Debride, stop bleeding, suture.

For Xu Qiu, covering dentistry, otolaryngology and ophthalmology is not a problem.

“Faceful stitching 1!”

“Mellow cavity cleaning 1!”

“…”

Half an hour later, Xu Qiu finished dealing with the big scar that penetrated his left face.

"Thank you, I heard from the policewoman in our office say you, are you Dr. Xu?" The policeman with gauze on his face said excitedly.

"Police Flower?"

"Yu Bingqing, I have been to your hospital several times before. The last time the human trafficker Zhang San was saved by you."

"oh."

Xu Qiu only then remembered.

"What happened later?"

The policeman said with some grief and anger: "It's really the same as you said. That boy pretended to be unconscious. Later, we called the pre-trial colleagues over, and he took all the tricks when he came back a few times.

We spent a few days arresting the woman who handed over to him, and her name was Aunt Zhu.

They are all women, but who knows that she can do such a beastly thing?

She sold Zhang San's wife to four old men, and committed suicide by being humiliated that night.

Zhang San's son and the victim's second son have been found in five or six provinces.

Fortunately, they were all planning to raise their purchases, so they didn’t hurt their health.

Fortunately, they are men, if they are girls..."

The processing room was silent.

Wang Fan clenched his fists.

"This bastard should be sentenced to death, right?" he asked gritted his teeth.

The police nodded: "Two lives, plus two children, and one child suffered irreversible mental damage. The death penalty is not allowed to escape, and it will take a year or two to be sentenced."

Punishment is for transformation.

For Zhang San, people like him no longer need to be transformed, so let God forgive him.

Xu Qiu was also very satisfied with the result.

It would be too light to let him die unconsciously.

Rescue and wait for the long period of death sentence. This is the most severe punishment that a society ruled by law can do.

...

The next day.

After handing over the shift early, Xu Qiu called Li Xue first and transferred the girl's medical record yesterday.

Li Xuehui reported: "The pediatrician stopped the medication as you said, and checked the adrenaline quantitative measurement and biopsy. It seemed that there were really some problems..."

Xu Qiu glanced at the report.

The plasma concentration of adrenaline in normal people does not exceed 480 units, while the urinary adrenaline is between 0 and 80.

However, the concentration in the girl's blood was more than 1,000, and the urine concentration reached a high level of 400 units.

Pathological biopsy found some blood-filled blood-filled blood-filled blood-filled blood-filled blood-filled blood-filled hair follicles.

Both projects made Li Xue a little confused.

Clinically, adrenaline levels are generally used to assist in judging hypertension. Why do you give it to a little girl with unknown bleeding?

In addition, what is the significance of biopsy that indicates blood-filled hair follicles, etc.?

"And, Dr. Xu, you found the problem at that time, right? Why can't I find it?" Li Xue couldn't understand.

She is a very talented doctor and has very solid clinical skills. How could she not even do a simple skin palpation?

Xu Qiu said honestly: "I'm cheating."

"I know you're cheating, forget about this, what exactly does adrenaline level and biopsy prompt?"

“Hydrosis.”

The word Xu Qiu said stunned Li Xue.

She quickly checked the document library with the computer at hand and found this rare disease that was indistinguishable from the side.

Xu Qiu continued to explain:

“To be precise, it is hemoshepatic disease caused by dermal defects.

The skin matrix in the patient's body is weak, so blood is prone to abnormal accumulation in blood vessels.

When the pressure of the blood vessel cavity continues to rise, the blood vessel cavity will rupture, and then the blood will seep through the sweat gland duct and even appear on the skin surface."

Li Xue looked puzzled: "But she had a biopsy before, and no dilated blood vessels or lumen fragments were found."

Xu Qiu: "This involves the pathogenesis of hemosexual bleeding.

The reason for bleeding is that the blood vessel fragments disappear after they seep out of the skin, and the blood flow stops and rebuilds again.

Therefore, abnormalities can only be detected during the onset.”

Li Xue nodded silently.

She thought for a while and asked again, "Where are the adrenaline levels?"

"Erepinephrine can cause blood vessels around the sweat glands to contract, causing dilation to intensify, and blood is more likely to fill the sweat gland ducts and seep more easily. Sudden bleeding a few days after hospitalization should be related to this."

Xu Qiu remembered the looseness when he palpated the girl's skin.

The reason for this area is most likely because blood continues to accumulate and eliminate it, like a balloon. After the blood is completely empty, it will be weak, and even missing matrix, endothelial cells, etc., which leads to the softness and depression here.

It is a histological defect.

Li Xue was still surprised.

I went to take a look and it was really diagnosed?

Hemoshepatic!

She took advantage of these few minutes and swept it roughly.

This is a disease with unknown cause and unknown pathogenesis, usually accompanied by patients with plague, hemophilia, abnormal menstrual periods or severe mental illness.

There are less than 100 reports at home and abroad.

It's almost caught up with the rare brain-eating amoeba.

only……

How to treat this disease?

"Resume the medication first, confirm that there are no contraindications for medication, and then add the experience of taking it. Then call the psychiatric department to come for consultation to see if she has mental illnesses." Xu Qiu arranged.

Hemophilia, plague, etc. have been indirectly eliminated through various examinations.

Next is her mental problem.

As for the increased drug experience, that is, propranolol, it is actually a beta receptor inhibitor.

Clinical studies have shown that the sympathetic nervous system is involved in the onset of hemosexual disease.

And having peace of mind has three functions.

1. Anti-vasoconstriction, thereby contracting blood vessels.

Second, block angiogenesis-related signaling pathways, such as reducing NO synthesis and release, thereby inhibiting vascular smooth muscle dilation and ultimately contracting blood vessels.

Speaking of which, NO is known as a "future molecule" in Linhai's small blood vessels and plays a huge role in the replacement of small blood vessels, but experience is a contraindicated drug after surgery.

Otherwise, the NO release technology equipped with Linhai small blood vessels will be perfectly restrained by Xin Wen'an.

As for the third point, PHY can also inhibit vascular endothelial growth factor, reduce vascular expression, promote the death of capillary endothelial cells, and further reduce neovascularization.

Three effects, each point accurately hits the pathogenesis of hemosexual disease.

This is a very beautiful coincidence in clinical practice.

A drug for treating arrhythmia, hypertension, and angina pectoris is miraculously effective for hemosexual hemosexuals that have nothing to do with the heart and blood pressure.
Chapter completed!