I can see the status bar

Chapter 1069
Systemic lupus erythematosus is a... brutal disease.At least Sun Lien felt that such a disease was a bit too ruthless for patients.

Because the immune system has made a mistake in antigen recognition, various immune cells in the patient's body will recognize blood vessels and tissues as antigens, and launch a frantic attack on various vital organs in the human body.As the immune system attacks the organs of the whole body, the symptoms displayed by patients can be strange and anything.Many clinicians often start to ponder after many times of diagnosing and treating patients with no good solution - this thing...is it lupus erythematosus?

Systemic lupus erythematosus is such a thing with unimaginable symptoms.However, this does not mean that the immune system of lupus patients is weak.On the contrary, the immune system in these patients is often very strong due to fighting against their own bodies all day long.In order to control this powerful army that is "obviously very powerful but blind for some reason", the doctors can take very limited means.Modern technology can't restore the bright eyes of this "blind" army. To reduce the damage they cause, the only way to attack and suppress this army is.

Now, the damage that this army can cause has been limited to an acceptable range.But their ability to detect and resist foreign invaders becomes very weak.The new type of coronavirus has invaded Zhang Min's body, and Sun Li'en is now facing such a dilemma.

If the original three immunosuppressants are withdrawn and the anti-immune storm tocilizumab is used instead, the new crown may be wiped out.But will the uninhibited systemic lupus erythematosus first attack Zhang Min before eradicating the new coronavirus, or turn around and attack organs after eradicating... Sun Lien is not sure at all.

If the immunosuppressant is not withdrawn, is it okay to simply use conventional antiviral therapy?I'm afraid this is not very feasible.Judging from Zhang Min's medical history, the time point when she was infected by the new coronavirus should be between December 12 and January 18.Today is February 1. If she was infected around December, the entire course of the disease would be at least one month long.According to the judgment of the status bar, Zhang Min has been infected with the new coronavirus for 20 hours, 2 minutes and 4 seconds.Zhang Min has been infected with the new coronavirus for so long, and the virus PCR test is still positive-this means that there is still a live virus in her body that is still being excreted.

In other words, due to immunosuppression, the novel coronavirus, which was originally self-limiting, showed a persistent tendency in Zhang Min, which is very bad news.

"Our first task now is to get rid of the virus in her body." After completing the shift, Sun Lien held the first case discussion meeting.In the case discussion meeting, Zhang Min became the most discussed patient without any suspense.

Although other patients are seriously ill, at least they can be treated with tocilizumab triple therapy.At present, the number of CRRT in infectious disease hospitals may not be enough, but doctors can still use other methods instead, such as directly giving patients dialysis treatment.The problem is that Zhang Min's situation is very different. The pre-existing autoimmune disease protects her from the threat of inflammatory storms, but at the same time prevents her immune system from destroying the new coronavirus in her body.

If the virus infection continues like this, it is difficult to say when the interstitial pneumonia caused by the virus infection will kill her.

The damage caused by interstitial pneumonia is irreparable.That is to say, Sun Lien and others not only need to find a way to cure Zhang Min, but also need to be quick—before the damage caused by the virus exceeds the human body reserve, otherwise even if all the viruses in her body are eliminated, the doctors will not be able to cure her again. Let Zhang Min live independently without oxygen.

This is a war, a war with the virus for life, for her future life.

"The existing antiviral drugs are not very effective against the new coronavirus. She has been using interferon aerosol inhalation for three days." Hu Jia looked at the report in his hand and said, "However, the CT examination last night showed that the lung The local lesions are still there, and there is no sign of absorption and shrinkage."

Sun Li'en took the CT examination report and studied it for a while, then asked, "This...are you sure it was yesterday's examination?"

"The date is not wrong." Hu Jia was a little puzzled by Sun Lien's question. She looked at the CT image in her hand and said, "This examination was done at [-]:[-] last night. I have time later."

Sun Lien's brows furrowed deeper and deeper, and he asked in confusion, "This patient has been infected for a long time... She still has immunosuppression, and her body is also very weak..."

"And then?" Xu Yourong asked curiously, "Does this have anything to do with the inspection?"

"You wait, I'll take a look." Out of prudence, Sun Li'en didn't directly answer his guess.He found the CT scan performed by Zhang Min on January 1 from the case file on the side.

After studying this CT image together with yesterday's CT image for a long time, Sun Lien put down the two photos in his hand.Then he asked in a very confused and indeterminate tone, "You all come over and see, this progress...is it a bit slow?"

From January 1 to February 22, a total of thirteen days have passed.In the course of thirteen days, although the area of ​​Zhang Min's lung lesions did expand a lot, it was surprisingly slow compared to other pneumonia patients infected with the new coronavirus.In thirteen days, the area of ​​the low-density shadow in her lungs expanded by about 2%.

If it was an ordinary patient, such a lesion rate would not have attracted Sun Lien's attention.In fact, many patients with pneumonia caused by the new coronavirus can start to absorb the lesion area after thirteen days, because their immune system is working normally, and after thirteen days, they already have the ability to produce high-efficiency IgG against the new coronavirus antibody capacity.The immune system began to sound the clarion call against the new coronavirus, and the area occupied by the virus began to gradually disintegrate in front of the immune system.

But Zhang Min is not an ordinary patient. Because she suffers from systemic lupus erythematosus, she needs to continue taking immunosuppressants.Her immune system is far inferior to that of ordinary people, even that of many middle-aged and elderly people.To some extent, her current immune level may be stronger than that of HIV patients.

This level of immunity is unlikely to support her starting to produce enough IgG antibodies within thirteen days.Her continued slow deterioration is the strongest evidence for this argument.

But... Sun Li'en frowned, and the other doctors began to notice something was wrong.

With such a weak immune system, why did her lung infection progress so slowly?

　Sanguan's wife had completed thrombolytic therapy at noon on August 8, and the next week is a critical period for treatment and recovery.I need to continue to stay in bed during this time, and the update will definitely be affected.But as long as I have the opportunity to write a little bit, I will try my best to seize the time to type on the keyboard twice more.The current goal is to try to maintain daily updates without interruption.But it is impossible to increase the probability, and I really don't have the energy to do it.

　　On the bright side, thanks to writing this novel, I have acquired a lot of relevant medical knowledge, so I was able to recognize the signs of my mother's cerebral infarction at an early stage.Thanks also to my wife, if it weren't for her, I wouldn't have decided to send my mother to the hospital for emergency treatment so quickly.

　　Maybe you can develop a few warm-hearted consultants in the hospital, right?

　　As the American saying goes, when life gives you lemons, make lemonade from them.

　　I will try my best to take care of my mother, and please see the readers here to continue to take care of Luo. Every subscription of yours is very important to me, and every sentence of "I wish you a speedy recovery" also fills my heart with strength and determination.

　　Thank you, thank you all.

　　
　
(End of this chapter)