Signed In At The Hospital, The First Operation Shocked The Whole Country!

Chapter 196 Baby’s liver failure, a rare genetic disease

Early the next morning,

Qin Feng had just arrived at the hospital and gave Zhao a day before they returned to the office after the meeting.

As soon as I sat down and my butt was not warm, the phone in front of me rang.

“Hello, this is Qin Feng.”

“Qin Feng, this is Wang Yue from the Department of Obstetrics and Gynecology.”

“Director Wang?”

Hearing the voice from the other side, he was taken aback, subconsciously remembering the woman with a broken corpus luteum that was admitted last night.

“What is it for me? Did the patient have a problem last night?”

“No, no, you misunderstood.”

Wang Yue quickly explained after hearing the words,

“That’s the case. A small patient came to our department last night. It is a baby just over three months old. The situation is not very good. The internal medicine department and I can’t make a judgment. I would like to invite you to come and have a look.

Do you have time? ”

“Oh? All right! Then I will pass now.”

Qin Feng’s eyes lit up when he heard this, and he immediately agreed.

It has been a long time since he has encountered infant patients.

The most important thing is that Director Wang Yue is too capable. After 20 to 30 years in the obstetrics and gynecology department, he has treated all kinds of patients.

If you need help from other departments, you can contact him directly and rarely find him.

It’s not like Director Zhang Fan, who is always on the phone to discuss a case, do an operation or something.

And since Qi Fang became the director of the two departments, it seems that the number of operations and consultations has decreased a lot.

This makes him really a little uncomfortable, doesn’t it cut my money?

System rewards can rely on these!

But there is no way. Now more managers are focusing on the preparation of general outpatient centers, and things are more administratively inclined.

In addition, his subordinates are all elites, and unless it is a difficult disease, they rarely get into his hands.

hang up the phone,

Qin Feng picked up the stethoscope and hung it around his neck and rushed towards the obstetrics and gynecology department excitedly.

“Hello, Director Qin.”

“Hello.”

“Director Qin, where is this going?”

“Obstetrics and Gynecology!”

“Director Qin seems very happy today!”

“Hahaha~”

……

I got on the elevator and just stopped on the obstetrics and gynecology floor. As soon as the elevator door opened, Wang Yue was standing outside the elevator waiting for him.

“Qin Feng, you are here!”

“Director Wang, why are you still welcoming me personally? It’s too polite.”

Qin Feng smiled in surprise.

“The situation is a bit urgent, let’s talk as we walk.”

Wang Yue showed a bitter smile and greeted him quickly.

“That’s it. This baby arrived in the emergency room last night and was sent directly to the obstetrics and gynecology department. Because it was too young, only 3 months and 3 days, the jaundice never subsided.

The child’s parents said that 3 days ago, the baby suddenly appeared yellowish, obviously slow to respond, kept vomiting milk and lost weight…”

“Then I went to the local county hospital and found that the baby had obvious liver damage, increased bile acid, and anemia.

Because of the limited local conditions, after two days of treatment, it was found that the situation was not right, so I hurried over. ”

After briefly listening to the introduction, Qin Feng calmed down, and through Wang Yue’s words, his mind kept flashing through the symptoms.

Qin Feng now has a wealth of experience in obstetrics, obstetrics and pediatrics with top Chinese and Western medicine, and soon filtered out more than a dozen diseases that can correspond to the current situation.

However, guessing cannot be used as a basis for diagnosis. This is the minimum rigor of medicine!

“Is there an inspection report?”

He asked immediately.

“Yes, I read the inspection report from the county hospital and guessed it was hemolytic anemia.”

Wang Yue nodded.

Qin Feng didn’t say much when he heard this, because this possibility exists.

The clinical symptoms of hemolytic anemia completely include all the baby’s current status quo, jaundice, liver damage, etc.

Moreover, hemolytic anemia is an anemia that occurs due to the accelerated destruction of red blood cells, that is, the atrophy of survival time, which exceeds the compensatory ability of bone marrow hematopoiesis.

However, this is only a symptom, but not the cause!

What they need to do is if it is confirmed as hemolytic anemia, what is causing it?

If the cause is not found, there is no way to proceed with the next treatment.

But this is only one of the possibilities, as for the others, detailed inspections are required.

“Have other checks been done?”

The pace of the two of them obviously accelerated, and Qin Feng asked immediately.

“I did it when I sent it last night. The report this morning was basically the same as the county hospital, but the situation worsened.”

With that, the two came to the ward.

As soon as I walked in, I saw several familiar figures standing next to the bed. One was Sun Sheng, the director of the Department of Internal Medicine, the other was Cheng Hongwu, the deputy director of the Department of Internal Medicine, and Ji Zhonghe, the director of the Department of Hematology.

“Qin Feng, you are here too.”

“Director Qin, we have been waiting for you for a while.”

“Director Qin, hello.”

Qin Feng came in from the room of three people and greeted them one after another.

“The directors are all here, startling me.”

Qin Feng was really taken aback, but at the same time his heart sank.

