30-year-old Xiao Zhang is a "white-collar worker" in a company in Ningbo, Zhejiang. He often stays up late to work overtime and takes out three meals. He is called "Desperate Saburo" by his colleagues. For the sake of performance, Xiao Zhang often accompanies customers to drink, and can drink a box of beer for a long time. Life is very irregular...
At the end of 2016, Xiao Zhang came to the hospital’s gastrointestinal surgery specialist outpatient clinic due to repeated abdominal distension and nausea. The doctor Qian Hailong inquired about Xiao Zhang's condition in detail, and immediately gave a gastroscopy. The pathological section showed that it was a gastric stromal tumor.
Qian Hailong suggested that Xiao Zhang be hospitalized immediately for examination and treatment, but Xiao Zhang relied on his youth to despise the severity of the "stomach disease" and refused to be hospitalized. Under Qian Hailong's patient analysis and "persuasion" from his family, Xiao Zhang finally admitted to the gastrointestinal surgery.
After admission, the medical team led by Qian Hailong performed a "gastric stromal tumor resection" for Xiao Zhang under a laparoscope. After successful surgery and several months of medical treatment, Zhang's condition gradually stabilized. Thinking that the disease has been cured, Xiao Zhang began to relax his vigilance, did not go to the hospital for review, even stopped the medication by himself, and returned to the previous irregular life state...
The good times did not last long. One day in early 2019, Xiao Zhang suddenly vomited a lot of blood. He went to the hospital to review the gastroscopy and prompted: gastric ulcer (secondary consideration). In the next six months, Xiao Zhang's condition was very unstable, with repeated hematemesis and melena.
The family took him to the Shanghai Hospital many times, but the doctor told the family that he could only take conservative treatments such as hemostasis to prolong his life. At this time, Xiao Zhang realized the seriousness of his condition.
One day in May of this year, when Xiao Zhang kept vomiting blood from his mouth, his family rushed him to the emergency room. It happened that it was Qian Hailong, who had been treating Xiao Zhang for several years, who came to the consultation. "It must have an operation, otherwise, it is really unpredictable, but the operation risk is very high." Qian Hailong said sternly.
At the insistence of his family, Qian Hailong conducted a physical assessment of Xiao Zhang again, and performed a "total gastrectomy" for Xiao Zhang with great risks. Fortunately, Xiao Zhang recovered well after the operation and has now been discharged from the hospital smoothly.
According to Qian Hailong, gastric stromal tumor is a relatively rare tumor disease in clinical practice. The average annual incidence is about 1/100,000 to 2/100,000. The incidence is slightly more in men than in women. As modern people's eating habits become more and more irregular, the incidence of gastric stromal tumors is gradually increasing.
Qian Hailong sighed: "The recurring episodes of Xiao Zhang's gastric stromal tumor are closely related to his inattention to his diet, work and rest, and non-punctual treatment. If he is treated according to the doctor's prescription at the beginning of the onset, he will not lose his precious value in the end. Stomach."