Chapter 298

One morning, Zhang Fan read many medical records and almost turned over the medical records of the past two years. Other doctors in the Department, especially the transferred doctors, were very curious about what Zhang Fan was doing.

Several transferred doctors looked at Zhang Fan, who had no work to do, drooling admiringly, but they also admired Zhang Fan's Kung Fu after sitting in front of the computer all morning without moving a step! And people keep coming to peep.

People are like this. If you are a salted fish, no one will be curious about what you do, but once you have some achievements or get ahead, others will worry about what you do. There are too many such things. Is mu Qiang a common characteristic of mankind?

In the Hematology Department of tea element city hospital, most patients are anaemia, all kinds of anaemia, and young women account for as many as a few. A small number of them are purple epilepsy caused by various reasons. Finally, they are discharged from the hospital or even die of illness, and the cause has not been found out.

This is the biggest feature of this department. Many diagnoses are unknown. The preliminary diagnosis is with a question mark, and the confirmed diagnosis is still with a question mark. This is not to avoid anything, but a real question mark, because the patient's signs and laboratory tests do not support various current diagnoses.

But if there is no definite diagnosis in the medical record, the medical record is unqualified. There is no way. The doctor can only guess! This is not because doctors are irresponsible, because many of these basic diseases cannot be diagnosed for unknown reasons.

Zang bin, a graduate student majoring in nephropathy, is also transferred to the Department of Hematology. However, compared with other undergraduate transfer dogs, the graduate student is a little better. After the graduate student transfers to several relevant departments, it ends.

The young man is very energetic. He wrote the medical record on the computer next to Zhang Fan. Seeing that Zhang Fan didn't move all morning, he said with emotion: "Doctor Zhang, you can't do this. It puts a lot of pressure on us. You see, when you didn't come, the transferred doctors in the Department said they were laughing. If you didn't move your nest this morning, we didn't dare to get up! "

"Well! It's not that exaggerated. I haven't contacted this department, and I'm not a graduate student, so I'm a little fascinated. The diseases in this department are really complex. "

"Hi! Don't think highly of postgraduates. To tell you the truth, three years of postgraduates, that is, three years of hard work in a large hospital, there is nothing tall. The diseases in this department, not to mention postgraduates, are estimated to tell one or two when the doctor comes! " Zang bin chatted with Zhang Fan while typing the medical record.

Graduate students signed a contract before admission. They booked the Department early, so they have little pressure compared with undergraduates. Moreover, the most important thing is that today's graduate students are still very valuable. The hospital pays them for their home, and the pressure is relatively small.

What about the diseases in the hematology department? Zhang Fan looked at them all morning and roughly divided them into red blood cells, white blood cells and platelets, which are the related diseases of the three brothers of blood vessels, because the most important cells in the blood are these cells. Of course, there are other components, but compared with these three, the role of other components or the thoroughness of research can not be achieved!

Blood walking around the human body is a very complex system. If you talk about it in detail, it will become a paper, not to mention ordinary people, but doctors who don't do blood probably can't understand it. Just make a simple analogy.

Red blood cells, the transporters of the human body, travel to and from various tissues, bring in oxygen and then take out carbon dioxide. White blood cells are the soldiers of the human body's internal environment. Where there are invading cells or viruses, they will kill the invading guy.

Platelets are tinkers who walk around the blood vessels happily. Where there are defects, they will be repaired happily.

A king of England has a noble disease, that is, there is a problem with genes, there is a problem with coagulation factors, and one carelessness is massive bleeding! This is no joke. When kissing, an excited lover accidentally bites his tongue, which may lead to bleeding and death!

Probably such a concept, people often say that anemia is actually the cause of red blood cell reduction. If the red blood cells are not enough, they will lack oxygen, which will lead to dizziness, nausea and all kinds of physical discomfort.

There are many kinds of anemia, especially for young women. The nutrition is even worse. In addition, if there is a large amount of fake cases, anemia can't run away. This thing is definitely not the kind of cure, but a very long process.

If young women have anemia due to this period and there are no gynecological diseases, it is best to eat more animal liver and blood tofu and exercise.

The next day, the morning meeting of the hematology department began. After the handover of the Department's work, Li Qing clapped his hands and said to all the medical staff: "let me say something. This is Zhang Fan and Dr. Zhang. I think everyone should know. He came to us for a month. Dr. Zhang, can you say something? " Director Li Qing said with a little ridicule.

Zhang Fan quickly smiled and waved his hand“ Well, since Dr. Zhang doesn't say, let's start working. Ruan Yuan, you and Dr. Zhang work together. "

"Good director!" Dr. Ruan said plainly that Dr. Ruan, a rare surname, has just turned 30 and has just been admitted to the attending doctor. Married for two years, no children, a very capable and beautiful woman. My husband is a secretary of the government, but he is not a full-time secretary of the leader.

