bookpower Chapter 670
Chapter 670
For this patient, the specific diagnostic process is like this.
Half a month ago,
Dr. Liu Shenhong (Department of Obstetrics and Gynecology, Prenatal, Professor, Chief Physician) saw the patient Ms. Liu.
Miss Liu,
She is now pregnant with her third child.
When I first entered the consultation room, Dr. Liu Shenhong felt at first glance that this Miss Liu was very pleasing to the eye, very comfortable, and the more she looked at it, the more attractive it became.
"Sit down..." Liu Shenhong smiled gently.
"Director Liu, my situation is like this..."
In Miss Liu's words, Dr. Liu Shenhong roughly understood the situation of this pregnant woman, Miss Liu.
A year and a half ago, Miss Liu became pregnant, and the parents of both men and women were naturally very happy.
However, at 17 weeks of pregnancy, the prenatal ultrasound found problems:
Fetal systemic edema!
Edema is not normal here in adulthood.
Not to mention the presence of unborn babies.
Obviously very serious and dangerous!
Ready to be stillborn!
So, a year ago, the doctor said to her: "This child, the body function may be defective, can you not, try not to want." "
The doctor said so, and the parents of both sides also persuaded the child not to want it, and finally Miss Liu, who was reluctant, still knocked out the fetus.
At last
The child who was aborted really had severe edema, and the skin edema was serious.
This miscarriage brought a certain psychological shadow to Miss Liu and the two families.
thereupon
After this pregnancy,
Miss Liu and her family decided to come to the hospital again for a detailed examination, so as not to have the situation of the last time.
And directly hung up the number of Professor Liu Shenhong (chief physician).
Dr. Liu Shenhong, after listening to the pregnant woman's complaint, said:
"Let's make a B-ultrasound... Wait for B Chao to come, come back to me, try to be early, I don't go to work in the afternoon, come back to me before noon, otherwise you will have to register again next time..."
Liu Shenhong's warm advice warmed the hearts of pregnant Miss Liu and her husband.
......
After 2 hours,
Miss Liu and her husband returned with the results of the B-ultrasound.
"Director Liu, our ultrasound is finished, do you see if this result is normal?"
The husband and wife were apprehensive in their hearts.
Because when doing B-ultrasound, the B-ultrasound teacher frowned, repeatedly probed, and finally wrote a dense one-third page diagnosis.
"I'll see..."
Director Liu took the B-ultrasound report, glanced at it, and frowned.
After looking at it several times, his expression became more solemn.
A heart sinks straight down.
Finally, Director Liu said a thunderbolt sentence in the trembling of Miss Liu and her husband:
"Miss Liu, your baby is very edema!!"
At this moment,
The husband and wife, muddled.
Edema again?
Already edema last time!
How is it this time, or edema?
Miss Liu is not dead: "Doctor, could it be that there is a problem with B-ultrasound?" B ultrasound didn't see clearly, after all, across the amniotic fluid, didn't see clearly? "
Director Liu shook his head: "The baby has a lot of edema, so B Chao can see it clearly... And the teacher of B Chao, what do you think..."
"Moreover, it is precisely because you are pregnant for the first time that the fetus has edema, so there is a higher probability of edema!"
At this moment, Miss Liu was already whining ~~ crying, tears flowing.
The husband was also very sad, and the wood was there.
Director Liu said solemnly: "Both of you have fetal edema, obviously there is a problem, have you checked the cause last time?" "
Miss Liu and her husband shook their heads.
Director Liu: "Do you want to check it?" It may cost a little money, time, and it may not be possible to find out..."
The husband shouted: "Check! Be sure to check! "
Any family, in this regard, will never save this money.
After all, descendants!
"Good!"
Director Liu began to enter the formal and serious consultation process.
"Is there a genetic disease in the family, or something like her?"
"No, no, no! Both of our families are quite healthy! "
"Did you get married before?"
"I have done a marriage test, there is no problem."
Director Liu nodded, but was noncommittal in his heart.
Because the current premarital examination is not very strict, there may be omissions.
Director Liu spoke: "This child may not be able to have it, the edema is very strong, Miss Liu will do an induction of labor, and then Miss Liu can do a chorionic villus biopsy this gestational week...
a series of arrangements,
Then various checklists are issued.
Gene chips, thalassemia genetic testing...
Because the baby is involved, the husband who provides the sperm should also do the same.
At the same time, because of the reason for the examination, the baby in the belly should be temporarily retained to facilitate the examination.
"Okay, thank you Director Liu..."
Miss Liu and her husband listened carefully, then thanked them and left with the slip.
......
Time flickered, and a week passed.
That is, today, now,
Miss Liu and her husband registered again and came back to see the results.
Director Liu opened the medical record system.
The medical records of Miss Liu and her husband were brought up.
First of all:
The results of Miss Liu's various examinations came out.
Diagnosed!
Thalassemia major α thalassemia!
Specifically: A South-East Asian (SEA) type α thalassemia gene deletion heterozygous.
Dr. Lau looked,
Breathed a sigh of relief.
Fortunately, the answer is so clear, in front of her, it is not too complicated.
The edema of the fetus may be thalassaemia!!
And then
It is the genes of the fetus:
Prenatal testing of villi specimens shows that the fetal genotype is homozygous (thalassemia major α thalassemia). (This means that individuals with the same genotype as alleles at the same site on homologous chromosomes in diploid.) ）
It's a bit troublesome to explain, and the crude explanation is:
Ms. Liu's Aa (thalassaemia) + her husband's Aa (thalassemia) = homozygous aa (thalassemia major α thalassemia). (PS: The analogy is rough and may not be appropriate)
According to this theory,
so
Inevitable!
The husband is also a poor !!
Director Liu opened Miss Liu's husband's inspection report with 'slow confidence'.
And then
Stunned!
Husband's genetic test results: No - thalassaemia!!
Director Liu: "????????????? "
Confused!!
Stare at the dog!!
"What the hell!"
Rao is the first time that Director Liu has seen thousands of patients, and this strange phenomenon.
Miss Liu's Aa (thalassaemia) + her husband's intact gene AA≠ homozygous aa (thalassemia major α thalassemia).
Completely impossible!
This does not fit the principle!
So where does the problem arise?
In fact
The answer is obvious!
This fetus is not Miss Liu's husband's!
Because the genes do not match!!
Director Liu's 10,000 grass mud horses rushed back and forth in his heart...
"Unexpectedly, it turned out to be a family ethics drama!!"
"Wait..."
"Could it be... Is the sample contaminated? "
And then
She called the laboratory department to do a screening of QF-PCR (Fluorescence Quantitative Polymerase Chain Reaction).
The Laboratory Department also attaches great importance to it.
A check was done very quickly.
After 2 hours, the results came in.
The sample is not contaminated!
Director Liu breathed a sigh of relief.
If there is no pollution, then the test result is fine.
The husband's genes do not match the fetal genes.
Miss Liu cheated?
Having someone else's child?
Director Liu had a headache.
......
At this point,
Miss Liu and his wife, who were called out of the consultation room, wait, wait...
Didn't wait for the result...
I started to get nervous.
......
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ps: Let's start with the result: not derailment, but the derivation process is kind of interesting...