The family said that his face was red and his neck was thick, and the patients and family members who were watching around him felt his anger.

At this time, Lin Yi walked over, he also understood the feelings of the family, so he said softly:

"Family, don't worry, I think the biggest problem in your son may not be hemorrhoids, but a rare genetic disease."

The family member gave Lin Yi a blank look and said angrily:

"Who are you! The experienced treatment just now couldn't be cured, can you still be cured?! ”

Lin Yi was not angry and continued to ask:

"Did your son often bruise when he bumped on his body, and his gums would bleed often when he brushed his teeth?"

The family member looked up and glanced at Lin Yi: "No! My son has been in good health since he was a child and this has never been the case! ”

"Huh?" Lin Yi was slightly stunned.

No, if it is a defect in the blood clotting gene, there is a possibility of bleeding at every turn from birth.

Bumps and bleeding gums are just minor issues.

It is likely that the bleeding will not stop if it is a little heavier, and people will die.

But this man ...... How could this not be the case?

Could it be that Lin Yi made a mistake in judgment this time?

On the side, the attending doctor gently pulled the corner of Lin Yi's clothes and whispered:

"I have already asked this question, and the family has ruled out the possibility of ancestral hemophilia."

When listening to Lin Yi's questioning, the attending doctor already knew what Lin Yi was suspicious.

He also wondered if the patient was hemophilic.

I also asked the family, but the family said that no one in the family had ever had this disease.

The whole family is very healthy.

It was also the first time his son had been in the hospital for this kind of surgery.

It was also the first time that the bleeding did not stop.

This answer will make him can't fix it.

The puzzled expression was exactly the same as Lin Yi's now.

Could it really be that Lin Yi made a wrong diagnosis?

This person is not hemophilic?

So what's going on?

The family members scolded outside for a while.

When Lin Yi and the attending doctor entered the emergency room, they saw that there was not much blood in the patient's drainage bag, it was still more than 20 milliliters.

Fortunately, the amount of bleeding is not large.

Lin Yi looked at the location of the intestines, and there was not much bleeding inside.

But the problem still needs to be solved as soon as possible.

If you don't keep it even, you will bleed suddenly and heavily.

Looking at the patient on the hospital bed, Lin Yi said to the attending doctor:

"Do you have genetic testing for blood clotting?"

The attending doctor shook his head: "No, I was going to observe it overnight, if it doesn't bleed tonight, I won't do it, if it's still bleeding, then check it tomorrow morning." ”

Lin Yi exhaled lightly and said:

"My advice is to look it up now! This patient can't wait, who can stand it after several times of bleeding?

This will indeed only have more than 20 milliliters of bleeding in the drainage bag, but if it is not kept even, it will bleed heavily.

So hurry up and draw blood for the laboratory to check whether it is a blood clotting gene defect! ”

Lin Yi spoke in a loud tone.

The attending doctor who listened was stunned.

"Check it now?" The attending doctor said stunned.

"Yes, check it now, check it quickly.

Although the family members said that there had never been unexplained bleeding, we as doctors had to be cautious.

What if he's hemophilic! ”

"Okay, I'll give the doctor's order and let the nurse draw blood."

The results of genetic testing generally take four or five days to come out.

During this period, the patient can only be controlled as much as possible so that the wound does not bleed.

The attending doctor muttered in a low voice while giving medical orders:

"I really wondered, if it was really hemophilia, then why had this person never had unexplained bleeding before?

Bleeding from brushing should be common.

But this patient has always been healthy and had no problems before admission, hey...... It's weird! ”

Next second!

He suddenly lifted up again (this chapter is not finished!) )

Chapter 285: Is It Hemophilia?!

Come on!

"That's right! Is this man ...... Is it a subclinical coagulation gene defect?! ”

Coagulation gene defects are also typed.

Heavy, medium, mild, and subclinical.

Take hemophilia A as an example.

Severe haemophilia A is the least FVIII gene factor content, which can be less than 0.01 U/(100%).

On the other hand, severe patients also have the most obvious symptoms, such as spontaneous recurrent bleeding, internal organs, joints, skin, etc., and the mortality rate is very high.

Moderate symptoms are milder than those of heavy cases, and there will be spontaneous bleeding, but most of them are heavy bleeding after trauma.

In mild cases, bleeding is unlikely to occur spontaneously and only occurs after trauma.

The subclinical type, which is the mildest type of disease.

These patients have no symptoms from birth and do not have spontaneous bleeding or bleeding from tooth brushing.

They will only bleed abnormally after surgery or major trauma.