"Doctor Zhang, let's start the ward round."

"OK, Dr. Ruan."

Because it's not Monday and there's no need for a major ward round. There are not many patients. Dr. Ruan doesn't have many patients in bed, just three. Two patients with allergic purpura and one patient with iron deficiency anemia.

The two patients with allergic purpura are very typical. The bleeding spots all over the body are as obvious as gentian violet on the back, thighs and legs.

There are two patients, one big and one small. The adult is an outsider, twenty-eight years old. He is a small boss engaged in decoration. Do your own work. After the new year, after the heating stopped, the decoration peak of tea vegetable city came.

He was a little too hard. He took several decoration businesses at one time, and as a result, he had physical problems.

"Dr. Ruan, what are the symptoms of this little boss?"

"He!" Dr. Ruan and Zhang Fan walked to the office in the corridor and recalled: "in the middle of last month, when I was on duty, he was sent by his family. At that time, the nosebleed couldn't stop, and the soaked toilet paper kept dripping blood. Fever began after hospitalization. Platelets are almost undetectable. I was critically ill. "

"And then?" Zhang Fan asked.

"After admission, I gave hemostatic drugs, and then blood transfusion. After various examinations, I can find the specific reason. It can only be treated symptomatically. I lost many units of platelets, but it still didn't improve. "

Dr. Ruan continued with lingering fear: "the family members quickly put their fingers on my face. But the condition was still not clearly diagnosed. At that time, there was no chance to transfer to another hospital. He couldn't stick to the bird market by car. It might be bleeding after a few bumps. By plane, he was covered with purple ecchymosis. The flight attendants certainly wouldn't let him on the plane. In this way, the daily treatment fee and water flowed away, but the condition did not improve significantly. "

"The medical staff of our general department have been guarding for more than half a month. The director has contacted the experts of the superior hospital. When the experts are coming, his condition has improved and the platelets begin to rise slowly."

While walking, Zhang Fan asked, "what about the incentive? Have you found it?"

"There was no definite inducement, but later, after the patient's condition improved, the family's attitude towards me was much better. Later, I asked the medical history in detail."

Dr. Ruan looked around and said to Zhang Fan, "I think it's because his work led to his unexplained bleeding. When he was decorating, there was no special protection, but also all kinds of paint, glue and all kinds of chemical products. That's why it led to this bleeding without obvious inducement. "

Then, as if Zhang Fan didn't believe it, he said, "just last year, a colleague of my husband's unit lived in a new house that had just been renovated because he was old. Then get married and get pregnant. Guess what? "

"What's the matter?" Zhang Fan asked. At this time, Zhang Fan was not asking for gossip, but a process of obtaining medical records and medical events. Medicine is also an empirical discipline.

"A few months after she was pregnant, one day, my husband's colleague suddenly had abdominal pain. After being rushed to the hospital by his colleagues, he found that the fetus was deformed! "

"Hey!"

"The situation at that time was really sad. The couple were not young, and the fetus was deformed. Two people sitting at the door of Gynecology, crying is sad. So ah, the decoration now, really! If you want to be a new house, you must put it for half a year. It's best to put it for a year! " Dr. Ruan talked endlessly.

"Which child. What about him? "

"You say that little fat man. Hi, his parents are busy doing business and ignore him. Only in the second grade of primary school, he was too fat to walk. His parents were really rude, so they took care of making money and gave children 50 yuan a day. Eating and drinking are outside. What does the little doll know. Drink when you are thirsty. When you are hungry, you will eat all kinds of food sold by vendors around the school. "

"As a result, he couldn't tell whether it was fried spicy strips or dried tofu. I ate it at noon. As a result, when I had class in the afternoon, the doll began to have a fever and feel confused, followed by purple epilepsy, a large area of purple epilepsy. "

"When it was delivered, it was like a small meat ball coated with purple potion. His head teacher is a little girl. She can't say anything if she's scared. "

"Oh, I think there are still some spots now."

"What's this? He's recovered. It's scary when you don't see his first day."

As they talked, they entered the office and saw Wang Yanan and Jia SuYue. They were also very surprised when they saw Zhang Fan. Jia SuYue is leaving with Wang Yanan! Suddenly, her face turned super red!

Wang Yanan is also a little embarrassed! He asked Zhang Fan, "Why are you in the hematology department?"

"Why do you think I'm in this department! I transferred. What are you doing? " Zhang Fan asked in wonder.

"I won't talk to you first. I'll pull Jia SuYue back!" Wang Yanan said that and ran out!

"Well!"