The four department directors in front of me, plus myself are the directors of the six departments gathered.

And this battle is too big for a baby who is only 3 months old!

I’m afraid the situation is really not so good!

“You are Director Qin Feng? Great!

Please save my child! ”

The parents of the child sitting by the bed looked not much bigger than Qin Feng. Hearing his name, they stood up almost at the same time, and quickly stepped forward, holding his hand and begging.

“Don’t worry, don’t panic, I will look at the baby first.”

Qin Feng hurriedly let them sit down and walked to the hospital bed to look at the baby lying on the bed.

For about three to five minutes, he straightened up and performed a simple physical examination.

The skin of the baby is pale waxy yellow with obvious jaundice!

And the physique is obviously thin, only about 7 catties in 3 months, obviously a little stunted.

However, he didn’t ask for a doctor, and I believe several directors Wang Yue asked about it a long time ago.

It is not a good thing to always ask the patient’s family members repeatedly, and it is easy to arouse irritability and irritability in the family members.

These Wang Yue also briefly talked to him, the problem is not big.

“Qin Feng, how is it?”

Ji Zhonghe from the Department of Hematology looked at him and couldn’t help asking.

“I can’t make accurate judgments now, let me listen to your views.”

Qin Feng shook his head, his mind was quickly filtering countless possibilities and diseases to match.

“Then let me talk about it first.”

Sun Sheng was the first to speak,

“According to the examination, the most likely cause of liver damage and other complications in patients is hemolytic anemia.

We also conducted a comprehensive examination of the patient’s condition, but we couldn’t find out what caused it. This is also something we can’t figure out. ”

“Well, yes Director Qin, I have the same opinion as Director Sun, and I may not be too optimistic.”

Director Cheng Hongwu next to Sun Sheng also spoke and nodded in agreement.

“According to the current examination report, if the condition continues to deteriorate, it will soon cause liver failure.”

After speaking, the expressions on the parents’ faces became more tense, and the baby’s mother’s tears kept falling.

But Qin Feng fell into deep thought when he heard what the two said, frowning.

“Director Ji, do you think so too?”

The next second, he raised his head to look at Ji Zhonghe, and asked in a deep voice.

“I?

actually……”

Ji Zhonghe was shocked when he heard the words, and was a little embarrassed for the next second.

“Don’t hesitate, just say it straight.”

Qin Feng waved his hand to make him speak boldly.

“That’s OK, then I’ll say it.

In fact, my opinion is a little bit different from them, but I have no evidence now. ”

Ji Zhonghe nodded and said,

“Although all the signs and symptoms of the patient point to hemolytic anemia, I always feel that something is wrong.

In other words, although the symptoms are the same, the cause may not be caused by hemolytic anemia. Could it be other blood diseases?

Of course, this is just my guess. ”

The voice fell, and the ward fell silent.

But Ji Zhonghe’s words suddenly awakened Qin Feng, a flash of light flashed from his eyes, and a disease almost identical to hemolytic anemia appeared in his mind.

[Hitlin protein deficiency]!

“Director Ji, your opinion may not be wrong!”

In the next second, he looked at Ji Zhonghe, the corner of his mouth raised an arc, he nodded slightly, and then turned to look at Wang Yue.

“Director Wang, arrange a genetic metabolism check for the baby.”

“Genetic metabolism check?”

Wang Yue was shocked when he heard this, his eyes brightened suddenly, and he blurted out almost at the same time as Cheng Hongwu from the Department of Internal Medicine.

“Hitlin protein deficiency!”

Qin Feng smiled and nodded at the two of them.

That’s right!

This is a relatively rare congenital genetic metabolic disease, and ordinary hospitals simply do not have this predictive ability and detection ability.

Just like some specialized diseases, the people who can make accurate judgments about this disease are basically concentrated in the first-line large hospitals.

In places like Jiangcheng No. 1 Hospital, even if the gynecology department is good, it is not easy to judge without a case doctor.

Lack of experience!

Hitlin protein deficiency usually manifests as intrahepatic cholestasis, yellow urine, jaundice, malnutrition, and even life-threatening symptoms in severe cases.

And genetic metabolism examination is a necessary means to diagnose [Hitlin protein deficiency]!

“Legacy…hereditary?”

Hearing this word, the baby’s parents were also shocked, surprised.

“No, Director Qin, we don’t have any genetic diseases? Why do children have genetic diseases?”

The child’s father also became more nervous and looked at him a little flustered.

Qin Feng smiled lightly and said, “Don’t worry, we are only conducting an exclusion check, and there is no confirmation yet. Don’t worry…..”

Hearing his explanation, the parents also nodded in agreement.

Immediately carry out a blood draw and submit for examination.

“Qin Feng, I’m afraid it’s too late for this inspection time!”

Wang Yue leaned closer and said with some worry.

“Well, I know that, in this way, first perform the initial treatment and wait for the results 15 days later.”

Qin Feng nodded.

“In this way, stop breast milk first and use deep hydrolyzed protein milk powder”