Chapter 2893

Sun Chao felt a little bored. One morning, boss Zheng threw his director aside and asked the patient's family the details of the patient's child 30 years ago. It was ridiculous.

But before Sun Chao was distracted, he saw boss Zheng stand up and shout, "Professor Zhao, please come here."

"Ah!" A voice came from the other side of the corridor, followed by a series of hurried footsteps.

Zhao Wenhua rushed over and saw Sun Chao in the room. He was stunned. Seeing that he was unfamiliar and didn't even call, he stood next to boss Zheng.

"The patient's initial consideration may be Xihan's syndrome. There was massive bleeding when giving birth to a child 32 years ago, and then there was this problem. You check the three items of nail work, and then check the head MRI. The diagnosis is clear. It's OK to stay for treatment, and it's OK to transfer to the endocrinology department."

"Boss Zheng, you speak slowly. What syndrome?" Zhao Wenhua asked immediately.

"Xi Han's syndrome, Lao Zhao, you can't pass the basic skills." Su Yun smiled.

"Hey, I forgot all the things I learned at school." Zhao Wenhua was not angry at Su Yun's sarcasm, but lay down and said with a smile.

Sun Chao looked at all this in silence. No matter how mean he spoke, Zhao Wenhua was used to laughing.

Is he cheap? Definitely not. It should be that no matter what happens, boss Zheng will solve it over time. Usually, a little sour words will be regarded as a joke between bad friends.

But what the hell is Sheehan's syndrome? Sun Chao vaguely remembers that it should be a clinical syndrome secondary to perinatal placenta previa, placental abruption, placental retention, uterine contraction weakness, causing massive bleeding, shock and thrombosis, making most of the adenohypophysis ischemic necrosis and fibrosis, resulting in hypophysis.

But no matter how much he doesn't understand, as for the relationship with hypoglycemia after splenic embolism, he is a dew.

"OK, I'll check it now. I'll report the results to you, boss Zheng." Zhao Wenhua took the order and left without any doubt.

Sun Chao is also very speechless. He has a perennial problem of hypoglycemia. Boss Zheng asked him to check the head MRI and nail skill.

Forget it, it has nothing to do with yourself. What if it's really Sheehan's syndrome.

But it seems that boss Zheng is very interested in this. Why don't you ask for advice yourself? Sun Chao suddenly came up with such an idea.

Seeing Zhao Wenhua getting busy, Sun Chao went to boss Zheng and asked, "boss Zheng, why do you consider Xi Han syndrome?"

"For women with frequent episodes of hypoglycemia throughout the year, if there is nothing wrong with the pancreas and glycosylated hemoglobin, the first thing to consider is Sheehan's syndrome. Although the incidence probability is not high, the condition is more serious. It is better to diagnose and treat early."

Zheng Ren smiled and said that it was obvious that he was more interested in explaining his condition than chatting.

"You are a little strange to Sheehan's syndrome." Seeing Sun Chao's face confused, Zheng Ren immediately realized that he was the director of the vascular department and did not treat Xi Han's syndrome.

"The present case has a history of liver cirrhosis due to hepatitis C, and the glycogen synthesis and reserve of liver cirrhosis are reduced, and the inactivation function of liver to insulin is reduced, resulting in hypoglycemia. Therefore, the patient has been misdiagnosed as liver cirrhosis and hypoglycemia by external hospitals for many times."

"The patient has a history of postpartum haemorrhagic disease, clinical manifestations of hypogonadism, thyroid and adrenal cortex, and the levels of nail work and aldosterone are reduced. If the head MRI is examined, it is estimated that the pituitary volume will be reduced and some vacuolar sella..."

"Boss Zheng, wait a minute." Sun Chao didn't understand. He immediately interrupted boss Zheng and asked, "is there a problem with the head MRI? Is this your estimate?"

"Oh, no, it's a statistical probability problem. The research is very thorough." Zheng Ren said with a smile, "due to postpartum hemorrhage, especially with long-term hemorrhagic shock, the anterior pituitary tissue is hypoxic, denatured and necrotic, and then fibrosis, which eventually leads to the syndrome of hypophysis, and its incidence accounts for about 25% of patients with postpartum hemorrhage and hemorrhagic shock."

"Sheehan's syndrome is simply the occurrence of massive bleeding during delivery, causing hemorrhagic shock, or even DIC, sympathetic reflex excitation, causing arterial spasm or even occlusion."

"The blood supply of pituitary artery is reduced or cut off, the tissue cells of anterior pituitary are denatured and necrotic, and various hormones secreted by anterior pituitary and its controlled target organs are sharply reduced, resulting in the premature degradation of the function of target organs affected by various hormones and a series of syndromes."

Listening to boss Zheng talking about the history of Xihan syndrome, director Sun Chao recalled that he told himself the characteristics of echocardiography in neurosurgery at that time.

One, two, three, four, five, put it clearly is the symbolic feature of a science and technology dog.

Cirrhosis, hypoglycemia, it's really... Sun Chao sighed gently.

"Professor Zhao." Zheng Ren suddenly shouted.

"Ah, boss Zheng, I'm finished with the doctor's advice." Zhao Wenhua immediately replied.

"The next time you ask the medical history, be more detailed. If you ask this patient about massive bleeding during labor, it is estimated that there will be no such dangerous things." Zheng Ren said softly.

Zhao Wenhua scratched his head, somewhat embarrassed, but did not refute.

Sun Chao doesn't think it will be eliminated. The so-called Sheehan syndrome has only a vague impression.

The probability of massive hemorrhage during labor itself is not high. In addition, the probability in the probability is close together. It seems that I haven't encountered several similar patients for so many years.

Boss Zheng is really a good teacher. He seems to be the chief director of the Department. He takes the group of professors and says to train.

But people have that ability. Sun Chao doesn't doubt that the examination results can't confirm boss Zheng's diagnosis.

I saw a patient. It's time to go to work. Knowing that the morning was the busiest time, Sun Chao thanked boss Zheng again and left. I didn't sleep last night. It's like taking a roller coaster. I almost broke the new one.

Rhubarb teeth looked at Zheng Ren eagerly. Zheng Ren had no way. He left Liu Xiaomei's contact information and made an appointment to go to the community hospital in the afternoon. In this way, rhubarb teeth left contentedly. Looking at his back, Su Yun frowned and asked, "boss, do you think rhubarb teeth will be so kind?"

"Certainly not." Zheng Rendao said, "I think he just wants to install a person in the community hospital. What he wants to do in the future, be flexible. But this time he owed rhubarb teeth a favor and increased his knowledge. It doesn't matter that the girl stays in the community hospital."

"Hey, don't be careless." Su Yun said with a smile, "if you turn over the boat in the gutter of rhubarb teeth, where can you reason?"

"It's not so dark. With old fan, she can't make any waves."