Zheng Ren took the bag of radiographic films, took out the radiographic films, and inserted them into the radiographic film viewer.
The radiographic films with three-dimensional reconstruction of the head were clear, much clearer than ordinary CT scans.
"Chief Kong, our judgment is correct," Zheng Ren said.
"Yes." Chief Kong looked at the radiographic films and nodded.
As expected, it was not an intracranial malignant tumor. Chief Kong was now clear. As for what the disease was, he had no idea.
Zheng Ren looked at it carefully for a few more minutes before taking out all kinds of test results and flipping through them one by one.
Just as he had guessed before, the patient's urine galactose test found positive urine sugar. The glucose oxidase test found negative urine sugar, and paper chromatography identified it as galactose.
The normal concentration of blood galactose was 110 to 194 μmol/L. The patient's blood galactose concentration had increased to 561 μmol/L.
Combined with the results of other tests, Zheng Ren confirmed that the patient's disease was galactosemia.
Chief Kong came over and glanced at the test results. Then, he smiled and avoided it.
The Department of Interventional Medicine was not a related department. It could not be done once in a few years or even decades.
Even as the chief of the Department of Interventional Medicine, Chief Kong was not omniscient. He could see all kinds of diseases and understand all kinds of test results.
He was not like a monster like Zheng Ren.
Chief Kong did not show any fear. He just sat on the chair and looked at the radiographic films, comparing them with the previous head CT films.
After the three-dimensional reconstruction, the so-called space occupying was more obvious. It clearly showed that there was only edema in the brain and a small amount of crystal-like material.
It was definitely not space occupying. It was a misdiagnosis by the local hospital.
Fortunately, there was no surgery. If it was opened and the tumor was not found, it would be a big deal. At that time, the patient would be greatly injured and the doctor would also be in trouble.
However, this radiographic film was indeed very easy to misdiagnose. Chief Kong knew that if Zheng Ren was not there, he could only vaguely determine that it might not be an intracranial malignant tumor. As for the specifics, he had no clue.
Of course, he would not easily determine that the local hospital's diagnosis was wrong, unlike Zheng Ren, who directly wrote down what tests needed to be done.
Blood galactose concentration determination? Chief Kong recalled the test, but his mind was blank. Looking at Sun Ming … Director Sun had long since stopped doing clinical work, so he did not know anything about this.
He waited for Boss Zheng to give him an answer. Chief Kong simply did not think about it. He did not even bother to search the Internet for what blood galactose concentration determination was for.
This was not a problem with the Department of Interventional Medicine. He was already so old. There was no point in learning so much.
More than ten minutes later, Zheng Ren combined abdominal ultrasound, liver CT scan, head CT scan with 3D reconstruction, and blood test results to obtain a definite answer.
"Director Sun, the patient has galactosemia," Zheng Ren said.
Sun Ming could recognize these words when they were put together, but he couldn't understand why it was treated as a disease.
He knew what galactose was, but he certainly didn't know what galactosemia was.
"Um … Boss Zheng …" Sun Ming swallowed a mouthful of saliva and said vaguely, "Please explain."
"This is toxic metabolic syndrome caused by elevated blood galactose. Congenital defects in any of the three enzymes involved in galactose metabolism can lead to galactosemia and related symptoms, "Zheng Ren explained," The patient's condition is relatively mild … "
At this point, Sun Ming was speechless.
Looking at the patient's condition, he was a fine young man, but he showed signs of mental retardation. This was considered relatively mild? What would happen if it was heavy?
"Generally speaking, it's common in infants, and the treatment effect won't be very good. However, the disease only appeared in adulthood, which proves that the congenital enzyme defect is very mild. It can be corrected with measures such as oral sugar. "
"Oral sugar?" Sun Ming was completely dumbfounded. What did that mean?
"Now, we can give a high-sugar one to increase the sugar content in the patient's blood. Then, as long as we eat more sugar, we can correct the symptoms of galactosemia. But if we want to completely treat it, there is no good way with the existing technology.
"By the way, fresh plasma should also work. But now, there seems to be a limit to the blood transfusion. Just give some glucose. You'll see the effect soon, "Zheng Ren said.
Such a serious disease, the family was thinking about giving up treatment, but he could actually be cured by giving some glucose? Was he joking or serious?
"Boss … Boss Zheng, are you serious?" Sun Ming asked in surprise.
When Department Chief Kong heard him say that, he immediately became unhappy.
"Old Sun, what are you talking about?" Department Chief Kong scolded.
Although Department Chief Kong did not know what galactosemia was, he believed in Zheng Ren.
This kind of trust was constantly accumulated. It was not a blind trust that appeared because of his identity as a Nobel Prize candidate.
Department Chief Kong immediately picked up the landline and called the nurse's station. He found an old nurse with good skills and came in with a sterile tray.
20 ml of 50% glucose was injected intravenously.
More than ten minutes later, the young man's expression began to come alive. It was as if he had had a big dream. He was shocked at why he was here.
This was a plot in a normal television drama, but the young man did not ask where he was, why he was here, or what had happened.
When he saw the white clothes, he immediately understood that he was sick and was here to see a doctor.
"Are you better?" Zheng Ren asked.
"Okay … Okay …" The young man's stutter was still there, and there was some nervousness.
"The problem with my vision won't be alleviated so quickly for the time being, but the situation of cerebral ischemia and hypoxia has been alleviated." Zheng Ren smiled.
"Second Baby, who am I?" the middle-aged man asked tentatively.
"You … You are my second … No, third uncle," the young man replied.
"Second Baby!" The middle-aged man wanted to say something, but a mouthful of phlegm seemed to have appeared in his throat. It was blocked, and he could not say a word.
"Uncle, I …" The young man still stuttered a little, but he could see that his consciousness was much better than when he came in.
"It's okay, it's okay." The middle-aged man wiped his eyes with his sleeves and touched the young man's head. Then, he stood in front of Zheng Ren very seriously and bowed deeply.
"You're welcome," Zheng Ren said.
"This is a life-saving grace." The middle-aged man was grateful.
"It's a small matter." Zheng Ren smiled and said, "When you go back, make sure to eat more sweets. But you must control the amount. Don't cause severe diabetes because of this. "
"Yes, yes, yes, yes," the middle-aged man hurriedly replied.
After a few more polite words, Sun Ming asked, "Boss Zheng, do you have time tonight? Do you want to have a meal together? "
"No." Zheng Ren smiled and said, "I still have to go for surgery tomorrow. Sleep early tonight. Another day, another day."
It seemed that the man was going to the United States for freelance surgery, and Boss Zheng was very humble and did not mention where he was going.
Sun Ming's impression of Zheng Ren immediately increased.
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