MTL - Live Surgical Broadcast-v3 Chapter 2915 1 dead and 2 lives

Midnight, Royal Capital, Women and Children's Hospital.

A medical record was placed in front of everyone. The patient, female, 24 years old, had 38 + 5w of menopause, and had pain in the abdomen accompanied by red 2 + h. The patient has a history of anemia since childhood and has no related familial genetic medical history.

The thick inspection report has been read by everyone present, and the patient's condition is already clear.

Fluid was seen in the abdominal cavity of the patient, with a thickness of 4.6 cm and poor sound transmission. Swelling of the mother liver and spleen was found. Abdominal puncture was performed, and 2ml of non-coagulated blood was drawn.

The patient's condition is wrong, and those test sheets prove that they deviate from each other, but the unified understanding is that the patient needs emergency surgery and cannot deliver normally.

Director Han silently looked at the list, she had an idea in her mind, but could not be sure. Seeing that everyone agreed to the emergency operation, as for the hepatosplenomegaly in the abdominal cavity, no one gave a definitive answer, and Director Han was a little anxious.

If she is in a hurry, she is worried that there will be greater problems during the operation.

"Wait a moment," said Director Shen Sheng, "I'll mention another possibility."

"how?"

"I think it may be the cause of delayed Gaucher's disease, also known as Gaucher's disease."

Gaucher's disease is rare in patients across the country. Now the domestic treatment base of Gaucher's disease has unknowingly become 912. Almost all patients with Gaucher's disease will be advised by doctors all over the country to go to 912 to find boss Zheng.

Starting with the first live broadcast of Gaucher's disease surgery, Boss Zheng has done 32 similar operations so far.

"Gaucher's disease, glucocerebroside deposit disease, is caused by the reduction or lack of β-glucocerebrosidase, preventing glucocerebroside from breaking down into galactocerebroside or glucose and N-glycerylsphingosine, Glucocerebroside is abundantly deposited in the monocyte macrophage system, causing a large number of tissue cells to proliferate. "

"Director Han, we have considered this possibility, but the blood test did not detect the Gaucher cells."

"Gaucher's disease is an autosomal recessive inheritance. Due to the different degrees of enzyme deficiency, symptoms can vary widely and are classified in types: adult or chronic; infant or acute; juvenile or subacute."

"My consideration is that the patient is of the adult type, that is, the chronic type. The progress was slow. If you were not pregnant, you could delay at least 40 years old. As long as you have a splenectomy, there will be no major problems. But the pregnancy has changed. Everything, leading to hepatosplenomegaly. "

"The patient's condition is urgent and the fetal heart rate is fast," said another director.

Women's and children's hospitals rarely face the situation of adults and children. However, if the possibility of Gaucher's disease is ignored, when the caesarean operation is completed, it is when the maternal death counts down.

The reason for the whole hospital consultation is because pregnant women have some problems with blood coagulation. But no one expected that Director Han would bring up a rare disease, and it looked very determined.

"I asked Boss Zheng, passed the information to him, and asked him to help." Director Han said, "The surgery can be prepared first, and we don't delay."

Everyone looked at each other, and finally agreed with Director Han.

It ’s just midnight, is n’t it rude to call for advice? Director Han hesitated a little, but the patient's situation was more urgent, and there was nothing to talk about. She still called the phone.

"Boss Zheng, I'm sorry to disturb you to sleep."

"Uh ... that's good, that's good ... no, are you in Sweden ?!"

At this time, Director Han remembered that it was already 1 AM on December 9th, what time was it in Sweden? It should be around 18:00 on the 8th.

Do not disturb is not to disturb, but Boss Zheng is away. Once the pregnant woman is diagnosed with Gaucher's disease, who will perform the operation? !!

Director Han knew that the time was urgent and didn't think too much, and explained the situation on this side.

Then she hung up her mobile phone, and started to explain to the patient's family before the operation, and called everyone in the medical office to make a video recording to avoid disputes.

With and without surgery, patients face extremely serious consequences — death. It is no longer a question of protecting adults or children. The focus is on how to survive.

Director Han is a bit sad, and Gaucher's disease is rare. The reason she can think of it is that the death of a patient 7 years ago left her with a psychological shadow that is still indelible.

Ask Boss Zheng. He is the most professional in the diagnosis and treatment of Gaucher's disease.

...

...

In a western restaurant in Stockholm, everyone was talking and laughing.

The fishbone was taken out and everything was calm. Xing Ning's happiness came from the bottom of his heart. The fishbone that had troubled him for 24 hours had disappeared. Those were nightmares. Solved the problem, now Xie Ning feels that this cheap son-in-law looks good.

"Boss, Gaucher's disease?" Su Yun heard some clues and asked the boss immediately when he hung up the phone.

"Well, a call from the Women's and Children's Hospital, a pregnant woman suspected of adult Gaucher's disease. Because of the increased burden during pregnancy, hepatosplenomegaly and coagulation function are not good." Besides. "

Su Yunmaly took out her notebook and hadn't had time to ask her boss why she should go abroad with a laryngoscope, as if everything had been predicted.

In fact, Su Yun has a weird idea-the boss is a human who grows in reverse.

Every day of him is yesterday instead of tomorrow! This also explains why his boss can always be assisted.

Now a popular word among women is boasting that it means getting younger this year, 30 and 29 next year. Su Yun said too much, naturally there will be all kinds of weird associations.

When set on his own boss, he felt that all of this was logical, and perfectly explained the purpose of this weirdo.

But there are problems ~ www.novelbuddy.com ~ For example, the technical level should be at its peak when he meets him, and then he will regress every day. Until decades later, he becomes a child and nothing will happen. .

Su Yun always had strange things in his head. Before he could ask questions, the emperor called.

Su Yun's attention was once again drawn to it, which was a life-threatening event!

Open the notebook and an email has been sent to the mailbox.

Zheng Ren and Su Yun began their medical records at the table with no scruples.

Xie Ning looked at Zheng Ren and Su Yun with a smile. Zheng Ren's thick face seemed to be more and more pleasing to the eye.

I originally thought that I would communicate with tears and tears, and the corners of my mouth drained water, showing everyone how they would look like in 50 years after dementia. But I didn't expect Zheng Ren to complete the operation while telling the story, the level is really too high.

He did not feel unhappy because Zheng Ren was immersed in the medical records, and smiled and said to the Yi people, "Yi people, do you often consult at midnight?"