452 Crying cat syndrome
A bunch of people were waiting anxiously outside the door of the ultrasound room.
After seeing the camera, they were a little surprised, but their agitation did not decrease, and some even stole hostile glances.
Director Fan complained bitterly, and he also wanted to see the communication between Ji Xiang and the other directors. And in the current situation, I don't think I can get into it at all.
Violating other people's privacy, and bringing a film crew, this kind of mistake will not be made.
"Director Kong?" Director Li shouted outside.
"Wait a minute, check."
Director Li nodded, and stood outside with Director Yang and Ji Xiang waiting for the inspection to end.
I don't know why, it's just a B ultrasound, and Director Kong still didn't come out after 10 minutes.
They are all dressed in plain clothes, and it is inconvenient to enter, which will cause disgust and even hostility among the patient's family.
Director Li took out his mobile phone and kept looking at the time, looking at the door from time to time, but Director Kong just didn't come out.
After another ten minutes, a pregnant woman walked out, and Director Kong explained some words to the patient's family and walked up to Ji Xiang with a serious expression.
"You're Dr. Ji Xiang." Director Kong stretched out his hand, and without waiting for Ji Xiang to raise his hand, he took his hand and shook it up and down, "I heard Li Ming say that you scolded that old thing when you were in the Demon Capital." ”
Ji Xiang smiled slightly embarrassedly, but he didn't expect to get praise from others for scolding.
But he knows exactly why.
"Don't be embarrassed for Ji Xiang." Director Li smiled, "Change your clothes and go to dinner." You have such a big wrist, it takes so long to make a B ultrasound. ”
"Don't mention it, I always feel like there's a problem, but I don't know what's wrong." Director Kong said suspiciously.
"Huh?"
"Ultrasound shows a small amount of fluid in the fetal pericardium, a single umbilical artery." Director Kong said, "Deformity is a high probability, but the patient's family is always lucky. ”
Ji Xiang knows that under normal circumstances, the umbilical cord blood vessels of the fetus have 2 umbilical arteries and 1 umbilical vein. The fetus has only one umbilical artery, and one vein is called a single umbilical artery.
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This phenomenon is relatively rare in humans, and its mechanism has not been fully elucidated, and its clinical significance is still being studied.
It is generally believed that a single umbilical artery is one of the markers of fetal abnormal development, but only a single umbilical artery does not indicate abnormal fetal development or chromosomal abnormalities.
"Go for other tests, why are you checking so carefully? No matter how much you look at it, you can still see another artery vein. ”
"Let's go, go out to eat."
"Let the family go for a check-up, I'll go change clothes, you wait for me." Director Kong also knew that they were right, and glanced at Ji Xiang again.
Seeing that Ji Xiang was in a daze, which was different from the sharp and fearless image in the legend, Director Kong thought to himself that it was estimated that Ji Xiang's blood was surging at that time, so he pointed at Boss Qin's nose and scolded.
As for the usual, there is no reason to show your teeth and claws when you see people.
And the young man who can face Qin Chu's blood and qi should not be bad.
This is also in line with his perception of Dr. Guipei.
"Director Kong." Just when Director Kong turned around to change his clothes, Ji Xiang suddenly said.
"Well, what's wrong with Dr. Ji Xiang?" Director Kong asked.
"Does the pregnant woman have a history of severe vomiting in the early stages?"
The two directors Yang and Li frowned slightly, is Ji Xiang so much to do?
But Director Fan, who was not far away, was in good spirits and made a gesture to signal the film crew to follow.
"Nope." Director Kong replied very calmly, "Pre-pregnancy patients don't feel anything, and they have been working. ”
"What does she do? Have you been exposed to chemicals? Ji Xiang asked again.
"Chemical ......" Director Kong was obviously not as detailed as he asked, he glanced up at Ji Xiang, "Doctor Ji Xiang, do you think it is necessary?" ”
"Yes." Ji Xiang replied very seriously, "Although the single umbilical artery cannot be used as a sign of congenital disease, but a small amount of fluid in the pericardium, and the combination of the single umbilical artery, if the pregnant woman has a history of chemical exposure, the 4-fetal cry syndrome can be considered." ”
"What?"
"What?"
The two directors Yang and Li were stunned for a moment, the 4th fetus cat called syndrome, you heard it right, this name is too weird.
Director Kong's expression quickly became serious, he glanced at Ji Xiang deeply, bowed his head slightly, and turned to communicate with the patients and their families who had not left.
"Dr. Ji Xiang, what is 4-fetal crying cat syndrome? I'm not wrong about the name. Director Li Mingli didn't see anything outside, and asked directly.
This disease, also known as partial monosomy 5p syndrome, is caused by the deletion of the end of the short arm of chromosome 5, which is an autosomal deletion disorder.
Because the child has a high-pitched, cat-like cry after birth, it is called meow-like syndrome.
In addition to specific crying, children often have intellectual disability, growth retardation, language disorders, congenital heart disease, intracranial lesions, and spinal deformities. ”
“……”
“……”
The two directors looked at Ji Xiang with the same eyes as aliens.
If Ji Xiang is at a high level, they will admit it, but no matter how high it is, they must take a look at the B-ultrasound image.
Just hearing Director Kong say that a small amount of pericardial effusion combined with a single umbilical artery, Ji Xiang can give a diagnosis?
And it's a very cold diagnosis - cat cry syndrome.
"If there is only a small amount of pericardial effusion, the umbilical artery alone cannot be diagnosed, but if a pregnant woman has severe vomiting in the first trimester or is an employee of a chemical plant, it can be diagnosed with a high probability."
Ji Xiang seemed to know the thoughts of the two directors, and directly gave an explanation.
The two directors looked at Ji Xiang silently.
Director Fan was happy to have a flower in his heart, and this is what he wanted! That's it!!
This is what the audience wants to see!
He has vaguely seen the ratings of the second episode reach more than 5 million times across the network.
It's done!
After communicating with the patient's family, Director Kong turned around and said to Ji Xiang, "Dr. Ji Xiang, the patient has no history of chemical exposure. ”
The two directors laughed dumbly.
Ji Xiang's forced pretense failed, and compared with the previous oath, the current Ji Xiang is a little embarrassed.
But it's no wonder that the information that Ji Xiang knows is not complete, and diagnostic errors are inevitable.
Director Fan was slightly disappointed.
"Then ......" Ji Xiang muttered, he seemed to pause, and then asked, "Director Kong, I see that the patient's hair seems to have been dyed, and if it is dyed frequently for a long time before pregnancy, it can be regarded as exposure to chemicals." ”
"Frerequent?"
"Depending on the type and frequency, I estimate that pregnant women should dye their hair at least once a week before they become pregnant."
"Then I'll ask again." Director Kong was not impatient, and turned around to ask the patient and the patient's family again.
This time, he came back quickly, his eyes bright.
"Doctor Jixiang, you guessed it." Director Kong said in a deep voice, "Pregnant women have done their hair 4 times in half a year, isn't this nonsense!" ”
Director Fan was stunned, there was a connection between doing hair and cat crying syndrome?!