Although she is a hepatobiliary doctor, she still knows something about various types of edema.

The mechanism of hepatogenic edema is the reduction of albumin, which leads to a decrease in plasma colloid osmotic pressure. Therefore, water will enter tissue cells from blood vessels, causing swelling.

The treatment measure is very simple, supplement albumin.

Edema can be controlled quickly.

Nephrogenic edema is also very different.

However, cardiogenic edema is due to the weakening of myocardial contractility, which leads to an increase in venous pressure and capillary pressure and a decrease in cardiac output. To control edema, a multi-pronged approach such as diuresis, cardiotonicity, and vasodilation is needed.

Edema is slowly eliminated, and the edema cannot be eliminated until the heart failure is relieved and the heart function is restored.

"Is it hepatogenic edema..." Mo Wan hesitated.

If so, was it relieved without giving albumin?

But if not, for cardiogenic edema, it is generally difficult to see the effect within a few hours.

"Remember Wei Ding?" Xu Qiu asked.

Mo Wan nodded subconsciously. Suddenly her eyes opened, as if she remembered something, and she said excitedly: "You mean...congested liver?!"

If it is liver congestion caused by heart failure, it will lead to liver damage and then develop into hepatogenic edema.

Then, as long as the effects of heart failure are weakened and the venous return obstruction is relieved, liver function can be quickly restored, and edema will naturally be eliminated quickly.

In essence, it is still cardiogenic edema, but there is an additional twist in it, and it is linked to liver damage caused by congestion of the liver.

"It's actually like this!"

After thinking about all this, Mo Wan's breathing became faster and his eyes shone with joy.

"No, no, no..."

Suddenly, she shook her head again and said: "In this case, the diagnosis of hereditary liver disease is completely denied. If congestion liver is established, wouldn't it mean that there is no connection between the liver damage of mother and child?"

Obviously, congested liver caused by heart failure is not a genetic disease.

In this case, the two people cannot be connected, and the child's illness must be considered from other perspectives.

Xu Qiu said matter-of-factly: "They are two unrelated diseases."

Mo Wan suddenly turned around and said in surprise: "You already have an idea?"

"It shouldn't be a big problem."

After that, he said to Shi Lian: "Arrange for the child's biological parents to undergo a thalassemia gene test."

The office immediately fell silent.

Mo Wan's breathing became rapid and his eyes flickered several times: "Thalassemia, do you suspect it is thalassemia?"

…

at the same time.

Obstetrics and Gynecology Office.

Li Xue is showing Yuan Yu, the medical record of the child.

Kong Huixia said: "This patient was admitted by Dr. Xu. It is very challenging. You can learn from it and actively express your opinions."

"It's Dr. Xu!"

"He turned out to be Dr. Xu's patient..."

"That's troublesome. The diagnosis process for the patients Dr. Xu accepts is like solving a case, one step after another. Most people can't keep up with his clinical thinking!"

"Looking at the medical records, it seems that it is a hereditary liver disease? But after thinking about it carefully, it seems that there is no special indication."

Obstetricians and gynecologists are talking a lot.

But in the end, no reasonable diagnosis was reached.

"Director, what do you think?" The deputy director of the Department of Obstetrics and Gynecology had no clue. She looked at Kong Huixia.

Kong Huixia stared at the copy of the medical record in her hand, frowning.

After a moment, she raised her head in pain and said, "Dr. Xu's patient... I'm not sure either."

The safest way is actually whole-gene sequencing.

However, this examination is too expensive. It costs more than 9,000 to do this in the clinic, and you have to wait for at least three days.

If you had the results of pre-marital and prenatal examinations as a reference, you wouldn't be so troublesome now.

The discussion lasted for more than half an hour, with everyone going around in circles about various common diseases in young children, and finally returned to hereditary liver disease.

"Maybe it's a rare genetic disease?"

"It is very likely that the disease is caused by a genetic disorder that affects both mother and child!"

"How is the child's biological father? Is his liver in good condition? Does he have a history of chronic hepatitis such as hepatitis B?"

While everyone was arguing, Li Xue's cell phone rang.

She glanced at the news, her face changed slightly, and her cold voice echoed through the conference room: "Everyone, Dr. Xu has given the patient new medical advice. The next step is to do a genetic test for thalassemia..."

bite--

Kong Huixia and others turned their heads, their expressions full of shock and confusion.

Thalassemia?!

They discussed hereditary liver disease for more than half an hour, but they didn't even touch on it!

"Doctor Xu's diagnosis?" Kong Huixia confirmed.

Li Xue nodded, "The cardiotonic, diuretic and other measures given by Dr. Xu this morning are very effective. The patient's edema has been eliminated."

"How could it be so fast!"

Kong Huixia's expression was exactly the same as Mo Wan's.

After Li Xue explained, there was only silence in the conference room of the Department of Obstetrics and Gynecology.

Gulu.

I don't know who swallowed the saliva.

They carefully recalled the manifestations of thalassemia.

Let’s not talk about babies with thalassemia major. Such babies usually suffer miscarriages.

If the fetus is forced to be born, the fetus may not have symptoms in the first few days, but within a few days of birth it will develop progressive anemia, hepatosplenomegaly, and jaundice, and the condition will become more and more serious as time goes by.

.

Very easy to die.

Relatively speaking, the survival rate of children with mild and moderate thalassemia is much higher.

"The child has a history of bronchitis before... If it is thalassemia, one of the special symptoms of the patient is that he is prone to bronchitis or pneumonia!"

"There is also an enlarged head and widened eyes, which are also consistent with the face of thalassemia."

"So it's not a hereditary liver disease at all, but thalassemia causing liver damage?!"

At this moment, the obstetrics and gynecology doctor felt a sudden realization.

Silence fell quickly again.

What a shame...

A group of doctors in gynecology and pediatrics are not as professional as Dr. Xu who focuses on other departments!

Kong Huixia breathed a long sigh of relief, broke the silence, and said with slight emotion: "As expected of Dr. Xu, the medicine he uses is like magic."

She read the medical records again and compiled the information about the child's biological parents. She just relaxed her brows, but suddenly frowned again.

"If it really is thalassemia, I'm afraid it's not good news..." She sighed.

Everyone looked over immediately.

We’ve all been diagnosed, so why isn’t it good news?

There must be something else hidden!

…

…

Ward.

The nursing department and the laboratory department came to the scene in person to draw blood and send it for urgent testing of the thalassemia gene.

It will be almost two days until the results are available.

During this time, Xu Qiulai was able to arrange matters within the hospital after the business trip.

Including surgical arrangements, outpatient transfers, etc.

Today's clinical doctors are full of talented people. Senior executives include Joseph, Noah, Academician Dai and others. In theory, they will not participate in the hospital's diagnosis, treatment, surgery, etc., but there are various high-tech surgeries in front of them, and they cannot restrain themselves.
Chapter completed!