Over at the hospital bed, Cao Yanhua was still adjusting the medication. But something was wrong with Sun Lien's expression. Xu Yourong asked curiously, "What's wrong? Do you know this person?"
"We know her." Sun Lien nodded and said with difficulty, "She is the girlfriend of my college roommate." As he said that, he took out his phone, found the number of "the second child in the dormitory" from the address book, and quickly dialed it.
"Hello? Third child? If you have anything to say, please tell me." Feng Ming on the other end of the phone seemed to be in a good mood, "Today is Xiaoya's birthday, and I plan to take her to watch a movie. Come to my room to eat cake together tonight."
Sun Lien's heart tightened. He took a deep breath, tried to calm down his tone, and said in a deep voice, "Qin Ya is in the emergency room. Her parents sent her to her."
Feng Ming's voice on the other end of the phone suddenly changed, "My God, third child, this joke is not funny."
"I also hope this is just an unfunny joke." Sun Lien sighed, "Come and take a look. My teacher suspects there may be a cerebral hemorrhage and is going to let Dr. Xu and I take over."
"Well, at least I'm sure it's not carbon monoxide poisoning." Doctor Cao Yanhua shook his head and looked at the test sheet in his hand, "The carboxyhemoglobin content is normal."
Sun Lien came over and looked at the checklist with Cao Yanhua. All indicators were normal, which meant that several common causes of sudden fainting, including carbon monoxide poisoning, viral/bacterial meningitis, etc., had been ruled out.
.
Cao Yanhua sighed and said to Sun Li'en, "I have asked the nurse to prepare mannitol. It seems that this case will be handed over to you."
Sun Lien nodded and began to ask Qin Ya's parents who were standing beside the bed with anxious faces.
"Has she ever had symptoms such as dizziness, fatigue, or numbness in her limbs before?" Compared with Cao Yanhua, who knew nothing, Sun Lien's biggest advantage was the prompts on the status bar. Symptoms such as transient cerebral ischemia can be serious.
Small. At the most serious level, it may be carotid embolism or even heart disease. At the most minor level, it may just be anemia. "Has she ever said anything about how she has been feeling unwell lately?"
Qin Ya's parents looked at each other and shook their heads together, "No. This child is usually in good health. Not to mention numbness, he has not even had a headache or fever in recent years."
While asking about the medical history, Sun Lien watched the nurse come to give Qin Ya infusion. In any case, the benefits of infusing mannitol first would definitely outweigh the risks.
They were asking about the medical history, and suddenly the door of the emergency room was pushed open. Feng Ming, who was usually carefree, rushed in with a gust of cold wind. At a glance, he saw Sun Lien, who was asking about the medical history, and Sun Lien, who was standing next to him.
The "future" father-in-law and mother-in-law look anxiously from the side.
"What's going on?" Feng Ming looked more anxious than ordinary family members now. Even Feng Ming had heard of Xu Yourong's reputation in neurosurgery. When he thought that his girlfriend would be handed over to Xu Yourong, Feng Ming
I feel a little tight from the bottom of my heart.
When Father Qin saw Feng Ming, he seemed to have seen a savior, "Xiao Feng, you came just in time. You and Xiaoya have been spending a lot of time together recently. Come and talk to the doctor about the situation."
Feng Ming didn't shy away from it. He directly picked up the case records placed at the foot of the bed and read them. While reading, he said, "Xiaoya has a history of allergies. She is allergic to mangoes and lemons."
"Do you have any drug allergies?" The history of allergies may be a very important medical history, but it is unlikely to cause Qin Ya to suddenly faint during the bath. Out of caution, Sun Lien asked one more question.
"No." Feng Ming shook his head and looked at his girlfriend with blushing cheeks on the hospital bed and said, "She had persistent diarrhea a month ago, which lasted for about a week. By the way, she said that she always had persistent diarrhea after the cold wind blew on her neck recently.
There is a wheal."
Xu Yourong suddenly asked, "Wheels? Symptoms of urticaria?" She looked at Sun Lien and asked, "The symptoms of urticaria, coupled with the history of diarrhea and allergies, may be systemic lupus erythematosus."
Although he is a neurosurgeon, Xu Yourong is still very sensitive to autoimmune system diseases. As the most serious disease among all lupus erythematosus, systemic lupus erythematosus is usually accompanied by multiple organ damage. And 24-year-old Qin
Ya, it is true that women and young people are also at high risk of systemic lupus erythematosus.
Sun Lien quickly recalled in his mind the cases that the professors had talked about in class. The immune system in the human body, under the combined action of various conditions, reduces the number of immune T cells in the body and at the same time inhibits the activity of the remaining immune T cells.
At the same time, a large number of immune B cells proliferate. After the immune B cells proliferate, they mistakenly secrete a large number of autoantibodies. These antibodies will label normal human tissues as invaders and combine with normal tissues to form immune complexes. Finally
Under the action of complement serum protein c3, acute and chronic inflammatory reactions are caused. In severe cases, tissue necrosis may even occur.
If some normal tissues in Qin Ya's cerebral artery walls are mistakenly labeled as antibodies by B cells, then under the attack of the interest-free system, these blood vessels may indeed produce an inflammatory reaction, thereby causing the proliferation of blood vessel wall tissue. And in
Under the proliferation, the increasingly narrow blood vessel walls were naturally unable to allow enough blood to pass through. This caused Qin Ya's fainting and the transient cerebral ischemia indicated in the status bar.
"It fits the symptoms." Sun Lien nodded. He also agreed with Xu Yourong's judgment. "Let's do a five-item rheumatism test to find out." However, out of caution for the symptoms of "sudden syncope", Sun Lien continued, "Wait until the nurse takes the blood.
Send him to the CT room immediately. The cerebral hemorrhage must be ruled out before you can rest assured."
Qin Ya's parents could no longer understand what the young doctor in front of them was saying. Qin's father gently tugged on the clothes of his future son-in-law Feng Ming, "Xiao Feng, what does doctor mean?"
Feng Ming felt a little relieved after hearing Xu Yourong's judgment. Although systemic lupus erythematosus is dangerous, it is not incurable. Compared with extremely risky neurosurgery, the treatment of systemic lupus erythematosus only requires the use of hormones to suppress the immune system.
The system response is just fine. And the sequelae are much milder.
"Uncle Qin, the doctor suspects that Xiaoya has an autoimmune system disease." Feng Ming explained in a low voice, "It means that there is something wrong with the army in Xiaoya's body that is used to remove bacteria, and it mistakes good cells for bacteria."
"Ah?" Mother Qin was a little at a loss, "What should I do?"
"Don't worry, this disease is not very serious." Feng Ming quickly comforted him, "In the worst case, I'll just give him a few injections. It won't be a big deal."
Feng Ming comforted his future mother-in-law, but Sun Lien coughed, which meant that Feng Ming should not talk too much, "We still need to do some other tests to rule out other diseases. Especially the most dangerous ones should be ruled out first.
Cerebral hemorrhage.”
Feng Ming glared at Sun Lien with some displeasure, and the meaning in his eyes was very clear, "In front of my girlfriend's parents, can't you pay attention to the words you use?"