medical road high rise

Chapter 449 Pediatric Consultation

Chapter 451 Pediatric Consultation

Qin Feng had a new guess, went back to the dressing room to change clothes, Qin Feng left the dissection room, went to the ward, and directly found the donor's mother.

"Excuse me, I would like to ask, is there any congenital disease in your daughter, or is there any genetic disease in the family?" Qin Feng asked.

The donor's mother was a little surprised when she saw Qin Feng coming again, but when she heard that she was asking about her daughter's health again, she became very angry.

"Don't worry, I may have found the cause of your daughter's death." Qin Feng said.

"You moved my daughter's body? Without my permission, you moved my daughter's body on your own initiative?" the donor mother roared like a lioness.

Qin Feng quickly explained: "You may have misunderstood, I did not touch your daughter's body, but I found something from the recipient's body, if the cause of his death can be verified on your daughter's body, then It's basically confirmed."

The donor's mother fell silent. In fact, from the very beginning, she did not agree with her daughter's organ donation. In the heart of our country, people should leave this world intact.

However, she didn't want her daughter to be wronged, and now Qin Feng's condition can also justify her daughter's name.

"Phew, this is the last time. No matter what happens in the future, I will never allow you to touch her body again." The donor's mother said.

Qin Feng nodded, and after the donor's mother signed an agreement, Qin Feng went directly to the mortuary and took Li Na with him.

Li Na still resisted going to the mortuary, but Qin Feng had called him by name, so he could only bite the bullet and go.

Qin Feng did not dissect the donor's body, but conducted a simple autopsy, combined with the data in Li Na's hands.

It was found that the donor lacked an enzyme, ornithine carbamoyltransferase deficiency, also known as OTC academically.

This is the most common form of urea cycle enzyme deficiency and is a genetic disorder.

Ammonia is poisonous, this sentence is not just talking, the ammonia in the human body is also poisonous, it needs to be transformed by the liver into non-toxic urea.

The enzyme that the donor lacks happens to be the second enzyme in the urea cycle, which needs the help of this enzyme to convert ornithine into citrulline.

If there is a lack of OTC, it will cause congenital metabolic diseases. As a result, the metabolism of the ampoyl group is inhibited, so that the orotic acid increases in a large amount, resulting in toxicity.

Many of the symptoms of OTC deficiency coincide with hyperammonemia, which means that hyperammonemia is also a form of OTC disease, and it is extremely easy to be diagnosed as acute liver failure.

Qin Feng took a deep breath, then sighed.

The saddest thing about this disease is that it is a congenital disease, and it can be cured at the same time. The treatment is actually not too complicated. It can be recovered slowly by correcting the imbalance and ensuring nutritional needs. Just don’t take too much protein.

However, the two patients who died should have taken a lot of protein during their lifetime. Protein has become a necessity on the table for all of us. If there is no requirement, there is no way to avoid it.

After Qin Feng got the result, he went to ask the family members of the patient. After the operation, the family members of the patients did cook a few red eggs according to their custom, thinking of auspiciousness, which caused such a tragedy.

Therefore, in the hospital, family members and patients should pay attention not to eat casually after surgery, but to ask the doctor what to eat.

With nutrient solution, in addition to the unsatisfied desire for tongue and tongue, body functions can still be guaranteed.

Qin Feng told the family members of both sides about the result, and the family members burst into tears after hearing it.

As for the lung transplant patient, nothing serious happened.

Because the main effect of OTC is the liver, the involvement of the lungs is almost negligible.

Li Na looked at Qin Feng with admiration, and she could only know how good Qin Feng is after following him.

However, although this incident sounded the alarm, it still cannot change the industry rules for organ donation.

After all, it's hard enough for someone to donate.

They have also checked, mainly because OTC is difficult to detect, and with the organ donation of a young patient, this is definitely a giant panda level in organ donation.

Qin Feng could only sigh, he couldn't change anything at all, and if he changed, he would harm many people.

You know, there are at least 10,000+ patients waiting for organ transplants every year, but less than 1000 people can be successfully transplanted.

At night, Qin Feng suddenly received a call from the pediatrician.

This made Qin Feng a little confused. It seems that he hasn't had any pediatric surgery yet, right?
Line connected.

"Doctor Qin, I have a case here that I need you to come over for consultation." The pediatrician said.

"What patient?" Qin Feng asked.

"A 4-year-old boy has long-term nosebleed symptoms. He was prescribed medicine a week ago, but today he has nosebleeds again. At the same time, he also has allergic symptoms on his arms and has a lot of rashes." Pediatrician Dao, "When I went to the doctor for a physical examination today, the patient still had symptoms of coughing, post-nasal drip after observing the oral cavity, and his body temperature was 39 degrees, and he was afraid of high fever."

"And the patient's mother said that the child had signs of agitation during lunch. It should be because of discomfort during lunch. My judgment is an allergic reaction. The blood test results showed that blood urea nitrogen, creatinine, and white blood cell counts all increased. , and have symptoms of dehydration."

"Combined with the increase in the number of white blood cells, postnasal drip, and persistent fever, I judged that it might be bacterial sinusitis, but the patient's parents refused to use antibiotics. At present, I only gave normal saline."

After listening to the pediatrician, Qin Feng frowned.

Obviously, the child's condition has not yet been diagnosed, and the child's parents are still resisting the use of antibiotics.

"Did you do an endoscopy?" Qin Feng asked.

"No, the patient's parents are very resistant to invasive examinations and are very concerned about their children's health," said the pediatrician.

Qin Feng can only curse inwardly, what he fears the most is meeting such family members who think they are concerned about their children's health, but in fact they will only make their children's illnesses worse.

To put it bluntly, can you be as professional as a doctor?

Qin Feng asked Zhang Yao and Yue Meng to get off work, while he went to the pediatrics department.

The pediatrician introduced Qin Feng to the patient's parents, "This is Qin Feng, the attending doctor in our emergency center. I invite him to come and participate in the consultation."

The patient's parents glanced at Qin Feng, both of them looked like Kochi.

"I don't care what doctor you call, as long as it can treat my baby well." The patient's father said in a deep voice.

(End of this chapter)