Chapter 137 anti NMDA receptor encephalitis

"Mr. Huang, Mr. Huang, the examination result of patient Liang Li has come out. It's a positive tumor. The next step is to find out the tumor. The patient should not be transferred to the psychiatric department. She is not mentally ill. She has a cancer disease

Looking at Qi Hong's dancing and jubilant excitement, Chen Qun feels that this young woman doctor is more like a psychopath. No wonder other people's leaders didn't even look at her.

An hour later, in the CT room, Huang Haitao pointed to a small dot on the screen and gave Chen Qun a cold glance.

"Well, you say it's a tumor. Tell me, where does it grow? What's the relationship with the brain! How does it affect the state of the patient? "

Chen Qun explained calmly, "although this is only a mediastinal teratoma growing in the chest, only 1.5cm in size, it is still benign, and it does not oppress any nerves and blood vessels, it still causes the body's immune system to attack the tumor. Because the immune system is indiscriminate attack, but also attack the brain, and finally produce inflammation, affecting the patient's daily life, leading to her mental abnormality

Fearing that Huang Haitao would not believe it, he added, "the last time a patient with parasites in his brain was attacked by the immune system, which caused aphasia and decreased IQ. The patient's condition is similar. As long as we solve this small benign tumor, we can cure the patient's mental abnormality. "

Huang Haitao put his hands around his chest and stared at the two little hens with flying faces. He said a word without saying a word.

"I've decided I'm insane. This conclusion is really a bit of fantasy. Can mental illness be transmitted, even doctors? Can I explain to the patient's family that you have a small tumor growing on your chest, which leads to your abnormal brain. Those who are willing to say this will go to the patient's family members themselves. "

"No problem! Iron Army, Zhou Lin, let's go and explain! Ouyang Yang and Chen Qun write medical records here! Submit an application for surgery. "

Qi Hong grabs the test sheet in Huang Haitao's hand and rushes out of the ward with two of his men. He despised the crafty Huang Shiren in his heart. He was obviously interested, but he pretended to be indifferent and instigated the students to rob the patients.

This kind of teacher is really bad!

But this kind of overbearing style, she is more and more used to.

In particular, this kind of mental state change caused by physiological diseases is even less. She happened to encounter two examples. The first case is that Chen Qun solved the problem. In this case, most of the credit comes from his own ideas. Although we learn from the case of the last patient, it is absolutely different.

If there are a few more, she can sum up the rules, publish an explosive paper in an international journal, and complete her doctoral dissertation requirements ahead of time.

No one can take this patient away! Anyone who dares to reach out will slap it open, and the king of heaven will not give me face.

Huang Haitao was amused to see his favorite student glowing. He knew that this girl film finally stood out from the eel effect and gave Chen Qun a beautiful counterattack. The rest patiently watched them fight with several foreign exchange students.

If both sides lose, the world will be much cleaner, and he will still have bad benefits.

Director Huang thought for a moment, and the two remaining guys in front of him asked, "Xiao Chen, do you know why the patient's symptom is called anti NMDA receptor encephalitis?"

"Because the patient's condition has been named and defined by foreign countries in advance, the full name is anti-N-methyl-d-aspartate receptor encephalitis. A variety of autoantibodies can be found in the venous serum of patients. It's encephalitis caused by the brain's immune system. In other words, it's also an overreaction of the human system

Chen Qun gives a definition like an endorsement.

Huang Haitao took a look at him and suddenly asked, "do you suspect this kind of illness at the beginning?"

Chen Qun secretly shriveled his mouth, "I just guess it's possible, it's better than aimless."

He has a complete medical system and a super bug skill - "get on the bus first and buy the ticket later". No, it's the cheating ability of shooting arrows first and then drawing targets. Naturally, it can't defeat him.

He won't tell anyone the secret. Even if you're a psychiatrist, you don't care.

"What do you think is the next step to solve this problem, how to operate on patients?"

Huang Haitao doesn't treat this wonderful boy as carefully as other people. It's a diamond. Don't be afraid of being broken. Just force him hard.

Chen Qun thought about it for a while, and slowly expressed his opinion, "the patient's benign tumor is very small. The best way is minimally invasive surgery to remove the tumor. I looked at the CT and the surrounding blood vessels, and I thought that mediastinoscopic surgery was the best way to remove the tumor. If I can, I'd like to ask Mr. Huang to guide me in the operation. "Huang Haitao was stunned for a moment, and in a twinkling of an eye he began to laugh. "It turns out that after a long time, you've been waiting here. Let Qi Hong grab the diagnosis, and you grab the operation. As a teacher, I will be pushed up by you to carry the black pot as a shield? "

Professor Huang stared at Chen Qun for two eyes and suddenly said, "this is the first time that you have made a request. It's a little more exciting than yesterday's heart surgery. Why on earth? You are the kind of person who doesn't push and won't take the initiative. Why do you care about a simple endoscopic surgery? "

Chen Qun had already thought out his speech and answered it solemnly.

"Because I've been in this hospital for almost a month, and the more I study, the more I find that my knowledge in school is obsolete, and many surgical operations have been eliminated. And the new microtubule technology has become the mainstream, I want to learn this new technology. "

Huang Haitao stares at this wonderful boy in consternation. Unexpectedly, before he can talk to him, this guy will come forward to explain himself and ask the teacher for an operation.

I don't know if this boy is pure or pure psychosis?

Huang Haitao murmured in his mind when he heard this inhuman answer. However, he realized that this guy's logical thinking was just like this. It was simple and direct, and there was no need to beat around the bush.

This is also a common problem of all university students. He has scholar syndrome, and he is also a scholar. It's not surprising that he puts forward his own requirements directly.

"Well, I can give you a try. After all, you won the chance. But if there's a slight deviation, you're not allowed to have any surgery for three months. "

Huang Shiren turned his head and immediately gave a positive answer. Three months without any operation is enough to make Li Bing beg his father and grandmother to kneel down in front of him.

It's called killing two birds with one stone. The county magistrate might as well manage it now. Let's clean it up together. Otherwise, this boy and Li Bing, the veterinary doctor, will cause something sooner or later.