LIGHTNOVELONLINE I can see the status bar
Chapter 65 Lupus Erythematosus
Chapter 65 Lupus Erythematosus
On the side of the hospital bed, Cao Yanhua is still adjusting his medication.However, Sun Li'en's expression was already a little strange.Xu Yourong asked curiously, "What's the matter? Do you know this person?"
"I know." Sun Li'en nodded, and said with difficulty, "She is the girlfriend of my college roommate." As he spoke, he took out his phone, found the number of "Second in the dormitory" from the address book, and quickly dialed it.
"Hello? Third child? Hurry up if you have something to say." Feng Ming on the other end of the phone seemed to be in a good mood, "Today is Xiaoya's birthday, and I plan to take her to the movies. Come to my room to have cake together tonight."
Sun Lien's heart tightened, he let out a long breath, tried to calm down his tone, and said in a deep voice, "Qin Ya is in the emergency room, her parents sent it."
Feng Ming's voice on the other end of the phone suddenly changed, "My dear, third child, this joke is no fun."
"I also hope that this is just a bad joke." Sun Lien sighed, "Come and have a look. I will bring the teacher to suspect that there may be a cerebral hemorrhage, and I plan to let me and Dr. Xu from Shenwai take over."
"Well, at least I'm sure it's not carbon monoxide poisoning." Dr. Cao Yanhua shook his head and looked at the checklist in his hand, "The carboxyhemoglobin level is normal."
Sun Lien came over and looked at the checklist with Cao Yanhua.All indicators were normal, which meant that several common causes of sudden fainting, including carbon monoxide poisoning and viral/bacterial meningitis, were ruled out.
Cao Yanhua sighed, and said to Sun Lien, "I have asked the nurse to prepare mannitol. It seems that this case will be handed over to you."
Sun Li'en nodded, and began to question Qin Ya's parents who were standing beside the bed with anxious faces.
"Has she ever had dizziness, fatigue, numbness and other symptoms before?" Compared with Cao Yanhua who knows nothing, Sun Lien's biggest advantage lies in the prompts on the status bar.The symptoms of transient cerebral ischemia can vary.On a larger scale, it may be a carotid artery embolism or even a heart attack.At a young age, it may just be anemia. "Has she ever said where she feels uncomfortable recently?"
After Qin Ya's parents looked at each other, they shook their heads together, "No. This child is usually in good health, not to mention numbness, and he hasn't even had a headache in recent years."
Sun Li'en asked about the medical history while watching the nurse come to infuse Qin Ya. Anyway, the benefits of infusing mannitol first must outweigh the risks.
They were asking about their medical history, when suddenly the door of the emergency room was pushed open.Feng Ming, who is usually carefree, rushed in with a gust of cold wind.At a glance, he saw Sun Lien who was asking about his medical history, and his "future" father-in-law and mother-in-law standing beside Sun Lien with anxious faces.
"What's going on?" Feng Ming looked more anxious than ordinary family members now.Even Feng Ming had heard about Xu Yourong's fame in neurosurgery.At the thought of his girlfriend being handed over to Xu Yourong, Feng Ming felt a little nervous from the bottom of his heart.
Father Qin seemed to have seen a savior after seeing Feng Ming, "Xiao Feng, you came just in time. You spend a lot of time with Xiaoya recently, come and talk to the doctor about the situation."
Feng Ming didn't shy away from it, and directly picked up the case records placed at the foot of the bed and looked at them, while reading, he said, "Xiaoya has a history of allergies, and she is allergic to mangoes and lemons."
"Is there any drug allergy?" Allergy history may be a very important medical history, but it is unlikely to cause Qin Ya to faint suddenly while taking a bath.Out of caution, Sun Lien still asked one more question.
"No." Feng Ming shook his head, looked at his girlfriend with flushed cheeks on the hospital bed, and said, "She had persistent diarrhea a month ago, which lasted for about a week. By the way, she said that after the cold wind blowing on her neck recently, she always There's a wind mass."
Xu Yourong suddenly asked, "Wheal? Urticaria?" She looked at Sun Li'en and asked, "Urticaria, combined with diarrhea and allergies, may be systemic lupus erythematosus."
Although he is a neurosurgeon, Xu Yourong still has a high sensitivity to autoimmune diseases.As the most serious disease of all lupus erythematosus, systemic lupus erythematosus is usually accompanied by multiple organ damage.Moreover, 24-year-old Qin Ya is indeed a high-risk group of systemic lupus erythematosus—female and young.
