Chapter 2895 Good Teacher

Sun Chao felt a little bored. It was really absurd for Boss Zheng to throw aside himself as the director early in the morning and ask the patient's family members about the details of the patient's childbirth thirty years ago.

But before Sun Chao was distracted, he saw Boss Zheng standing up and shouting, "Professor Zhao, please come here."

"Hey!" A voice came from the other side of the corridor, followed by a series of hurried footsteps.

Zhao Wenhua rushed over, and when he saw Sun Chao in the room, he was taken aback for a moment, and stood next to Boss Zheng without even saying hello.

"The patient initially thought it might be Sheehan's syndrome. He had a hemorrhage when he gave birth 32 years ago, and then he had this problem. You can check the three items of thyroid function, and then check the head MRI. If the diagnosis is clear, you can stay for treatment. , transfer to the endocrinology department."

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

"Sheehan's syndrome, old Zhao, your basic skills are not good enough." Su Yun said with a smile.

"Hey, I forgot all the things I learned in school." Zhao Wenhua was not angry at Su Yun's ridicule, but lay down and said with a smile.

Sun Chao watched all this silently, no matter how harsh Professor Su's words were, Zhao Wenhua was used to it with a smile.

Is he cheap? Certainly not. It should be that Boss Zheng will solve everything no matter what happens. Over time, it will be regarded as a joke between bad friends when he usually says some harsh words.

What the hell is Sheehan's syndrome? Sun Chao vaguely remembered that it should be secondary to placenta previa, placental abruption, retained placenta, and uterine incompetence during the perinatal period, which caused massive hemorrhage, shock, and thrombosis, which caused most of the adenohypophysis to be ischemic, necrotic, and fibrotic, causing adenopathy. Clinical syndrome of hypopituitarism.

But no matter how much it is, he doesn't understand. As for the relationship between it and hypoglycemia after splenic embolism, he is even more dewy.

"Okay, I'll investigate right now and report to you with the results, Boss Zheng." Zhao Wenhua took the order and left without any doubts.

Sun Chao is also very speechless, a perennial hypoglycemia problem, Boss Zheng actually asked to check the head MRI and armor skills.

Forget it, it has nothing to do with me, what if it is really Sheehan's syndrome.

But it seems that Boss Zheng is very interested in this, why don't you ask him for advice? Sun Chao suddenly had such an idea.

Seeing Zhao Wenhua getting busy, Sun Chao walked up to Boss Zheng and asked, "Boss Zheng, why do you think it's Sheehan's syndrome?"

"Women with frequent episodes of hypoglycemia all year round, if there is nothing wrong with the pancreas and glycosylated hemoglobin, the first thing to consider is Sheehan's syndrome. Although the incidence rate is not high, the condition is serious. Early diagnosis and early treatment are good."

Zheng Ren said with a smile, it was obvious that he was more interested in explaining the illness, at least more than in small talk.

"You are a bit unfamiliar with Sheehan's syndrome." Seeing Sun Chao's bewildered expression, Zheng Ren immediately realized that he was the director of the Department of Vascular Surgery, and he was not cured of the disease.

"The current case has a history of hepatitis C cirrhosis, and the synthesis and storage of glycogen in the cirrhotic liver is reduced, and the inactivation function of the liver to insulin is reduced, and hypoglycemia will occur. Therefore, the patient has been misdiagnosed as cirrhosis by other hospitals many times. And hypoglycemia."

"The patient has a history of postpartum hemorrhage, clinical manifestations of hypogonadism, thyroid, and adrenal cortex hypofunction, and decreased thyroid function and aldosterone levels. An MRI examination of the head may indicate a decrease in the size of the pituitary gland, and some vacant sella..."

"Boss Zheng, wait a minute." Sun Chao didn't understand, so he immediately interrupted Boss Zheng and asked, "Is there something wrong with the head MRI? Is this what you estimated?"

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

"Sheehan's syndrome simply means that massive bleeding occurs during childbirth, causing hemorrhagic shock, or even when DIC occurs, the reflex excitation of the sympathetic nerves causes arterial spasm or even occlusion."

"The blood supply of the pituitary artery is reduced or cut off, the tissue cells of the anterior pituitary gland are degenerated and necrotic, and the various hormones secreted by the anterior pituitary gland and the target organs controlled by it are drastically reduced, resulting in premature decline in the functions of the target organs acted by various hormones." and cause a series of syndromes."

Listening to Boss Zheng talking about the ins and outs of Sheehan's syndrome, Director Sun Chao recalled that this is how he explained the characteristics of echocardiography to himself in neurosurgery.

One, two, three, four, five, it is clearly the iconic feature of a science and technology dog.

Cirrhosis of the liver, hypoglycemia, so many things can be pulled out, really... Sun Chao sighed softly.

"Professor Zhao." Zheng Ren suddenly called out.

"Hey, Boss Zheng, I'm done with the doctor's orders." Zhao Wenhua responded immediately.

"The next time you ask about the medical history, be more detailed. If you ask about this patient's hemorrhage during childbirth, it probably won't be such a dangerous thing." Zheng Ren said softly.

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

Sun Chao didn't think it would disappear into nothingness, and the so-called Sheehan's Syndrome himself had only a vague impression.

The probability of intrapartum hemorrhage itself is not high, plus the probability of probability, all together, it seems that I have not encountered a few similar patients in so many years.

Boss Zheng is really good at being a teacher, like a big director in the department, leading a group of professors to teach them as they say.

But he has that ability, Sun Chao has no doubt that the test results cannot confirm Boss Zheng's diagnosis.

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

Big Yellow Ya looked at Zheng Ren anxiously, Zheng Ren had nothing to do, left Liu Xiaomei's contact information, and made an appointment to go to the community hospital in the afternoon. Only then did Da Huangya leave contentedly, looking at his leaving back, Su Yun frowned and asked, "Boss, do you think Da Huangya would be so kind?"

"Absolutely not." Zheng Ren said, "I think he just wants to install someone in the community hospital. What he will do in the future, he can adapt to the situation. But this time, he owes Da Huangya a favor and has gained knowledge. That girl stayed in the community hospital. it does not matter."

"Hey, don't be careless." Su Yun said with a smile, "If the boat capsizes in the gutter of Dahuangya, where can we justify it?"

"It's not that dark. With Old Fan around, she can't make any waves."