"The patient has immune deficiency, hereditary immunodeficiency" When the others were still deeply immersed in Liang Baoguang's ridicule and did not come back to their senses, Li Anna stood up suddenly, this time she did not raise her hand, but chose to answer in a hurry, this opportunity was too important for her.

Liang Baoguang nodded, it seems that there are still a few smart people in this batch of regular training doctors, and it is not in vain that he has gone to great lengths to engage in such a competition, "Congratulations on your correct answer, but such a broad answer is not enough, the key is to know what kind of defects the patient has." ”

It's not enough to know that Xin Zhengxun's immune system is defective, because different immunodeficiencies have different treatment options, and Liang Baoguang wants a definite answer. Just as the teacher asks "which is the natural number that is greater than 90 and less than 100 and is not divisible by any natural number", you will not get points for just answering "prime number", you have to answer "97".

After you have an idea to solve the problem, you just need to rule it out according to the symptoms on Xin Zhengxun's body, and those things are available in the medical records and examination reports. A room of people with D degrees sat down and immediately discussed it enthusiastically, and finally Lin Xiaozheng from Group B raised his hand, "Chronic granuloma"

The subtypes of chronic granulomatous disease inherited in sex-linked recessive inheritance are caused by mutations in the QP91phox subunit gene encoding cytochrome B, named CYBBI306400, which contains 13 exons located on X chromosome XP211, accounting for about 30 kB. According to the results of the analysis of 261 children with sex-linked CGD in the multicenter international database, there was obvious heterogeneity in the mutations of this gene, and most of them were familial.

Patients often have a family history, are more common in children, and are often married to close relatives. Men are affected, and women are carriers of the gene. A small number are autosomal recessive. The onset of the disease is usually within 2 years of age, and a few can be as late as 10 years of age. These are not the point, the point is that this kind of birth defect can be induced by psychological trauma, and Xin Zhengxun's recent loss of his parents due to the smallpox virus epidemic is likely to be the trigger for the onset.

"Correct solution" Liang Baoguang stood up, applauded Lin Xiaozheng with a smile, just when Group B was ecstatic and the other two groups looked gloomy, he suddenly turned his head, "Congratulations to Group A and Group B for entering the final showdown, and I will go back to Samsung Hospital with me to meet the patients later, as for everyone in Group C, I wish you all a bright future elsewhere, goodbye." ”

The diagnosis is indeed the most important result, but without constructive suggestions and ideas, the correct solution may be late or even never, so Liang Baoguang can't stifle the contribution of Group A in this Xin Zhengxun case, so he will give them one last chance, after all, he is still a person who loves talents.

Of course, Samsung Hospital has long determined that Xin Zhengxun is a chronic granuloma, and he has said so bluntly to Li Shuoke before, if the cause cannot be diagnosed, those people can find financial settlement and go back to retirement. These two days were not wasted, but to find a suitable donor for Xin Zhengxun's bone marrow transplant, this disease can't rely on drugs, and it is even more useless to rely on his own immunity, so he must rely on bone marrow transplantation to restart the immune system.

Although Group A and Group B were competitors, and they were also opponents who made it to the finals, they were still discussing amicably while sitting in the car, and Li Anna first asked the question, "The patient is a chronic granuloma, just give him a bone marrow transplant, what does it mean for us to go and see him"

"I don't know, let's see how Dean Liang comes up with the question. Lin Xiaozheng also couldn't guess Liang Baoguang's thoughts.

In a ward at Samsung Hospital, Shin Jung-hoon's face was flushed, and he angrily argued with his attending doctor, "How can you go and draw blood for my younger siblings without my consent Who gave you power, I'm going to complain about you bastards." ”

"It's just a blood draw, not a major surgery. Of course, the hospital has the right to draw the blood of Shin Zhengxun's younger siblings, although they are still minors, they can make their own decisions in this regard, as long as they are voluntary, the doctor does not worry about any complaints, "We draw blood to match your bone marrow." ”

"Zhengrong is only fourteen years old, and I will not accept his bone marrow. Although Samsung Hospital said that his younger brother was a complete match for his blood type, and as long as he had a transplant, he could activate his immune system, but Xin Zhengxun's attitude was very resolute and refused to agree to the operation.

"There is no risk to your brother with a bone marrow transplant, the risk is on your side. The attending doctor's mouth was about to dry up, and you could see how helpless he was from his expression, "If you can't get a bone marrow transplant as soon as possible, even if you can barely support it with medicine, your life will be greatly shortened, have you ever thought about how bad it is for the two of them to be without you, and how much of a burden you leave behind for them?"

"Then I'd rather not be treated. Even at this point, Xin Zhengxun's attitude has not changed, "This is not to take a chicken leg from his plate, but to draw blood from his body, I have no position to let my younger brother do that, even if I really want to transplant, it will have to wait until Zhengrong is nineteen years old and can make his own decisions." ”

"Tsk, what a touching scene, I believe you already have a premonition in your hearts, yes, your final topic is to convince this stubborn man to let him undergo a bone marrow transplant. Because the inpatient department of the hospital is relatively quiet, standing in the corridor can hear the movement inside, Liang Baoguang raised his arm and looked at the time on his watch after arranging the question, "You have six hours, and the timer will start now." ”

"Guess the box, the winner will go first. Lin Xiaozheng suddenly said to Li Anna.

Liang Baoguang saw that these young people were full of confidence and eager to try, and couldn't help but nod his head in approval, no matter whether the method is right or wrong and the result is good or bad, at least enthusiasm is indispensable, and the most important quality of medical practitioners is their love for this profession. Seeing them enter the working state, he beckoned Li Yunjing to go to the restaurant downstairs for lunch together, "I hope there will be a good result." ”

"Let's see that they may not be able to convince Xin Zhengxun. After entering the elevator, Li Yunjing said worriedly.

"I can't convince him, and I have already got the answer from the look in the eyes of these little guys. Liang Baoguang shrugged his shoulders, although he recognized the enthusiasm of these regular doctors, but he had already foreseen the final result, and it was very likely to be a failed draw.

"Then you must have a way to convince him to accept the transplant, right" Li Yunjing knew the man in front of him very well.