Zhang Tianyang thought about it and ran to the ward to take a few photos of the little girl.

Broken skin, pustules of pus on legs, blurred flesh in the throat, and then added photos to the document.

The results of a girl's emergency blood test have been refreshed, and many items have already come out.

As always, it's red.

Zhang Tianyang copied and pasted the abnormal data into the document one by one, and then looked at it again and again.

"Why are the symptoms so severe, but the infection indicators are not high?"

The infection indicators mainly look at the following items, one is the white blood cells and N% in the blood routine, one is CRP (C-reactive protein), the other is PCT (procalcitonin), and erythrocyte sedimentation rate.

Generally speaking, these items will be significantly elevated in the case of bacterial infection, and the more severe the elevation, the more serious the bacterial infection.

"Her white blood cells are not high, even low normal, neutrophils are high, but not much, CRP and PCT are within the normal range......"

"It's not like an ordinary bacterial infection......

Zhang Tianyang flipped through the previous diagnosis and treatment process, "Sure enough, after using antibacterial drugs, it has not been relieved." ”

But is it a bacteria, a virus, or a fungus?

In the past five years, so many tests have been done, but no accurate source of the disease has been detected......

After thinking about it for a long time, he always felt that something was not caught, and Zhang Tianyang shook his head violently.

"What do you think, so many big cows haven't found out the cause, it's really floating!"

I rechecked the patient's case report document, and after confirming that it was correct, I printed out more than a dozen copies and distributed them to the empty seats in the conference room.

At half past two in the afternoon, Senior Sister Chen appeared beside Zhang Tianyang.

Zhang Tianyang was putting a box of patients in the "Why did you come so early?"

Senior Sister Chen blinked, "I was called back to help you!"

As a senior sister of salted fish, it is rare that Chen Shishi did not complain because she was called back to do such an "extraordinary" thing.

"No way, I feel that the patient is too pitiful, I can't diagnose it if I'm too vegetable, so I can only help you do some chores~"

Chen Shishi saw that Zhang Tianyang was about to finish dividing the past medical records and examination results, looked left and right, and ran to the corner of the conference room to pour water for the upcoming bigwigs with disposable paper cups.

At 2:50, the chief physicians of the Department of Infectious Medicine arrived one after another, and Professor Zhu was also there, nodding to Zhang Tianyang and Chen Shishi.

Senior Brother He also sat at the back of the conference room. Before he came, he deliberately looked at the new examination results of the 8-bed girl, and made unprecedented notes.

After all, it is a situation where all the bigwigs are present, and the patient's condition is very complicated, although Zhang Tianyang's ability is trustworthy to him, but this is Zhang Tianyang's first time after all.

He had to help see if he missed anything or made a mistake.

At three o'clock, Professor Zhu signaled that Zhang Tianyang could start.

The biggest boss in the Department of Infectious Medicine is on a business trip abroad, and I heard that it was a very important meeting, but he was also prepared to understand the situation through mobile phone video.

Zhang Tianyang walked to the front computer, clicked on the document that had been prepared a long time ago, and began to introduce the condition to the big guys.

From the first onset of the girl five years ago, to the changes in the condition and diagnosis and treatment nodes of each key point in the past five years, as well as the results of various examinations and the progress compared with the previous one, Zhang Tianyang introduced it in detail.

A past medical history was spoken for ten minutes.

The bigwigs in the audience did not mean to be impatient at all.

It's really because what Zhang Tianyang focuses on is what they want to know, such as the characteristics of the initial onset, such as the comparison of the progression speed of the disease, and the changes in chest X-rays taken at different times.

Professor Zhu and Senior Brother He had seen the patient and the previous medical records in the morning, and they couldn't help nodding at this time, and Zhang Tianyang did not miss any of the points they paid attention to.

Senior Sister Chen was sitting further behind than Senior Brother He, and at this time, she looked left and right, and looked again, a little surprised.

She has also been an intern, and she has also done medical record reports during consultations, and she has been scolded, and she has also seen others be scolded.

Many times the bigwigs just want you to introduce the condition in the most simple and clear language, and don't want to listen to your opinions and nonsense at all.

But Zhang Tianyang's introduction was also mixed with a lot of his own judgment, Chen Shishi paid attention to the expressions of the bigwigs, and found that there was no trace of impatience.

This shows that the bigwigs recognize Zhang Tianyang's judgment.

Chen Shishi blinked, and a glimmer of hope suddenly rose in her heart.

The bigwigs are here, and the junior brothers are so powerful, this patient may be able to find the cause and even be cured?

After introducing the past medical records, Zhang Tianyang posted the results of the various examinations that had come out of the hospital, and then looked at the big guys.

"The above is what we know so far, and this time I ask the teachers to consult to see if we can find the cause of her disease. ”

The words fell, and the bigwigs below who had been silent finally moved.

Professor Zhu was the professor in charge of this patient, but she had already checked the literature at noon, but she still had no clue, so she took the initiative to speak.

"What do you guys think?"

"This chest CT scan must be typical, right?

Zhang Tianyang spread his hands regretfully, "No, not only is the imaging department of our hospital not, but at noon I called and asked the imaging department of Chongshan Medical and Provincial Medicine, and they all said that it was rare to see this kind of film, and I didn't give any advice." ”

"I think there must still be pathogenic bacteria, maybe too cunning. ”

The academician of the largest boss in the Department of Infectious Diseases expressed his opinion through the screen, which aroused the approval of a group of bigwigs.

"But the patient's infection indicators are not high, and previous empiric antibiotic therapy has not been effective, maybe it is not bacteria?"

This is Zhang Tianyang's doubt, and it is also everyone's doubt, and a group of bigwigs from the infection department discussed this issue.

"If it's not bacteria, fungi or viruses, why can't we find them in various specimens in the past?"

"Maybe it's because the laboratory departments of other hospitals are not good?"

"Who's that, hasn't the doctor in charge of the bed already listed all the hospitals she has been to before, and our laboratory department is not better than them, right?"

"Where's the Golden Mile?"

"There's got to be a direction for them to look up, right?"

"Is it a virus, or a fungus? I haven't used these drugs before, so why don't I try it?"

"The side effects are so big, how can you take medicine without evidence? Everyone is the director, and the trial and error method is used to treat the disease?"

"Then what kind of disease do you say this is? Meiping Wangu has used such a powerful antibiotic, but it is useless, and the infection index is not high. ”

"Maybe it's a special bacteria? Aren't Mycobacterium tuberculosis also insensitive to conventional antibiotics? And anti-tuberculosis treatment was useful at first. ”

"Then how do you explain that the disease progressed faster later?"

A group of bigwigs were discussing red-faced, and the voices were getting louder and louder, and they almost rolled up their sleeves and started to do it.

Chen Shishi looked surprised in the back, "Why did you quarrel while talking?" I thought that the big guy and the big guy wouldn't quarrel......

Senior Brother He was calm, "Of course not, under normal circumstances, everyone has the same opinion, the condition is clear, naturally there will be no quarrel, but this patient's illness is ......"

As he spoke, Senior Brother He frowned slightly, "What is Xiao Zhang doing on stage?

Chen Shishi followed Senior Brother He's gaze and suddenly became anxious.

"A group of bigwigs are here, although he can't participate in the discussion of the disease, but he can't be in a daze! No, I have to remind him!"

Chen Shishi lowered her head and took out her mobile phone, and directly Aite Zhang Tianyang, asking him to come back to his senses quickly.

But is Zhang Tianyang really in a daze?