Chapter 1550

Liu zewei looked at Su Yun with a bitter face and a look of help.

Several brocade flags, like a life-threatening rune, were held in the hands of the patient's family behind him, two meters away. Liu zewei could also feel the heat from above.

"Have you had any diseases before?" Zheng Ren continued to ask, completely unaware of Liu zewei's embarrassment.

"No." When the patient's family members saw the banner and the old director of the province standing around the young doctor, they also felt very strange.

What is all this? The interpersonal relationship in the imperial capital seems very complicated.

"Hypertension, coronary heart disease, diabetes?" Zheng Ren continued.

"No." The patient's family members were a little distracted and said, "I'm just willing to spend money. I think she fell ill as soon as her family was short of money recently. Alas, Mr. Zheng, to tell you the truth, she was more than 3000 a day in the Municipal First Hospital. Although she could be reimbursed, she was under great pressure."

More than 3000 should be the cost of various examinations and intravenous hypernutrition after fasting.

The money is not much.

"Fortunately, it should be the medicine that can be reimbursed." Zheng Ren comforted.

"Alas, after the reimbursement, it's hundreds a day. My daughter-in-law says every day that what she usually saves money is used for medical treatment." The middle-aged man nagged.

What you say, there's nothing serious.

"A bottle of fairy water for three days." Su Yun habitually stabbed one side.

"No, it's enough for her to bake once a day, two days to sell a mask for a week, and three days for a bottle of fairy water." The middle-aged man said sadly.

It seems that he has calculated this economic account more than once.

Zheng Ren is seriously watching the film. Chang Yue and Liu zewei ask him to take a picture, but they are directly rejected.

Seeing Liu zewei's bald head standing among the patient's family members, he really looks like the director. Looks like, especially bald, but also old. Although older, doctors are becoming more and more valuable.

Zheng Ren smiled and suddenly his heart moved.

An idea flashed away and Zheng Ren was stunned. This inspiration comes from the subconscious. If you can't catch it at the first time, I'm afraid you won't remember it all your life.

But

In the end what is it?

Zheng Ren can be sure that it must be related to the patient's condition at present.

His eyes were stagnant, and he didn't see a group photo of Liu zewei, Chang Yue and the patient, or a film. Staring at the medical record car, he didn't even know what to think.

"Boss, what are you thinking?" Su Yun asked.

"Don't talk." Zheng Ren seemed to be just about to grasp the wisp of inspiration. He was disturbed and floated away again.

"Sick." Su Yun said contemptuously, "rich and noble, watch the film!"

Professor Rudolph Wagner is happily taking a group photo with the patient's family. He doesn't care if his name is written on it. He focuses on the process.

Moreover, a blonde foreign professor stood next to Liu zewei, which made him look much taller.

International medical group, this is a real international medical group.

"Well." The professor answered, gestured, took photos, and came to Su Yun. "Brother Yun, this is incomplete intestinal obstruction. There's nothing to look at. The whole wave is blocked, and I don't see intestinal polyps."

"Rich and noble, don't tell me. It's very stylish when you swing your hair at that stop." Su Yun smiled and joked, "you'll go back to Heidelberg in the future. Make a wax statue on this side, match a wig and take special photos..."

Halfway through, Zheng Ren suddenly clenched his right hand and hit his left hand.

A dull noise.

"Boss, what's the matter?" Su Yun said in surprise.

"Here, you see." Zheng Ren touched the patient's kidney and said excitedly.

Su Yun watched the film carefully. There was nothing serious wrong with his kidney. If anything, interstitial fibrosis around renal tubules is the biggest problem.

"Interstitial fibrosis? What can it prove?" Su Yun asked in amazement.

That's what the professor wants to ask.

The patient's interstitial fibrosis is not obvious. We should check carefully to see faint clues.

"Lead poisoning! The patient has anemia in blood routine, liver problems, and interstitial fibrosis around renal tubules, which can be judged!" Zheng Ren regained his calm and began to talk about it.

Su Yun's eyebrows were slanted into his temples, and his eyebrows were locked and pondered.

"During lead poisoning, an inclusion body often appears in the glomerular nucleus, which is a complex of lead and protein, and its nature is not completely clear.

It is generally believed that it is the cell's defense function to store the lead in the cell in the inclusion body and prevent the direct toxic effect of lead on the cell. "

"Acute poisoning mainly affects proximal convoluted tubules, including cell membrane damage, cell swelling, mitochondrial swelling, rupture and reduction of particles in matrix."

"In addition to damaging the renal tubules, chronic poisoning is mainly characterized by progressive interstitial fibrosis, which begins around the renal tubules and gradually expands outward. Renal tubular atrophy and cell proliferation coexist at the same time."

Zheng Ren said, "it's lead poisoning. There's no doubt. Does your wife dye her hair once a month?"

With that, he looked sideways at the patient's family.

This is what Liu zewei said when he was chatting just now.

We make complaints about it. No one takes it seriously.

But now Zheng Ren first put out a bunch of pathophysiological change mechanisms, and asked about hair dyeing, some questions came out.

"Yes." The patient's family members were confused and did not know why intestinal obstruction was related to hair dyeing.

"How much is it at a time?" Zheng Ren immediately asked.

"..." the patient's family was stunned.

What's all this and what?

"It's estimated to be about 100 yuan." Su Yun said, "right."

"Ah? Ah!" The subconscious response of middle-aged men.

"Hair dyes, especially low-quality hair dyes, contain high levels of lead. Once a month, long-term hair dyeing leads to lead poisoning, which is normal." Zheng Ren smiled, his face full of joy.

"What is lead poisoning?" The middle-aged man whispered.

He thought the doctor was so unreliable? Although there are provincial directors and foreign professors, they are just unreliable.

Zheng Ren didn't answer the patient's family, but picked up the phone and dialed out.

"Hello, director Sun."

"Well, I'll go back when you're ready." Zheng Ren said, "let's get down to business. For the patient named Li Liangfen, check a blood lead and hematoporphyrin test on your side."

"I remember it seems that the Provincial Institute of occupational disease monitoring can do it. Lao Liu, please contact me." Zheng Ren said to Liu zewei.

Liu zewei nodded.

"Director Sun, I'll call Professor Liu of the Affiliated Hospital of Medical University, and you can contact. The patient should do these two tests first. I guess it's incomplete intestinal obstruction caused by lead poisoning."

"After the diagnosis, the lead expelling therapy of calcium sodium edetate to promote lead excretion can be cured in a few courses."