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2941 Same condition, different symptoms

"Boss Zheng, it turned out."

More than ten minutes later, when Zheng Ren was still holding his arms and watching last year's ct film "faced", Zhou Litao came in and said.

"The lung function shows that fev, fev/fvc, pef, mmef, v75, v50, v25 is severely reduced. The patient has severe obstructive ventilation dysfunction, large and small airway airflow is severely damaged, airway obstruction is small reversible, and bronchodilation experiment is negative." Zhou Litao said.

"Why is it so heavy?" Su Yun frowned.

Originally, he suspected that it was intentional that Sister Qiao's lover deliberately used illness to avoid it, but the symptoms may be pretended, and the possibility of objectively testing the disguise is not high.

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

"Do you suspect there is another problem?" Su Yun asked, "Uh... ring-shaped cartilage?"

"It may be caused by the ring-shaped cartilage." Zheng Ren nodded.

After more than a year of tacit understanding, and although Su Yun did not cheat, he had the same brain as cheating, and had solid basic knowledge and clinical experience, he instantly guessed what his boss was thinking.

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

Several people have the same thoughts. They can't say anything when they encounter such a thing, and they can't persuade them, so they just think that it doesn't exist. As long as Sister Qiao has something else, everything else is easy to say.

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

"Boss Zheng, please trouble you." Sister Qiao did not look up, but said softly.

"Do your lover have some minor problems?" Zheng Ren asked, and hesitated for a moment. What is more taboo to ask about medical history is guidance, such as the doctor has a certain judgment in his mind, and then starts to virtualize the symptoms according to the condition and ask the patient's family.

But then Zheng Ren figured out whether he had a big pig's hooves or a systematic diagnosis of future technology should have nothing to do with inducible consultations.

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 do your lover have problems with constant ear pain, or... hands, feet joint pain, and swelling."

"He has diagnosed gout before, and his right thumb is often swollen and has obvious pain." Sister Qiao replied, "Ear... I occasionally hear him say that his ears hurt. I gently rub them every time, which can be relieved about 20 minutes. The frequency is about once a month."

Speaking of this, there was a light in Sister Qiao's eyes.

That was tears, Zheng Ren knew.

Every bit of life is shattered, but when I think of the originally warm scene, it becomes a bit ridiculous.

He couldn't bear to see Sister Qiao's emotional changes, so he quickly said, "I'll give your wife a fiber bronchoscope. Now I'm a little surprised and make sure. Su Yun, tell Sister Qiao about the possible problems. After all, it's still dangerous if you do it now."

After saying that, Zheng Ren hurried into the rescue room and left Su Yun outside to communicate with Sister Qiao.

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

"There is no past history and sudden asthma. I saw last year's film that the trachea and bronchial thickened. In addition, Sister Qiao said that the patient's right thumb was swollen and his ears were also painful. I suspected that it was recurrent polychondritis."

Recurrent polychondritis is a rare disease that involves systemic polysystems, with repeated attacks and alleviated progressive inflammatory destructive lesions, involving cartilage and other systemic connective tissues, including the ear, nose, eyes, joints, respiratory tract and cardiovascular system.

Clinical manifestations are ear, nose, respiratory tract chondritis, accompanied by symptoms of involvement in the eyes, ear vestibule and other organs.

Zhou Litao originally thought that the patient was asthma caused by the cold weather and emotional excitement, but he did not expect that Boss Zheng would give such a diagnosis.

"This disease is not common. I have only seen two cases, and I encountered it during an internship." Zhou Litao said, "A patient was often dizzy, and started to have various diagnoses, and the results after treatment were average. Finally, an old expert was diagnosed with recurrent polychondritis. We didn't believe it at that time, but the results of the test proved that they were correct."

The two symptoms of dizziness and asthma, which are incapable of the rod, come from the same disease. Zheng Ren nodded, chatting with Zhou Litao about recurrent polychondritis while waiting for the results of Su Yun's communication.

Even the family members of our hospital must complete the procedures. I don’t know how many such things have happened, so the more people in our hospital, the more careful they should be. Don’t do bad things with kindness.

The patient's wheezing has been relieved under the action of the drug, and the blood oxygen saturation is maintained at about 5%. However, he is lying on the flat car, his eyes are tightly closed, but the weak rotation of his eyeball can be observed through his eyelids.

Zheng Ren shook his head slightly. This matter is really hard to say. Now I think it’s hard to understand. Forget it, let’s talk about the matter between the couple later.

As for yourself, you still have to be what a doctor needs to do, diagnose his disease clearly, and then treat it symptomatically.

As a professional requirement, you cannot mix too much emotion. Zheng Ren checked the equipment of the fiber bronchoscope while calculating the images he might see after entering.

He didn't go into the system operating room to take a look first, it was just a check, and there was no need to waste training time. Although he was relatively affordable now, Xiao Shitou's "big consumer" was still waiting for him.

It is a joke that lung transplantation is not difficult. It is a big deal to involve organ transplantation, and the small stone itself is average, which makes the operation more difficult.

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

A few minutes later, Su Yun walked in and said, "Boss, do it, Sister Qiao is signing, she agrees to check the situation in the trachea in the emergency room."

"Have you made it clear?" Zheng Ren asked.

"Well, I've made it clear. I'll explain it to death, Sister Qiao agrees."

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 extremely powerful. He should be to curb fear in his heart and still escape from reality.

"Hey, wake up, don't pretend to be asleep, you're going to have a checkup!" Su Yun's attitude was extremely impatient. He patted Sister Qiao's lover's arm and said loudly.
Chapter completed!
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