Qianjiang Evening News Hourly News reporter He Lina trainee reporter Xu Ziying correspondent Hu Dan
Recently, Xiao Zhang (pseudonym) in his early 30s often found bleeding gums when he woke up in the morning. , I thought it was just “getting angry”, so I went to the pharmacy to buy some medicines to “get off the fire”. Unexpectedly, after a few days, not only did the situation not improve, but it became more and more serious.
Therefore, Xiao Zhang came to the outpatient department of the Department of Hematology, Fuyang District Hospital of Traditional Chinese Medicine, Hangzhou, and was treated by Wang Shoujun, director of the Department of Rheumatism and Hematology. After Wang Shoujun’s physical examination, he found that Xiao Zhang’s whole body was covered with large and small petechiae and petechiae, and there was also obvious bleeding in the gums. With rich experience in clinical diagnosis and treatment, it is judged that this symptom may be caused by severe thrombocytopenia, and routine blood tests are required first.
15 minutes later, the telephone in the clinic rang, and Wang Shoujun received a report from the laboratory doctor that he was critical. Platelet value, patients with mild skin bruising, nose and mouth bleeding, severe internal bleeding or even cerebral hemorrhage, life-threatening!
Xiao Zhang’s blood routine examination report
In serious condition, Wang Shoujun immediately arranged for Xiao Zhang to be admitted. Rheumatology and hematology ward. After Xiao Zhang was hospitalized, the rheumatologist further improved immune-related examinations and bone marrow biopsy. According to the test results, Xiao Zhang was diagnosed with an immunodeficiency disease, and the platelets caused by the abnormal immune system decreased sharply.
After symptomatic treatment, Xiao Zhang’s platelet count increased and his condition improved. The doctor instructed him to continue taking oral medication to treat the primary disease after he was discharged from the hospital, and to review his blood routine regularly.
Wang Shoujun pointed out that the diseases of the blood system are more complex, with more than 100 types of diseases, including the above-mentioned immune thrombocytopenia, as well as the more common types of anemia, such as iron deficiency anemia, aplastic anemia There are many malignant tumors such as leukemia, lymphoma, multiple myeloma, etc.
The effective treatment of diseases is based on accurate diagnosis, and the diagnosis of some diseases is often not as simple as expected. In patients like Xiao Zhang, multiple bleeding may be due to thrombocytopenia, abnormal coagulation function, allergic diseases, capillary diseases, etc.
Wang Shoujun rounds the patient’s room
Therefore, it is necessary to seek medical attention in time when the corresponding symptoms occur, and cannot be taken for granted. , according to “experience” to deal with. If there is no correct diagnosis, not only the treatment will be ineffective, but also the disease will be delayed.