The first possibility that Sun Lien could think of was the coordinate system. Three points seemed to form the xyz triaxial coordinate system. These coordinate systems might directly point to the areas and tissues involved in the state. But this conjecture was quickly rejected by himself - the first group of numbers for common iliac vein thrombosis is 78, while the popliteal vein thrombosis in the lower limb is 73, and the stroke is 05. If the number is a coordinate system, then there should not be a situation where the coordinates of the head and legs are lower than the common iliac vein below the lower abdomen - this is irrational.

Could it be something else? It fits three sets of numbers... Sun Lien sat on the stool and started scratching his head. All of them were only numbers and no letters. This was not an icd10/11 disease code. The most important thing is that Sun Lien did not think that these numbers might be passwords that need additional interpretation - the status prompted by the status bar are clues that are directly related to the patient's current disease. Since it is a clue, there is no meaning to add a password system.

"The result you want." Sun Lien was scratching his ears and his forehead, but Shi Yan walked out of the laboratory. He threw another examination report on Sun Lien's face. "The blood coagulation function is normal."

"Normal?" Sun Lien was stunned when he heard this result, "How is that possible?"

"What's impossible?" Shi Yan was very confident about the results he urged. "This is the experimental result, we are responsible for every sample!"

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"There's the result." Sun Lien was stunned when he was watching the blood clotting time, and the baked gluten in his pocket started singing again. On the other end of the phone, Xu Yourong said calmly, "Many blood clots."

"There is no blood clots, right..." Sun Lien had not yet been relieved from the normal test results of the blood coagulation time. In addition, Xu Yourong's tone was so calm that he completely misheard the content.

"There are multiple blood clots." Xu Yourong emphasized again, "You have no problem with your ears, right?"

Sun Lien suddenly felt energetic, "Besides the deep vein there is blood clot, where else is there a blood clot?"

"There ischemic lesions in the small intestine under the CT, which may be ischemic necrosis. But the specific situation may be opened to know." Xu Yourong replied, "The brain also seems to have an ischemic lesions, which are located in the thalamus. However, no sclerotic plaques were found in the whole body's meridian cat."

If there is no sclerosis plaque, it is not a cerebral artery embolism caused by arteriosclerosis. However, the clotting time is normal, and it should not be a thrombus - especially in the absence of pulmonary embolism, it is impossible for the thrombus to jump over the lungs and enter directly into Xia Hongyuan's brain.

"I understand." Sun Lien rubbed his face in pain, "Take the patient back to the rescue room first, I'll call for consultation."

A strong sense of powerlessness lingered in Sun Lien's heart. He originally thought that after he had the status bar, he could move forward from now on, and all kinds of strange diseases were easily captured. But now he realized that he was a little too wrong. Even though he had done so many tests, he still had no idea, and he didn't even know which disease Xia Hongyuan had - it was a disease of his own immune system or caused by infection? Sun Lien had no idea at all.

Without ideas, it means that when he asks experts from other departments to come for consultation, he needs to invite more doctors from more departments to try his luck. Instead, he cannot have an approximate doubt range like before, and then invites experts from the corresponding departments.

Doctors from the Department of Hematology, Interventional and General Surgery came to the emergency room.

"I suggest that I continue to stay in the hospital for observation." The doctor in the hematology department first expressed his opinion, "There may fluctuate coagulation dysfunction, and one test is normal, but the patient has obvious hypercoagulation, so it is definitely necessary to stay in the hospital for observation."

"This stroke case is not a large vascular embolism, and mechanical thrombectomy is basically impossible." The doctor in the interventional department specifically looked at his own one-acre three-point land. "You can consider doing venous thrombolysis. Mechanical thrombolysis can be used for deep venous thrombolysis. Judging from the results of CTA, the patient's deep vein thrombolysis is not too big and there are no free thrombo."

The attitude of the general waiter is more frustrating. "The patient's deep vein thrombosis is too close to the renal vein. It is fine to place the filter screen, but the effect is not necessarily good, and it is difficult to ensure that there will be no thrombus fall off during the operation. Since the interventional department recommends thrombolysis, it is better to just treat conservatively, using anticoagulation and thrombolysis as the main method."

The doctors from the three departments all expressed their opinions on the patient's condition, but they did not have the diagnosis that Sun Lien wanted to know most - what disease did Xia Hongyuan suffer from?

"Prepare for thrombolysis treatment. How long will it take to prepare the interventional operating room?" Faced with the doctors from these three departments, Sun Lien thought for a long time and decided to treat the symptomatically. At least, Xia Hongyuan's cerebral infarction was relieved first, and his deep vein thrombosis was treated by mechanical thrombosis.

"Take the green channel and it will be enough within ten minutes." The doctors in the interventional department attach great importance to Xia Hongyuan's condition. When the patient's coagulation function is normal, they are indeed the best department to deal with deep venous thrombosis and cerebral infarction. "I'll prepare the operating room now."

