Chapter 451: Amateur Expert
However, thinking that Bao Feiyang had solved Zhao Lao's anorexia problem, and looking at these experts also made people angry, Zhao Liping still decided to answer the phone.
Chen Wanjing's face suddenly became even more ugly: "Miss Zhao, Yanjing's expert group is also about to arrive, after we synthesize, we should be able to make an accurate diagnosis, you better not listen to those unprofessional opinions." ”
Zhao Liping said angrily: "What's wrong with being unprofessional, it's better than you don't have any opinions, right?"
Chen Wanjing and many experts suddenly darkened their faces, and Dr. Guo looked a little nervous, and he stammered: "That, that, what kind of rejection reaction did he say for blood transfusion......
"Blood transfusion rejection? Haha, that's funny!"
"How could we not know about the rejection reaction of blood transfusion, which is completely inconsistent with Ms. Guo's symptoms!" Dr. Guo's words were like a stone thrown into the water, which immediately provoked a violent reaction from the experts.
Chen Wanjing was also a little crying and laughing, this is really the fearlessness of the ignorant.
Zhao Liping's face suddenly looked a little unpleasant, what is Bao Feiyang doing, such an obvious thing is also taken out and talked nonsense.
Dr. Guo wiped the beads of sweat from his forehead: "He, he said what is it called transfusion graft-versus-host disease......
"Blood transfusion-associated graft-versus-host disease?" Several experts looked at each other, and someone shook his head: "Graft-versus-host disease is very common, mainly because of the complications that often occur after bone marrow transplantation, and there is also zài anti-host disease in blood transfusion?"
"Rejection and host-versus-host disease are two opposite pathological processes, how can they be confused?"
There were also people with thoughtful expressions on their faces: "I seem to have seen this kind of statement, it seems that there are studies in Europe and the United States, and I have not heard of it in China." ”
Chen Wanjing muttered: "Anti-host disease is essentially allogeneic lymphocytes attacking the host target organ. For blood, it is likely to be the blood itself, and from this point of view, it is reasonable to say that there are similar diseases of hematopoietic disorders. ”
Chen Wanjing is also worthy of being a medical expert, although he has not heard of blood transfusion-associated graft-versus-host disease, but just by the name guò and the pathology, he can deduce a general idea.
He hurriedly said to Dr. Guo, "What else did he say?"
"Ah!" Dr. Guo was slightly stunned, and quickly shook his head and said, "I don't know, he asked Miss Zhao to answer the phone." ”
"Quick. Hurry up and answer the phone. Chen Wanjing hurriedly said, "Forget it, I'll go with you." ”
Chen Wanjing seemed to have suddenly become younger, his steps were fast, and it was he who pulled Zhao Liping out, and the others immediately looked at each other, Liu Wenxuan and Feng Dexian glanced at each other. I also followed closely and walked out.
Outside the ward, Chang Mengqin pulled Meng Shuang and kept complaining: "Why do you still believe that kid's words, he is just a cadre of the Environmental Protection Bureau." Do you know how to cure diseases, and what if you are held accountable if you are cured of a bad person?"
Chen Zhiguo also echoed beside him: "Yes, it's better to trust experts when seeing a doctor." ”
"That's it!" Chang Mengqin nodded again and again, the more she looked at it, the more she felt that Chen Zhiguo was the best candidate for a son-in-law, young and golden, empathetic, and a native of Shannan, and more importantly, the eight characters matched.
Meng Shuang didn't seem to hear anything. Holding the big brother in his hand, he looked anxiously in the direction of the ward. Every minute that passed, she felt like she had been waiting for a long time.
The vice president looked behind him, and a mocking smile appeared on his face: "Hehe, the experts are inside, and no one will believe those nonsense......
Before he finished speaking, he suddenly heard a rush of footsteps behind him.
After Zhao Liping reacted. almost trotted, rushed to the outside of the ward, and shouted loudly: "Meng Shuang, where is Bao Feiyang?"
Meng Shuang hurriedly handed the eldest brother over: "Here, let him tell you directly." ”
Chen Wanjing was not much slower than Zhao Liping, Zhao Liping had just answered the phone, and he had already arrived, so he couldn't wait to say, "Let me tell him." ”
Zhao Liping felt that Bao Feiyang had told herself, and she still had to tell Chen Wanjing and them, so she simply handed the phone to Chen Wanjing.
Chen Wanjing picked up the phone and immediately asked impatiently: "Xiaobao, I'm Chen Wanjing, how did you know that Director Guo had transfusion-associated graft-versus-host disease?"
The vice president's face suddenly froze, and his mouth was wide open to swallow a goose egg, but what kind of blood transfusion type of rejection was it? How could this be possible, a problem that a large group of experts could not solve, and it was actually raised by an outsider, and the chief physician of the dignified Union Hospital had to ask an outsider for advice, what was going on?