This type of patient is the most difficult to detect the defect in the coagulation gene.

Just like this patient.

I have never had such symptoms of hemophilia and have always been healthy.

There is no problem with doing the basic examination for admission.

So it's hard for doctors to take this into account.

Unexpectedly, he came to the hospital to cut a small hemorrhoid, which led to three times in the operating room.

This is so rare!

The thought of this made the attending doctor excited!

After he finished instructing the nurse, he hurriedly said to Lin Yi:

"My guess is that it's hemophilia, but it's the rarest subclinical type!

This type is the least easy to spot and is the milder type of disease.

However, if the bleeding cannot be stopped, it can also be life-threatening. ”

Lin Yi turned his head, looked at the attending doctor with excitement on his face, and said calmly:

"That's why I asked you to check it out and see what kind of clotting factor is missing."

The attending doctor laughed twice.

Although the results have not come out yet, Lin Yi can think of this as soon as he comes, which also shows that his head is really turning fast.

If it weren't for Lin Yi's reminder, the attending doctor actually didn't expect this.

"Okay, then you guys are busy, I'll get off work first. If you need anything in the future, you can come to me for help.

By the way, if this patient has been bleeding all the time, I would suggest you take a gamble. ”

The attending doctor frowned: "What do you mean?" ”

"Bet that this patient is hemophilia, and transfuse FVIII blood with FIX blood to see if it can stop the bleeding."

The attending doctor stared at Lin Yi with a shocked expression, and after Lin Yi finished speaking, he left the emergency department with his hands in his pockets.

He's going to be hungry now, so let's go out and eat something to pad his stomach.

Behind him, looking at Lin Yi's slightly upright and chic back, the attending doctor couldn't help but say:

"Good guy, this can be ...... bet"

Of course, that's what the attending doctor says.

But if the patient will continue to bleed, he will still do what Lin Yi said.

Because I've tried everything before.

They went up and down, and the methods they could use, including intervention to stop the bleeding, were used, but they still didn't work.

Then we can only think about rare diseases.

At that time, if there is really heavy bleeding, you can only ask the blood bank to prepare this special blood to save the emergency.

If it works, then it's the right bet.

If it doesn't work, then the doctors did their best.

Although they have been bleeding several times since they were hospitalized, they are also trying to find the cause and try to save it.

The patient was indeed admitted to the hospital to cut hemorrhoids to cause all this.

But the essence is not because the hemorrhoid surgery is not done well, but because of unexplained bleeding on the patient's body.

The attending doctor turned around and went back to the office.

A doctor who was working overtime hurriedly told him:

"Dr. Liu called and asked you to order a blood clotting gene, and he said he would be in the hospital right away (this chapter is not over!). )

Chapter 285: Is It Hemophilia?!

Finish. ”

The attending doctor nodded calmly:

"I've already taken it, and the nurse's blood has been drawn and sent to the laboratory department."

"That's good, I'm quite anxious when I hear Dr. Liu's tone on the phone."

"It's okay, the amount of bleeding is not big at the moment, and it can be controlled, so let's get off work quickly when you finish dealing with it."

"Okay, I'll go right away."

…………

After a while, the Dr. Liu arrived.

He is in his forties and is a senior emergency physician.

He didn't care so much and went straight to the emergency room, and as soon as he came in, he looked in front of the hospital bed, and it was really bleeding again.

But it's not much at the moment, thirty milliliters.

"Doctor Liu, this is the CT and colonoscopy results that just came out, and another mesenteric blood vessel has ruptured and bleeding!"

Seeing Dr. Liu coming, the attending doctor immediately presented the examination he had just done.

Dr. Lau looked at it and asked:

"The blood clotting gene is done, right?"

The attending doctor nodded: "It's already done, the ...... just now"

Seeing that the attending doctor was talking heavily, Dr. Liu turned his head to look at him and said:

"What happened just now? How do you say half stop half when you speak? Hurry up and say something! ”

"Lin Yi came over just now, and he said that he suspected that this patient was hemophilia."

"He's coming?"

"Yes, I invited him over, and he came to the emergency room to take a look, and then looked through the case a few times, and he suspected hemophilia.

He also insisted that I do a coagulation gene test, and I thought that what he said made sense, so I ...... Promised. ”

"He asked you to do a coagulation genetic test?"

"Hmm!"

Dr. Liu pursed his lips, his eyes slightly lowered, not knowing what he was thinking.

Then he said:

"Did the blood go to the laboratory department? Tell them that we are investigating urgently, and let them get the results as soon as possible. ”

"Okay, I'll call the laboratory right away."

