"Director, what should we do now?"
Han Xiaoxiao looked at the woman in pain and couldn't help asking.
"Push a Valium first, and wait for the test results to come out."
Qin Feng thought for a while and said.
Han Xiaoxiao nodded, and then began to operate.
"Director Qin, then we..."
The doctors from the Department of Gastroenterology and Obstetrics and Gynecology looked at each other.
"Hehehe~ Let's wait for a while, let's see the result together."
Qin Feng smiled.
About ten minutes later, a doctor from the laboratory hurried over with a report in his hand, with a happy expression on his face.
"Director Qin, this is the report you want, and there is indeed a problem."
Hearing this, Qin Feng immediately took over to check the inspection results.
In the next second, his eyes softened a lot, and a smile rose from the corner of his mouth.
"Okay, I found out."
As he spoke, he handed the inspection report to Han Xiaoxiao and the others.
Han Xiaoxiao took it over, and was stunned when he saw the indicator above, and showed a clear expression in the next second.
Acute intermittent porphyria!
No wonder other hospitals and they couldn't find out, it turned out to be this disease!
Porphyria, also known as porphyrin disease, is a group of porphyrin metabolic disorders caused by the lack of certain enzymes or reduced enzyme activity in the heme synthesis pathway.
It can be congenital or acquired. The main clinical symptoms include photosensitivity, digestive system symptoms and psychoneural symptoms.
Acute intermittent porphyria is the most common form of porphyria.
The clinical features are abdominal cramps, intractable constipation, mental symptoms and excretion of a large amount of ALA and porbilinogen in urine.
The symptoms of acute intermittent porphyria mainly include acute abdominal pain, intractable constipation, paresthesia or loss of lower limbs, paraplegia or quadriplegia, facial nerve paralysis, dysphagia, neurasthenia, personality changes, abnormal urine color, etc.
The most common is acute abdominal pain, and the location of the abdominal pain is not fixed. It may be around the navel, upper right quadrant, lower right quadrant or even the entire abdomen. It is often misdiagnosed as intestinal spasm and colic.
This disease is a rare disease among difficult and miscellaneous diseases, and it is rarely seen in general.
The most important thing is that the patient is a pregnant woman, which makes the examination and diagnosis more difficult.
So after three hospital transfers, there was no result!
"Is the patient's family here?"
Once the cause is confirmed, the rest will be easy to handle.
After three doctors from other departments went back, he met the woman's husband.
"You are the patient's lover, aren't you?"
Qin Feng looked at the man and asked.
"Yes, doctor, what's the matter with my wife?"
The man was sweating profusely, and his lips were a little chapped.
"It's like this, don't worry, we have already found out the cause of your lover, but there are still some questions that need to be asked."
Qin Feng nodded and comforted him,
"I would like to ask, has there been any close relative marriage in the patient's family?"
Marriage between relatives?
Hearing this question, the man was also stunned.
He didn't expect Qin Feng to ask this question, which is obviously beyond the scope of normal people's thinking.
But the man still frowned and thought about it carefully, then shook his head.
"No, I know that her parents and the elderly are not close relatives. This is for sure. They are not from the same place. There should be no such possibility." The man said.
"Doctor, does my wife have some genetic disease?"
"It's not sure yet, it's just a possibility, a guess, we need to rule it out."
Qin Feng explained.
If it is not a close relative marriage, it may be caused by the day after tomorrow.
"Okay, then let's treat the patient first, don't worry."
After finishing speaking, Qin Feng took Han Xiaoxiao back to the rescue room.
Han Xiaoxiao, who was behind him, looked at Qin Feng's back in front of him, and his eyes couldn't help but light up.
"The patient is now 16 weeks pregnant, so we must be cautious with medication."
Qin Feng began to arrange,
"Glucose 500g infusion, chlorpromazine 25mg, 4 times/d, control pain, turn to observation and observe the situation, especially breathing and heart rate..."
"Okay, I understand Director Qin."
After some operations, the woman who had calmed down was pushed out of the emergency room and sent to the ward.
In the office, Han Xiaoxiao finished prescribing the medicine order, asked the man to pay the bill, and started the treatment.
Once the etiology is confirmed, the treatment will naturally be handy.
Especially when Qin Feng personally arranged it, he seemed to have taken a reassurance for an instant.
"Director Qin, how did you diagnose this rare disease so quickly?"
Han Xiaoxiao was still a little puzzled, ran up to him, blinked his eyes and asked curiously.
"Hehehe~ Actually, I wasn't sure at first, but the examination results of the three hospitals were surprisingly consistent, and there was no problem, so this is the biggest problem.