Sun Lien quickly recalled in his mind the cases that the professors had taught in class.Under the joint action of various conditions, the immune system in the human body reduces the number of immune T cells in the body, and at the same time suppresses the activity of the remaining immune T cells, while a large number of immune B cells proliferate.After the immune B cells proliferate, they mistakenly secrete a large number of autoantibodies.These antibodies mark normal human tissue as an invader and combine with normal tissue to form immune complexes.Finally, under the action of complement serum protein C3, acute and chronic inflammatory reactions are caused.In severe cases, tissue necrosis may even occur.
If some normal tissues in Qin Ya's cerebral artery walls were mislabeled as antigens by B cells, then under the attack of the immune system, these blood vessels may indeed produce an inflammatory response, causing tissue proliferation in the blood vessel walls.Under hyperplasia, the narrower and narrower blood vessel walls naturally cannot allow enough blood to pass through.This caused Qin Ya's fainting, as well as the transient cerebral ischemia indicated in the status bar.
"It matches the symptoms." Sun Lien nodded, and he also agreed with Xu Yourong's judgment, "Do a five-item rheumatism examination to clarify." But out of caution about the symptoms of "sudden fainting", Sun Lien continued, "After the nurse takes blood Immediately send it to the CT room, and the cerebral hemorrhage must be ruled out before you can rest assured."
Qin Ya's parents could no longer understand what the young doctor in front of them was saying.Qin's father gently tugged at the clothes of his future son-in-law Feng Ming, "Xiao Feng, what do you mean by doctor?"
Feng Ming felt a little relieved after hearing Xu Yourong's judgment.Systemic lupus erythematosus is dangerous, but it is not incurable.Compared with the risky neurosurgery, the treatment of systemic lupus erythematosus only needs to suppress the immune system response with hormones.And the sequelae are much lighter.
"Uncle Qin, the doctor suspects that Xiaoya has an autoimmune disease." Feng Ming explained in a low voice, "It means that there is something wrong with the army in Xiaoya's body to eliminate bacteria, and the good cells are regarded as bacteria."
"Ah?" Mother Qin was at a loss, "What should I do?"
"Don't worry, this disease is not very serious." Feng Ming quickly comforted, "If it's a big deal, just take a few injections, it's okay."
Feng Ming was comforting his future mother-in-law, but Sun Lien coughed, telling Feng Ming not to talk too much, "We still need to do some other tests to rule out other diseases. Especially the most dangerous ones must be ruled out first. Brain hemorrhage."
Feng Ming glared at Sun Lien with some displeasure, and the meaning in his eyes was very clear, "Can't you pay attention to your words in front of my girlfriend's parents?"
(End of this chapter)
On the side of the hospital bed, Cao Yanhua is still adjusting his medication.However, Sun Li'en's expression was already a little strange.Xu Yourong asked curiously, "What's the matter? Do you know this person?"
"I know." Sun Li'en nodded, and said with difficulty, "She is the girlfriend of my college roommate." As he spoke, he took out his phone, found the number of "Second in the dormitory" from the address book, and quickly dialed it.
"Hello? Third child? Hurry up if you have something to say." Feng Ming on the other end of the phone seemed to be in a good mood, "Today is Xiaoya's birthday, and I plan to take her to the movies. Come to my room to have cake together tonight."
Sun Lien's heart tightened, he let out a long breath, tried to calm down his tone, and said in a deep voice, "Qin Ya is in the emergency room, her parents sent it."
Feng Ming's voice on the other end of the phone suddenly changed, "My dear, third child, this joke is no fun."
"I also hope that this is just a bad joke." Sun Lien sighed, "Come and have a look. I will bring the teacher to suspect that there may be a cerebral hemorrhage, and I plan to let me and Dr. Xu from Shenwai take over."
"Well, at least I'm sure it's not carbon monoxide poisoning." Dr. Cao Yanhua shook his head and looked at the checklist in his hand, "The carboxyhemoglobin level is normal."
Sun Lien came over and looked at the checklist with Cao Yanhua.All indicators were normal, which meant that several common causes of sudden fainting, including carbon monoxide poisoning and viral/bacterial meningitis, were ruled out.
Cao Yanhua sighed, and said to Sun Lien, "I have asked the nurse to prepare mannitol. It seems that this case will be handed over to you."
Sun Li'en nodded, and began to question Qin Ya's parents who were standing beside the bed with anxious faces.
"Has she ever had dizziness, fatigue, numbness and other symptoms before?" Compared with Cao Yanhua who knows nothing, Sun Lien's biggest advantage lies in the prompts on the status bar.The symptoms of transient cerebral ischemia can vary.On a larger scale, it may be a carotid artery embolism or even a heart attack.At a young age, it may just be anemia. "Has she ever said where she feels uncomfortable recently?"
After Qin Ya's parents looked at each other, they shook their heads together, "No. This child is usually in good health, not to mention numbness, and he hasn't even had a headache in recent years."
