惊！义乌73岁老人体内竟藏有10公分的巨大肿瘤？万幸……
<!----><style type="text/css">html{font-size:375%}</style><link href="https://pics-app.cnyw.net/static/publish/css/style.css?v=20240712" rel="stylesheet" position="1" data-qf-origin="/static/publish/css/style.css?v=20240712"><!-- 付费贴--> <div class="preview_article "> <!----> <section style="font-size: 15px; line-height: 2; letter-spacing: 2px; box-sizing: border-box; font-style: normal; font-weight: 400; text-align: justify; color: #3e3e3e;"><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section class="empty_paragraph" style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"></section></section><section style="display: flex; width: 100%; flex-flow: column; box-sizing: border-box;"><section style="z-index: 1; box-sizing: border-box;"><section style="text-align: center; box-sizing: border-box;"><section style="text-align: justify; color: #8cb074; box-sizing: border-box;"><p class="" style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box; text-align: justify;"><span style="color: #000000;">原标题：生死较量！义乌73岁奶奶体内“潜伏”10公分巨大肿瘤，中心医院多学科协作“拆弹”成功！</span></p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box; text-align: justify;"> </p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box; text-align: justify;">近日，义乌市中心医院成功为一位73岁老年患者实施了高难度肿瘤切除手术，切除了其体内长达10公分的巨大肿瘤，挽救了老人生命。</p></section></section></section></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; margin: 10px 0px; box-sizing: border-box;"><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 0 0 auto; min-width: 5%; max-width: 100%; height: auto; padding: 0px 6px 0px 0px; box-sizing: border-box;"><section style="line-height: 0; text-align: right; margin: 0px; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 26px; height: auto; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/Fvw-QmQPXuPTJOd-ec4WYFq3AImf" /></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 0 0 auto; min-width: 5%; max-width: 100%; height: auto; box-sizing: border-box;"><section style="margin: 0px 0px 5px; box-sizing: border-box;"><section style="text-align: justify; color: #5b734b; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">隐痛初现，检查结果令人忧心</strong></p></section></section><section style="justify-content: flex-start; display: flex; flex-flow: row; box-sizing: border-box;"><section style="display: inline-block; width: 32%; vertical-align: top; align-self: flex-start; flex: 0 0 auto; height: auto; box-sizing: border-box;"><section style="text-align: center; margin: 0px; box-sizing: border-box;"><section style="background-color: #71926d; height: 1px; box-sizing: border-box;"></section></section></section></section></section></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="box-sizing: border-box;"><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box; text-align: justify;">来院就诊一周前，73岁的蒋奶奶（化名）总觉得<span style="color: #ed5036; box-sizing: border-box;"><strong style="box-sizing: border-box;">左下腹隐隐作痛，虽然痛感不算剧烈，但反反复复</strong></span>，家人放心不下第一时间带她前往苏溪卫生院进行检查。</p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box; text-align: justify;">本以为只是普通的肠胃不适，但腹部CT的检查结果，“降结肠肠壁增厚”“肿瘤性病变考虑”让所有人的心都揪紧了。医生建议他们尽快前往上级医院，做进一步检查以明确诊断。没有丝毫耽搁，家人立即带着蒋奶奶来到了义乌市中心医院寻求更专业的诊断与治疗。</p></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="text-align: center; color: #8cb074; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">巨大肿瘤下的治疗困境</strong></p></section><section style="margin: 10px 0%; text-align: left; justify-content: flex-start; display: flex; flex-flow: row; box-sizing: border-box;"><section style="display: inline-block; vertical-align: middle; width: 50%; padding: 0px 5px 0px 0px; align-self: center; flex: 0 0 auto; box-sizing: border-box;"><section style="text-align: center; margin: 0px 0%; line-height: 0; box-sizing: border-box;"></section></section></section><section style="box-sizing: border-box;"><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">中心医院胃肠外科为蒋奶奶安排了更为详尽的检查。