The vice president couldn't understand, Chen Zhiguo couldn't figure it out, his face became extremely ugly, just now he was still singing and harmonizing with Chang Mengqin, and belittled Bao Feiyang, thinking that he was an outsider and couldn't point fingers at patients, but in the blink of an eye, Bao Feiyang was really right, and the expert even asked him for advice.
Chen Zhiguo felt very aggrieved, how could he not get rid of this shadow of Bao Feiyang anywhere?
Chang Mengqin didn't react, just frowned, and snorted coldly: "This big liar, whoever believes him is unlucky." ”
Bao Feiyang said on the phone: "Professor Chen, this is what I heard from a friend of mine who is a doctor in the United States before, and I think Director Guo's symptoms are very similar to this. ”
"Can you contact your friend now? I'd like to ask him about the diagnosis of this condition. Chen Wanjing hurriedly said.
"I'm afraid not, he seems to have just changed jobs and moved his home, and I can't contact him now. Bao Feiyang said that he could not tell Chen Wanjing that he did not have such a friend at all, but that he learned about this disease in the future and said it in advance.
He believes that after Chen Wanjing pays attention to it, he will definitely be able to inquire about this situation, even if domestic experts know less, with the connections of the Zhao family, he can also contact international experts in a short period of time to conduct remote consultation on Guo Liqiong's condition.
"That's it!" Chen Wanjing was a little disappointed, and asked unwillingly: "So did your friend mention how to treat this disease?"
Bao Feiyang was silent for a moment, there is no effective treatment for transfusion-associated graft-versus-host disease even in later generations, and the mortality rate is very high, reaching more than 90%.
A large part of them are due to misdiagnosis, which delays the time for correct treatment, but even if the diagnosis is correct in time, whether it can be cured mainly depends on the patient's own body adjustment ability.
"Professor Chen, there is no effective treatment for this disease, but I heard my friend say that transfusion-associated graft-versus-host disease is essentially an anti-host disease, and the treatment plan is not bad, that is, for allogeneic blood lymph, to reduce the reproductive length of allogeneic lymphocytes, to kill, to find a way to make the host's immune system attack allogeneic blood lymph, I am not very clear how to do it. Bao Feiyang said.
Bao Feiyang's later generations did not know much about this disease, but the situation he said was basically in line with reality, and after he said these methods, Chen Wanjing was naturally able to come up with a specific treatment plan.
Hanging up the phone, Chen Wanjing immediately said to Liu Wenxuan of the Yuedong Provincial Health Department: "Director Liu, please ask someone to contact medical schools and medical institutions in Europe, the United States and Japan immediately to ask for relevant information about blood transfusion-associated graft-versus-host disease." ”
"Dean Feng, please contact the medical schools and medical institutions in China, especially the authoritative experts in hematology, to see if anyone knows more about this disease. ”
Chen Wanjing said to Meng Shuang again: "Miss Meng, please cooperate, provide a blood sample, and we will test it to see which drugs your lymphocytes are sensitive to." ”
"Professor Chen, Professor Ouyang, let's discuss it again and see if there is a way to stabilize the patient's condition. Chen Wanjing made several decisions and deployments in a row, although he has not yet been diagnosed, but he has basically believed in Bao Feiyang's judgment that Guo Liqiong is a blood transfusion-related graft-versus-host disease, so most of the problems can be explained, and the only strange thing is why Guo Liqiong has this disease.
Judging from the previous examinations, Guo Liqiong's physical condition is very good, the immune system is functioning normally, and the allogeneic lymphocytes transfused into the blood will be killed by the immune system under normal circumstances, so what is the reason why Guo Liqiong's immune system does not act?
There can only be two reasons, one is that Guo Liqiong's immune system was not working properly at that time and did not wave, and the other is that Guo Liqiong's immune system regarded the lymphocytes of allogeneic blood as autologous cells and did not attack.
Chen Wanjing did not bother to investigate the cause of the disease, and the top priority was to stabilize the current situation of the patient.
"If it is an anti-host disease, then pathologically speaking, you can use the injection of anti-lymphocyte globulin and immunosuppressants, the problem is that the drug itself has no ability to distinguish, while killing allogeneic lymphocytes, it will also kill the patient's own lymphocytes, and proportionally speaking, killing 1,000 enemies, self-damage 3,000, the gain outweighs the loss!" Ouyang Ru, an expert from Yuedong Provincial People's Hospital, said with a heavy heart.
Chen Wanjing nodded: "The treatment of anti-host disease itself is more difficult, killing, and causing greater harm to oneself; ”
Professor Ouyang and the others nodded, agreeing with Chen Wanjing's opinion, and then everyone finally reached an agreement, and divided the labor to test the blood of Guo Liqiong and Meng Shuang to determine the medication and treatment plan.
At the same time, Guo Liqiong's condition changed further, and a large area of skin rash began to appear on her body, and at the same time, she felt pain in the liver area.
Based on the preliminary test results, Chen Wanjing began to try to inject anti-lymphocyte globulin and immunosuppressants.
Tips: The new domain name "biquge.info" has been launched by Biquge, and the original domain name is about to be discontinued. Please tell each other, thank you!