Dr. Liu immediately waved his hand again and said:

"Forget it, I'll go directly to the laboratory department to urge them later."

As soon as the words fell, the patient's drainage bag suddenly changed color!

From light red to deep red!

And the flow rate in the drainage bag has also been accelerated!

Immediately, Dr. Liu and the attending doctor secretly shouted that it was not good!

Worst!

It's bleeding again!

Dr. Liu immediately commanded:

"Hurry up and notify the interventional department that we need to have an emergency operation here in the emergency department!"

The bleeding began again, and Dr. Liu's first reaction was to block the bleeding vessel with another intervention to stop the bleeding.

Because until the results of the coagulation gene test are available, only interventional surgery can really stop the bleeding.

Other medications are completely ineffective!

"Good ......"

The attending doctor had just turned around to make a phone call, when he suddenly turned back.

Seeing that the attending doctor was still stunned, Dr. Liu immediately shouted:

"What are you doing here? Being a model? Don't hurry up and get in touch with the operating room! ”

The attending doctor pondered for a moment, then said:

"Dr. Liu, otherwise we will treat it according to hemophilia! If this will be sent for interventional surgery, the next time it will be another blood vessel bleeding.

But if ...... If we treat hemophilia as a hemophilia, we will take all the plasma needed for hemophilia A and B and give it to the patient.

That is to stop the bleeding in the real sense, so that the patient will not bleed again later. ”

"What did you say?!"

Dr. Liu glanced up and down at the attending doctor.

This kid is usually simple, why did he suddenly become shrewd again?

Dead horses follow live horse doctors?

Take a gamble??

It doesn't seem impossible!

Since all the methods were tried, bleeding still occurred, and bleeding occurred again even after the interventional surgery.

Then this patient is likely to consider whether it is a rare blood clotting disorder.

Now that you've already suspected it, let's give it a try?

(This chapter is not finished!) )

Chapter 285: Is It Hemophilia?!

After hesitating for two seconds, Dr. Liu nodded and said:

"Okay, call the blood bank and ask them to bring the FVIII and FIX plasma! 200 ml each!

In addition, we still have to notify the interventional department again, in case we still can't stop the blood transfusion, then we still have to do another intervention. ”

"Good!"

The attending doctor immediately went out to call to make arrangements.

In the emergency room, Dr. Liu, with the help of nurses, changed the patient's oil yarn to stop the bleeding.

The oil yarn was almost soaked with blood when it was taken out.

Looking at this situation, Dr. Liu already had an 80% probability of suspecting hemophilia.

Otherwise, the bleeding will not stop, and neither the drugs nor the intervention will work.

It could only be a coagulopathy.

Outside the rescue room, the family wanted to hit someone angrily, but fortunately the security guard stopped them.

He did not sign the critical illness notice in the attending doctor's hand.

The attending doctor had no choice but not to sign it first, and then talk about it after the rescue.

"Here comes the blood, you want two bags of FVIII and FIX, right?"

The nurse from the blood bank came to the emergency room with a bag of blood and asked.

"Yes, yes, give it to me!" The attending doctor hurriedly signed, then took the blood and walked to the emergency room.

Outside the door, looking at the doctor's hurried footsteps holding the blood, the family members cried.

A man in his sixties sat on a chair and wept silently, and said while crying:

"Son...... You can't die, my son...... Your mother is gone, how can you live if you leave me alone......"

The security guard went over to comfort him, but he was thrown away.

In the emergency room, the nurse hung the blood bag on the patient's left and right venous passages.

FVIII type A can be treated with infusion at the same time, and FIX type B can be treated with infusion at the same time.

Looking at the pale yellow plasma slowly flowing into the patient's body, the attending doctor looked at Dr. Liu and said:

"The patient's father has always said that the patient has not had unexplained bleeding since he was a child.

There was no bleeding gums due to brushing, and there was no bruising on the body when I touched it.

All his problems only appeared after he came to the hospital and cut a hemorrhoid.

So I reasoned that if the patient was really hemophilia, it should be the mildest subclinical type.

A dose of 200 mL per side is approximately sufficient to meet the factor FVIII and FIX requirements of the subclinical type. ”

Dr. Liu turned his head to look at the attending doctor with some surprise in his eyes.

What's going on with this attending doctor today?

Usually in the department, it's like a little transparent, and he doesn't say a word.

Why did you suddenly get the hang of it tonight?

"Yes, the analysis is in place."

Chapter 285: Is It Hemophilia?!