Chapter 408 The consequence of an amateur treating a disease: blindness!

Soon, the two arrived at the Pediatrics Department, which is adjacent to the Obstetrics and Gynecology Department.

The Pediatrics Department is one of the worst departments in the hospital, and is even more disliked than the Laboratory Department, which uses microscopes to look at urine and feces all day long.

This is also the only place where colleagues dare not say anything.

Like Director Zheng, he is the director of cardiac surgery. When his daughter was just born, he still frequently went to the Pediatrics Department, and was worried to death.

She said she suddenly cried in the morning, and the pediatrician saw that she was hungry.

I went to see her again in the afternoon, and she said she didn't sleep, and it turned out that she needed to change her diaper.

Worry makes you confused!

"It's in front." Li Xue led the way.

After knocking on the door, Xu Qiu looked into the ward.

The girl's condition was even more frightening than what was described in the medical record.

A lot of blood could be seen on the white sheets.

Needless to say, bleeding could be seen in various parts of the skin, and a little blood oozed out from somewhere from time to time.

The hair was scabbed, and large pieces of blood scabs were easily peeled off.

Obviously, her scalp was not spared and was also bleeding for unknown reasons.

"Calm down?" Xu Qiu came to the bedside, and the girl was still sleeping quietly.

The girl's mother raised her tearful eyes and was shocked when she saw Xu Qiu's appearance.

Didn't she go to see the senior doctor?

Why did such a young guy come?

"Yes, I gave her two milligrams of methylprednisolone per kilogram of body weight, and immunoglobulin G. The mental symptoms have been suppressed and the bleeding has also eased." The nurse who came to the bed hurriedly reported the latest situation.

Is this still the performance after the bleeding has eased?

"I'll do a few tests on her."

Xu Qiu explained to the girl's mother, then put on gloves and touched the patient's skin.

The local skin was intact and normal in color. No marks were left after wiping with a saline cotton ball.

But with the master-level skin palpation experience triggered, Xu Qiu still got some information that could not be judged normally.

First of all, the girl's skin had no signs of allergies.

Therefore, common vasculitis in children such as allergic purpura can be ruled out.

The most important thing is...

During palpation, Xu Qiu found that the elasticity of the skin under the right corner of the eye was not completely consistent.

Some places were tight, but some areas were quite loose.

This made Xu Qiu alert.

He rubbed carefully.

As the amplitude of the movement increased, the skin seemed to rise and fall slightly, like small bubbles.

"This is..."

Is it a defect or a depression below?

Or, an air-filled cavity?

Li Xue realized what Xu Qiu had discovered, and she also followed Xu Qiu, twisting the same position, and then silently put her hands behind her back.

Obviously, nothing can be felt...

How embarrassing!

"Did you feel any discomfort during the bleeding?" Xu Qiu asked again.

The mother thought carefully, "No, it's just that she suddenly became a different person today... Doctor, please save her, she is so young, I would rather have this disease on myself!"

Xu Qiu looked at Li Xue.

Li Xue also nodded: "No symptoms, except for bleeding, coagulation indexes and blood biochemical tests are normal, and there are no other clinical manifestations."

"Well, stop the medication immediately."

"Stop... stop the medication?"

Li Xue was stunned for a moment, and then asked: "Have you stopped all of them, or only the ones for mental symptoms?"

"Stop the hemostatics and sedatives."

Xu Qiu pinched the girl's skin again.

He was sure that there must be a defect under the skin, and it was impossible for the laboratory test to be normal.

"Wait until the attack period, immediately perform a skin biopsy, and also measure the blood and urine adrenaline content."

Li Xue hurriedly wrote it down.

During the days of hospitalization, no doctor in the dermatology department or the hematology department could come up with a specific plan.

It's nothing more than checking the biochemistry, or covering all kinds of blood and skin tests.

This is the first time to conduct a targeted adrenaline content test.

The girl's mother raised her chin and looked at Xu Qiu steadily.

Apart from anything else, this professionalism and unquestionable tone made him look like a great doctor.

Only then did she notice Xu Qiu's name tag.

"Deputy Chief Physician".

The girl's mother was shocked. Is this really her superior?

She wanted to question him, but she stopped talking for a moment and sat back in her seat.

...

After Xu Qiu made all the arrangements, he was ready to go off work.

The emergency department just sent another patient.

He was a policeman. There was a scar on his face extending from the center of his eyebrows to the left corner of his mouth. After asking, it was found that the criminal who was already handcuffed resisted during the arrest. The manganese steel handcuffs were thrown on his face and he almost fell over.

Wang Fan had completed the preliminary examination and disinfected and explored the wound.

"Brother, your condition may be a bit serious. Go get a tetanus shot later. The wound on your face is too big and too long. Normally, you should ask the general surgeon, but my suture skills here are second only to Brother Xu, so I will help you deal with it."

"However, the most serious is the left corner of your mouth. Several teeth have fallen out. You need to ask the stomatology department.

Your nose is also injured, so you need to ask the ENT department for consultation.

In addition, the wound has spread to the corner of the eye. You need to ask the ophthalmologist to check it again..."

The two policemen were stunned.

Isn't it just a big scar on the face? Why did it alarm most of the hospital?

Wang Fan shook his head seriously.

In the hospital, different departments are as different as mountains.

When he was a student in anatomy class, the teacher talked about such a case.

It was also a facial injury. The doctors of general surgery and otolaryngology were responsible for their own areas, and there was still a one-centimeter position at the corner of the eye that was not sutured.

The family members thought it was troublesome and thought that the forehead was sutured and the eyelid was sutured. What big problem could there be with this small part in the middle?

The general surgery doctor thought the same and enthusiastically helped the ophthalmologist to solve it. He was very careful and attentive throughout the process. In the end, he picked, pulled and tied, and the incision was perfectly sutured.

A few weeks later, he realized that he had sutured the lacrimal sac.

This is a small mistake that ophthalmologists should not make, but it is a blind spot in the knowledge of doctors in other departments.

Eventually, the patient developed dacryocystitis, which then developed into a corneal ulcer, causing irreversible blindness in his left eye...

Wang Fan said seriously, "Professionals should do professional things. Otherwise, if you are not careful, the dental nerve will atrophy and the lacrimal sac will be sewn together. A scar may cost someone's life."

"Can't it be solved in one go?" The injured policeman was a little impatient.

They still have a backlog of cases, and after dealing with the injuries, they have to go back to the station to interrogate the prisoners they just caught.

"That won't work. How can there be such a doctor..."

Wang Fan saw Xu Qiu at the door halfway through his words.

Seeing that the other party was already disinfecting and wearing gloves, Wang Fan smiled and said, "If you really run into this today, my brother Xu can handle the difficult problems of joint consultations of several departments!"