MTL - Live Surgical Broadcast-v3 Chapter 2893 Good teacher

Sun Chao felt a bit boring. It was ridiculous that Boss Zheng left him as a director and asked the family members about the details of the child's birth 30 years ago.

But before Sun Chao was distracted, Boss Zheng stood up and shouted, "Professor Zhao, please come."

"Oh!" A voice came from the other side of the corridor, and then a series of hurried footsteps sounded.

Zhao Wenhua rushed over and saw Sun Chao in the room. He hesitated, and when he was unfamiliar, he didn't even say hello, he stood beside Boss Zheng.

"The patient's initial consideration may be Sheehan's syndrome. He had major bleeding when he gave birth to a child 32 years ago, and then he had this problem. You should check the three functions of nail function, and then check the MRI of the head. The diagnosis is clear and left for treatment , Go to the endocrinology department. "

"Boss Zheng, speak slowly, what syndrome?" Zhao Wenhua asked immediately.

"Sihan's syndrome, Lao Zhao, this basic skill is not enough." Su Yun laughed.

"Hey, I just forgot about that school thing." Zhao Wenhua was not angry at all in the face of Su Yun's sarcasm.

Sun Chao looked at all this silently, even though Professor Su was so mean, Zhao Wenhua smiled and used to it.

Is he cheap? Definitely not. It should be that no matter what happened, Boss Zheng will solve it. Over time, he usually talks bitterly and harshly as a joke among friends.

But what is Sheehan's syndrome? Sun Chao vaguely remembered that it was secondary to perinatal placenta previa, placental abruption, placental retention, and weak uterine contraction, which caused major hemorrhage, shock, and thrombosis, which caused most of the ischemic necrosis and fibrosis of the pituitary gland. Clinical Syndrome of Hypophysis

But he didn't understand how much it was. As for what had to do with hypoglycemia after spleen embolism, he was even more exposed.

"Okay, I'll check it and report to you with the results, Boss Zheng." Zhao Wenhua took the lead, no idea of ​​doubt at all.

Sun Chao is also very speechless. With a perennial hypoglycemia, Boss Zheng even asked to check his head for MRI and nail work.

Forget it, it has nothing to do with yourself, in case what Shehan's syndrome really is.

But it seems that Mr. Zheng is very interested in this. Sun Chao suddenly came up with such an idea.

Seeing Zhao Wenhua going to work, Sun Chao walked to Boss Zheng and asked, "Boss Zheng, why are you thinking of Sheehan's syndrome?"

"In women with frequent episodes of hypoglycemia, if the pancreas and glycated hemoglobin are okay, the first thing to consider is Sheehan's syndrome. Although the incidence is not high, the condition is more serious, and early diagnosis and early treatment are good."

Zheng Ren said with a smile, it is clear that he is more interested in explaining the illness, at least more than chatting.

"You are a bit strange to Sheehan's syndrome." Zheng Ren saw that Sun Chao was aggressive, and immediately realized that this was the director of the vascular department, and she was not cured of Sheehan's syndrome.

"The current case has a history of HCV cirrhosis, and liver cirrhosis has reduced glycogen synthesis and reserves, decreased liver inactivation of insulin, and hypoglycemia, so this patient was misdiagnosed as cirrhosis by external hospitals many times. And hypoglycemia. "

"The patient has a history of major postpartum hemorrhage, clinical manifestations of hypogonadism, thyroid gland, and adrenal cortex dysfunction, and reduced levels of methylation and aldosterone. If the MRI of the head is examined, it is estimated that the volume of the pituitary gland will be reduced, and some vacuolated saddles ...

"Boss Zheng, wait a minute." Sun Chao didn't understand. He immediately interrupted Boss Zheng and asked, "Is there a problem with the head magnetic resonance? Is this your estimate?"

"Oh, no, it's a statistical probability problem, and it is thoroughly studied." Zheng Ren laughed. "Due to the postpartum hemorrhage, especially with prolonged hemorrhagic shock, the anterior pituitary tissue is hypoxic, Degenerative necrosis, followed by fibrosis, eventually leads to anterior pituitary hypofunction syndrome, which accounts for about 25% of patients with postpartum hemorrhage and hemorrhagic shock. "

"Sheehan's syndrome is simply bleeding during delivery, causing hemorrhagic shock, or even DIC. Sympathetic reflex excitement can cause arterial spasm or even occlusion."

"Reduce or cut off the pituitary artery blood supply, degeneration and necrosis of the anterior pituitary tissue cells, drastically reduce various hormones secreted by the anterior pituitary and its target organs, leading to the premature decline of the function of the target organs affected by various hormones And cause a series of syndromes. "

Listening to Boss Zheng's eloquent talk about the ins and outs of Sheehan's syndrome, Director Sun Chao recalled that he was telling himself the characteristics of echocardiography at the time in neurosurgery.

One, two, three, four, five, clearly shows that it is a signature feature of a science and technology dog.

Liver cirrhosis, hypoglycemia, can pull out so many things, really ... Sun Chao sighed softly.

"Professor Zhao." Zheng Ren suddenly shouted.

"Well, boss Zheng, the doctor ordered me to finish." Zhao Wenhua responded immediately.

"The next time you ask about your medical history, be more detailed. If this patient asks about a major bleeding during delivery, I don't think there will be such a dangerous thing." Zheng Ren said gently.

Zhao Wenhua scratched his head, a little embarrassed, but did not refute.

Sun Chao doesn't think it will disappear in the invisible. The so-called Sheehan's syndrome has only a vague impression.

The probability of major hemorrhage during delivery is not high. In addition, there is a probability in the probability that they are all together. It seems that I have not encountered several similar patients for so many years.

Boss Zheng is really a good teacher ~ www.novelbuddy.com ~ It seems that he is the chief of the department.

But people have that ability, Sun Chao has no doubt that the test results can not corroborate Zheng's diagnosis.

I saw a patient and it was time to go to work. Sun Chao knew that it was the busiest time in the morning, so he thanked Boss Zheng a few more times before leaving. I didn't sleep last night. I almost gave the new one a break like a roller coaster.

Rhubarb looked at Zheng Ren eagerly. Zheng Ren had no choice but to leave Liu Xiaomei's contact information and went to the community hospital in the afternoon. So Da Huang Ya left contentedly, looking at his back, Su Yun frowned and asked, "Boss, do you think Da Huang Ya would be so kind?"

"Surely not." Zheng Rendao, "I think he just wants to plant a person in the community hospital, what he will do in the future, and adapt to it. But this time, he owed Da Huangya a favor and gained insights. The girl stayed in the community hospital. it's OK."

"Hey, don't care." Su Yun laughed. "If you really overturned the boat in the ditch of Dahuangya, why bother?"

"Not so gloomy, there is Lao Fan, she can't make any waves."