Chapter 2943 The Same Illness, Different Symptoms (the Leader Is Uncertain 45 Plus 3)

"Boss Zheng, the results are out."

More than ten minutes later, when Zheng Ren was still watching last year's CT film "Familiar" with arms crossed, Zhou Litao came in and said.

"Pulmonary function showed that FEV, FEV/FVC, PEF, MMEF, V75, V50, and V25 were severely decreased. The patient had severe obstructive ventilatory dysfunction. The airflow in large and small airways was severely impaired. The reversibility of airway obstruction was small. The bronchodilation test Negative." Zhou Litao said.

"Why so heavy?" Su Yun frowned.

Originally, he wondered if it was intentional for Sister Qiao's lover to escape by being sick, but the symptoms could be faked, and the possibility of pretending to be objectively tested was not very high.

"I'll ask Sister Qiao." Zheng Ren immediately stood up and said after hearing the test results reported by Zhou Litao.

"Do you suspect there are other problems?" Su Yun asked, "Uh... cricoid cartilage?"

"It might be caused by cricoid cartilage." Zheng Ren nodded.

More than a year of tacit understanding, and although Su Yun didn't cheat, he had a brain like cheating, solid basic knowledge and clinical experience, and he guessed what his boss was thinking in an instant.

Arriving outside the rescue room, Sister Qiao looked at the ground silently. Zhuang Yongzhi and the head nurse in the operating room sat beside her in silence. They probably didn't know how to persuade them. In the end, everyone remained silent, using company as comfort.

Several people have the same thoughts, and when encountering this kind of thing, there is no way to talk about it, and there is no way to persuade it, just treat it as if it doesn't exist. As long as sister Qiao has nothing to do, everything else is easy to talk about.

"Sister Qiao." Zheng Ren walked up to Qiao Liyan and said in a deep voice.

"Boss Zheng, I'm sorry to trouble you." Sister Qiao said softly without looking up.

"Does your lover have any minor ailments?" Zheng Ren asked, and then he hesitated. It is more taboo to ask about the medical history. It is instructive. For example, the doctor has a certain judgment in mind, and then starts to virtual symptoms according to the condition and asks the patient's family members.

But then Zheng Ren figured it out, did he have a big pig's hoof, and the system diagnosis of future technology should have nothing to do with the induced consultation.

Qiao Liyan didn't understand Zheng Ren's words. She raised her head and looked at Zheng Ren blankly, not knowing what he meant.

"I mean, does your lover suffer from ear pain all the time, or... joint pain and swelling in both hands and feet?"

"He has been diagnosed with gout before, and his right thumb is often swollen, with obvious pain." Sister Qiao replied, "The ear... Occasionally, I heard him say that the ear hurts. Every time I rub it lightly, it can be relieved in about 20 minutes. Frequency , about once a month."

Speaking of this, sister Qiao's eyes suddenly brightened.

Those were tears, Zheng Ren knew.

The bits and pieces of life were shattered just like that, and when I recalled the originally warm scene, it became a little absurd.

He couldn't bear to see Sister Qiao's emotional changes, so he said quickly, "I'll do a fiberoptic bronchoscope for your lover. There are some clues now, so make sure. Su Yun, tell Sister Qiao about the possible problems. It's still dangerous."

After finishing speaking, Zheng Ren rushed into the emergency room, leaving Su Yun outside to communicate with Sister Qiao.

Zhou Litao had already prepared the fiberoptic bronchoscope. He followed behind Zheng Ren and asked in a low voice, "Boss Zheng, what disease do you suspect?"

"There is no past history, but sudden asthma. I saw thickening of the trachea and bronchus in last year's film. In addition, sister Qiao said that the patient's right thumb was swollen and the ear hurt. I suspect it is relapsing polychondritis."

Relapsing polychondritis is a rare systemic multisystem disease with recurrent attacks and remissions of progressive inflammatory and destructive lesions involving cartilage and other connective tissues throughout the body, including ears, nose, eyes, joints, respiratory tract, and heart Vascular system, etc.

The clinical manifestations are chondritis of the ear, nose, and respiratory tract, accompanied by symptoms of organ involvement such as eyes and ear vestibule.

Zhou Litao originally thought that the patient's asthma was caused by the cold weather and emotional agitation, but he didn't expect Boss Zheng to give such a diagnosis.

"This disease is not common. I have only seen two cases, and I encountered it during my internship." Zhou Litao said, "There is a patient who suffers from frequent dizziness. He has various diagnoses at the beginning, but the effect after treatment is mediocre. Finally, he caught up with a patient An old expert was here and diagnosed relapsing polychondritis. We didn’t believe it at the time, but the test results later proved that he was correct.”

Vertigo and asthma, two irreconcilable symptoms, come from the same disease. Zheng Ren nodded, while chatting with Zhou Litao about relapsing polychondritis, while waiting for the result of Su Yun's exchange.

Even the family members of patients in this hospital must complete the procedures. I don't know how many things like this have happened, so the more you are in this hospital, the more careful you are, but don't do bad things with good intentions.

The patient's wheeze has been relieved under the action of the drug, and the blood oxygen saturation is maintained at about 95%. However, he is lying on a flat car with his eyes tightly closed, and only the weak movement of the eyeballs can be observed through the eyelids. arrive.

Zheng Ren shook his head slightly, this is really hard to say. Now that I think about it, I find it difficult to understand. Forget it, we can talk about the couple later.

As for myself, I still have to be a doctor, make a clear diagnosis of his disease, and then treat it symptomatically.

Professional requirements, not to be mixed with too much emotion, Zheng Ren checked the equipment of the fiberoptic bronchoscope while thinking about the images he might see after entering.

He didn't go into the operating room of the system to take a look first, it was just an inspection, there was no need to waste training time at all. Although I am relatively well-off now, the "big consumer" of Xiaoshitou is still waiting for me.

It is a joke to say that lung transplantation is not difficult. Organ transplantation is a big job, and the condition of the small stone itself is average, which makes the operation more difficult.

In addition, the lungs are still 3D printed, there are countless things to do before and after the operation, and the surgical training time accumulated in my hands may not be enough.

A few minutes later, Su Yun walked in and said, "Boss, let's do it. Sister Qiao is signing. She agrees to the emergency department to check the situation in the trachea."

"Is everything clear?" Zheng Ren asked.

"Well, I made it clear. I confessed to death, and sister Qiao agreed."

When Su Yun was speaking, Zheng Ren saw that the patient's eyelids trembled much more frequently. He seemed a little scared, but the power of closing his eyes was great. It should be because he was restraining his fear and still escaping from reality.

"Hey, wake up, don't pretend to be asleep, you need to be checked!" Su Yun's attitude was extremely impatient, he patted sister Qiao's lover's arm, and said loudly.

Su Yun's attitude was obviously irritable, and Zheng Ren sighed helplessly.