"What kind of disease is porphyria?" Haojia was confused.

"Porphyria is what the ancient or Western ancient called 'vampire symptoms'! Patients are afraid of sunlight, and they will have abdominal pain and "wander" around the abdomen, which is very rare. There will also be mental abnormalities and other conditions. The reason why ancient people called it 'vampire disease' is because some doctors in ancient times thought that drinking human blood was ...... cure," Ruan Bin recounted.

"Well, this disease exists almost exclusively in textbooks, and I haven't encountered it in reality. ”

"But my wife isn't very afraid of the sun......" Haojia sounded a little creepy, drinking blood to cure diseases?

"There are many types of porphyrias, among which the common ones are protoporphyria, late-onset cutaneous porphyria, acute intermittent porphyria, mixed porphyria, hereditary coproporphyria, acquired porphyria, hepatoerythropoietic porphyria...... Wait a minute. The symptoms are different for each type of condition. Ruan Bin explained.

And this female patient is acute intermittent porphyria. This is more common and is inherited in an autosomal dominant manner. Asymptomatic occult patients can be found in families. It can affect both sexes, and the age of onset is mostly 20~40 years old. Acute-onset abdominal pain is often present, but abdominal examination often has no positive findings, and it is easy to misdiagnose neurosis or hysteria. Some patients are misdiagnosed as acute abdomen due to abdominal distention, vomiting, constipation, low-grade fever, leukocytosis, etc. There may also be muscle pain, muscle weakness, and even paralysis. Some patients have psychiatric symptoms such as personality changes, moodiness, and hallucinations. Sinus tachycardia is common and is associated with vagus nerve damage.

Moreover, the easiest way to check for this disease is to take 2 small cups of urine from the patient, one cup is placed next to the bed, and one cup is placed on the windowsill, so that the sun is exposed, and then compared with the urine of normal people. After 4 hours, the exposed urine will turn brown!

But it's night now, and you can find out by doing a blood porphyrin and urinary porphyrin test directly!

"So, is there a cure for this disease?"

"I'll check it first, maybe not, if it is, it will definitely be cured. Ruan Bin smiled.

"Yes, yes, check ...... first"

At this time, He Ye and the others listened to Ruan Bin's analysis, and although they felt that the possibility was not very large, it still sounded like four or five similar symptoms.

Now I can't do gastroscopy and other examinations, so I can only try to check this first, and the family agrees anyway!

Soon, a blood test was taken.

In the middle of the night, the results of the examination finally came out!

When everyone saw the results of this examination, they were all stunned!

The results showed that this Ling Jing was indeed an acute intermittent porphyria!

"Doctor Ruan, you are really sharp-eyed! this can be analyzed, my God!" Sun Feng exclaimed.

"The eyes are vicious, admire!" He Ye also admired.

Based on the patient's situation alone, he can guess correctly, and he really has to be convinced.

"How did you think it was this disease?" Looking at her boyfriend, Jiang Yurong couldn't help but ask.

How much more clinical experience does this have?

How many books do you have to read?

"In fact, there is no problem with the B ultrasound examination, there is no organ rupture and pelvic effusion in the body, and there is no premature birth, in fact, you can try to analyze some incurable abdominal pain and miscellaneous diseases! For example, this porphyria is also a symptom of abdominal pain! In addition, there is a close marriage, and mental abnormality, so I will consider this first! I didn't expect that a check is really true, or a bit of a dog bet, luck, good luck. Ruan Bin smiled.

"Luck ......"

"I always feel that you are pretending to be invisible!" Sun Feng pouted.

"That's it!"

Several of them rolled their eyes at him.

"It's really lucky, if it weren't for this porphyria, I would have investigated the incurable diseases related to abdominal pain one by one...... Who knew I hit the right one first. Ruan Bin said modestly.

Well, well-founded and undoubted!

"Really?"

"Of course!"

"Then I'm going to read more case books on incurable diseases in the future......

"Look, look, look. Ruan Bin smiled, and started to hang up, okay.

Soon, Haojia knew that his wife was really this disease!

This made him breathe a great sigh of relief.

At least the child should be saved, and his wife should be fine?

"Dr. Ruan, thank you so much, if it weren't for your accurate diagnosis and analysis, my wife wouldn't know how many tests she would have to toss to confirm the diagnosis......" Haojia's eyes were a little red.

After all, looking at my wife's various examinations and tortures, I can't find the cause, so it's very fucked up, okay!

"No thanks, it's our duty. Ruan Bin waved his hand.

"Then how can my wife's disease be cured?" Haojia asked hurriedly.

Ruan Bin recalled, and he knew that the treatment was mainly supportive therapy and symptomatic treatment during the attack. Barbiturates, phenytoin, anesthetics, estrogen, contraceptives, sulfonamides, and griseofulvin can enhance the effect of ALA synthase, so they must be contraindicated.

For abdominal pain, chlorpromazine, chloral hydrate, etc. can be used. People with mental mania can try reserpine, perpenamine and so on. If the seizure is related to menstruation, oral androgens may be taken to prevent the seizure.

But the above are routine treatments, and now the patient is pregnant, so you must be cautious with medication!

He immediately made a phone call to Director Qian, and asked He Ye to help him prescribe medicine, and finally gave Ling Jing the medicine!

Not long after using the medicine, Ling Jing's condition improved a lot.

The whole person slept peacefully.

Before the hospital bed, Haojia once again expressed his gratitude to Ruan Bin!

This is the news of the year before last, and I was also a pregnant woman, much more serious than my wife, and she fainted in pain, and she was sent to the hospital because of this disease, which caused a stroke and cerebral hemorrhage, and she had to undergo surgery. The child can't be saved...... Adults also suffer...... Alas~" Haojia said with emotion.

"Doctor Ruan, thank you again, when the child is out of the moon, you must come and have a drink!"

"Well, I'll go when I have time. Ruan Bin smiled and walked out of the ward.

The next day off, and when I came to work on the third day, this case was taken out by Director Qian and held a separate meeting to talk about it.

At this time, everyone in the emergency department knew about it, and they all admired Ruan Bin's fiery eyes, and they were accurate at a glance!

Even Director Qian was impressed!

At the end of the meeting.

"Ruan Bin, you kid has been refreshing my three views for the past 2 years, are you like the protagonist of the Internet?" Director Qian teased.

"Well, probably, hehe. ”