"Yes." Zhao Yunlong said.

He then picked up his cell phone and sent a WeChat message to the doctor on duty, asking the echo-heart-moving pictures and reports to pass over.

A few minutes later, the phone rang. He took a look and handed the phone to Zheng Ren.

In the CDFI report, the patient's tricuspid regurgitation bundle area has been greater than 8 square centimeters, which is a severe tricuspid regurgitation.

However, pulmonary artery pressure and other indicators are abnormal, but they are not consistent with tricuspid valve regurgitation.

This is indeed a bit strange.

Generally speaking, the heart valve is like the bow of the door of the old house. After opening it, it will be pulled back to avoid blood reflux.

In this case, the elderly are weak due to muscle atrophy and aging of the door arch, which causes the valve to be closed tightly.

If it is young, it is common for congenital heart disease, infection, intravenous drugs, etc.

Zheng Ren asked about the patient's medical history again, but there was no related medical history. This was also Zhao Yunlong's strange point, so he planned to discuss it within the department tomorrow.

If you can't understand the disease, you can't go directly to the stage.

Once on the operating table, if there is no disease found, the operator will face more trouble. As an old surgeon, Zhao Yunlong will not misunderstand this.

It is better not to go to the stage than to understand all the situations clearly.

So, he acted very cautiously.

Su Yun also glanced at him, and countless questions were reeling in his heart. This patient was really abnormal.

I don’t want Zhao Yunlong to drink too much. If it’s a round tomorrow and an internal consultation in the department, Zhao Yunlong will be hangover and speak with a slim film. It would be strange if he doesn’t want to be scolded to death by the chief director.

"Have other test sheets come out?" Zheng Ren put his chin in thought and suddenly asked.

"I asked that side to pass all the pictures over." Zhao Yunlong said.

This time, Zhao Yunlong directly created a group and asked the doctor on duty to post the pictures to the group.

Looking at the test form, Zheng Ren and Su Yun finally became honest.

Especially Su Yun, the black hair on his forehead was faintly moved without wind, as if his brain was running at high speed, causing a faint change in the air flow.

Zheng Ren read the report sheets one by one and then found the problem.

The patient not only has changes in cardiac steatosis, but also has severe fatty liver, and the liver is larger than that of normal people in B-ultrasound.

This is strange.

The patient is only in his thirties. Even if he is drunk and eats a lot of fatty meat and other foods, it is difficult for him to develop severe fatty liver, which also causes the liver to grow bigger.

This is the same as tricuspid regurgitation, and it is not a problem that young people of this age should have.

Zheng Ren thought hard and compared various data. After ten minutes, he slowly said: "Look for a blood acyl carnitine spectrum test tomorrow."

"Hmm?" Zhao Yunlong was stunned for a moment.

"Based on the patient's test value and the clinical symptoms you mentioned, I suspect it is primary carnitine deficiency." Zheng Ren said: "Cardiomyopathy, lipid-deposition myopathy, fatty liver, and the patient's blood sugar is only 3mmol/l, which can be judged approximately."

Zhao Yunlong was a little confused. He knew about this disease, but he had never seen it clinically.

Su Yun thought about it and after a few seconds, he asked: "Can the hospital do the detection of the slc22a5 allele?"

"Yes, but it takes time."

"Is there anyone else in the patient's home who has similar situations?"

"When asking about the medical history, the patient's narration was unknown. I have asked the patient's father and mother to come here and I will ask in person tomorrow." Zhao Yunlong's clinical work was meticulous, and he could think of it, and he had already arranged it.

"The boss is right. Considering that it is primary carnitine deficiency, surgery is not recommended. Just give it a left cervical card for a period of time and then take it orally. Yes, boss." Su Yun asked.

"Yes." Zheng Ren nodded.

This is a fatal disease, but as long as it is discovered in time and supplemented by diet and locanedine, the quality of life will not be affected.

"Free carnitine is significantly reduced. If it is less than 10mol/l and the multiple acyl carnitine decreases, it can basically be judged." Zheng Ren said: "When gene testing returns, start supplementing left-cat, and the symptoms will be relieved."

Fang Lin felt a little moved when he heard Zheng Ren and Su Yun solve Zhao Yunlong's questions one by one.

The rising star of the imperial capital cardiothoracic surgery is not a waste of time. Su Yun was not surprised that he could diagnose it. However, this diagnosis was first given by Mr. Zheng, and then Su Yun reversed it and found several basis points.

Mr. Zheng is indeed very strong.

Whether it is right or wrong, it is enough to be able to propose the next step that needs to be checked, and trial and error step by step is enough. Many people, including those who look at these test sheets themselves, are dewy.

"Old Zhao, go and hide it later, will you still drink it?" Su Yun asked.

"I'll have something to do tomorrow." Zhao Yunlong insisted.

"Take it, let it go."

"Who knew that such a patient would be admitted today." Zhao Yunlong ignored Su Yun's contempt at all. It seemed that he had become accustomed to it. He was thinking about the patient's condition, and the more he thought about it, the more correct what Zheng Ren said.

It is very likely that primary carnitine deficiency. After using L-Carnitine, the symptoms of tricuspid valve insufficiency will be relieved and no surgery is needed for treatment.

This is discovered early. If it is a few years or ten years later, or if the patient has an acute outbreak, metastatic acidosis and hyperammonia, the person may be gone directly.

Even if it doesn't happen, it is unlikely to be cured in the future.

This disease is similar to diabetes and requires long-term medication. However, compared with complications, taking levocanedine for a long time does not seem to be a big deal.

After taking a while, after a "interview consultation", everyone's interest became lower. Especially Zhao Yunlong refused to go to Yizang to drink, Su Yun felt even more boring and chatted casually, so he broke up.

They called their own cars to go home.

The night was shrouded in the dim lights. Zheng Ren sat in the car and took out his cell phone and reported to Xiao Yiren that he was about to go back.

Xie Yiren and Chang Yue were already lying down on the side, in the water group.

Chu Yanran is on duty tonight, and a car accident was injured in the other side of Haicheng. She is undergoing emergency surgery and is undergoing emergency rescue. She has no time to go to the water group, which is what Chu Yanzhi told everyone.

"Boss, how many people will come to see you for tips surgery tomorrow?" Su Yun suddenly asked.

"Who knows." Zheng Ren doesn't care.

"I guess someone will invite you to give a lecture tomorrow. Are you ready?"

"No need at all. If you need it, go. It's true that you have to prepare the agreement."

"The agreement is fine, what do you think about the lecture fee and the flying knife money?"

"Uh..." When it comes to money, Zheng Ren is really not going to ask for it. But he knows that free things are generally not cherished.
Chapter completed!