"I'll go and ask for an autograph with my family." Yuan Ping'an consciously assumed the role of a lower-level doctor. He didn't even need Sun Lien to take the initiative to propose anything. He took the treatment consent form to Xia Hongyuan's parents to sign.

The doctors from the Department of Hematology and General Alien immediately left, and in the small conference room, there were only Sun Lien and Xu Yourong. Xu Yourong sat in the seat and looked at the information, and suddenly asked Sun Lien, "Don't you understand what disease he has?"

Sun Lien nodded with a wry smile, "This is what I cannot understand the most - what magic did his blood clot use to start from the deep vein, bypass the pulmonary circulation system, and directly drill into his brain." Sun Lien really didn't understand. He didn't even intend to continue to worry about how deep vein thrombosis occurs in people with normal coagulation functions.

"I can't figure it out differently from you." Xu Yourong closed the laptop in front of him and frowned. "A physical education teacher who runs around every day is not like a high-prone DVT (deep vein thrombosis) - he is not an otaku who sits in front of the computer and plays games all day long."

"The three major factors of DVT are slow blood flow, venous wall damage, and hypercoagulation state." Xu Yourong continued, "A national first-level athlete has very normal cardiopulmonary function. Moreover, he needs frequent exercise in his daily work, so it is unlikely that the blood flow is slow. The venous wall damage has been eliminated by CTA, and hypercoagulation state is even more unreasonable - his clotting time is normal."

"If there are only three reasons that may cause this situation, and all three reasons are ruled out, it means that there is either a cause of dvt that we have never discovered, or these three states have changed some changes after causing the patient's dvt." Sun Lien frowned and continued with Xu Yourong's thinking. "The probability of new pathogenic causes is too small. I will not consider it for the time being. The damage to the venous wall will not recover so quickly. The slow blood flow is not consistent with his daily work and life. So, he must have had a hypercoagulant state?"

Speaking of this, Sun Lien suddenly had a flash of inspiration. If Xia Hongyuan had been in a hypercoagulant state for a long time, it would be normal for him to have a thrombosis in his brain - it is not only the deep veins in the lower limbs. In the hypercoagulant state, other blood vessels produce thrombosis and fall off, and even blood clots directly form in his cerebral blood vessels!

Xia Hongyuan's cerebral thrombosis is not caused by the loss of deep vein thrombosis, but by the systemic hypercoagulant state!

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Compared with traditional surgical procedures, the biggest feature of the surgery performed by the interventional department is that it is small trauma and fast. To be honest, before the birth of the interventional department, it is impossible to perform craniotomy at the same time to eliminate thrombosis and perform DVT treatment on the legs. However, the interventional department only needs to insert an implanted sheath into the patient's left femoral vein and right femoral artery to perform two surgeries at the same time, and the trauma left is only two slightly larger pinholes. It has to be said that the differences in medical performance of technological progress are indeed very obvious.

An hour later, Xia Hongyuan's interventional treatment ended. The brain thrombolysis effect was obvious, and both lower limb venous thrombosis were removed. However, the follow-up work was not over yet, and the removed thrombosis was sent directly to the pathology department for pathology testing. Sun Lien hopes that the pathology department can clarify the nature of the embolic, which will make it more convenient for subsequent diagnosis.

And Sun Lien found his strongest helper.

"Well... Such a complex and varied condition, such a troublesome situation, does feel like an autoimmune disease." Dr. Pascal made a joke that was not funny. "Cat is sure there is no thickening of blood vessel walls?"

Sun Lien nodded, "I used this result to eliminate the coagulation caused by vasculitis, but I really couldn't imagine any other disease that would lead to this multiple thrombosis when the coagulation function is normal."

"We can't confirm that this is a thrombosis." Dr. Pascal corrected Sun Lien's statement, "Before the pathology examination results come out, we can only think that the possibility of a thrombosis is the greatest."

After correcting Sun Lien's statement, Dr. Pascal frowned, "Do a test for an autoimmune system disease and first check his antibody status."

"I just asked the operating room to take the sample, and the blood sample taken before the thrombolysis treatment." Sun Lien replied, "Including the latest blood routine and coagulation status, the results should come out soon."

"I'll bet with you," said Dr. Pascal with a smile. "This time the blood sample must be hypercoagulable."

Sun Lien was shocked when he heard this. He couldn't understand why Dr. Pascal was so confident.

"You forgot a very important reason that affects the coagulation function." Dr. Pascal smiled. He was actually a little disappointed. After all, in the previous cases, Sun Lien noticed this difference in time and made a correct diagnosis. But this time he didn't seem to realize the existence of this variable at all.

"Body temperature. Don't forget that when he was sent to the hospital, his body temperature was only 33 degrees." Dr. Pascal shook his head, "Low temperature will reduce the number of platelets and reduce the coagulation function. You will take samples to check the coagulation function shortly after he was admitted to the hospital, and the result is normal. In other words, when his body temperature is normal, he should be in a hypercoagulant state."
Chapter completed!