Chapter 2941

"Boss Zheng, the result came out."

More than ten minutes later, when Zheng Ren was still looking at last year's CT film "face to face", Zhou Litao came in and said.

"Pulmonary function showed that FEV, FEV / FVC, PEF, MMEF, V75, V50 and v25 decreased severely. The patient had severe obstructive ventilation dysfunction, severe impairment of large and small airway airflow, small reversibility of airway obstruction, and negative bronchodilation test." Zhou Litao said.

"Why is it so heavy?" Su Yun frowned.

Originally, he also doubted whether sister Qiao's lover deliberately avoided illness, but the symptoms may be pretended, and it is unlikely to objectively test the disguise.

"I'll ask sister Qiao." Zheng Ren immediately stood up and said after hearing the test results reported by Zhou Litao.

"Do you suspect there are other problems?" Su Yun asked, "er... Cricoid cartilage?"

"It may be caused by cricoid cartilage." Zheng Ren nodded.

With more than a year of tacit understanding and Su Yun's brain, solid basic knowledge and clinical experience, he guessed what his boss was thinking in an instant.

When she came to the rescue room, sister Qiao silently looked at the ground. Zhuang Yongzhi and the head nurse in the operating room sat silently beside them. It is estimated that they don't know how to persuade. Finally, everyone kept silent and used company as comfort.

Several people have the same mind. When they encounter such things, they can't say or persuade. They should be regarded as non-existent. As long as sister Qiao has nothing else to say.

"Sister Qiao." Zheng Ren walked up to Qiao Liyan and said in a deep voice.

"Boss Zheng, please." Sister Qiao didn't look up, but whispered.

"Does your lover usually have some small problems?" Zheng Ren asked, and then he hesitated. The taboo to ask about the medical history is guiding. For example, the doctor has a certain judgment in his heart, and then starts to simulate the symptoms according to the condition and ask the patient's family members.

But then Zheng Ren figured out whether he had a big pig hoof and a systematic diagnosis of future science and technology should have nothing to do with induced interrogation.

Qiao Liyan didn't understand Zheng Ren. She raised her head and looked at Zheng Ren blankly. She didn't know what he meant.

"I mean, does your lover usually have the problem of always painful ears, or... Pain and swelling in the joints of both hands and feet?"

"He has been diagnosed with gout before. His right thumb is often swollen and painful." Sister Qiao replied, "ears... Sometimes I hear him say that his ears hurt. I rub them gently every time. It can be relieved in about 20 minutes. The frequency is about once a month."

Speaking of this, sister Qiao suddenly had a light in her eyes.

That's tears, Zheng Ren knows.

Every bit of life is broken, but when I think of it, the originally warm scene becomes a little absurd.

He couldn't bear to see sister Qiao's emotional changes. He hurriedly said, "I'll make a fiberoptic bronchoscope for your lover. Now I'm a little eyebrow. Make sure. Su Yun, tell sister Qiao about the possible problems. After all, what you do now is still dangerous."

With that, Zheng Ren hurried into the rescue room and left Su Yun outside to communicate with sister Qiao.

Zhou Litao has prepared the fiberoptic bronchoscope. He follows Zheng Ren and whispers, "boss Zheng, what disease do you suspect?"

"No previous history, sudden asthma. I saw last year's film and found that the trachea and bronchus were thickened. In addition, sister Qiao said that the patient's right thumb was swollen and his ears were painful. I suspect it is recurrent polychondritis."

Recurrent polychondritis is a rare disease involving multiple systems of the whole body. It has recurrent and alleviated progressive inflammatory and destructive lesions, involving cartilage and other systemic connective tissues, including ear, nose, eye, joint, respiratory tract and cardiovascular system.

The clinical manifestation is cartilaginitis of ear, nose and respiratory tract, accompanied by the symptoms of organ involvement such as eye, ear and vestibule.

Zhou Litao thought the patient had asthma caused by cold weather and emotional excitement, but he didn't expect boss Zheng to give such a diagnosis.

"This disease is not common. I've only seen two cases. I met them during my internship." Zhou Litao said, "a patient had frequent vertigo and began to have various diagnoses. The effect after treatment was average. Finally, we caught up with an old expert and diagnosed recurrent polychondritis. At that time, we didn't believe it. Later, the test results proved that others were correct."

Vertigo and asthma, the two symptoms of being unable to hit eight poles, come from the same disease. Zheng Ren nodded, chatting with Zhou Litao about recurrent polychondritis while waiting for the result of Su Yun's communication.

Even the family members of patients in our hospital should have complete procedures. I don't know how many such things have happened, so the more we are, the more careful we should be. Don't do bad things with good intentions.

The patient's wheezing sound has been relieved under the action of drugs, and the blood oxygen saturation is maintained at about 95%, but he lies on the flat car with his eyes tightly closed, and only the weak rotation of his eyes can be observed through his eyelids.

Zheng Ren shook his head slightly. It's really hard to say. Now I think it's hard to understand. Forget it. I'll talk about the couple later.

As for myself, I still need to be a doctor, make a clear diagnosis of his disease, and then treat him symptomatically.

Professional requirements, can not be mixed with too much emotion, Zheng Ren while checking the fiberoptic bronchoscope equipment, while calculating the images that may be seen after entering.

He didn't go into the system operating room to have a look first. It was just an examination. There was no need to waste training time at all. Although I am relatively well-off now, the "big consumer" of Xiaoshi is still waiting for me.

Lung transplantation is not difficult. It's a joke. Organ transplantation is a big job, and the state of small stone itself is general, which makes the operation more difficult.

In addition, the lungs printed in 3D have countless things to do before and after operation, and the operation training time accumulated in their hands may not be enough.

A few minutes later, Su Yun came in and said, "boss, do it. Sister Qiao is signing. She agrees to check the situation in the trachea in the emergency department."

"Have you made it clear?" Zheng Ren asked.

"Well, I've made it clear. Sister Qiao agreed to explain to death."

When Su Yun spoke, Zheng Ren saw that the patient's eyelids trembled a lot more frequently. He seemed a little afraid, but the power to close his eyes was great. It should be that he kept his fear in mind and was still escaping from reality.

"Hey, wake up, don't pretend to sleep, you have to check!" Su Yun's attitude was extremely impatient. He patted sister Qiao's lover on the arm and said loudly.

Su Yun's attitude was obviously grumpy, and Zheng Ren sighed helplessly.