1014 Let's eat a piece of candy
Zheng Ren took the film bag, took out the film first, and inserted it into the film reader.
The 3D reconstruction of the head is clear and clear, much clearer than ordinary CT.
"Director Kong, our judgment is right. Zheng Rendao.
"Hmm. Director Kong looked at the film and nodded.
Sure enough, it was not an intracranial malignant tumor, and Director Kong was already clear at this time. As for what the disease is, I don't have an idea yet.
Zheng Ren looked at it carefully for a few more minutes, and then took out various test sheets and flipped through them one by one.
As I had previously judged, the patient's urine galactose test showed positive urine glucose, glucose oxidase method urine glucose negative, and paper chromatography identified it as galactose.
The normal concentration of galactose is 110~194μmol/L, and the patient's blood galactose concentration has increased and has reached 561μmol/L.
Combined with other laboratory tests, Zheng Ren determined that the patient's disease was galactosaemia.
Director Kong leaned over, glanced at the test sheet, and then smiled and dodged.
This kind of examination, the interventional department is not a related department, and it cannot be done once in a few years, or even decades.
Even as the director of the interventional department, Director Kong is not omniscient, he can see any disease, and he can understand any laboratory test.
It's not like Zheng Ren, the demon.
Director Kong was not timid, just sat on a chair and watched the film, comparing it with the previous head CT film.
After the three-dimensional reconstruction, the so-called mass is more obvious, and it is clearer that only the brain is supplemented with edema, and there is a small amount of crystalline substance.
It's definitely not a placeholder, it's a misdiagnosis by a local hospital.
Fortunately, there was no surgery, but if it was opened, the tumor was not found, but it was a big deal. At that time, the patient was greatly traumatized, and the doctor was also sitting on wax.
However, this film is indeed easy to misdiagnose. Director Kong knew that if Zheng Ren was not there, he could only vaguely judge that it might not be an intracranial malignant tumor, and as for the specifics, he would not have any clue.
Of course, he will not easily judge the diagnosis error of the local hospital, unlike Zheng Ren, who directly wrote what tests are needed.
Is the blood galactose concentration measured? Director Kong recalled this test, but his mind went blank. Look at Sun Ming...... Dean Sun has long since stopped doing clinical work, and he doesn't know about it.
Waiting for Boss Zheng to give an answer, Director Kong simply didn't think about it, and didn't even bother to search the Internet for what the blood galactose concentration determination does.
This is not a problem with the interventional department, how old I am, and it makes no sense to learn so much.
More than ten minutes later, Zheng Ren finally came up with a definite answer based on abdominal ultrasound, CT of the liver, three-dimensional reconstruction of the head CT, and many blood tests.
"Dean Sun, the patient has galactosaemia. Zheng Rendao.
Sun Ming knew these words together, but when it was a disease, he didn't understand it at all.
He still knows what galactose is, but he certainly doesn't know what galactosemia is.
"That...... Boss Zheng ......" Sun Ming swallowed his saliva and said vaguely: "Please explain." ”
"This is a toxic clinical metabolic syndrome with elevated galactose. Congenital defects of any of the three enzymes involved in galactose metabolism can cause galactosemia, and related symptoms appear. Zheng Ren explained: "The patient's condition is relatively mild......
When he said this, Sun Ming was speechless.
Looking at the state of the patient, good young people have all shown signs of intellectual retardation, which is relatively mild? If it is heavy, what will it be?
"Generally speaking, it is common in infants and young children, and the treatment effect is not very good. However, the onset of the disease occurs in adulthood, which proves that the congenital enzyme deficiency is mild and can be corrected with measures such as oral sugar cubes. ”
"Oral sugar?" Sun Ming was completely stunned, what does this mean?
"Now you can give a high sugar stick, which raises the sugar level in the patient's blood. Then, as long as you eat more sugar, you can correct the symptoms of galactosaemia. But if you want to treat it thoroughly, there is no good way with the existing technology. ”
"By the way, fresh plasma should work as well. But now that plasma transfusion seems to be limited, just give some glucose, and you will see the effect soon. Zheng Rendao.
With such a serious illness, the family is thinking about giving up the treatment, and it is better to give some glucose? Is this a joke or serious?
Zheng ...... Boss Zheng, are you serious?" asked Sun Ming in surprise.
When Director Kong heard him say this, he was immediately unhappy.
"Old Sun, what are you talking about? Director Kong reprimanded.
Although Director Kong didn't know what galactosemia was, he believed in Zheng Ren.
This kind of trust is constantly accumulated, not blindly because of the identity of the Nobel Prize candidate.
Director Kong immediately picked up the landline, called the nurse station, and found an old nurse with good skills to come in with a sterile tray.
20 ml of 50% glucose, intravenously.
After more than ten minutes, the young man's expression began to come alive. It was as if he had had had a big dream, and he wondered how he could be here.
It's a plot in a normal TV series, but young people don't ask themselves where they are, why they're here, and what really happened.
When he saw Bai Yi, he immediately understood that he was sick and had come to see a doctor.
"Are you feeling better?" asked Jung-in.
"Good...... Good ...... "stuttering still exists in young people, and there are some nervous factors.
"The vision problem will not be relieved so quickly for the time being, but the lack of blood and oxygen in the brain has been initially alleviated. Zheng Ren smiled.
"Erwa, who am I?" the middle-aged man asked tentatively.
"You...... You're my second ...... No, it's the third uncle. The young man replied.
"Erwa!" The middle-aged man wanted to say something, but there seemed to be a mouthful of phlegm in his throat, and he couldn't say a word.
"Uncle, I'm ......" The young man was still a little stumbling when he spoke, but he could see that his consciousness was much better than the muddy state when he came in.
"It's okay, it's okay. The middle-aged man wiped his eyes with his sleeve, touched the young man's head, and then stood in front of Zheng Ren very seriously and bowed deeply.
"You're welcome. Zheng Rendao.
"You're a life-saving favor. The middle-aged man was grateful.
"It's a small thing. Zheng Ren smiled and said, "After you go back, pay attention to eating more sugar." But be sure to control the amount, don't let this cause severe diabetes. ”
"Uh-huh, yes, yes. The middle-aged man hurriedly answered.
After a few more polite words, Sun Ming asked, "Boss Zheng, do you have time to eat together at night?"
"Nope. Zheng Ren smiled: "I have to go to surgery tomorrow, go to bed early tonight, another day, another day." ”
It seems that it is true that people go to the United States to make flying knives, and Boss Zheng is very modest and does not say where to go.
Suddenly, Sun Ming's favor for Zheng Ren increased greatly.
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