Sun Li'en asked about the medical history while watching the nurse come to infuse Qin Ya. Anyway, the benefits of infusing mannitol first must outweigh the risks.
They were asking about their medical history, when suddenly the door of the emergency room was pushed open.Feng Ming, who is usually carefree, rushed in with a gust of cold wind.At a glance, he saw Sun Lien who was asking about his medical history, and his "future" father-in-law and mother-in-law standing beside Sun Lien with anxious faces.
"What's going on?" Feng Ming looked more anxious than ordinary family members now.Even Feng Ming had heard about Xu Yourong's fame in neurosurgery.At the thought of his girlfriend being handed over to Xu Yourong, Feng Ming felt a little nervous from the bottom of his heart.
Father Qin seemed to have seen a savior after seeing Feng Ming, "Xiao Feng, you came just in time. You spend a lot of time with Xiaoya recently, come and talk to the doctor about the situation."
Feng Ming didn't shy away from it, and directly picked up the case records placed at the foot of the bed and looked at them, while reading, he said, "Xiaoya has a history of allergies, and she is allergic to mangoes and lemons."
"Is there any drug allergy?" Allergy history may be a very important medical history, but it is unlikely to cause Qin Ya to faint suddenly while taking a bath.Out of caution, Sun Lien still asked one more question.
"No." Feng Ming shook his head, looked at his girlfriend with flushed cheeks on the hospital bed, and said, "She had persistent diarrhea a month ago, which lasted for about a week. By the way, she said that after the cold wind blowing on her neck recently, she always There's a wind mass."
Xu Yourong suddenly asked, "Wheal? Urticaria?" She looked at Sun Li'en and asked, "Urticaria, combined with diarrhea and allergies, may be systemic lupus erythematosus."
Although he is a neurosurgeon, Xu Yourong still has a high sensitivity to autoimmune diseases.As the most serious disease of all lupus erythematosus, systemic lupus erythematosus is usually accompanied by multiple organ damage.Moreover, 24-year-old Qin Ya is indeed a high-risk group of systemic lupus erythematosus—female and young.
Sun Lien quickly recalled in his mind the cases that the professors had taught in class.Under the joint action of various conditions, the immune system in the human body reduces the number of immune T cells in the body, and at the same time suppresses the activity of the remaining immune T cells, while a large number of immune B cells proliferate.After the immune B cells proliferate, they mistakenly secrete a large number of autoantibodies.These antibodies mark normal human tissue as an invader and combine with normal tissue to form immune complexes.Finally, under the action of complement serum protein C3, acute and chronic inflammatory reactions are caused.In severe cases, tissue necrosis may even occur.
If some normal tissues in Qin Ya's cerebral artery walls were mislabeled as antigens by B cells, then under the attack of the immune system, these blood vessels may indeed produce an inflammatory response, causing tissue proliferation in the blood vessel walls.Under hyperplasia, the narrower and narrower blood vessel walls naturally cannot allow enough blood to pass through.This caused Qin Ya's fainting, as well as the transient cerebral ischemia indicated in the status bar.
"It matches the symptoms." Sun Lien nodded, and he also agreed with Xu Yourong's judgment, "Do a five-item rheumatism examination to clarify." But out of caution about the symptoms of "sudden fainting", Sun Lien continued, "After the nurse takes blood Immediately send it to the CT room, and the cerebral hemorrhage must be ruled out before you can rest assured."
Qin Ya's parents could no longer understand what the young doctor in front of them was saying.Qin's father gently tugged at the clothes of his future son-in-law Feng Ming, "Xiao Feng, what do you mean by doctor?"
Feng Ming felt a little relieved after hearing Xu Yourong's judgment.Systemic lupus erythematosus is dangerous, but it is not incurable.Compared with the risky neurosurgery, the treatment of systemic lupus erythematosus only needs to suppress the immune system response with hormones.And the sequelae are much lighter.
"Uncle Qin, the doctor suspects that Xiaoya has an autoimmune disease." Feng Ming explained in a low voice, "It means that there is something wrong with the army in Xiaoya's body to eliminate bacteria, and the good cells are regarded as bacteria."
"Ah?" Mother Qin was at a loss, "What should I do?"
"Don't worry, this disease is not very serious." Feng Ming quickly comforted, "If it's a big deal, just take a few injections, it's okay."
Feng Ming was comforting his future mother-in-law, but Sun Lien coughed, telling Feng Ming not to talk too much, "We still need to do some other tests to rule out other diseases. Especially the most dangerous ones must be ruled out first. Brain hemorrhage."
Feng Ming glared at Sun Lien with some displeasure, and the meaning in his eyes was very clear, "Can't you pay attention to your words in front of my girlfriend's parents?"
(End of this chapter)
Tip: You can use left, right, A and D keyboard keys to browse between chapters.