The system takes me for surgery

After breakfast, Chen Chen felt dizzy and his limbs were weak. When her husband came to call Cao Chong, Chen Chen was already in a state of semi-paralysis, and he couldn't even lift his eyelids.

At this time, Cao Chong was at a loss, because he had never encountered such a serious "muscle weakness" patient.

Other doctors also came to patient Chen Chen's hospital bed together. Director Shen Weiwei touched her chin. She was unfamiliar with these symptoms, and she was a little helpless. She hurriedly ordered Cao Chong to ask Dr. Tang from neurology department to come for an emergency consultation.

Dr. Shenneitang looked at the patient, his limbs were weak, his walking was unsteady, he had double vision, and it was difficult to open his eyes. These are the diagnosis of Guillain-Barré syndrome.

Shen Weiwei, director of obstetrics and gynecology, saw Dr. Tang frowning and said, "This is a bit similar to Guillain-Barré syndrome, but it's not quite the same."

After being reminded by Dr. Shennei Tang, Shen Weiwei from the Department of Obstetrics and Gynecology seemed to recall that it was indeed somewhat similar to this disease, and asked, "How do you say it?"

Dr. Tang frowned and said: "However, the physical examination of this patient revealed hyperreflexia and positive pathological signs, which are contrary to the signs of Guillain-Barré syndrome." He thought for a while and said, "Do a test on the cerebrospinal fluid Bar."

"Okay, then I'll arrange for an emergency cerebrospinal fluid test." Director Shen Weiwei said.

Soon after, the cerebrospinal fluid examination also came out, and it was found that the intracranial pressure was significantly increased and the leukocytosis was increased. These test results did not support the diagnosis of Guillain-Barré syndrome.

Guillain-Barré syndrome, infectious encephalitis or autoimmune disease,
Infectious encephalitis, adult patients with acute infectious encephalitis are often accompanied by acute high fever, headache, confusion, personality changes, and certain types of seizures, which are very similar to the symptoms of patient Chen Chen, but there are many interactions Paradoxically, this has brought the diagnosis of the disease to a standstill.

Liang Yi suggested to Shen Weiwei, director of obstetrics and gynecology, that he believed that the patient was the most likely variant of Guillain-Barré syndrome Fisher-Bickerstaff syndrome.

These words really startled Shen Weiwei, and she immediately told Dr. Shennei Tang about Liang Yi's conjecture.

Dr. Tang nodded and said: "The variant of Guillain-Barré syndrome is indeed not ruled out. A variant of Guillain-Barré syndrome with infection-related immune disorders as the main pathogenesis is very rare." After his final assessment, I think what Liang Yi said is very likely. After communicating with Chen Chen's family members, we should treat her with immune intervention as soon as possible, and at the same time take anti-infection treatment into account. "

After the medication, on the second day, the patient's body temperature was under normal control.After three days of treatment, the patient's slurred speech improved, and the muscle strength of both upper limbs was grade 4-, and he was able to communicate normally and simply.

激素逐渐减量，抗感染等治疗7天后，复查脑脊液压力由高于300mmH2O降至265mmH2O，白细胞由60×10^6/L 降至22×10^6/L。

Dr. Shennei Tang happily explained: "The changes in these indicators indicate that the infection tends to improve."

He glanced at Liang Yi's badge, and said with a smile, "You're quite bold, you dare to say it's variability, you're not afraid of being knocked on the head by your director."

Lower-level doctors dare not casually tell their superior doctors that although the symptoms of a certain patient are full of contradictions, they may be a special type of a certain disease, because in this case, the lower-level doctors generally do not understand the logical chain. Forced explanations and random fabrications are basically waiting to be scolded.

After five days of treatment, the patient Chen Chen's symptoms improved significantly. Physical examination: clear mind, clear speech expression, no obvious drooping of eyelids, limited right eyeball abduction, muscle strength of both upper limbs 5- and lower limbs 5-, limbs Tendon reflexes were restored, bilateral Bartholin's signs were negative, and there was no ataxia.

The patient and his relatives were very satisfied with the treatment effect, and even felt a little surprised. They didn't expect to be able to recover from the serious state of "being unable to move all over the body" after being hospitalized for a week.

The treatment of this patient is a complex process that closely combines clinical symptoms and adjusts medications at any time. The patient's final results confirm that every step in the diagnosis process is accurate.

It also made Shen Weiwei, the director of obstetrics and gynecology, unable to see through the young surgeon in front of him. How smart he is and how strong his memory is, he can do both internal and external training, and he has a comprehensive understanding of diseases in various departments. This is really incredible. !
Saturday, eight o'clock in the morning.

The hospital hired three buses for them. It was originally arranged for each department to sit on its own department bus.

Xu Anshan, director of the orthopedics department, smiled and said after meeting Shen Weiwei: "I don't think it's reasonable to arrange seats like this. They should be allowed to match men and women freely. You see, there are so many strong men in our orthopedics department, and most of your obstetrics and gynecology departments are heroines. As the saying goes It’s not tiring to say that men and women work together, so it’s boring for two departments to sit in their own cars.”

Shen Weiwei said: "It seems that Director Xu wants to respond to the country."

"Of course, don't everyone advocate it now, let young people spend more time in dating, and young couples spend more time in having a second child."

The married medical staff all laughed, while the unmarried male and female medical staff bowed their heads a little bit shyly, but behaved honestly, and alternated back and forth between the two buses.

Xu Anshan joked: "These young people say no, but their bodies are very honest."

Shen Weiwei, director of obstetrics and gynecology, said with a smile: "Director, you can't always be so unscrupulous, otherwise they will let the juniors poke your spine and call you an old doctor."

"If you scold, you will be scolded. I'm used to being scolded. Do I still have less infamy?" Xu Anshan said nonchalantly.

Then the medical staff from the general surgery department came over, Xu Anshan gave Shen Weiwei a look and said, "Do you want to take the same car with Director Xu Bowen?"

Shen Weiwei hurriedly shook his head and said, "No, no, I want to learn from you."

Xu Anshan took a closer look, and there was a woman behind Xu Bowen who took a closer look, and it turned out to be his wife.

Xu Anshan smiled and said, "Could it be that his wife found out about the social activities of our three departments?"

The director of obstetrics and gynecology, Shen Weiwei, didn't answer his words, and his face sank as he got into the car.

After more than half an hour's drive.When they arrived at their destination, they saw a leisure base with a large plaque saying "Tenglong Villa".

The scale of this base is very large, and there is a dedicated parking lot.

Qin Hanyun walked beside Liang Yi, and the two walked up together.

"The oxygen saturation here is very high. Coming here from a big city really feels a little drunk."