Xu Ze looked at the patient with myasthenia gravis in front of him, listened to Qian Xuebin's introduction, and a virtual patient that he had diagnosed and treated in the virtual space popped up in his mind, and the symptoms of that patient were very similar to what Qian Xuebin said, and he couldn't help but be curious.

"After receiving this patient, I first considered a cycle of paralysis, but through various blood tests, potassium ions and other tests, I did not find any abnormalities. Later, I did a related nerve test... It was found that the limbs were mainly involved, and there were no other neurological abnormalities... And it was an aggravation of the caste, and I thought it was a neurogenic surname at the time..."

Qian Xuebin said a little smugly: "This should be a muscle weakness caused by a neuromuscular origin, I have been treated in Taoyuan City Hospital for half a month without any effect, and when I transferred to us, I have begun to accumulate abdominal muscles, but I have been cured by anticholinesterase drugs, and immunosuppressants, and now he has improved a little... And it didn't spread further upwards... If you continue to treat, you should still be able to control it, and it is even possible to recover slowly! ”

At this time, the patient and the family members next to him heard Qian Xuebin's words, but they said gratefully: "Thanks to Dr. Qian, my treatment in our place is not only not good, but it is getting more and more serious. ”

"Don't worry, since you arrive at our hospital, of course I will try to find a way to treat you!" Qian Xuebin nodded proudly, and then said: "However, this disease is extremely troublesome, the effect is relatively slow, and many times it requires long-term treatment, you must have a certain psychological preparation..."

"That's... That, of course... As long as it can be cured, we will listen to Dr. Qian! The family member hurriedly thanked him.

Seeing the respectful appearance of the family members, Qian Xuebin nodded with satisfaction. Then he smiled at Xu Ze smugly: "Doctor Xu, do you want to check with him?" ”

Xu Ze smiled, he had some doubts about this patient at this time, of course he would not postpone it, he nodded immediately, and then checked the patient.

This patient is not very enthusiastic about Xu Ze, he looks at this doctor as if he is only twenty-one or two, although Dr. Qian is very polite to this little doctor, but on the contrary, he is like an intern who has come to study, so although he cooperates with Xu Ze's examination, he is not very active.

But Xu Ze didn't care, when he was in Huimin Clinic before, weren't those patients like this? When they ask you, their attitude completely changes, and it doesn't matter if they get used to it.

After a detailed examination of the patient, Xu Ze's eyes narrowed slightly, this patient has a slight decrease in superficial sensation in the lower limbs, not only the weakening and disappearance of muscle strength, but also the simple neuromuscular myasthenia gravis should rarely appear such a shallow sensory loss.

At that moment, he smiled lightly at the patient and asked, "Before you became ill, did you have any other bad conditions, such as a cold or other conditions?" ”

The patient listened to Xu Ze's words, although he was not very enthusiastic, but he still thought about it and said: "It seems that two weeks before the onset of the disease, I had a cough for a while, but after some injections, it was fine..."

"Oh?" Hearing that he had a history of infection before his illness, Xu Ze raised his eyebrows lightly, and then asked with a smile: "Then before you got sick this time, you didn't have the feeling of feeling like you had a cold?" ”

"Hmm... I think I had it, and I just felt this arm at that time... My neck and thighs are a little sore... But in two days! The patient thought about it and said disapprovingly. In his opinion, he just has weak feet, and it has little to do with this arm and neck pain... However, Xu Ze affirmed it now, this patient is only afraid that it is not a simple neuromuscular muscle weakness, but it should be Guillain-Barré syndrome.

This disorder refers to a syndrome with acute onset and predominantly nerve root and peripheral nerve damage, characterized by protein-cell detachment in the cerebrospinal fluid. Also known as Guillain-Barré syndrome. It can be affected by men and women of any age, but it is more common in young adults with male surnames.

Its clinical characteristics are 1~3 weeks after infection, sudden onset of severe radicular pain (mostly neck, shoulder, waist and lower limbs), acute surname symmetrical limb paralysis, accompanied by superficial sensory impairment, tendon reflexes weakened or disappeared.

Although this kind of Guillain-Barré syndrome has existed for a long time in the internal medicine of the knife sect, it has only recently been discovered in modern medicine, and Xu Ze only learned about it through the data collection on the Internet through the knife.

Information about the disease has only recently been published in the National Medical Journal, and many people have not yet been exposed to the disease, and may not even have heard of it.

Qian Xuebin, who was next to him, heard Xu Ze ask about this situation at this time, but he frowned, not knowing what Xu Ze meant, because he thought about it for a long time according to Xu Ze's questions, but he didn't think that these symptoms had anything to do with this disease.

