Multi-department consultation, this time the battle is really big.

Qian Jianghong followed Jin Zhen to the doctor's office, Director Ding Mingui of the Department of Respiratory Medicine, and Director Qin Faxiang of the Department of Hematology were all in the office.

There was Yuan Yu's case on the table, and the three directors took turns to watch it.

The four directors are all big guys, and it seems that there is no room for Liu Qingqing to intervene, Liu Qingqing stood against the wall with interest.

Ding Mingui looked at the patient's chest X-ray, "There is obvious bleeding and inflammation in the left and right lungs, but there is no lesion, lung cancer can be ruled out, and it does not look like tuberculosis." The patient had a low-grade fever, but there was no obvious abnormality in the blood count. ”

"Let's complete the examination first, do a lung CT, and then do the sputum culture."

This is the opinion of the respiratory department.

Qin Faxiang of the hematology department looked at the test sheet of coagulation function.

Under normal circumstances, the patient's coagulation function is only checked by prothrombin time, activated partial thrombin time and other commonly used indicators, and the full set of coagulation factors will not be checked.

But now that the patient has repeated bleeding, the bleeding has stopped under gastroscopy, and the tarry stool is still being dissolved, and the hemoglobin cannot be maintained, it is necessary to do a full set of coagulation indicators.

Qin Faxiang felt strange, "If the patient has hemophilia, it is easy to bleed when he bumps and bumps, how can he live to be in his forties!" ”

In any case, let's check the full set of coagulation indicators first!

As for Qian Jianghong, "This is not something that our surgery can handle, if the patient's hemoglobin can be stabilized, and then the coagulation function is normal, and there is no hemophilia, I can come to do laparotomy." In this case, it is definitely not operable. ”

In case the patient is really hemophilia, in this case, the operation is simply looking for death.

The four directors talked for a while.

Liu Qingqing also took the medical records and looked at them for a while, and suddenly found something, "Director Qian, this patient's eosinophil count is elevated. ”

Direct eosinophil count is mainly used to observe the prognosis of infectious diseases, the prognosis of surgical and burn patients, and to measure adrenal cortical function.

Eosinophil count is seen in chronic adrenal insufficiency, parasitic diseases, allergic diseases (such as urticaria, bronchial asthma, etc.), skin diseases (such as eczema, pemphigus, psoriasis, etc.), pulmonary eosinophilia, chronic myeloid leukemia, and Hodgkin's disease.

Decreased eosinophil count can be seen in patients with hyperadrenal hyperfunction, aplastic anemia, acute myocardial infarction, severe burns, major surgery, lobar pneumonia, typhoid fever, and scarlet fever.

Liu Qingqing raised this point, thinking that it could be used as evidence that the patient had internal parasitic diseases, but Ding Mingui said, "Yes, this patient has a bit of asthma, and it is estimated that this is the reason." ”

The rhythm was off, Qian Jianghong didn't say much, and directly said goodbye to Jin Zhen and came out.

Liu Qingqing followed behind, unwillingly said: "Director Qian, I think this patient is a parasite!" The parasite constantly changes the characteristics of the bite site, causing constant bleeding in the upper gastrointestinal tract. Also, the patient had been to a farmhouse and had a farming experience before. There are channels of infection. ”

Liu Qingqing tirelessly put forward her point of view, trying to persuade Qian Jianghong.

Qian Jianghong said: "But the eggs have not been found." ”

Liu Qingqing was stunned, yes, why is that?

Qian Jianghong said: "Also, this is not our patient. ”

Qian Jianghong's words were concise and to the point, he was not his patient, he couldn't go beyond the kitchen to make diagnosis and treatment measures for the gastroenterology department, and at most he would provide advice.

Liu Qingqing thought for a while, and then said, "I'm pretty sure she's a parasite." uu read the book "

"Huh." Qian Jianghong smiled helplessly, "If they can maintain hemoglobin and also rule out hemophilia, then we can consider operating on her."

When I opened my stomach, I saw everything. ”

The two of them talked as they walked, not beware of the conversation between the two of them falling into Yuan Yue's ears.

Qian Jianghong saw that Liu Qingqing was listless, so he asked, "What's the matter, Xiaoliu?" This is not our patient, this is the only thing we can do, if it is transferred to our department, it can be treated according to our thinking. ”

At this time, Qian Jianghong and Liu Qingqing didn't expect that Qian Jianghong's words would cause them some trouble.

Liu Qingqing sighed and said, "It's not all for this matter------- Ma Yiming is about to be discharged from the hospital." ”

"How?" Qian Jianghong was surprised, "Has he finished installing the pacemaker?" ”

"I just don't." Liu Qingqing said annoyedly, "You also know that he has a lot of negative news during this time, and he doesn't want to die!" ”

This matter is not trivial, and Qian Jianghong also felt the need to persuade Ma Yiming, "Then I'll take a look." Go back to the ward first! ”

Qian Jianghong went out directly on the next floor of the elevator and went to the health center.

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