Okay, this method is good... Let's have a debate to determine the ownership of this patient and the subject!" Hearing Zhang Reid's proposal, Dean Ou next to him also frowned, and secretly said that if he wanted to win this move, the person who lost naturally had nothing to say, saving his own great trouble, and couldn't help but smile and nod in agreement as if relieved. Vice President Qian and Minister Sun next to them, hearing Dean Ou's words, couldn't help but sigh lightly in their hearts, it seems that it has been decided, but I am afraid that the emergency department is almost losing this time, and sighed secretly: "Lao Qu, it's not that we don't help you, we can only go this far, if you lose, then there is no way." Looking at Zhang Lide's proud appearance, Director Qu also sighed, since the matter has come to this, then there is no need to say more, let's argue about the debate. It seems that we can only do our best, in case something doesn't happen, we can only admit it... Thinking of this, he turned his head to look at the subordinates behind him, and saw that they were also gloomy, and couldn't help but smile reluctantly, and encouraged Wu Yue and Xu Ze: "Since Director Zhang proposed a debate, although our emergency department is not as manpower and qualified as the internal medicine department, we can only respond... Everyone cheers up and learns hard with the seniors..."Hearing Director Qu so clearly encouraging his subordinates, but he was secretly sarcastic about himself and others, bullying the young, Zhang Lide and the directors of the Department of Internal Medicine couldn't help but blush, and coughed dryly twice to hide the embarrassment in their hearts. Four old guys at the level of chief physicians, and one chief physician, two attending physicians, plus two general doctors, oh... There is also a wheel doctor polemic that doesn't even have a certificate... It's really thanks to their embarrassment to say it, it's obvious that they are bullying... However, Zhang Lide can mix with the director of the Department of Internal Medicine, naturally he is thick-skinned, where is he willing to continue to let Director Qu continue to be sarcastic, and immediately coughed dryly and said: "Okay... Since no one is against it, let's start now!"

A lun doctor polemic that doesn't even have a certificate... It's really thanks to their embarrassment to say it, it's obvious that they are bullying... However, Zhang Lide can mix with the director of the Department of Internal Medicine, naturally he is thick-skinned, where is he willing to continue to let Director Qu continue to be sarcastic, and immediately coughed dryly and said: "Okay... Since no one is against it, let's start now!" After that, he looked at Director Qu, who had a very bad face, and smiled: "Director Qu, since you have been managing this patient with Guillain-Barré syndrome, and you are the first to be diagnosed with this disease, you must be very clear about this disease, so let's ask first, do you explain?" Then let's do it the other way around, debate and debate, everyone shows their strengths, and they will win or lose, how about it? Director Qu was ready to lose at this time, and when he heard Zhang Lide's words, he snorted coldly: "It doesn't matter, anyway, no matter how you come, we will continue to be a few people in the emergency department..." Then we'll have a polemic!" Zhang Lide was ridiculed, but his face was also slightly red at this time, and after he started speaking, he turned his head and nodded to Li Huaming, the director of the neurology department, who was sitting not far behind him. "Everyone knows that Guillain-Barré syndrome is caused by an infection, so is there any other cause for it? Is there a season! Its pathology - what is the main one? Li Huaming asked with a chuckle. Hearing Li Huaming's question, everyone in the emergency department couldn't help frowning, this question is indeed a bit difficult, this kind of Guillain-Barré syndrome has just appeared in the National Medical Journal, and the specific information is not very detailed, and the emergency department has only been in contact with the first case for two days, where is the boat enough to analyze it so clearly.

However, Director Qu, as an experienced chief physician, heard this question, although he was a little annoyed, but he was still not afraid, after all, he had also carefully analyzed this case for two days, and he had also checked a lot of information in the past two days. After a little groaning, he said in a deep voice: "As a newly discovered disease, the main cause of Guillain-Barré syndrome is a delayed anaphylactic immune disease caused by a history of non-specific infection before the onset of the disease, and its main lesion is extensive inflammation of peripheral nerves. Most of them have a history of upper respiratory tract infection 1-4 weeks before the onset of illness. In this case, the disease can generally occur in all seasons; And country A has only recently discovered the disease, which means that there must be more cases of the disease in the near future to show some specificity to determine the emergence of this new disease, so I think it should be more summer and autumn. Hearing Director Qu's analysis, everyone nodded frequently, thinking that the analysis was reasonable, but Wu Yue and the others also breathed a sigh of relief, and said: "The director is the director... Sure enough, we have more experience than us, so we can analyze it. Xu Ze also nodded secretly at this time, admiring Director Qu very much, and the things he analyzed were not far from the conceptual knowledge he had learned from the knife... It's just a matter of one or two

