Big Doctor Live Room

Chapter 1192 Fabry Disease
"What, do you still need to check? Or is it a very dangerous myocardial biopsy? It's equivalent to a minor operation. Can my wife afford it?"

The patient's husband came in from the outside. When he heard that another test was going to be carried out here, he immediately flew into a rage and yelled at the doctors in front of him.

Chen Qun still looked calm, and gently turned back.

"I'm very sorry, your wife has a lot of symptoms, not only the metabolic disease of primary iron overload, but also herpes virus type [-], which may cause dilated myocarditis, and we suspect that the above two conditions are not the culprit. There is another very rare genetic disease that may be causing your wife's symptoms. If you don't agree to the test, the only option is to install an artificial heart. If you trust our hospital, let us do this small Small inspection, if there is an accident, I will be responsible."

"Can you afford the responsibility?"

The middle-aged man pointed at Chen Qun's nose and cursed angrily.He knew who the two doctors around this young doctor were. One was Professor He, who performed the surgery on his wife, and the other was the chief director of the cardiovascular department.Whether the wife's illness can be cured or not depends on the two of them.

If you can't offend the leaders and professors, then you can only make an example of the small ones and show your position.In the current situation, let alone the fact that the family does not have the money to go abroad for hundreds of thousands or millions of dollars of surgery, even if there is such money, the wife's physical condition cannot be treated in Western countries where the epidemic is out of control.

Therefore, the person who untied the bell still needs the person who tied it. The only hope for the wife is to be replaced by Academician Yang to find the root cause and treat it.As for the others, I can't take care of so much.

Before Gu Ning could speak, a loud voice came from beside him.

"Of course he can afford this responsibility. He saved my old life. Isn't your lover's life more precious than my old bone's life? Xiao Chen, what do you think? Let me hear it! "

Chen Qun still had an unfathomable look, and said calmly.

"I suspect it's Fabry's disease. The most fundamental cause is heredity. This is a glycosphingolipid metabolism disease, which is inherited in an X-linked recessive manner, and it often occurs in men. For female patients, it is very common. It is easy to ignore. As for the symptom confirmation, it is also very simple. The air temperature in the room is already very hot, and any patient will sweat when lying on the hospital bed, especially where the skin is pressed tightly. If you don't have enough carbohydrate metabolism, you can't sweat at all. Or, we can test my claim with a simpler method."

Yang Xiaoquan expressed his opinion directly like a bell.

"What method? How to do it?!"

"We immediately turned on the air conditioner in the ward and raised the indoor temperature to 37 degrees Celsius. If the patient didn't have any sweat on his body, it was due to a metabolic problem. It can be indirectly speculated that this genetic disease caused abnormal heart function."

Yang Xiaoquan stared at him with his head tilted, expressing every word.

"The last time you detected Taenia solium in the patient's brain, you directly used X-rays to examine the tender calf muscle cells. Then you can also examine other parts this time. Why did you choose the heart?"

"The reason is very simple, because all three symptoms of the patient may lead to heart problems, but the treatment methods are different, and the primary and secondary are different. If the heart is treated with the method of treating other symptoms, it will be irreversible damage. So I It is necessary to determine whether there is Fabry disease in the heart, and how severe the symptoms are, so as to treat the disease with medicine and no longer need any surgery."

Yang Xiaoquan turned his head away and looked at the patient's husband with bright eyes.

"Do you want to do a temperature test first, or do you want to have a heart biopsy after a long time? Xiao Chen's words are my opinion. If you believe me, an old man, then let Xiao Chen perform a heart biopsy on your wife. His The hand is the fastest and the most stable, and it will cause the least damage to your wife. If you disagree, then please ask someone else!"

"Mr. Yang, don't be angry, don't you think I came out in a hurry? Director Gu, I just know that heart biopsy is harmful to the body, but I don't know the specific operation. I want to know the specific process, how long will it take?" Results?"

"It took only an hour or so from the operation to the result. As for your wife's myocardial biopsy, the main thing is to slice the heart muscle, then stain it, and put it under a 20-fold electron microscope to check the condition of the tissue cells. It is now It's lunch time, let's have something to eat before the operation!"

Gu Ning directly found an aboveboard reason and pushed the patient aside.The teacher came back from there, maybe he made a special trip to find Xiao Chen, after all, today's heart and brain surgery at the same time, but it caused a lot of repercussions in the world, there must be not a few people who come to the teacher to discuss the same kind of surgery. Arrange some time for him to talk.

Seeing that Dongfang Wenxin was washing her hands, Yang Xiaoquan immediately said with a smile.

"Xin girl, today you deliberately blackmailed my old man, now is a good opportunity. Just say what you want to eat, I can still afford the food expenses of a few hundred yuan."

"Cut, miser, I don't care too much! Let's go, Chen Qun, let's go to Qiuyun's for dinner. I haven't been there for a few days. I really miss her home!"

"My old man also wants to have a change of taste, so I'll go with you. Xiao He, you have to bear it here first. If there are any international calls, they will all say that I am not here. Xiao Chen, my old man wants to hear from you. , why did you directly confirm that this condition is the root cause, without considering other factors.”

A group of people walked out of the ward while talking.The patient's husband was about to chase him out and asked a few more questions, but Lao He stood in front of him and explained to him a lot of dietary problems that should be paid attention to in the biopsy, blocking him behind.

Yang Xiaoquan started molesting the little girl on the road.

"Girl Xin, show me your computer encyclopedia. I'm a little confused. I can't remember what Fabre's disease is. Can you tell me about your program?"

"Pay attention to me? Don't be fooled, this is not my business, Chen Qun, tell you, Academician Yang, what is Fabry disease!"

The eldest lady directly dragged the humanoid computer to top the tank, and didn't give the old naughty boy a chance to pick a bone.

Chen Qun remembered that he was also diagnosed with this disease last year, but the last time the patient had a problem with the pancreas, this time it was a heart problem, it was a little different, and he directly acted as a commentator.

"This disease is a congenital metabolic defect caused by a congenital lack of an enzyme found in all cells of the body - α-galactosidase. Substances that cannot be decomposed will accumulate in the body, causing various symptoms, Myocardial defect is one of them, but most of them are male patients, most of them will develop hypertrophic cardiomyopathy, very few patients will develop dilated cardiomyopathy, so it is easy to be ignored."

(End of this chapter)