Doctor Song, are you married?
Chapter 404 403 Special classification of thalassemia?
Chapter 404 403. Special classification of thalassemia?
"Blood pressure is up? Is this impossible?" Zheng Guohua was also surprised and looked up at the monitor.
Sure enough, the blood pressure curve was slowly rising.
The blood pressure, which was already in an alarm state and could not be measured, now actually has a value, and the value is still increasing steadily.
“74/42mmhg,78/45mmhg,82/50mmhg,88/62mmhg”
"Is this weird? Why is the blood pressure still rising? Has the bleeding stopped?" Gong Hong also came over and pressed the three-cavity, two-sac tube in Felice's nasal cavity, but no blood was seen. Drain out.
"Is the blood in a DIC hypercoagulable state now?" Gong Hong muttered.
DIC, full name for disseminated intravascular coagulation (disseminated intravascular coagulation), is a syndrome that can occur in many diseases. Under the action of certain predisposing factors, platelet aggregation, fibrin deposition or blood coagulation occur widely and scatteredly in the microcirculation, leading to platelet and coagulation factors are consumed in large quantities, and then the fibrinolytic (fibrinolytic) system is activated. Clinically, dysfunction of various damaged organs and extensive and severe bleeding occur.
Generally speaking, when a patient induces DIC, the blood is usually in a hypercoagulable state. When the coagulation substances are exhausted, widespread uncontrollable bleeding occurs throughout the body.
"No, it's not DIC. His urine output seems to have increased." Zheng Guohua looked down at Phyllis' urinary catheter again. There was light yellow liquid slowly flowing out of the drainage bag.
"Yeah, it really doesn't look like DIC."
"All the blood that was transfused before came out, but now it seems that there is really no bleeding? Is it possible?"
Song Qi was not satisfied with just maintaining a stable condition. What he wanted was a master-level anemia treatment!
Sure enough, give it a try and the bicycle becomes a motorcycle!
【Please claim the reward】
Just when Song Qizhen was about to scold the system in his mind, the system rewards page slowly opened.
This system is really...
Song Qi was at a loss for words, but he was very excited and decisively pressed the receive button.
[System prompt: The patient's hemoglobin is on an upward trend, transaminase continues to decrease, and white blood cells tend to be normal. Based on various indicators, the patient's current condition is in a stable state. 】
"Wouldn't it be possible to know just by checking the hemoglobin?" A director poked the little nurse next to him.
He wasn't convinced at first.
Song Qi couldn't remember how many times he had received rewards from the system, but this time, his mood was different from before.
However, when the system interface slowly opened, he almost laughed out loud.
But what about the rewards?
"Yeah, just take a blood test and see. If it's really getting better, that would be really weird." Another director quickly glanced at Song Qi and lowered his voice.
After all, it is too difficult for a stubborn old patient like Phyllis to stabilize.
After a dazzling moment, the big gift package arrived as expected.
Meanwhile, answers emerged about the genotype of the anemia Phyllis suffered from.
Of course Song Qi also noticed the changes in Felice at this moment.
Although these directors have not expressed their opinions, they have been paying attention to the changes in Phyllis' condition. They originally thought that he would definitely die, so no one was willing to step forward to intervene. But now his condition suddenly improved, and they came instead. interest.
Probably it was to save people before, but this time it was to fill a medical gap!
A familiar cool feeling deep in the brain came over, and Song Qi suddenly felt refreshed and indescribably happy!
In fact, Phyllis' anemia is a relatively rare subtype of thalassemia. It's just different from the ordinary αβ type, but a new type of genotype derived from it.
[Currently, no more than 50 cases of this genotype have been recorded worldwide, and no cure cases have been recorded. Therefore, this genotype of anemia has not yet been named internationally. 】
The explanation of the system is simple and crude.
That means, can I name this anemia?
Song Qi thought to himself that he would have to get a nicer name. "Ahem, um, Mr. Qi, where should I sign?" Bai Lu saw that Qi Lian had not handed over the form that needed to be signed, but was looking directly in the direction of Song Qi. Bai Lu was immediately very unhappy and hurriedly He coughed lightly in protest.
"What are you signing?" Song Qi came back to his senses when he heard Bai Lu's voice.
The radiance on his face was undisguised.
Seeing how sunny Song Qi was, Bai Lu thought it was Qi Lian's affectionate gaze that made him so happy. She suddenly felt unhappy and glared at him fiercely.
"You're not saying that it's no longer possible. You're going to blame the police. I'll sign it!"
"Who says it can't be done? This guy has a very tough life, and he is living well now. If nothing goes wrong, his hemoglobin, transaminases and white blood cells will return to a good level. The next step is to completely cure his problem." Song Qi said confidently.
"Dr. Song, is it a little too early to say this now? The blood has just been sent to the laboratory." One of the directors couldn't help but said after hearing Song Qi's arrogance.
"That's right, Director Zheng is a big figure in our industry. Let's hear what Director Zheng has to say about this case?" Another director said.
Although Song Qi was the one who gave the doctor's orders during the entire treatment and rescue of Phyllis, so what, with so many experts and professors at the scene, even if he really deserves the credit, it can't be attributed to him, right?
In this case, it is always right to praise the director.
"I have nothing to comment on, Song Qi, are you so confident in this patient?" Zheng Guohua was also a little worried about Song Qi's overconfidence.
After teaching students for so many years, he has seen many doctors who are extremely arrogant even if they have a little talent. As a result, after a few years, the talent is exhausted and he becomes the most mediocre one.
Song Qi is undoubtedly talented.
But it is never a good habit to rely on your talents and be arrogant.
"Director Zheng, regarding Felice's anemia, I suddenly had an idea just now. Could he be a subtype of thalassemia?" Song Qi looked at Zheng Guohua with a sincere face.
"Thalassemia? It doesn't look like it, does it?" Zheng Guohua shook his head.
"Dr. Song, you don't have much clinical experience. You don't really think that stabilizing the patient's condition is a cure."
"That is, even if the patient's condition is stabilized at this moment, it only means that he has passed this level. What about the next level? There are still countless levels waiting for him."
The ICU was surprisingly noisy, in stark contrast to the silence when they were first called.
Song Qi didn't want to waste any more words with them, so he took off his gloves, took out his mobile phone, and retrieved Felice's original medical records.
Phyllis has indeed done many, many tests, what should be done, what should not be done, expensive and cheap. In short, the examinations he has done cover almost all the examination items in the hematology department.
"Director Zheng, look at his various behaviors. Is it a new type between α and β?"
Zheng Guohua stared at Felice's various inspection indicators. Suddenly, I felt like I had an enlightenment.
"Looking at the various manifestations alone, they are really different from the α type and inconsistent with the β type. However, when combined, there are some overlaps. Could it be that it is really a special type of thalassemia?" Zheng Guohua muttered in a low voice.
At this time, Gong Hong's cell phone rang, and she quickly picked it up.
"Director Gong, Felice's genotyping laboratory has compared the results. Guess what type it is?" the doctor in charge of genotyping from the scientific research team asked excitedly.
"What is the special subtype of thalassemia?" Gong Hong asked in a low voice, looking up at Song Qi.
"Director Gong, you are so amazing! His genotype is really a special type of thalassemia."
(End of this chapter)
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