Chapter 1192

"What, do you want to check? Or a high-risk cardiac biopsy? It's like a minor operation. Can my wife afford it? "

The patient's husband came in from the outside. As soon as he heard that there was going to be another test here, he burst into a rage and yelled at the doctors in front of him.

Chen Qun is still a light look, gently accept back.

"I'm very sorry, your wife has a lot of diseases. Not only does she have primary iron excess, a metabolic disease, but also herpesvirus type 6, which may cause dilated myocarditis. We suspect that the above two conditions are not the main culprits, and another very rare genetic disease may also cause your wife's symptoms. If you don't agree with the examination, you have to install an artificial heart. If you believe in our hospital, let's do this small examination. If there is an accident, I will be responsible for it. "

"Can you afford that?"

The middle-aged man pointed to Chen Qun's nose and scolded angrily. But he knows who the two doctors around the young doctor are. One is Professor He, who is the surgeon for his wife, and the other is the chief director of the first cardiovascular department. If his wife's illness is cured or not, it's up to the two of them.

For leaders and professors can not offend, it is only to take a small example, to show their position. In this way, not to mention that the family has no money to go abroad for hundreds of thousands of millions of dollars of surgery, even with the money, we can't get treatment from the western countries where the epidemic is out of control according to the health condition of our wife.

So Jieling people also need to tie the bell, the wife's only hope is to be replaced by academician Yang, find the root cause for treatment. As for the others, I can't care so much.

Gu Ning had not opened his mouth, but a loud voice came from the side.

"Of course, he can afford this responsibility. He saved my old life. Can't your wife's life be more precious than my old bone's life? Xiao Chen, what's your opinion? Let's hear it! "

Chen Qun still looks unfathomable and calm.

"I suspect it's Fabre's disease. The most fundamental reason is genetic. This is a glycosphingolipid metabolic disease, which is inherited in X-linked recessive way, and often occurs in men, for women, it is easy to ignore. The confirmation of symptoms is also very simple. The temperature in the room has been very hot, any patient lying on the bed, will sweat, especially in the position of skin pressure, will sweat. But if the carbohydrate metabolism in the tissue is insufficient, it is impossible to sweat at all. Or we can test my point in a simpler way

Yang Koizumi made a direct statement as loud as a bell.

"What way? How to do it? "

"We immediately turn on the air conditioning in the ward and raise the indoor temperature to 37 degrees Celsius. If the patient does not have any sweat, it is all metabolic problems. We can indirectly infer that it is this genetic disease that causes abnormal cardiac function."

Yang Xiaoquan tilted his head and stared at him, saying word by word.

"The last time you tested the pork tapeworm in the patient's brain, you directly used X-ray to examine the muscle cells of the relaxed calf. Then you can also examine other parts this time. Why did you choose the heart?"

"The reason is very simple, because the three symptoms of patients may lead to heart problems, but the treatment methods are different from each other, and the primary and secondary treatment is different. If we treat the heart with the method of treating other symptoms, it is irreversible damage. So I have to determine if there's Fabry's disease in my heart, and how severe the symptoms are, so that I can get medical treatment without any surgery

Yang Xiaoquan turned his head and looked at the patient's husband with bright eyes.

"Do you want to do a temperature test first, or do you want to do a heart biopsy half a day later? Xiao Chen's words are my opinion. If you believe me, you can directly ask Xiao Chen to give your wife a heart biopsy. His hands are the fastest and the most stable, and the damage to your wife is the smallest. If you don't agree, please be clever! "

"Don't be angry, Mr. Yang. Don't you think I came out in a hurry? Director Gu, I just know that heart biopsy is harmful to the body, but I don't know the specific operation. Want to know the specific process, how long can we get the results? "

"It's only an hour from the operation to the result. As for your wife's myocardial biopsy, the main thing is to make a section of the heart muscle, then stain it, and put it under a 200000 X-ray microscope to see the condition of the tissue cells. It's lunch time now. Let's have something to eat before the operation! "

Gu Ning directly found a fair and aboveboard reason to push the patient aside. When the teacher came back from there, he might have made a special trip to find Xiao Chen. After all, today's heart and brain surgery has caused great repercussions in the world. Some people have come to the teacher to discuss similar operations. Of course, there are not a few. Naturally, they need to arrange some time for the elderly to speak.When Yang Xiaoquan saw that Dongfang Wenxin was washing her hands, he immediately said with a smile.

"Miss Xin, you are trying to blackmail my old man today. Now is a good chance. Whatever you want to eat, I can still afford a few hundred yuan for food. "

"Cut, miser, I don't want it! Let's go, Chen Qun. Let's go to Qiuyun's for dinner. I haven't been there for several days. I really miss her home! "

"I want to change my taste, so I'll go with you. Xiao He, here you first head, what international phone call, all say I am not in. Xiao Chen, I'd like to hear from you. Why do you directly confirm that the disease is the root cause without considering other factors? "

A group of people said while walking out of the ward. The patient's husband was going to chase him out. He asked a few more questions. Lao he directly stood in front of him and gave him a lot of diet problems that should be paid attention to in biopsy, keeping him behind.

On the way, Yang Xiaoquan began to tease the little girl.

"Miss Xin, show me your big computer encyclopedia. I'm a little confused. I can't remember what Fabry's disease is. Can you tell me your program?"

"What about me? Don't be fooled. It's not my business. Chen Qun, tell you academician Yang, what is Fabre's disease! "

The first lady directly dragged the top cylinder of the humanoid computer, and didn't give the old urchin the chance to pick a bone in the egg at all.

Chen Qun remembers that he was diagnosed with this disease once last year, but last time the patient had a problem with his pancreas, this time it was his heart, which was a little different. He directly acted as a commentator.

"This disease is due to a congenital lack of an enzyme that is found in cells all over the body—— α Galactosidase is a kind of congenital metabolic defect caused by galactosidase. Substances that cannot be decomposed will accumulate in the body and cause various symptoms. Myocardial defect is one of them. However, most of them are male patients, most of them will develop hypertrophic cardiomyopathy, and few patients will develop dilated cardiomyopathy, so it is easy to be ignored. "