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Chapter 301 Notice

The three words "catastrophic" in the name of catastrophic antiphospholipid syndrome have clearly demonstrated the power of this disease - catastrophic.Compared with ordinary antiphospholipid syndrome, the characteristics of catastrophic antiphospholipid syndrome are not the same.Generally, antiphospholipid syndrome is mainly caused by large vessel thrombosis, the disease progresses slowly, and generally does not involve multiple organs.

But catastrophic antiphospholipid syndrome is completely different. It is a serious disease with a clinical mortality rate of more than 50%.Involvement of more than three organs within one week of onset, concurrent arterial and venous thrombosis, and microvascular thrombosis as the main manifestation.Most of the patients finally died of DIC symptoms caused by pulmonary embolism or abnormal blood coagulation.

The most frightening thing is that catastrophic antiphospholipid syndrome has no ideal treatment plan.

"If it's CAPS, it's terrible." Yuan Pingan said to Sun Li'en with a serious face, "The patient has just received thrombolysis and anticoagulant therapy, but his ischemic necrosis of the small intestine has not been completely reversed. If the necrosis If the area continues to expand, resection will be performed at the risk of intraoperative hemorrhage."

"Compared with the risk of small intestinal necrosis, this risk is completely acceptable." Dr. Pascal is not too worried about this. "Let's do an APL antibody test first. Diagnose CAPS, and then start hormone shock and immunosuppressive treatment immediately, and then adjuvant therapy." Plasma replacement. In this way, antibody aggregation can be controlled in the shortest possible time, and the risk of abnormal coagulation can be reduced in the case of deheparinization. As long as the plasma replacement is timely enough, he should be able to safely receive surgery."

The treatment plan proposed by Dr. Pascale is standard coping.For the current situation, this is the only thing the doctors can do for Xia Hongyuan.

"Send a serious illness notice." Sun Lien sighed, he really didn't want to see this situation.A teacher loved by students, a young and energetic first-level athlete, is now lying dying in the emergency room.Even after surgery to remove the thrombus and undergo thrombolytic therapy, the chances of him surviving are still half and half.

How could Sun Li'en relax in this situation?
"I'm going to talk to the family." Seeing Yuan Ping'an brought the notice of serious illness, Sun Lien stood up and took the notice, and turned to Dr. Pascal, "After the family agrees, the treatment will start immediately."

Sun Lien left the most difficult work to himself.

Xia Hongyuan's parents waited outside the door for four hours. Their only son had already undergone an operation, but seeing the doctors looking like they were facing a formidable enemy, Xia Hongyuan's parents couldn't figure out why the doctor was so nervous.After the operation, shouldn't the child gradually get better?

"Doctor Sun!" Xia Hongyuan's father saw Sun Li'en from a distance, he stood up quickly, walked forward two steps quickly and asked, "How is he doing?"

Sun Li'en looked around in embarrassment. This is the rescue hall, and there are many people nearby.He whispered, "He's in a stable condition now, please come with me first with your wife, this is not a place to talk about things."

Xia Hongyuan's father's heart sank suddenly, and he tried hard to hold his wife's hand.But the uncontrollable trembling all over the body can be seen as long as the eyes are not blind.

Sun Li'en sighed softly, and led the two of them into the small conference room.

Dr. Pascal originally thought that Sun Li'en would take the parents to other conference rooms, but he didn't expect him to bring them here directly.Looking at the middle-aged couple who looked ashamed, Dr. Pascal also sighed.Standing up, he found two paper cups and poured some tea into them.

"Please sit down, these are colleagues from our treatment team." Sun Lien asked the two to sit down, and then handed over the serious illness notice he had been holding in his hand. "This notice of serious illness, please sign it."

Xia Hongyuan's father immediately wiped out a large puddle of water from the water glass he had just picked up, "What's going on?"

Sun Lien sighed again. "As the two of you know, we have already performed surgery on Xia Hongyuan. However, his problem is not limited to what we can solve with surgery." He pointed to the whiteboard that was filled with the order of symptoms, "Xia Hongyuan A disease that causes all of these symptoms, and based on the information we have so far, we believe the name of this disease is 'catastrophic antiphospholipid syndrome'."

"You mean...you are not completely sure yet?" Xia Hongyuan's father was keenly aware of the problem in this statement.

"We are still waiting for the final and decisive inspection evidence." Sun Lien replied, "But according to the current situation, the possibility of this disease is the greatest."

Xia Hongyuan's father asked after a moment of silence, "If it is this disease, how can it be cured?"

"Let me explain this part." Sun Lien was about to speak, but Dr. Pascal stood up by himself. "This is my specialty."

"I am a doctor of rheumatology and immunology, Pascale." Dr. Pascale introduced himself briefly to the parents, "According to our diagnosis, Xia Hongyuan's disease is a relatively rare autoimmune disease, and The main feature of this disease is abnormal blood clotting in blood vessels throughout the body."

"First of all, the cause of the disease is still unknown to us. But according to research, trauma may have been a major factor in triggering this severe reaction. But given his previous experience as a professional athlete, we have no way of narrowing it down to a specific one. Trauma." Dr. Pascale's voice was very steady, sounding a little slower than his usual rate of speech. "However, the onset of his disease is very hidden, and not many organs were affected at the beginning." He pointed to the content on the whiteboard, "The first organ affected should be the small intestine." Dr. Pascal was sympathetic Glancing at Xia Hongyuan's mother who was already crying, "That's when you received a call from him earlier, saying that his stomach was uncomfortable."

"Later, he was sent to the hospital with severe pain all over his body. At present, we believe that it was caused by a blood clot in his brain." Dr. Pascal continued to explain, "The blood clot should not be large, so he Instead of severe stroke symptoms, it was unexplained pain."

"After entering the hospital, we first relieved his pain symptoms." The next part is what Xia Hongyuan's parents know, but Dr. Pascal's explanation is still very detailed. "And we immediately recalled Dr. Sun." He pointed to Sun Lien, who was listening carefully, and boasted a little, "He is the leader of our treatment team, and he is also the doctor with the best diagnostic skills."

Of course, Lao Pa's flattery was not to flatter Sun Li'en, but to ease the emotions of the two of them a little bit - after learning that the doctors who treat their children are highly skilled, it can indeed relieve the pressure on many family members of patients.

"After multiple tests, we gradually locked his disease on the current 'CAPS'." Dr. Pascal said a lot in the middle, and then continued, "Because of the degree of danger of this disease, So we issued a serious illness notice to you."

It's up to Sun Lien to do the rest, "First of all, I have to tell you two that Xia Hongyuan's disease is very dangerous."

　At present, there are 104 monthly tickets, so according to the agreement, there will be a new chapter.

　　But it looks like... this chapter will definitely be released after 12 o'clock.If you can’t wait, you can go to bed first, and it’s OK to watch it again tomorrow!
　　
　
(End of this chapter)