So I excluded all conventional abdominal pain diseases, and the patient was a pregnant woman, so some tests could not be done.
In addition, the patient's abdominal pain is obviously metastatic, have you not noticed that the position of the woman holding her stomach will change?
The most important thing is her behavior, which is obviously different from normal people. "
Qin Feng heard this, smiled and raised his head to explain to her,
"I know that the obstetrics and gynecology department estimates that the first reaction is the pelvic cavity and uterus, and the gastroenterology department is some diseases that are prone to abdominal pain such as the stomach and biliary tract.
However, the subtle signs are not obvious, and there is no way to check them.
In addition to these, in fact, there is not much we can do now.
And acute intermittent porphyria was one possibility, so I ordered these tests.
It can be regarded as a gambling element, it's just good luck. "
"All right..."
After listening to Han Xiaoxiao, she was enlightened, but the last sentence still made her look strange.
It's a matter of luck?
Doctor, there is no such thing as luck!
Because every decision made is related to the safety of the patient's life.
So even if the doctor thinks it is luck sometimes, it is the result of countless experiences!
"Actually, if the disease cannot be found out, then the patient's condition may not be good."
Qin Feng took a deep breath and said in a low voice.
After the words fell, Han Xiaoxiao was stunned for a moment, and then her expression became serious.
Qin Feng's words rang like a bell, making her calm down again.
If it wasn't for Qin Feng's diagnosis of the cause, the patient's family would definitely not agree to be transferred again, after all, this is Xiehe.
What will be the next test for pregnant women?
Will there be any impact on the fetus?
But if all the tests are done, it turns out to be acute intermittent porphyria.
…
Thinking of this, Han Xiaoxiao broke out in a cold sweat.
Although this is not considered a medical malpractice according to the rules, it will definitely leave this hurdle in my heart!
Because this disease can obviously be detected before those tests that are risky to the fetus.
In the next second, Han Xiaoxiao's eyes looking at Qin Feng changed again, as if he was a little more respectful and shocked.
No wonder the hospital asked him to be the deputy office director of the emergency department!
With this hand alone, it is enough to crush them!
He is so good! ! !
…
In the middle of the night, the abdominal pain of the woman who took the medicine gradually disappeared, her mind and emotions returned to normal, and she fell into a deep sleep.
Early the next morning, Qin Feng took the doctors to do the handover.
As soon as she walked to the observation ward, the woman's husband immediately got up, greeted him with a smile on his face, and took the initiative to hold Qin Feng's hand.
"Director Qin, thank you so much!"
"It's okay, your stomach doesn't hurt, does it?"
"Okay, everything is fine!"
The man nodded vigorously happily, and the woman on the bed also smiled and gently stroked her stomach.
"Director Qin, I don't know what to say, if it weren't for you, my wife and children didn't know what would happen last night.
Thank you so much! "
"It's all as it should be. I'll do a checkup later in the afternoon and look at the child.
If everything is normal, you can leave the hospital."
Qin Feng nodded with a smile, and talked about the situation,
"When you go back, you must pay attention to diet and exercise in moderation, especially emotions are very important, you know?"
"I see, thank you Director Qin."
The woman nodded repeatedly and agreed.
After checking the room, Qin Feng drove away from the hospital and can rest today.
But this matter quickly spread in the emergency room.
"Hey, does the pregnant patient know this morning?"
"I've also heard that it was sent to several hospitals last night after they couldn't find the cause."
"Let's not talk about other hospitals, Xiaoxiao and the gastroenterology department, obstetrics and gynecology consultation last night didn't find out."
"I heard that it was our deputy director Qin. He didn't even go in for 5 minutes. After a set of tests, he was diagnosed directly. It's still a rare disease!"
"Yeah, I couldn't believe it, I didn't believe it until Lao Chen took the checklist to me!"
"I also saw the checklist, it's amazing!"
"No wonder he became our deputy director at such a young age. I admit that I have no such ability."
"Hahaha! Our director Qin is a genius who has broken many records of Xiehe. He is really more popular than others!"
…
In the office, Zhang Qingquan, who was sitting not far away, had a complicated expression on hearing everyone's excited discussions.
He turned his head to look at the empty table behind him, and suddenly felt a slight sense of loss in his heart.
He also read the situation of this case, including understanding the whole process.
I have to admit that even he probably wouldn't have thought of this disease, and in the end he would definitely not be able to find out and get a CT scan.
And what about Qin Feng?
He got it done lightly!
Perhaps, he is really not suitable for the position of deputy director?