增强CT结果清晰地揭示了病情的严重性：<span style="color: #ed5036; box-sizing: border-box;"><strong style="box-sizing: border-box;">降结肠肠壁出现了明显的不规则团块样增厚，累及范围达到了约10cm * 5.5cm，几乎塞满了肠腔</strong></span>。</p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">最终，蒋奶奶被确诊为“降结肠癌”，临床分期为T4N2M0。随后的病理活检报告也证实了医生的判断：（距肛约30CM）高级别上皮内瘤变、癌变。</p></section><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">这意味着，一个巨大的恶性肿瘤已经在蒋奶奶体内“扎根”，并且已经到了局部晚期阶段，情况不容乐观。</p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/Fobeo4rHJbwJQUuu1iFT5BTbmoU5" /></section></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">面对如此严峻的诊断，医疗团队迅速制定了第一阶段的治疗方案：先进行口服化疗，以期缩小肿瘤体积，为后续手术创造更好的条件。</p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">一个多月后，令人欣慰的是复查显示病灶有所减小，化疗起到了一定的效果。然而新的问题接踵而至，蒋奶奶身体对化疗药物的耐受性较差，出现了明显的副作用，身体状况开始走下坡路。更关键的是，肿瘤虽然略有缩小，但造成的肠腔狭窄问题依然非常严重，如同一个“路障”严重阻碍了肠道正常的通行功能。</p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">团队评估后认为，目前手术切除是解除梗阻、争取根治机会的最佳途径。</p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; margin: 10px 0px; box-sizing: border-box;"><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 0 0 auto; min-width: 5%; max-width: 100%; height: auto; padding: 0px 6px 0px 0px; box-sizing: border-box;"><section style="line-height: 0; text-align: right; margin: 0px; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 26px; height: auto; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/Fvw-QmQPXuPTJOd-ec4WYFq3AImf" /></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 0 0 auto; min-width: 5%; max-width: 100%; height: auto; box-sizing: border-box;"><section style="margin: 0px 0px 5px; box-sizing: border-box;"><section style="text-align: justify; color: #5b734b; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">多学科会诊，为高风险手术保驾护航</strong></p></section></section><section style="justify-content: flex-start; display: flex; flex-flow: row; box-sizing: border-box;"><section style="display: inline-block; width: 32%; vertical-align: top; align-self: flex-start; flex: 0 0 auto; height: auto; box-sizing: border-box;"><section style="text-align: center; margin: 0px; box-sizing: border-box;"><section style="background-color: #71926d; height: 1px; box-sizing: border-box;"></section></section></section></section></section></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">蒋奶奶本身心肺功能就不太好，加上疾病消耗和化疗影响，她的营养状况也欠佳。这一切都预示着，她的手术耐受性很差，麻醉和手术过程中的任何一个环节都可能出现意外，手术风险不言而喻。</p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">“绝不能贸然手术！”胃肠外科迅速启动多学科会诊（MDT），病理科、放射科、肿瘤科、肝胆胰外科、消化内科、麻醉科、营养科、心血管内科等专家参与会诊，并邀请了浙大一院胃肠外科专家、义乌市中心医院党委副书记、院长于吉人教授共同讨论。经过反复、审慎的论证，专家团队为蒋奶奶量身定制了一套详尽的、个体化的“围手术期预案”。</p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="text-align: center; color: #8cb074; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">数小时奋战，成功拆除“巨大炸弹”</strong></p></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/Frpkgh4ht33toVkTtZy9OwRkNEGq" /></section></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="box-sizing: border-box;"><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">手术由于吉人教授和胃肠外科主任医师陈建峰团队共同操刀。术中，手术团队先采用创伤较小的腹腔镜进行探查：盆腔和腹腔内有少许淡黄色液体，肝脏、腹壁等表面未见肿瘤转移，这是一个好消息。</p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">然而，挑战也随之而来，在降结肠部位，那个巨大的肿瘤赫然在目，它不仅牢牢占据着肠道，还侵犯粘连了周围的小肠组织，导致近端的小肠明显扩张。更棘手的是，肿物周围组织粘连严重，脾脏也肿大并与周围组织粘连，解剖结构异常复杂。</p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">在腹腔镜下进行精细分离异常困难，为了确保手术的彻底性和安全性，手术团队当机立断，中转开放手术，在布满粘连和重要血管、器官的“雷区”里，小心翼翼地“排雷”。