Chapter 2917 One Dead Two Lives

Midnight, Imperial Capital, Women and Children's Hospital.

A medical record was placed in front of everyone. The patient, female, 24 years old, had epigastric pain with redness for 2+h due to menopause for 38+5w. The patient had a history of anemia since childhood, and denied any relevant family genetic disease history.

Everyone present has read the thick inspection report, and they are well aware of the patient's condition.

An effusion was seen in the patient's abdominal cavity, with a thickness of 4.6 cm and poor sound transmission. The mother's liver and spleen were found to be enlarged. Paracentesis was performed, and 2ml of uncoagulated blood was withdrawn.

The patient's condition was wrong, and the test sheets proved to be inconsistent with each other, but the unified understanding was that the patient needed emergency surgery and could not give birth normally.

Director Han looked at the list silently. She had an idea in her mind, but she couldn't confirm it. Seeing that everyone agreed to the emergency operation, as for the hepatosplenomegaly in the abdominal cavity, no one gave a definite answer, Director Han was a little anxious.

If she is in a hurry to operate, she is worried that there will be bigger problems during the operation.

"Wait a moment." Director Han said in a deep voice, "Let me raise another possibility."

"how?"

"I think it's possible that the slow-onset Gaucher's disease, also known as Gaucher's disease, is causing this condition."

Gaucher's disease is rare in patients across the country. Now the treatment base for Gaucher's disease in China has unknowingly become 912. Almost all patients with Gaucher's disease will be advised by doctors all over the country to go to 912 to see Boss Zheng for treatment.

Since the first live broadcast of Gaucher's disease surgery, Boss Zheng has performed 32 similar surgeries so far.

"Gucher's disease glucocerebroside deposition disease is due to the reduction or lack of β-glucocerebrosidase, so that glucocerebroside cannot be decomposed into galactose cerebroside or glucose and N-acyl sphingosine, so Glucocerebroside is deposited in a large amount in the mononuclear macrophage system, causing a large number of tissue cells to proliferate."

"Director Han, we considered this possibility, but the blood test did not detect Gaucher cells."

"Gaucher's disease is an autosomal recessive inheritance. Due to the different degrees of enzyme deficiency, the symptoms can be quite different. It is classified into types: adult or chronic; infantile or acute; juvenile or subacute."

"My consideration is that the patient belongs to the adult type, that is, the chronic type. The progress was slow at first. If there is no pregnancy, it can be delayed until at least 40 years old. As long as the splenectomy is performed, there will be no major problems. But the pregnancy has changed. Everything, leading to hepatosplenomegaly."

"The patient's condition is very urgent, and the fetal heart rate is very fast." Another director said.

Women and children's hospitals seldom face the situation of protecting the adult or the child, but if the possibility of Gaucher's disease is really ignored, the countdown to the death of the pregnant woman will be when the cesarean section is completed.

The reason why the whole hospital consultation is needed is because the blood coagulation function of pregnant women has some problems. But no one expected that Director Han would mention a rare disease, and he seemed very determined.

"I'll ask Boss Zheng, pass the information to him, and let him take a look." Director Han said, "The operation can be prepared first, and we won't waste time."

Everyone looked at each other in blank dismay, and finally agreed with Director Han's statement.

It's just at midnight, isn't it too rude to call for consultation? Director Han hesitated for a moment, but the patient's situation was more urgent and there were no conditions to discuss, so she still called.

"Boss Zheng, I'm sorry to disturb your sleep."

"Uh... That's good, that's good... No, you're in Sweden?!"

At this time, Director Han remembered that today is 1 am on December 9, what time is it in Sweden? It should be around 18:00 on the 8th.

Do not disturb means do not disturb, but Boss Zheng is not here. Once a pregnant woman is diagnosed with Gaucher's disease, who will perform the operation? !

Director Han knew that time was running out, so he didn't think too much about it, so he explained the situation here.

Then she hung up the phone, and the other side had already started explaining to the patient's family before the operation, and called all the people from the medical department to record the video to avoid disputes.

With or without surgery, patients will face extremely serious consequences—death. Now it is no longer a question of whether to protect the adults or protect the children. The key point is how to survive.

Director Han is a little distressed. Gaucher's disease is rare. She can think of it because the death of a postoperative patient 7 years ago has left her with an indelible psychological shadow.

Ask Boss Zheng, he is still the most professional in the diagnosis and treatment of Gaucher's disease.

...

...

In a western restaurant in Stockholm, everyone was talking and laughing.

The fishbone was taken out, and everything returned to its place and was peaceful. Xie Ning's happiness came from the bottom of his heart, the fishbone that had troubled him for 24 hours had disappeared, and those were all a nightmare. After solving this problem, Xie Ning now feels that his cheap son-in-law looks pretty good.

"Boss, Gaucher's disease?" Su Yun heard some clues and asked immediately when the boss hung up the phone.

"Well, the Women and Children's Hospital called. A pregnant woman is suspected of having adult-onset Gaucher's disease. Due to the increased burden during pregnancy, hepatosplenomegaly and blood coagulation function are not good." Zheng Ren said, "After reading the information for details Say it again."

Su Yun quickly took out his notebook, before he could ask the boss why he went abroad with a laryngoscope, as if everything was foreseen.

In fact, Su Yun has a weird idea—the boss is a human being who grows backwards.

His every day is yesterday not tomorrow! This also explains why their own bosses are often able to help like a god.

Now there is a word of anti-growth popular among women, which means boasting that 30 this year and 29 next year means getting younger and younger. If Su Yun talks too much, he will naturally have various weird associations.

When applied to his own boss, he felt that all of this was logical, perfectly explaining the purpose of this weirdo's existence.

But there are also problems. For example, the technical level should be at its peak when I met him, and then it will regress every day until decades later, when he becomes a child and knows nothing.

There were always strange things in Su Yun's mind, and before he had time to ask them in detail, the imperial capital called.

Su Yun's attention was once again attracted, this is a major event that kills two people!

Opening the notebook, an email has been sent to the mailbox.

Zheng Ren and Su Yun started to read the medical records without any scruples at the dinner table.

Xie Ning looked at Zheng Ren and Su Yun with a smile, Zheng Ren's simple and honest face seemed to be getting more and more pleasing to the eye.

I originally thought that I would communicate with tears and saliva from the corners of my mouth, and show everyone what I will look like when I am demented 50 years later. But I didn't expect Zheng Ren to complete the operation while telling the story, the level is really too high.

He was not unhappy because Zheng Ren was immersed in the medical records, and smiled slightly and said to Xie Yiren, "Yiren, do you often have consultations in the middle of the night?"