Chapter 140

###Although there are only more than ten more monthly tickets, Tiannan doesn't want to keep everyone waiting too late since the code comes out. No matter whether there are enough 30 tickets or not, thank you very much. Thinking of being criticized by Xu Ze, Qian Xuebin has a trace of resentment in his eyes. However, Qian Xuebin, who has always been gloomy, does not reveal any of them, but restrains them The resentment in my heart sank down and carefully analyzed my current situation.

"What is Guillain Barre syndrome? I seem to have never heard of it. What's wrong with the physical examination? I don't know. Now director Qu asked me to write it again and check it again. If there is any omission, I'm afraid the impression in director Qu's eyes will drop sharply... " Thinking of this, Qian Xuebin, who has always been extremely conceited, is a little impatient.

However, he soon thought that since Xu Ze could find out the problem, he naturally knew that I had not detected it. It seems that he can only start from here

Thinking of this, Qian Xuebin had some gloomy face, but suddenly he piled up a warm and intimate smile and walked towards Xu Ze.

At this time, Xu zegang heard director Qu's criticism of Qian Xuebin. He secretly said that Qian Xuebin was not a fool. He was afraid that he would soon think that this matter had something to do with him. In the first place, he was not good at himself. This time, he was afraid to hate himself.

All of a sudden, Qian Xuebin came over with a smile on his face. However, he couldn't help but be stunned. Did Qian Xuebin not know that this matter had something to do with himself?

In Xu Ze's consternation, Qian Xuebin came forward and sat down beside him affectionately. He looked at Xu Ze with a smile and said, "Xu Ze... Did director Qu take you to see my patient just now?"

Listening to Qian Xuebin's question, Xu Ze did not know what he meant, but still nodded with a smile: "yes Director Qu and I went to see it... "

"Oh When did director Qu find something unusual Qian Xuebin looked at Xu Ze affectionately and said with a smile, "I haven't heard of Guillain Barre syndrome before. Tell me what director Qu said!"

Xu Ze took a light breath, and finally understood why Qian Xuebin was so enthusiastic about himself. He could not help but secretly said, "this Qian Xuebin is really powerful. He can resist his resentment against himself. In turn, he is close to himself and inquires about information. It's really not easy..."

However, Xu Ze didn't care. He didn't tell him now. Later, director Qu would also say that since Qian Xuebin asked each other warmly and intimately, he did not conceal it. He said with a light smile: "director Qu mainly thinks that the patient's lower limbs have slight superficial sensory disturbance, and the patient's medical history has been infected several weeks before the onset of the disease, and some patients have body and limb several days before the onset of the disease And a history of neck and back pain These are the hallmarks of Guillain Barre syndrome... "

After hearing Xu Ze finish, Qian Xuebin murmured in the bottom of his heart. There were two points that Xu Ze asked when he was seeing a patient. It was he who told director Qu directly that he was criticized.

However, Qian Xuebin, who was always in a gloomy mood, did not show any sign of silence. He then took the stethoscope and percussion hammer and other inspection instruments to have a new examination with the patient.

Looking at Qian Xuebin's back in a hurry to leave, Xu Ze chuckled and then buried his head to see his medical record

Director Qu quickly turned over the issue only a few days ago, and then published it in the national authoritative medical journal on Guillain Barre syndrome abroad. After reading and analyzing it carefully, he found that the above-mentioned several characteristic signs and medical history were very consistent with the patient. Then, the protein cells of cerebrospinal fluid assay were separated, which was indeed mentioned above It is only a preliminary diagnostic criterion, but it is not mentioned as a characteristic diagnostic marker.

Director Qu frowned and thought for a moment. He thought that the diagnosis of Guillain Barre syndrome is still very possible. As long as the cerebrospinal fluid test is done and there is indeed protein cell separation, then it should be able to make this diagnosis.

Then he took the magazine out and went back to the internal medicine office. He waved Xu Ze and handed over the magazine in his hand. He said with a smile, "Xu Ze, do you also see it from this top?"

Xu Ze looked at the magazine suspiciously. After reading the above information about Guillain Barre syndrome, he could not help shaking his head. However, his information was transferred from the research materials of various top professional medical institutions in the world. This magazine is not so comprehensive.

Then he laughed and shook his head and said, "I saw it from the Internet. It's the latest research on Guillain Barre syndrome..."

"Oh? Are there any new developments? " Director Qu tried to suppress his excitement and was curious.

Xu Ze chuckled and nodded, and then said with a smile, "it's just one more item, that is, the separation of protein cells in cerebrospinal fluid, which has been identified as a characteristic diagnostic marker!"

