Font
Large
Medium
Small
Night
Prev Index    Favorite Next

2893 A good teacher

Sun Chao felt a little bored. Early in the morning, Boss Zheng threw himself aside, the director, and asked the patient's family about having a child thirty years ago. It was indeed ridiculous.

But before Sun Chao could get distracted, he saw Boss Zheng standing up and shouting, "Professor Zhao, please come on."

"Hey!" A sound came from the corridor, followed by a series of hurried footsteps.

Zhao Wenhua rushed over and saw Sun Chao in the room. He was stunned for a moment. Seeing that he was unfamiliar, he stood next to Boss Zheng without even calling him.

"The patient initially considered that it might be Xihan's syndrome. He had severe bleeding when giving birth 32 years ago, and then he had this problem. You can check the three A-level exercises, then check the head magnetic magnetic field, and the diagnosis is clear and you can stay for treatment. You can also transfer to the endocrinology department."

"Boss Zheng, you said it slowly, what syndrome?" Zhao Wenhua asked immediately.

"Xi Han syndrome, Lao Zhao, your basic skills are not up to standard." Su Yun said with a smile.

"Hey, I have forgotten all the things I learned in school." Zhao Wenhua was not angry at Su Yun's ridicule, but lay down and let him do it, saying with a smile.

Sun Chao looked at all this silently. No matter how mean Professor Su spoke, Zhao Wenhua was used to it.

Is he awesome? Sure enough, Boss Zheng will solve it no matter what happens. Over time, he usually says something sarcastic and mean, just treats it as a joke among bad friends.

What is Kexi Han's syndrome? Sun Chao vaguely remembers that it should be a clinical syndrome secondary to the perinatal period where placenta previa, placental abruption, placental retention, uterine contractions, etc., causing major bleeding, shock, thrombosis, causing most of the pituitary gland ischemia and fibrosis, and causing hypopituitary gland.

But no matter how much he had, he wouldn't understand. As for what it had to do with hypoglycemia after spleen embolization, he was even more dewy.

"Okay, I'll check it now. I'll report it to you after the results are available, Boss Zheng." Zhao Wenhua took the order and left without any doubts.

Sun Chao was also speechless. Boss Zheng actually asked the head to check the three major MRI and A-tasks.

Forget it, it has nothing to do with me. What if it is really Xihan syndrome?

However, it seems that Boss Zheng is very interested in this, so why don’t you ask for advice on yourself? Sun Chao suddenly came up with this idea.

Seeing that Zhao Wenhua was busy, Sun Chao walked to Boss Zheng and asked, "Boss Zheng, why are you considering Xi Han's syndrome?"

"If women who have frequent hypoglycemia in years have nothing to do with the pancreas and glycated hemoglobin, the first thing they should consider is Shihan's syndrome. Although the incidence is not high, the condition is relatively serious, and early diagnosis and treatment are good."

Zheng Ren said with a smile, it was obvious that he was more interested in explaining the condition, at least he was much more interested than chatting.

"You are a little unfamiliar with Xihan's syndrome." Zheng Ren was confused when he saw Sun Chao, and immediately realized that this was the director of the vascular department and did not treat Xihan's syndrome.

"The current cases have a history of hepatitis C cirrhosis, and the glycogen synthesis and reserves of the cirrhosis liver have decreased, and the liver's inactivation function of insulin is reduced, which causes hypoglycemia. Therefore, the patient has been misdiagnosed as cirrhosis and hypoglycemia by the hospital many times."

"The patient has a history of postpartum hemorrhage, clinical manifestations of hypofunction of gonads, thyroid, and adrenal cortex, and reduced levels of methyl and aldosterone. If the head nuclear magnetic field is examined, it will indicate a decrease in the pituitary volume and some vacuolar spear..."

"Boss Zheng, wait a moment." Sun Chao didn't understand. He immediately interrupted Boss Zheng and asked, "There is a problem with the magnetic magnetic field on the head? What do you estimate?"

"Oh, no, it is a statistical probability problem and has been thoroughly studied." Zheng Ren smiled. "Due to severe postpartum bleeding, especially accompanied by long-term hemorrhagic shock, the anterior pituitary tissue is hypoxia, degeneration and necrosis, and then fibrosis, which eventually leads to anterior pituitary function, and the incidence rate accounts for about 25% of patients with postpartum bleeding and hemorrhagic shock."

"Shihan's syndrome simply means that major bleeding occurs during childbirth, causing hemorrhagic shock, or even dications occur, sympathetic reflex excitation causes arterial spasm or even occlusion."

"It reduces or cuts off the blood supply of pituitary artery, and denaturates and necropsy the anterior pituitary tissue cells, causing the various hormones secreted by the anterior pituitary and its controlled target organs, resulting in premature degeneration of the function of the target organs acting on by various hormones and causing a series of syndromes."

Listening to Boss Zheng talking about the ins and outs of Xi Han's syndrome, Director Sun Chao recalled that he was telling himself about the characteristics of echocardiography in the neurosurgery department.

One, two, three, four, five, are clearly the iconic feature of a science and engineering dog.

Cirrhosis and hypoglycemia can actually pull out so many things, it’s really... Sun Chao sighed softly.

"Professor Zhao." Zheng Ren suddenly shouted.

"Hey, Boss Zheng, the doctor told me that I'm finished." Zhao Wenhua responded immediately.

"Next time to ask about the medical history, it is more detailed. If you ask about this patient, you will probably not be so dangerous." Zheng Ren said softly.

Zhao Wenhua scratched his head, feeling a little embarrassed, but did not refute.

Sun Chao didn't think it would disappear invisibly. The so-called Xi Han syndrome himself only had a vague impression.

The probability of severe bleeding during childbirth is not high, and there are still probability of being together, and I don’t seem to have encountered a few similar patients in the years.

Boss Zheng is really a good teacher, as if he was the chief director in the department, leading the team of professors to teach him.

But with that ability, Sun Chao did not doubt that the examination results could not confirm Boss Zheng's diagnosis.

After seeing a patient, it was already time to go to work. Sun Chao knew that the morning was the busiest time, so he thanked Boss Zheng a few more times before leaving. He didn't sleep last night, and almost broke the new one like a roller coaster.

Dahuangya looked at Zheng Ren with a gaze. Zheng Ren had no choice but to leave Liu Xiaomei's contact information and made an appointment to go to the community hospital in the afternoon. Dahuangya left with satisfaction. Looking at his departure back, Su Yun frowned and asked, "Boss, do you think Dahuangya is so kind?"

"Definitely not." Zheng Ren said, "I think he just wants to install someone in a community hospital, and adapt to what he wants to do in the future. However, this time he owed Dahuangya a favor and gained insight. It doesn't matter if that girl stayed in a community hospital."

"Hey, don't be careless." Su Yun smiled, "If you really capsize the boat in the gutter of Dahuangya, where can you make sense?"
Chapter completed!
Prev Index    Favorite Next