At this time, the young lady held her hands in front of her chest and subconsciously put on a defensive posture to deal with Chen Qun's wonderful brain circuit.
"You mean the sister nurse had an autoimmune attack? Her symptoms are not said, ovarian cyst necrosis, may naturally lead to virus and necrosis, leading to immune phenomenon in the body, what's so strange? "
"This is the fundamental difference between quack doctors and good doctors. The autoimmune attack is either caused by tumors or viruses in the body, and under normal circumstances, organ diseases almost do not have such symptoms. In addition, she just appeared the phenomenon of imbalance, most of it is replaced by immune encephalitis, damaged the brain, will be a moment of vertigo. Therefore, finding out the underlying symptoms of the autoimmune disease is the biggest problem. "
Miss immediately caught Chen Qun's core point.
"You mean the nurse sister has other diseases that lead to her autoimmunity, which has nothing to do with ovarian necrosis?"
"Yes, I suggest that cerebrospinal fluid examination be carried out here. For the sake of safety, take a sample back to the center for review. By doing so, we can not only check whether the instruments and equipment here are complete, but also save time. When we go back to the general hospital, the results will come out, and even the emergency operation can be solved at the same time. There's no need to argue. The most important thing is to send people back first. "
More than 40 minutes later, Chen Qun returned to the emergency center, and the examination results of the new hospital were also sent. The elder sister looked at the contents of the diagnosis and handed it directly to Chen Qun.
"Anti NMDA receptor encephalitis, didn't you encounter it once? Did you know it was this kind of disease before you deliberately dug a hole for me to jump down?"
Chen Qun shook his head and said solemnly.
"I suspect it's this kind of encephalitis, but this time it's different from the patient I visited last time. The patient's receptor encephalitis last time was caused by teratoma. The same encephalitis this time may be the culprit. What we have to do is to find out the culprit. "
The young lady's expression became strange, and then she called up another information on the panel and presented it to Chen Qun.
"If it is a symptom caused by a malformed fetus, a stillbirth is found in the patient's body. According to experienced nurses, the fetus is only more than one month, no more than two months old, and it is still an ectopic pregnancy born on the cervical wall. Because nurse Zhang wanted a child very much and had not been pregnant for several years, we wanted to keep it from her for the time being after we found out. Instead of telling her the news, we only told the surgeon and told her after the operation. Your problem has been solved. Is it OK to take out the stillbirth? "
Chen Qun was even more annoyed to see that the first lady had concealed the patient's condition. Of course, he knew that when the first lady didn't disclose it, he was afraid that some of the boys in the group would talk nonsense, so he didn't say it all. Of course, another thought was to mislead himself to see if he could predict this conclusion.
In fact, this is meaningless to him, but now he was surprised because he did not take the cheating method to conduct a thorough investigation of the patient, just wanted to follow the normal diagnostic method, and then missed this information. To a large extent, this is an unintentional mistake.
However, he has to bear at least half of the responsibility for this kind of unintentional loss, that is, making fun of his fiancee every day. Despite the disguised encouragement, he doesn't have any bad ideas. But any behavior has both advantages and disadvantages. For today's case alone, it is the most common and unsolvable problem in medical diagnosis, that is, for some reason, there are always patients hiding their illness from doctors.
Most of this concealment will bring bad results. The light one is to delay treatment, the heavy one is to die directly, and even the doctors will suffer. The young lady, out of the mind of protecting herself and competing with him, almost made a serious mistake. Although it didn't happen, it might happen again in the future.
The negligence of the first lady may be committed by other people. It's useless to blame the first lady, or even to ask the first lady not to continue to do this kind of thing alone. The best way to fundamentally solve the problem of concealing the illness is to keep information sharing, which needs the help of girlfriends.
Perhaps, he needs to find a suitable way with Dongfang Wenxin to change this situation. For patients, hiding their illness is the most fatal. For medical staff, hiding the patient's illness is not a bad idea. Even he has done a lot. Medical staff for the purpose of treatment to hide the real condition of patients can not be considered, but patients have to think more about the hidden condition.
According to countless examples in reality, the most important and common hidden diseases of patients are infectious diseases, which can not be eliminated, and it is also the most harmful to doctors. They may need to search for a solution in the system, even if it can not be completely eradicated, but they also need to do something.
Chen Qun stopped his unrealistic thinking and went back to the patient himself."No, stillbirth doesn't necessarily trigger autoimmunity. We need a tumor test. I'll call Dr. Li in the obstetrics and gynecology department immediately and ask her to come over for examination. Maybe the patient has some kind of cancer. "
The first lady didn't speak. She knew better that Chen Qun specially asked obstetricians and gynaecologists to come here because the patient was the nurse in the hospital. Everything was done according to the best standards, and even the examination was done by female doctors, showing the delicate and considerate side of this guy.
Examination results came out in the afternoon, is the early stage of malignant ovarian tumor, can be treated by resection. But the nurse, surnamed Zhang, immediately said that she was willing to take chemotherapy and radiotherapy as conservative treatment until a child was born.
All levels of the hospital were surprised at the choice of the nurse, and even some of them could not understand it. If the ordinary patients who don't understand medicine don't know the middle, then as a nurse, where don't you know these things? But he insisted on the more difficult road, and even took Chen Qun as a shield.
"I think I'm also a patient of Dr. Chen. Now I'm only in the early stage of ovarian cancer. After one or two years of giving birth, Dr. Chen will surely have a way to treat me. Even if I can't treat it, I don't have any regrets. Please don't advise me."
When Liu Yang knew about it, he came to teach Chen Qun a lesson in person.
"This nurse is also selected by you. It's your person. You've solved her problem by yourself. If I had known this, I would have expelled her. "
Chen Qun, who had already learned a lesson and had completed all the surgical treatment of nurse Zhang in the system space, was confident and said directly.
"Dean Liu, you can rest assured that I will solve this problem and operate on her in person."