And Li Huaming's eyes flashed with a hint of admiration at this time, but he continued to smile: "Regarding this question, Director Qu and my colleagues in the emergency department do you have anything to add?" Director Qu frowned, thought about it carefully, and finally shook his head and said: "No, according to the current information, I can only analyze these..." "Well, Director Qu is really experienced, and he can analyze so much..."Seeing that everyone shook their heads, Li Huaming laughed, but then smiled smugly: "For this, I have some additions..."Please Li Huaming said so complacently, Director Qu's eyes flashed, and a trace of gloom flashed on his face, and he secretly said that this internal medicine department is really ÷buzzing, and there are even supplements..."As Director Qu said, Guillain-Barré syndrome is a delayed anaphylactic immune disease, so in addition to non-specific infectionsThere is also an obvious possibility, that is, the vaccination of the vaccine...""The vaccination of the vaccine? Hearing this, Director Qu was stunned for a moment, but then he smiled bitterly, he analyzed so much, but he forgot about this item, hey... It's a pity... And Xu Ze was also stunned at this time, and then sighed, this star is worthy of being one of the top five hospitals in the country, and sure enough, Crouching Tiger, Hidden Dragon, he even analyzed this point. Wu Yue and the others, hearing this, were also stunned for a moment, and their faces turned gloomy. But it was only a little bit, and the result was still lost... At this time, Dean Ou heard that these doctors under him were analyzing an umbrella, one was as strong as the other, and he was also full of joy, and nodded: "Okay, the first question is won by the internal medicine department, and the next question is from the emergency department..." ’’

He smiled immediately, and then said, "Since we have already talked about the cause and principle just now, let's talk about the signs and symptoms of Guillain-Barré syndrome... Hearing Director Qu's question, Li Huaming and Zhang Lide glanced at each other, a smug smile flashed in their eyes, and then nodded to Li Qijiang, the director of the general internal medicine department next to him. Li Qijiang smiled and nodded at Director Qu and said with a smile: "Since Director Qu asked, then I will answer it, and ask Director Qu for more advice!" Seeing Li Qijiang's confident and casual appearance, Director Qu was a "groan" in his heart, and secretly said that they even figured this out in detail? "The clinical characteristics of Guillain-Barré syndrome are mainly characterized by acute progressive symmetrical limb paralysis after 3 weeks of infectious disease (sudden onset of severe radicular pain in the neck, shoulders, waist and lower limbs), acute progressive symmetrical limb paralysis, subjective sensory impairment, and decreased or absent tendon reflexes." "The specific manifestation is movement disorders: muscle paralysis of the limbs and trunk is the most predominant symptom of the disease. It generally begins in the lower extremities and gradually spreads to the trunk muscles, both upper extremities, and cranial nerves, and can move from one side to the other. Paralysis is generally more proximal than distal, and muscle tone is low. If breathing, swallowing, and pronunciation are affected, it can cause spontaneous respiratory paralysis and dysphagia and speech that can be life-threatening. 2) Sensory impairment: generally mild, mostly mild superficial sensory impairment. 3) Reflex disorder: The tendon reflexes of the limbs are mostly reduced or absent symmetry. Speaking of this, Li Qijiang chuckled and looked at Director Qu, and said with a smile: "Director Qu, do you think there is anything else to add?" After listening to Li Qijiang's words, Director Qu was already gloomy at this time, because what Li Qijiang said was all things that the emergency department had explored in the past two days, and it was not bad at all... It seems that as they first imagined, they have really figured out the hole cards in their hands, no wonder they are so confident to stab themselves... Our emergency department is really planted this time,' Seeing Director Qu's gloomy expression, as well as the dejected appearance of the emergency doctors behind him, everyone in the internal medicine department now understood that the emergency department was really powerless to resist under the long-accumulated blow of themselves and others, and this time they were afraid that they would soon admit defeat. At that moment, they looked at Director Qu and the others proudly, and then Li Qijiang also smiled at Director Qu and asked, "Director Qu has anything to add?"

Director Qu raised his head, looked at the people in internal medicine, and shook his head expressionlessly. Seeing Director Qu shaking his head, Li Qijiang was secretly overjoyed, and secretly said that we have won twice, and the emergency department has no power to turn over now, right? At that moment, he symbolically asked Wu Yue and the others again, and after seeing the four doctors shaking their heads in a dejected manner, they couldn't help laughing, and said, "Director Qu, if you don't add anything, then the emergency department will already have two questions, and there is no need to continue this debate!" Director Qu sighed lightly, knowing that he was only afraid that there would be no hope of turning over today, but he looked at the roof, but he didn't speak. Seeing Director Qu's helpless appearance, Zhang Lide laughed and said, "Since Director Qu has not added, then our internal medicine department will win... According to the pre-determined decision, this patient and the subject will belong to our internal medicine department!" At this time, Dean Qian and Minister Sun glanced at each other, and then sighed, these old fritters in the internal medicine department are too powerful, and the emergency department really lost. Dean Ou also thought that the overall situation had been decided at this time, so he was about to speak, but behind the doctors in the emergency department, a clear voice came: "I'm sorry, can I add a few points?" "PS: Finally went out of this chapter before two o'clock, although it has surpassed the sixteenth place, but the monthly pass behind is chasing very fiercely, everyone please vote for more monthly tickets, as long as you are not particularly busy, Tiannan must have a change today! Of course, the premise is that it can't be less than yesterday. "If there are a lot of monthly passes, Tiannan uh-huh. I also went out to fight, and I added it according to the situation! Give Tiannan a little encouragement to himself, and also give himself a little pressure-thank you"