He is very confident in himself, and the name of a new generation of representative surnames is not fake, basically most of the diseases in internal medicine have been studied and studied in depth, and he is mostly aware of some new developments, and his knowledge is even more comprehensive than that of many highly qualified older doctors.

And the few questions Xu Ze is asking now, at least in his current knowledge, should not have an impression of this. So Qian Xuebin also chuckled, this Xu Ze is afraid that he will have nothing to find something to ask, is it possible that you are a newly graduated round doctor, what else can you see?

Xu Ze also chuckled at this time, he didn't easily say his judgment, after all, overturning other people's diagnoses, unless it is a senior doctor, is a very taboo thing, and although he is now hanging a wheel doctor's brand, it is still much worse than Qian Xuebin's identity as a doctor who is officially in charge of patients alone.

In such a situation, if the two have a good relationship, they can be reminded in private, but Xu Ze is confident that he has no feelings for Qian Xuebin, if he rashly reminds him, I am afraid that he will still think that he is sincere in dismantling the stage, and Qian Xuebin should not know the existence of this disease, and he is afraid that it will be in vain, so Xu Ze hid this idea in his heart and did not reveal it rashly.

After asking these questions, Xu Ze nodded with a smile and said, "Doctor Qian... Let's go see the next patient..."

Seeing that Xu Ze didn't ask any questions, Qian Xuebin didn't care at this time, and secretly laughed that Xu Ze also likes to pretend to be unpredictable. Immediately smiled: "Okay... Let's go see the next patient! With that, he led Xu Ze out of the ward and towards the next ward.

However, as soon as the two of them came out, they heard Director Qu shouting: "Xu Ze... Come and see the patient, come and see..."

"Okay!" Xu Ze hurriedly responded, then smiled apologetically at Qian Xuebin, and went in the direction of Director Qu.

Qian Xuebin looked at Xu Ze's whereabouts, but the enthusiasm on his face faded quickly, revealing a faint sneer, and then walked behind Xu Ze.

Xu Ze walked to the ward where Director Qu was and saw a new patient, who was lying on his side on the bed panting, and the nurse was busy oxygenating the patient.

When Director Qu saw Xu Ze coming in, he wanted to know what Xu Ze's true level was, although it was recommended by the old man, but at least he had to have a bottom in his heart, so he smiled at Xu Ze and asked tentatively: "Xu Ze, how about you deal with this patient?" ”

Listening to Director Qu's words, Xu Ze understood what Director Qu meant, if he didn't have confidence, he could tell him directly, and if he was sure, he could take over the treatment of this patient.

At the moment, he naturally nodded with a chuckle, for such patients, Xu Ze has seen a lot, in the virtual space, in the Huimin Clinic, but the patients he saw in the virtual space are much more serious than this.

Seeing that Xu Ze nodded confidently in agreement, Director Qu was also a little relieved, since Xu Ze dared to take over, it means that he still has some foundation, and he should not be too hard in the next two months.

Xu Ze stepped forward with a stethoscope, and then asked the family members next to him about the medical history, after a brief inquiry, Xu Ze roughly had some understanding of the condition, and then looked at the patient half-lying on the hospital bed, opening his mouth and having difficulty breathing, and his lips were cyanotic, Xu Ze already had a bottom in his heart at this time.

Through a systematic examination of the patient's heart and lungs, there is no need to cooperate with other photographs, electrocardiograms, etc., based on experience alone, Xu Ze can basically be sure what kind of disease this is at this time.

I have a history of coronary heart disease, and I am prone to shortness of breath after a little activity, this time I had a cold a few days ago, and then the shortness of breath slowly worsened, and now I can't sleep, and I can only sit on the bed every day and gasp.

Physical examination does not reveal significant jugular venous changes, but small crackles at the base of both lungs can be heard, and percussion reveals an enlarged heart with an extremely rapid heart rate of nearly 120 times per minute.

"Coronary heart disease, heart enlargement, and cardiac function level 4..." Xu Ze got the following judgment, but in order to clarify his diagnosis and reassure Director Qu, Xu Ze took the electrocardiogram on the side, quickly put on the electrodes for the patient, and began to do the electrocardiogram.

Director Qu on the side saw Xu Ze's skillful physical examination and skillful work when doing electrocardiograms, so he couldn't help but nod secretly, and said secretly: "This kid is really good, at least he shouldn't be the kind of guy he is worried about, just wait and see what the results of his diagnosis are, if it's good, then I will be much more relieved!" ”