"What is porphyria?" Hao Jia was confused when he heard this.

"Porphyria is the 'vampire symptoms' that ancient or ancient Western countries have been called! Patients are afraid of the sun, and will experience abdominal pain and "roam around" the abdomen, which is very rare. They may also have mental abnormalities. The reason why people in ancient times called it "vampire" is because some doctors in ancient times thought that drinking human blood to cure diseases..." Ruan Bin said in a leisurely manner.

"Well, this disease is almost exclusively found in textbooks, and I have never encountered it in reality."

"But my wife is not afraid of the sun..." Haojia sounded a little creepy. Drinking blood to cure her illness? It sounded very scary!

"Porphyria is divided into many types, including protoporphyria, late-onset dermatological porphyria, acute intermittent porphyria, mixed porphyria, hereditary coproporphyria, acquired porphyria, hepatic erythropoietic porphyria... etc. The symptoms of each type are different," Ruan Bin explained.

This female patient is acute intermittent porphyria. This is more common, autosomal dominant. Asymptomatic recessive patients can be found in the family. Both sexes can suffer from the onset ages between 20 and 40 years old. They often show acute onset abdominal pain, but abdominal examinations are mostly found without positive findings, which are easily misdiagnosed as neurosis or hysteria. Some are misdiagnosed as acute abdominal disease due to abdominal distension, vomiting, constipation, low fever, and leukocytosis. There may also be muscle pain, muscle weakness and even paralysis. Some patients have mental symptoms such as personality changes, moodiness, hallucinations, etc. Common sinus tachycardia is related to damage to the vagus nerve.

Moreover, the easiest way to check this disease is to take 2 small cups of urine in the patient, place one cup next to the bed, and one cup on the windowsill to expose the sun, and then compare it with the urine of a normal person. After 4 hours, the exposed urine will turn brown! You can have a preliminary diagnosis!

But it’s night now, you can find out by doing a hemoporphyrin and uroporphyrin test!

"Then, can this disease be cured?"

"Check it first, maybe not. If so, it will definitely be cured." Ruan Bin smiled.

“Yes, yes, check first…”

At this time, He Ye and others listened to Ruan Bin's analysis. Although they felt that the possibility was not very high, they still sounded similar in symptoms.

Now I can’t do gastroscopy and other examinations, so I can only try to check this first. Anyway, the family agrees!

Soon, blood was taken to test the urine.

The inspection results finally came out in the middle of the night!

When everyone saw the inspection results, they were all shocked!

The results show that Ling Qing is indeed acute intermittent porphyria!

"Doctor Ruan, you really have a sharp eye! You can analyze it, my god!" Sun Feng exclaimed.

"I admire the sharp eyes!" He Ye also admired.

Just based on the patient's situation, he can guess correctly, and he really has to accept it.

"How did you consider this disease?" Jiang Yurong couldn't help asking when she looked at her boyfriend.

How rich is this clinical experience?

How many books have you read?

"Actually, there is no problem with the B-ultrasound examination. There is no organ rupture or pelvic effusion in the body, and there is no premature birth. In fact, you can try to analyze some abdominal pain and difficult symptoms! For example, this porphyria is also a symptom of abdominal pain! In addition, I have a close marriage and mental abnormality, so I first consider this! I didn't expect that after the examination, it was really a bit like gambling. I'm just lucky, lucky." Ruan Bin smiled.

"luck……"

"I always feel that you are pretending to be invisible!" Sun Feng curled his lips.

"that is!"

Several people rolled their eyes at him.

"It's really luck. If it weren't for this porphyria, I would have checked the difficult and complicated diseases related to abdominal pain one by one... Who knew I was the first to be the one." Ruan Bin said modestly.

Well, it is reasonable and has no doubts!

"real?"

"certainly!"

"Then I will also read more books on difficult and complicated cases in the future..."

"Look at it." Ruan Bin smiled, and he started out as a cheat, okay?

Soon, Haojia knew that his wife was actually suffering from this disease!

This made him breathe a lot of relief.

At least the child should be able to be kept? Should his wife be fine?

"Doctor Ruan, thank you so much. If it weren't for your incisive diagnosis and analysis, my wife wouldn't know how many tests it would take to confirm the diagnosis..." Hao Jia's eyes were red.

After all, I can’t find out the cause of my wife’s various examinations and tortures. Is it so fucking good?

"No need to thank you, it's all our responsibility." Ruan Bin waved his hand.

"Then how can my wife treat this disease?" Hao Jia asked hurriedly.

Ruan Bin recalled that he knew that treatment was mainly supported therapy and symptomatic treatment during attacks. Because barbiturates, phenytoin sodium, anesthetics, estrogens, contraceptives, sulfonamides, greyfolicin, etc. can enhance the effect of ala synthase, it must be banned.

For abdominal pain, chlorpromazine, chloral hydrate, etc. can be used. People with mental mania can try resepine, fenajing, etc. If the attack is related to menstruation, oral androgen can be taken to prevent attack.

However, the above are all routine treatments. Now the patient is a pregnant woman, so you must be careful when taking the medicine!

He immediately called Director Qian, asked He Ye to help you prescribe medicine, and finally used the medicine for Ling Qing!

Not long after taking the medicine, Ling Qing's condition improved a lot.

I fell asleep peacefully.

In front of the bed, Hao Jia expressed his gratitude to Ruan Bin again!

"I just checked the Internet and there was a record of this disease in a hospital in Beijing! This is the news from the previous year. It is also a pregnant woman. She is much more serious than my wife. She fainted in pain and was sent to the hospital because of this disease. She had to undergo surgery. After the operation, it was still impossible to tell that it was the disease. Later, it took a long time to determine that the child could not be saved... The adults also suffered... Alas~" Hao Jia said with emotion.

"Doctor Ruan, I thank you again. When my child is out of month, you must come and have a drink!"

"Well, go when you have time." Ruan Bin smiled and walked out of the ward.

I took a break on the second day and came to work on the third day. Director Qian took out this case and held a separate meeting and talked about it.

At this time, everyone in the emergency department knew about it. Everyone praised Ruan Bin's fierce eyes and golden eyes, which was accurate at a glance!

Even Director Qian admires it very much!

When the meeting is over.

"Ruan Bin, you kid has been refreshing my three views over the past two years. Are you a cheating person like the protagonist of the Internet?" Director Qian teased.

"Uh, maybe, hehe."
Chapter completed!