health and confidence that young people should have.

After reading Xiao Zhang’s example, many people who are weak and sick may ask if they have pulmonary arteriovenous fistula. A common symptom of pulmonary arteriovenous fistula is shortness of breath, palpitations, and fatigue. Hypoxemia is the feeling of hypoxia, nausea and suffocation. In severe cases, the lips are cyanotic and the clubbing is enlarged. In case of such symptoms, you should go to the hospital in time.

What happens if you don’t treat it in time? Experts say that arteries and veins are at risk of rupture at any time. Once ruptured, it will cause hemoptysis, which can cause suffocation and death, or blood in the chest to form a blood chest. Pulmonary arteriovenous abnormalities will form a thrombus, and the thrombus will fall back to the heart through the abnormal blood vessels of the lungs. In severe cases, it will enter the brain to form a cerebral embolism. Traditional treatments are extremely risky, with large trauma, resulting in more pain and reduced tolerance. Interventional therapy is operability. Taking malignant tumors and metastatic tumors such as liver cancer and lung cancer as examples, many patients are not suitable or can not tolerate traditional surgical treatment. Interventional therapy can not only be minimally invasive, but the effect after treatment can be immediate. Repeat treatment without affecting other treatments.