The patient was admitted to the hospital with a severe headache, and the doctor boldly used the questioned ancient therapy...

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This book mainly tells the strength of the two hospitals in the diagnosis and treatment of intractable diseases.
They have a wealth of professional knowledge and interesting doctor stories.
I hope that you can read and relax in your busy schedule.
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Source: Medical Naomaitong Author: Wang Yue This article is the author's permission NMT Medical publish, please do not reprint without authorization
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Chapter 13: The ancient bloodletting therapy Hebercrates founded the "Four Body Fluid Theory", which believed that the human body is composed of four body fluids: blood, mucus, black bile, and yellow bile.
Will get sick
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 The most widely circulated treatment method in the theoretical system of the "four body fluid theory" is bloodletting
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There is a well-known magazine in the medical field-"The Lancet" (The Lancet).
"The Lancet" originally referred to a tool for bloodletting.
People often mention a case of bloodletting therapy.
In 1799, the founding President of the United States, George Washington died of laryngitis
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 According to legend, Washington himself believed in bloodletting therapy.
After he got sick, she asked the doctor to bleed him.
It is said that about 2300ml of blood was released in one day, while the human body had only about 4000ml of blood.
Washington died on the night of the bloodletting.

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 Is bloodletting therapy really so stupid? Definitely not
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For example, sickle cell anemia, red blood cells change from a double-sided concave round cake shape to a sickle shape.
The essence is that the beta globin gene is mutated, which causes the glutamic acid in beta globin to be replaced by valine.
The characteristics of beta globin are therefore Change occurs, and this change connects the abnormal hemoglobin to each other in turn to form a fibrous structure.
It is these long protein fibers that hold the red blood cells into a sickle shape
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 The hazards of sickle cell anemia are obvious.
On the one hand, hemoglobin aggregates together, which makes their ability to carry oxygen significantly reduced.
On the other hand, sickle-shaped red blood cells are prone to congestion and aggregation in blood vessels and form thrombi (see the picture below)
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At this time, bloodletting therapy is one of the ways to avoid the formation of blood clots
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A 40-year-old male patient with a history of pneumoconiosis was admitted to the hospital because of a severe headache.
Zhang Xiang is his attending physician
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 The blood routine of the patient admitted to the hospital showed that hemoglobin was 178g/L, and the red blood cell count was 6.
5×10^12.
This is obviously a compensatory response of the body after chronic hypoxia in patients with pneumoconiosis
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 Zhang Xiang perfected the head MRI examination for the patient and found that it was a hemorrhagic infarction
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(See the picture below) Combined with the clinical manifestations of the patient’s headache, Zhang Xiang quickly thought of venous thrombosis.
Because venous infarction is different from arterial infarction, intracranial venous return is blocked, edema and bleeding are prone to occur, which is the imaging report.
Hemorrhagic infarction
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 Immediately after the patient completed the angiography examination, he found the cortical veins
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(See the red arrow in the figure below) Conventional intracranial venous thrombosis is generally treated with anticoagulation, but Zhang Xiang felt that the thrombosis of this patient was related to the increase of red blood cells, so he adopted a bold and questionable traditional bloodletting therapy
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 Zhang Xiang is also very nervous.
After all, this method is rarely used now.
Zhang Xiang is cautious.
He strictly controls the amount of bleeding each time and maintains the patient's hemoglobin at 120g/L.
At the same time, he asks the respiratory department to assist in the treatment of pneumoconiosis. .

 A few days later, Zhang Xiang’s efforts were rewarded, and the patient’s symptoms were significantly relieved.
The head MRI was reviewed and the lesions were significantly reduced
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(See the picture below) If you want to know what's going on, please listen to the breakdown next Sunday! Wonderful review Chapter 1: The open and secret fight of two top medical experts | The small medical story Chapter 2: "Such a low-level error" The doctor said to himself, and two colleagues were sued in court! | Medical Micro Theory Chapter 3: After the doctor was exposed by his peers for being “short” and provoked a lawsuit, the hospital director personally took charge of visiting the doctor | The husband just offended the two doctors, and the wife who was also a doctor took the limelight Chapter: The villain gets the way? The patient died suddenly, but the two quack doctors escaped! Super doctors are beginning to show off | Medical Micro Theory Chapter 7: Why is a genius doctor from a non-disciplinary background always the slowest to see a doctor and the latest to leave work? | Medical Micro Theory Chapter 8: A genius doctor is beginning to show his abilities and will soon become the successor of the dean | Medical Micro Theory Chapter 9: Another sudden death of a patient! The doctor thought he was a "misdiagnosis" and was frightened.
As a result.
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| Medical Micro Talk Chapter 10: Two genius doctors came to the hospital, but they were destined to degenerate? | Medical Micro Theory Chapter 11: When the diagnosis of the attending doctor and the head of the department is inconsistent.
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| Medical Micro Theory Chapter 12: A man suspected that he had impotence after surgery and stabbed the doctor, and the genius doctor was depressed and resigned after being injured.
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| There is one more important thing for the editor Jing Min of the medical microblog to tell you that recent WeChat articles are no longer arranged in chronological order
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This may prevent you from seeing our articles in time
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 In order for us to meet at 6:30 every night in the future, I would like to invite you to set Yimaitong as a "star", or frequently click "reading" for articles, see you or not! Wonderful review ➤ Does chronic appendicitis make a radical resection of colon cancer? The doctor "kindly" did a "bad thing" and was sued to the court, claiming 260,000.
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Medical opinion ➤ "I will kill him when he gets better".
After reading this news, I gave a comment for the medical staff of this hospital.
Khan! ➤ Netizens report 120 public cars for private use! Staff response: Do you understand the situation at that time? ➤ The girl who is not ill was pushed onto the operating table and asked her to call to borrow money halfway through? Official announcement: The hospital is closed for rectification, and the dean resigns ☟Poke here, more predictable!