这个过程要求极高的精准度，既要保证肿瘤被完整切除，不留下“漏网之鱼”，又要最大限度地保护周围健康的组织和器官，尤其是重要的血管和神经。</p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">最终，在医护人员的紧密配合下，这个巨大的肿瘤被完整切除。术中出血量约100毫升，整个过程平稳顺利。手术结束后，蒋奶奶生命体征平稳，被安全送回病房。</p></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="text-align: center; color: #8cb074; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">多学科协作，助力老人快速康复</strong></p></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FowXGd2zXYgvS6XxFhwb-nCaziG2" /></section></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">对于一位老年、大手术患者而言，手术的成功只是闯过了第一关，术后的康复同样至关重要。除了现代医学的精准监护与治疗，胃肠外科还邀请了中医科专家加入康复队伍，为蒋奶奶制定了益气养血、健脾和胃的中医药方案，通过内服外治等方法，减轻手术创伤带来的应激反应，调理脾胃功能，促进胃肠蠕动恢复，全面提升她的正气和恢复能力。<span style="color: #ed5036; box-sizing: border-box;"><strong style="box-sizing: border-box;">这种“中西医结合”的模式，为蒋奶奶的康复按下了“加速键”</strong></span>。</p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">在多学科医护团队的共同努力下，蒋奶奶的身体一天天好转，肠道功能逐渐恢复，体力也慢慢增强，未出现任何并发症。目前，蒋奶奶已康复出院，医护团队制定了精准的后续治疗与随访计划，为老人安享高质量晚年生活保驾护航。</p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="text-align: center; justify-content: center; display: flex; flex-flow: row; margin: 20px 0px; box-sizing: border-box;"><section style="display: inline-block; width: 87%; vertical-align: top; align-self: flex-start; flex: 0 0 auto; border-style: solid; border-width: 1px 0px; border-color: #71926d; padding: 0px 10px; height: auto; box-sizing: border-box;"><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; margin: -10px 0px; box-sizing: border-box;"><section style="display: inline-block; width: 100%; vertical-align: top; align-self: flex-start; flex: 0 0 auto; border-style: solid; border-width: 0px 1px; border-color: #71926d; padding: 18px 10px; box-sizing: border-box;"><section style="justify-content: flex-start; display: flex; flex-flow: row; box-sizing: border-box;"><section style="display: inline-block; width: 100%; vertical-align: top; align-self: flex-start; flex: 0 0 auto; background-color: #f2f5ef; padding: 19px; box-sizing: border-box;"><section style="display: flex; width: 100%; flex-flow: column; box-sizing: border-box;"><section style="z-index: 1; box-sizing: border-box;"><section style="margin: 10px 0px 0px; box-sizing: border-box;"><section style="text-align: justify; color: #5b734b; box-sizing: border-box;"><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">蒋奶奶的成功救治，不仅是外科团队精湛技术的体现，更是医院从术前评估、多学科协作（MDT）到术中操作及术后康复的一体化、人性化服务体系的圆满实践，充分展现了医院处理高危复杂病例的强大实力与人文关怀。</p></section></section></section></section></section></section></section></section></section></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="margin: 10px 0%; text-align: left; justify-content: flex-start; display: flex; flex-flow: row; box-sizing: border-box;"><section style="display: inline-block; vertical-align: bottom; width: 10%; padding: 0px 5px; align-self: flex-end; flex: 0 0 auto; box-sizing: border-box;"><section style="text-align: center; margin: 0px 0%; transform: rotateX(180deg); -webkit-transform: rotateX(180deg); 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font-size: 15px; font-style: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: 2px; orphans: auto; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none; text-align: center; line-height: 0;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><section class="empty_paragraph" style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; display: inline-block;"></section></section></section></section></section><p style="display: none;"> </p> <!----></div> 吓人老年人定期体检真的很重要
大难不死必有后福
123 :(:(
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