"Teacher Wu. ”

Wu Mian got into the 120 ambulance, and a doctor on the bus said, "The child still has breath." ”

"Go down the urinary tube, monitor the urine output, see how the diabetes insipidus goes. Wu Mian said.

"Good. The doctor turned around and gave the child a urinary catheter.

"Teacher Wu, what is the child's disease?" the doctor asked as he was busy.

"Hanxek's syndrome. Wu Mian said.

Wait for the doctor to finish the catheter and start the physical examination.

"Suspension of teeth is the most typical manifestation of Hanxek's syndrome. Wu Mian said, "Unilateral convex eyes, osteolytic changes, can be basically judged." ”

"How can I save it when I go back?" the doctor asked in distress as he looked at the values on the ECG monitor.

Han Sherk's syndrome, he ...... I don't know what it is.

"Hypokalemia can be treated. Wu Mian sat back in his seat and said lightly, "By the way, don't do any treatment for the patient's diabetes insipidus." ”

“......”

"I have met a similar patient before who was given a posterior pituitary hormone and dihydrogram urinary plugs. As a result, there was a big problem, and after symptomatic treatment, the blood potassium rose directly from 1.5 to 6.2, and he almost died. ”

"Uh...... No treatment?"

"Hmm. Wu Mian nodded, "The patient's diabetes insipidus is due to the lack of ADH, which causes a large amount of hypotonic fresh water to be lost from the urine, and the sodium is not eliminated with it, so that the body becomes a salt pool, and the sodium will become higher and higher." ”

"The characteristic of this kind of patient is that he has to drink a lot of water every day, about 10,000ml, and urinate after drinking. Wu Mian sighed, "It's okay not to do treatment, use the existing technology to do treatment, and soon the child will have complications such as epilepsy." The traffickers gave the child medicine for diabetes insipidus, so the serum ions reacted quickly. ”

"The oral deammonia acetate compression tablet was found in the woman's bag and handed over to the police. Wu Mian said naturally, looking at the child without blinking.

Incurable diseases...... The 120 emergency doctor was stunned for a moment.

Rehydration, symptomatic treatment, after 30 minutes, the child's condition is better. The 120 emergency doctor finally breathed a sigh of relief and sometimes asked what was going on.

"Teacher Wu, what's going on today, it's the first time I've seen the SWAT dispatched. ”

"A gang of traffickers. Wu Mian said, "In the past, they bought children with congenital diseases in remote villages, mainly with congenital heart disease. Like Hanxek's syndrome, it is rare. ”

"Huh, what are you buying sick children for?"

"Ten or twenty years ago, in a place like the railway station with a large flow of people, there were children with congenital heart disease who went to beg, and business was very good. After all, there are still many well-wishers, and a person who gives eight cents will have an income of several hundred yuan a day. ”

Originally, I didn't think it was much money, but when the 120 emergency doctors thought about it, they couldn't help but smack their tongues when they thought that it was twenty years ago.

And it's not just one child, it's a lot of children, and the income is extremely substantial.

"It's really lacking in virtue. ”

"There are many things that lack morality, and you should have seen a lot of them as a doctor. "Six years ago, I assisted the Ministry of Public Security and participated in the investigation of this major case as a technical diagnostic expert. I didn't expect there to be a fish that slipped through the net, but I met it today. ”

"How dare that mastermind commit another crime and not be afraid of being recognized?" asked the 120 emergency doctor suspiciously.

"He had plastic surgery, and his former accomplices probably didn't know him. Wu Mian said, "And now the train station is different from before, and their main energy is spent on the hospital." You've heard that it's the kind of people who come to the hospital with a dead child to prescribe medicine and make money. ”

"......" the 120 emergency doctor was stunned, "I didn't expect it to be a gang." ”

"Generally not, this one is different. ”

The 120 emergency doctor was confused, he was called in a hurry and cooperated with the action. At that time, my blood was boiling, and I thought it was to arrest criminals, but I didn't expect Mr. Wu to beat people honestly with a few mouths and a back fall.

"Teacher Wu, did you know it early on?"

"I glanced at the news when I heard it. Wu Mian said, "Later, Dean Zhou sent me a video. The child's appearance is very typical of Han Xueke syndrome, and I wondered if there would be any accidents at that time. ”

"What happened later?" 120 emergency doctors were interested, and they could blow this thing for years.

"Section Chief Duan sent another photo, and when I saw the person negotiating, I knew that it was a fish that slipped through the net, so there was no doubt. ”

"Isn't it plastic surgery?" 120 emergency doctor grabbed a flaw in Wu Mian and asked.

"Well, it's really hard to tell the difference between plastic surgery now. Wu Mian nodded, "But there are always some places that can't be fixed, such as the frontal bones, nostrils, and the distance between the eyebrows." With a different face, these places generally don't move, because no one notices. ”

"......" 120 emergency doctors were stunned.

It is true that the frontal bone is rarely grinded, and the cheekbones are generally grinded and the cheekbones are grinded. And the size of the nostrils ...... Who cares about this. Then there's the distance between the eyebrows, which sounds like a fantasy.

"Teacher Wu, can you tell the difference?" the 120 emergency doctor asked in surprise.

"Well, just look at it. Wu Mian smiled, "Especially the frontal bone, there are many neurosurgical craniotomys, and you can know the size of the frontal bone at a glance, and what impact will it have on the operation." ”

"What's the impact?"

"You're not a neurosurgeon, so you don't understand. Wu Mian smiled, "Plastic surgery is basically useless to me, even if I change my face, I rarely do anything to my forehead." ”

"......" 120 emergency doctor sighed with emotion, "Mr. Wu, you are really a super brain." ”

"It's not a super brain. Wu Mian said with a smile, "Brother Shui can find out the cup he has seen before from 520 cups of the same type when he looks at the water, this kind of person and thing is not uncommon." ”

120 emergency doctors smacked their tongues, Mr. Wu was not talking about the world he was in, those people should be geniuses.

"Are you okay?" asked the 120 emergency doctor.

"Almost. Wu Mian smiled.

"Mr. Wu, you haven't finished speaking, how did you make a clear diagnosis. ”

"Quite simply, ordinary diseases do not cause a wide range of fluctuations in serum ions in a short period of time. They were self-defeating, thinking that they had left ironclad evidence, but they didn't expect that there was no flawless means of slandering people at all. ”

"Coupled with the typical physical signs of suspended teeth, there is nothing wrong with the diagnosis. ”

"CT images show extensive osteolytic destruction of the mandible with tooth suspension, often in the form of round or round-like bone defects. When the cortex of the lower jaw bone is invaded, soft tissue swelling may occur around the mass. This is a common sign of osteophilic granulomatous lesions in the jaw. ”

Wu Mian saw that the 120 emergency doctor was like a duck listening to thunder, so he smiled, "There is almost no complete tooth in the mouth, and the remaining loose teeth are like floating on the gums, which is called a suspended tooth." It's rare, you take a look, and you won't misdiagnose it if you encounter it later. ”

"When encountering this kind of patient, you must be careful and do not treat it. Wu Mian said, "It's a rare disease." ”