Chapter 148

"Good, this method is good Let's decide the ownership of the patient and the subject by argument Hearing Zhang Reid's proposal, Dean Ou's eyebrows relaxed. He secretly said that he wanted to win this move. The loser naturally had nothing to say and saved himself a lot of trouble. At present, he could not help smiling and nodding in agreement.

Vice President Qian and Minister Sun, listening to President Ou's words, couldn't help sighing in their hearts. It seemed that the decision was made in this way. I'm afraid that the emergency department is almost certain to lose this time. He sighed: "Lao Qu, it's not that we don't help you. It's really the only way to go. If you lose, there's no way."

Looking at Zhang Reid's complacent appearance, director Qu also sighed. Since the matter has come to this point, there is no need to say more. Let's have a debate It seems that we can only do our best. In case something goes wrong, we have to recognize it

Thinking of this, I turned my head to look at the subordinates behind me. They were also full of haze. I couldn't help but smile. To Wu Yue and Xu Ze, they encouraged them: "since director Zhang proposed a debate, although our emergency department is not as numerous and experienced as the internal medicine department, we can only deal with it Let's learn from our predecessors

listens to Qu director's such bright, is to encourage his subordinates, but he is insinuate himself and others, with the old bully little, Zhang Reed and the director of internal medicine can not help but face a long face, dry cough two times, disguised the embarrassment of the heart.

Next to Vice President Qian and Minister Sun, but also face disdain, really ah Four senior doctors, one chief physician, two attending doctors, and two general doctors, oh There's also a debate among Rotarians who don't even have evidence Thanks to their good intentions, they obviously bullied others

However, Zhang Reid was able to mix up with the director of internal medicine of the University. Naturally, he was thick skinned. He was not willing to let director Qu continue to satirize him. At the moment, he coughed and said, "OK Since no one is against it, let's start now! "

After that, he looked at director Qu, who was very ugly, and said with a smile: "director Qu, since you have been taking care of this patient with Guillain Barre syndrome, and you are" good Then let's raise a question of debate. " Zhang Reid was ridiculed, but his face turned a little red. After saying the beginning, he turned his head and nodded to Li Huaming, director of Neurology not far behind him.

"We all know that Guillain Barre syndrome is caused by infection Is there any other cause? Is there a season of predisposition? What is its pathology? " Li Huaming asked with a chuckle.

Hearing Li Huaming's question, everyone in the emergency department can't help frowning. This problem is really difficult. This kind of Greenbury syndrome has just appeared in the national medical journal, and the specific information is not very detailed, and the emergency department only contacted Li Qijiang, nodding to director Qu with a smile and saying, "since director Qu asked, I'll give you an answer, please Director Qu, give me more advice

Seeing Li Qijiang's confident and casual appearance, director Qu felt "cluttered". Did they even know this in detail?

"The clinical features of Guillain Barre syndrome are: 1-3 weeks after infectious disease, it suddenly appears severe, with nerve root pain (mainly in neck, shoulder, waist and lower limbs), acute progressive symmetrical limb paralysis, subjective sensory disturbance, and weakening or disappearance of tendon reflex."

The specific manifestations are as follows: 1) dyskinesia: muscle paralysis of limbs and trunk is the main symptom of the disease. Generally, it starts from lower limbs, and gradually spreads to trunk muscles, upper limbs and cranial nerves, which can be from one side to the other side. In general, the proximal end is heavier than the distal end, and the muscle tension is low. If breathing, swallowing and articulation are involved, it can cause spontaneous respiratory paralysis, dysphagia and dysphonia, and endanger life. 2) Sensory disorders: generally mild, mostly with mild shallow sensory disorders. 3) Dysreflexion: limb tendon reflex is mostly symmetrical weakened or disappeared

Speaking of this, Li Qijiang chuckled at director Qu and said with a smile, "director Qu, do you think there is anything else to add?"

Listening to Li Qijiang finish, director Qu was gloomy and could drip water at this time, because what Li Qijiang said was all the things that the emergency department had found out in the past two days, and it was not bad at all

It seems like the first imagine that, as expected, they have already felt their cards clearly, no wonder so confident to stab themselves this knife Our emergency department really failed this time

Seeing director Qu's gloomy expression and the dejected appearance of those emergency doctors behind him, the internal medicine people understood that the emergency department had no resistance under the long-standing attack of themselves and others. This time, they were afraid that they would soon admit defeat.

At the moment, one by one looked at director Qu and others with pride. Then Li Qijiang also laughed at director Qu and asked, "does director Qu have anything else to add?"

Director Qu raised his head, looked at the medical staff, and shook his head without expression.

Seeing director Qu shaking his head, Li Qijiang was secretly happy. He said that we had won two victories. The emergency department had no strength to turn around?

At the moment, he asked Wu Yue and others symbolically. After seeing that the four doctors shook their heads, they couldn't help laughing and said, "director Qu, if you don't add anything, the emergency department has already lost two questions. This debate doesn't need to continue!"Director Qu sighed, knowing that he was afraid of turning over today, but he was looking at the roof, but he did not speak.

Seeing the helpless appearance of director Qu, Zhang Reid laughed and said, "since director Qu has not added anything, then our internal medicine department will win According to the prior agreement, the patient and the subject will belong to our internal medicine department! "

At this time, President Qian and Minister Sun looked at each other, and then they sighed. These old doggies in internal medicine were so powerful that the emergency department really lost.

President Ou also thought that the overall situation had been decided, so he planned to speak. However, behind the doctors in the emergency department, there was a clear voice: "I'm sorry May I add a few points? "

PS: I finally got out of this chapter before two o'clock. Although I have already surpassed the 16th place, the monthly tickets in the back are chasing very fast. Please vote more monthly tickets. As long as you are not particularly busy, Tiannan will have to make more changes today!

Of course, the premise is not less than yesterday's 59 tickets. If there are too many monthly tickets, Tiannan will go all out to spell, depending on the situation!

Give Tiannan a little encouragement and pressure on yourself

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