Chapter 796 PPD Positive?

"I always thought that only the elderly need a stent for myocardial infarction, but I didn't expect that my daughter would also need a stent."

Outside the ward.

The patient’s parents lamented.

Dr. Hua explained, "Her disease is not myocardial infarction caused by coronary heart disease, but the result is similar. The blood vessels in the heart are very narrow. Stents are used to save the heart, but stent alone cannot solve the problem, because this disease is All blood vessels throughout the body may be involved.”

"Are there any more tests?" asked the patient's parents.

"Contrast-enhanced CT of large arteries."

"Do it, do it all!"

The patient's parents nodded quickly.

Subsequently, the patient was scheduled for chest CT.

The chest CTA results showed that the lesions involved the aortic arch, bilateral upper limb arteries, coronary arteries, etc.

Therefore, the patient's pulses in both upper limbs were weakened or even unpalpable, but she always thought it was due to weakness and general weakness.

In addition, the blood test results came back. The erythrocyte sedimentation rate and crp were very high, and anti-aortic antibodies were positive.

The rheumatology immunologist came for consultation and agreed with Lu Chen's diagnosis of "Takayasu arteritis".

…

In the ward.

Lu Chen said to the girl: "This disease is an autoimmune disease. Due to various factors such as environment, immunity, infection, etc., the immune disorder in the body is caused. The immune system specifically attacks the blood vessels in your body, especially the large blood vessels, causing blood vessels to Inflammation, leading to narrowing or even occlusion of blood vessel walls.”

"How to treat it?"

The patient was lying in bed, looking much better than before.

Lu Chen said: "The only way to treat this disease is to suppress the immune system and use hormones."

On the one hand, hormones can fight inflammation, and on the other hand, they can inhibit hormones. They are the best safety drugs.

Cardiac stents are an emergency treatment, not a permanent cure. In the end, long-term management of hormones and immunosuppressants is required.

The patient can understand it, but it is completely unacceptable.

She started Baidu online again.

If people take hormones for a long time, they will become fat, develop a lot of acne, and may even stop having aunts, which will affect fertility.

"Can I take other medicines instead of hormones?" the patient asked the doctor cautiously, expressing his worries.

Lu Chen raised his eyebrows, "What, are you married? Are you preparing for pregnancy?"

"Not yet, not married yet."

"Then why are you anxious? When the disease is under control, if you have the opportunity to stop taking the medicine, stop the hormones, and you can still have a baby. It will be fine." Lu Chen said with a smile, and was also amused by her.

Now that the cardiac stent surgery is completed, the rest of the hormone matters will be taken care of by the rheumatology and immunologist.

"Transfer to the rheumatology department." Lu Chen smiled and warned, "But remember to take antiplatelet drugs for a long time. Remember that you have a stent in your heart."

"Um."

The patient was quickly arranged to the rheumatology and immunology department.

…

Return to the talent apartment in the evening.

Gu Xinyue is sitting on the sofa, eating fruit and watching TV series.

"You are so laid-back." Lu Chen put down his bag, "When will you still like to watch this kind of love soap opera?"

Gu Xinyue smiled and said, "I have read too much literature, so relax a little."

"Why, your date with Xu Shan went well?"

"Ahem." Gu Xinyue coughed lightly, "If it's not a date, it's just another place to discuss scientific research issues."

"Really?" Lu Chen looked at Gu Xinyue with a half-smile.

"Yeah." Gu Xinyue took a sip of water.

Lu Chen shook his head slightly. This old Gu was becoming more and more contrary to Gao Leng.

"Will you still have rest tomorrow?" Lu Chen asked.

"Well, let's take another day off." Gu Xinyue said, "It's hard to get this time, so you have to make good use of it."

Lu Chen sat next to Gu Xinyue, "What's wrong? You don't have enough time to rest with Xu Shan?"

"You don't understand." Gu Xinyue glanced at Lu Chen.

"I don't understand?"

Gu Xinyue nodded, "How do you understand that you are single?"

Lu Chen shrugged his shoulders, "Okay, anyway, I don't understand your cold jokes."

"You are jealous." Gu Xinyue said lightly.

"Why are you jealous?" Lu Chen said as he poured himself a cup of tea.

"Jealous that Xu Shan can understand my cold jokes."

Lu Chen: "..."

Okay, Lu Chen took the tea cup and returned to his room.

As Gu Xinyue said, life and work must be balanced with work and rest.

Today, Lu Chen did not continue to read the literature or practice his surgical skills, but went to bed early.

The next day.

Just as Lu Chen got up, Gu Xinyue was already up.

"Where are you going so early?" Lu Chen asked confused.

"Go and take a walk around the area." Gu Xinyue said, "By the way, I heard that your national natural resources project failed."

Lu Chen nodded, "You are quite well informed."

Gu Xinyue spread her hands, "I heard what Xu Shan said. She also applied for National Natural Science Foundation of China this year, but the online review failed."

"Oh." Lu Chen nodded, "Why don't you worry about your project?"

"Oh, you're dead. I'm going to review again. Isn't this a waste of time?" Gu Xinyue curled her lips, "I'll start with the provincial and ministerial-level projects first."

"That's okay, I'm optimistic about you." Lu Chen smiled and patted Gu Xinyue on the shoulder.

"Haha, I'll leave first, you go to work."

After saying that, Gu Xinyue closed the door and left.

…

After Lu Chen finished cleaning, he could only go to work alone.

After coming to the cafeteria and eating a bowl of noodles, he came to the department.

"Hello, Director Lu."

"Hello, Teacher Lu."

Along the way, the nurses, doctors, and graduate students in the department all greeted Lu Chen with a smile.

"Well, hello." Lu Chen responded with a smile.

This feeling is really good.

Because Gu Xinyue went to rest, Lu Chen continued to help him with the ward rounds.

This made the group of graduate students and trainees under his command very worried.

Director Lu has to ask questions again!

However, Lu Chen was very happy.

The question-and-answer session was his favorite.

The boy who slayed the dragon eventually became a dragon!

After the ward rounds, everyone finally breathed a sigh of relief.

At this time, Dr. Hua suddenly ran towards Lu Chen.

"Director Lu, are you done with the ward rounds?"

Lu Chen looked back and said, "What's wrong? I just finished the ward rounds."

"The patient with large arteritis before, UU看书 www.uukanshu.net has a problem." Dr. Hua said.

"Hmm?" Lu Chen was stunned. "What's going on?"

"It's like this." Doctor Hua said slowly, "After the patient was transferred to the rheumatology and immunology department, he underwent a lot of tests, including some tests on tuberculosis, among which the tuberculin test (PPD test) was strongly positive."

"PPD positive?" Lu Chen frowned.

In clinical practice, a strong positive PPD test is still of great significance.

It is generally believed that the presence of tuberculosis bacteria in the body and the stimulation of immunity will lead to a strong positive test.

Doctor Hua continued: "The rheumatologist said that hormones will not be used for the time being."

If you have tuberculosis, you need anti-tuberculosis treatment.

Control it before using hormones, otherwise once hormones are used, immunity is suppressed, and tuberculosis may spread, which may be fatal.

.