bookpower Chapter 672
Chapter 672
Originally
Miss Liu's husband, who had leukemia when he was a child, was very lucky to get a matching bone marrow, successfully transplanted, and finally returned to a healthy life.
Director Liu breathed a sigh of relief.
And Miss Liu and her husband also felt that things had changed, and their attitude was not so irritable.
Finally, after Director Liu's explanation,
Miss Liu's husband finally understood that his own bone marrow transplant may affect the results of genetic testing!
Miss Liu was stunned: "Will it still be like this?" "
Husband: "Then Director Liu, what now?" "
Director Liu: "The blood we draw is produced by bone marrow, and it will cure your leukemia... Therefore, when we draw blood to do thalassaemia genetic testing, we will naturally carry the genes of the original bone marrow donor... So, we're going to change the detection method..."
"To make a diagnosis, you have to take your own cells for genetic testing."
"The most readily available, not affected by bone marrow transplantation, and convenient to process and detect are undoubtedly oral epithelial cells."
After some explanation,
The husband understood and accepted, and felt very sorry for his irritability and trouble.
soon
The nurse took a sample of the patient.
"Mouth open wide... Ahhh..."
Sampling ends.
Send for inspection!
......
A week later, the genetic test results of Ms. Liu's husband's oral epithelium came out.
Really!
Southeast Asian type α-thalassemia gene deletion heterozygous.
Now,
Director Liu breathed a sigh of relief.
Ray, drained.
I am grateful to Lin Feng in my heart, if it weren't for Lin Feng's reminder, I'm afraid she wouldn't have been able to think of the bone marrow transplant for a while.
Miss Liu, her husband, and the two families who were notified of the results were relieved at this moment.
Not a derailment!
The culprit is a bone marrow transplant!
In other words, the reason why Miss Liu has edema for two consecutive babies has been found!
"Thank you, Director Liu!"
This time
The couple directly took the pennant and came to the hospital and gave it to Director Liu.
The husband and wife are really grateful.
It is happily that this 'crisis' did not cause problems in the relationship between the two, but refined real gold and the relationship was better.
Director Liu was embarrassed for a while, but still accepted the pennant.
"This matter is still thanks to Dr. Lin Feng, otherwise I would not have thought of bone marrow transplantation so quickly."
The couple soon customized a pennant and delivered it to the emergency Lin Feng.
Now,
The emergency room was all over the place.
Since the words "no pennants" were plastered all over the emergency department, this is the first pennant received by the emergency department.
Director Wang Zheng had a supernatural black face.
......
Case extension: How can a couple like Miss Liu and his wife who carry the same type of thalassaemia gene give birth to a healthy baby? It is possible to pass the third generation IVF technique.
......
......
"Take this pennant quickly, don't put it here to get in the way!"
After Miss Liu and his wife left,
Director Wang Zhengchao pointed to the pennant and shouted dissatisfied.
soon
An intern, under the direction of the director, forced himself to put away the pennant.
Put it in a cabinet and lock it.
Lin Feng shook his head and smiled and walked back to the consultation room.
His clinic is still full of so many patients.
soon
The next patient walked in.
Patient, baby, little girl, only 3 months old...
The baby's parents came together, holding the baby, and walked in with a distressed face.
"Doctor Lin, help me see my little baby, I can't find the reason..."
"Doctor Lin, the baby has seen several doctors, but I can't find the reason, I heard that you are quite powerful, this time I came to you on purpose..."
The father had a sad and sad face on his face, and looked at the baby in his arms with distress.
"Sit down and say, no hurry, take your time, tell me in detail..."
Lin Feng's gentle and calm voice unconsciously made the patient's parents feel a lot more at ease.
soon
The attentive mother, starting with one fifty ten, told the situation of the little baby.
Half a month ago, the baby suddenly vomited for 3-4 days, in addition to vomiting, there are no other digestive symptoms such as diarrhea, no symptoms of infection such as fever, poor breastfeeding, normal urine.
There is also a relatively special medical history: 2 weeks before the onset, the baby was hospitalized for 4 days for "convulsions and cyanosis", but no cause was found. He was then cured and discharged from the hospital.
Hear this,
Lin Feng smiled bitterly.
vomit
In the field of pediatrics, it is a very complex disease.
Don't look at it, it's just "digestive tract substance vomiting"...
To find the reason for it, Lin Feng can say thirty or forty in one breath...
If you ask a pediatric gastroenterologist what is the most feared complaint in the outpatient clinic, their answer is almost the same - the child who complains with "vomiting".
In cases where "vomiting" is the main complaint, the cause behind it is often stunning, from junior residents to chief physicians who have worked for decades, they will be confused by the superficial phenomenon.
Can't prevent it!
So
After Lin Feng heard this mother say that the baby 'vomited', he began to breathe into a twelve-point spirit.
Next
The young mother began to talk about her baby's medical experience.
First of all
For the first time,
The young mother went to the emergency room.
The medical record book she brought with her was pasted with an examination report from a lower-level hospital:
Physical examination: the child has a good mental response, breathing 40 times/minute, and the rest is not special.
Other examinations: electrolytes, blood gas analysis, biochemistry and blood routine "no abnormalities", CT examination: cranial fossa depression. Diagnosis: vomiting, chain: ....
Chain there, did not write!
Other words
Doctors also don't know what the cause is!
Because the baby had a history of unexplained "convulsions and cyanosis" two weeks before the onset, head CT did not reveal a suspicious neurological cause of cyanosis. Therefore, doctors give a color ultrasound of the heart, which shows "patent foramen ovale".
thereupon
The doctor made the following plan:
First, the doctor gives symptomatic treatment of stomach care and probiotics.
In addition, it is recommended that parents go to the pediatric gastroenterology, cardiology, and neurology departments (three departments, corresponding to three diseases).
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