Chapter 928： Hepatolenticular degeneration?

Director Zhou did not think that Zheng Ren had a big problem.

There is a relationship with the director of 912. Zheng boss, he certainly will not play Zhu Liangchen's face for no reason. If you are ten years younger and arrogant, you may be hit by a headache.

And just the patients are no problem, the one that was sent to the stage was also sent, but what happened at this time?

Looking at Zhu Liangchen's appearance, he should think that he has nothing to do with his own thoughts.

Strange.

Soon, Zheng Ren and Zhu Liangchen came back.

"Mr. Zhu, this surgery, I recommend pushing back." Zheng Rendao: "I saw the film on the head, a little doubt. I want to check a few more tests to confirm the diagnosis and then do the surgery."

"Zheng boss, what do you think is the disease?" Zhu Liangchen was somewhat upset.

Negative diagnosis? This is the standard face-lifting gesture.

Doctors chill with each other, the most deadly attack is - he will also see a doctor?

Zhu Liangchen looked at Zheng Ren, and his face was getting colder and colder.

"The patient's head ct shows bilateral lenticular symmetry low-density shadows. This image is relatively light and easily overlooked. The ct side is considered an artifact." Zheng Ren inserted the ct film into the reader.

He clicked on the ct film and said: "The mri of the head is more specific than ct, which is represented by the lenticular nucleus, caudate nucleus, midbrain and pons, thalamus, cerebellum and frontal cortex. The weighted image height signal, or the shell core and the caudate nucleus show high and low mixed signals in the t2-weighted image, and there are different degrees of sulcal widening and ventricular enlargement."

After that, Zheng Ren continued: "I think patients with rare hepatolenticular degeneration, it is recommended to check the biochemical examination of copper metabolism, serum ceruloplasmin, urinary copper, liver copper."

These checks are relatively unpopular. Like Haicheng, there is no such thing. Even if you listen, you may not have heard of it.

However, the Imperial Hepatobiliary Hospital, but a specialist hospital, should have these checks.

Hepatolenticular degeneration?

Both Zhu Liangchen and Director Zhou stunned and began to recall this extremely rare disease.

This disease is caused by a large amount of free copper in the serum deposited in the liver, resulting in lobular cirrhosis.

When hepatocyte lysosomes cannot be accommodated, copper is scattered and deposited through blood to various organs. The transport of neurons in the basal ganglia and their normal enzymes is particularly sensitive to the toxicity of inorganic copper, and the deposition of copper in the cerebral cortex and cerebellar dentate nucleus also produces symptoms.

Damage to the proximal tubules of the kidney by copper can cause loss of amino acids, proteins, and calcium and phosphate, and the deposition of free copper in the corneal elastic layer produces a kf loop.

At the same time, cirrhosis can produce a series of changes in portal hypertension.

If the diagnosis is hepatolenticular degeneration, Director Zhou showed a smile on his face.

Things are getting more and more interesting.

Zhu Liangchen has this luck, but not very good. This disease, the general incidence rate is only one in 100,000.

I also need to receive his hand, and then find Zheng boss surgery.

Oh, this luck, no one really.

Zhu Liangchen was a little embarrassed, and his face suddenly pulled down.

This was stopped by the "professor"... I used to stop others for surgery, and some people stopped their surgery!

"The patient's expression is weird, the speech is vague, the muscles are paralyzed, but it is not as rhythmic as Parkinson's disease." Zheng Ren did not care about Zhu Liangchen's dissatisfaction. To be honest, "This surgery stopped, first. Clear diagnosis. If the diagnosis is correct, give the patient a period of time to take penicillamine. After the symptoms are relieved, you can do it at any time."

Su Yun frowned on the side.

In the Imperial Capital, you can't make money and don't say it first. Every step must be very cautious.

They are all big bulls in the industry. Even if the level is almost the same, they can't stand the face. This is a different concept from running a flying knife in other cities.

After sweeping the face of Zhu Liangchen, what would Director Kong think?

However, Zheng Ren said that there is nothing wrong with it. If it is a hepatolenticular degeneration, the tip surgery is directly performed, and the patient's copper metabolism is problematic.

Oh, it’s unlucky, I have encountered this situation.

Zhu Liangchen was silent for a few seconds, and nodded, saying: "The surgery of this patient will stop."

The air in the office suddenly became a bit lighter.

The remaining two patients quickly ended the reading, Zhu Liangchen sullenly face, arranged for people to communicate with the patient's family, and then with Zheng Ren on the surgery.

The atmosphere is not as harmonious as it was when I first arrived.

Su Yun wants to pull Zheng Ren to ask the situation, but Zhu Liangchen is always around, and has never found a chance.

Came to the operating room, Hu Yanhui has already prepared the equipment for live surgery, waiting for live surgery.

The order of this operation was not considered for live surgery, but was sorted according to the age of the patient.

Because the surgery is to fast water, so the older is ranked in front, this point is also very recognized by Zheng Ren.

I changed my lead clothes and started to brush my hands. Su Yun finally caught the opportunity and pulled Zheng Ren to ask: "Boss, hepatolenticular degeneration, is the diagnosis clear?"

“Well?” Zheng Ren stunned, and then smiled: “Clear. It’s not the face of Mr. Zhu’s teacher. If the patient has had surgery, the venous blood is not in the liver, and there is less filtering of the toxins It is very likely that symptoms of acute copper poisoning will occur."

Su Yun nodded, as long as it is ok, there is nothing to say.

Taking care of Zhu Liangchen's face, and finally being beaten, is still Zheng Ren. Only he was puzzled and whispered: "Have you seen a patient with hepatolenticular degeneration?"

"No."

"How do you diagnose it?" Su Yun asked.

According to the directors of the Imperial Capital, one hundred and eighty patients are seen every day. Some of the intractable diseases are. If you are talented, Zheng Ren may be stronger than everyone else. But if you try to experience the value, he may be weaker.

This is also what Su Yun has been worried about.

But... today's things, let him feel that his three views are once again taken to another direction by Zheng Renqiang Ah, the liver disease should not be recorded and then the same control? "Zheng Ren is also very surprised and Su Yun said: "You are not so sick? ”

"..." Su Yunzhen wants to go to Zheng Ren.

There are no more than one thousand lesions in the liver, and there are eight hundred. Who can remember one thing? And every time I see a patient, have to go through it?

This is not really human.

"I am on the stage, and the live surgery is arranged in the first few?"

"The third and sixth." Su Yun said with no expression.

"Oh, contact Director Kong to see when Professor Kong and Professor Yan can arrive." Zheng Rendao.

"You are still afraid that you are done, they can't get there?" Su Yun has been a little impatient.

"Yeah." Zheng Ren said frankly.

,wonderful!

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