Hearing Xu Ze's words, director Qu excitedly said, "really? Has this test been identified as a characteristic diagnostic marker? Is there any progress in treatment? "

Xu Ze chuckled and then said, "basically there is no big change, that is, plasma exchange and gamma globulin anti immunotherapy as mentioned in this document."Hearing what Xu Ze said, director Qu put down a heart and then nodded: "Oh That's good. Otherwise, if the patient is diagnosed, we have to find a new treatment scheme that can be confirmed by authority, which will be more troublesome... "

At this time, Qian Xuebin also came back from the ward. It seems that he has had a new consultation and physical examination. However, his face looks a little bit ugly. It seems that the patient was reexamined just now, which may make him a little embarrassed

Seeing Qian Xuebin come out, director Qu handed the magazine in hand to Qian Xuebin and said, "this is the information about Guillain Barre syndrome. You can analyze it carefully, and then write a new medical record for my signature!"

Hearing that director Qu wanted to review the signature, Qian Xuebin's face became overcast again. However, he took it respectfully, sat down at his desk and read it carefully.

Qian Xuebin read the issue of this magazine, which is the latest issue. He can't help but feel annoyed that he didn't go to the library to have a look. If he did, he might have a certain impression, and he might be able to avoid his own embarrassment It's not going to be punished.

However, he also knew that he could not associate himself with his patient by relying on this information. After all, he did not notice some changes in his medical history and subtle signs.

Therefore, Qian Xuebin turned his anger to Xu Ze. If the boy didn't stir up trouble in the middle, how could director Qu think of such a diagnosis? He went to the ward round today and didn't find out about it? Anyway, this is the latest information. We have not seen it in the emergency department, and no one can say anything.

Now the treatment also barely controlled the progress of the disease, originally everything is good, all blame this boy

But now even the patient and his family members have no enthusiasm and respect for themselves, which makes him lose his prestige. Thinking of this, Qian Xuebin is full of shame and anger. He secretly says: "I only hope to wait for the cerebrospinal fluid test results to come out. There is no problem. I can't determine the diagnosis of Guillain Barre syndrome. Otherwise, how can I have prestige in front of the patients ”

however, Qian Xuebin was doomed to be disappointed. At the urging of director Qu, the results of cerebrospinal fluid test were sent to us quickly.

It's clear from the above that there is a significant protein cell separation in the CSF.

Director Qu took the test result, and was very happy. He said in his heart: "although this information has been transferred to the national authoritative medical journal, it has only been a few days, and there are not many cases of clinical diagnosis in China I'm afraid I've got another advantage today. I can report a research topic to the hospital! "

"And if we can get the results first, we can even report to the Ministry, and then we will publish two national papers Although it may fall behind the international level, it is an extremely glorious thing to be able to stand at the top of the domestic level. "

At the thought of this, director Qu was excited. For experts of his rank, nothing can attract him more than these. For them, some ordinary material wealth has become no temptation to them. Only these things that can make them famous can make them excited

I remember that Xu zegang had just confirmed that the separation of protein cells in cerebrospinal fluid is a characteristic diagnostic marker of Guillain Barre syndrome. At present, director Qu did not hesitate at all, and said excitedly to Xu Ze, "Xu Ze, are you sure that the information is like this?"

For director Qu's question, Xu Ze knew the meaning of his question. He had already known the progress of Guillain Barre syndrome in the future technology. Naturally, he knew that this was 100% correct. He nodded his head and said, "director, I'm sure!"

"Well, we'll treat it according to this treatment plan Try to get a result in a few days Director Qu said excitedly: "we must closely observe the progress of the disease and keep a record of any changes. If we succeed, we can apply to the hospital or even the Ministry for special research projects. This will be the biggest medical achievement and breakthrough of the first affiliated emergency department of star university this year."

Listening to director Qu's excited words, Zhang Qi and Qian Xuebin, who had a gloomy face, were all excited. If there was such a ministerial or even national level project, the emergency department of the first affiliated Department of star university would advance several places in the national ranking, and could also obtain a large amount of financial support from the hospital and even the state. In addition, it would be very urgent to produce national monographs Everyone in the Department of internal medicine can share great benefits and glory!

Looking at the two doctors under his command, they all showed their ecstatic and excited expression. Director Qu couldn't help but look at Xu Ze next to him. He could meet this opportunity this time, but he relied on Xu Ze in front of him

First of all, I thought that the boy who was still in school arranged by Mr. Tang was afraid that he would make himself extremely hard in the past two months, but how could he know that he not only had rich clinical experience, but also brought him such good luck

PS: congratulations on the first master level book friend of this book: Camus, thank him for his support to super doctor, and thank you for your support! Although super doctor can't compare with other people's books, Tiannan is still very excited when the first master appears, ha haAnother: all PS are not counted words. There are Xingyue Yimeng and I love yiluge. Two book friends, it seems that they are colleagues, put forward that Guillain Barre syndrome is a disease that has appeared for a long time. Indeed, Tiannan has seen this disease during the internship, but because Tiannan doesn't want to make up some inexplicable things to disturb people's cognition, so it is set as new The disease that appears! Thank you for your support. Thank you!

There are also some suggestions from book friends. Tiannan has seen them and will try their best to improve this book. Thank you for the monthly ticket..

for the monthly ticket... (to be continued, if you want to know what's going on, please log in www.qidian.com , more chapters, support authors, support legitimate reading! )

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