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Chapter 433: Doubtful Diagnosis of Pulmonary Tuberculosis(2/2)

Huang Ying actually feels that this is like tuberculosis in her heart, but as a leader, she always has to raise objections.

"Have you found Mycobacterium tuberculosis in the sputum?"

Li Chunsheng blushed:

"This one has not been found yet, but since there are no acid-fast bacilli in the sputum, the diagnosis of tuberculosis cannot be denied. After all, there are so many tuberculosis patients, and only about 20% of them can actually find acid-fast bacilli in their sputum.<

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Clinically, we cannot find it in the sputum of most people because their tuberculosis bacilli are hidden deeper and will not be discharged through the bronchi, so it is possible that we cannot find it."

Director Bian and Director Dong also nodded slightly, obviously agreeing with this view.

Tuberculosis is still very common in China, especially in the 1980s, when there were more than 3 million new cases of tuberculosis every year, and 80% of them were concentrated in rural people.

Tuberculosis is also the disease with the highest mortality rate among infectious diseases in my country and is very harmful.

Tuberculosis is actually a type of pneumonia, but the pneumonia caused by Mycobacterium tuberculosis is different from that caused by ordinary bacteria.

Common bacterial pneumonias are acute, and the general course of the disease is 1-2 weeks, or 2-3 weeks at most. The symptoms are obvious fever, cough, sputum production, chest pain, etc.

Tuberculosis is often chronic, and you may have a cough for several months, especially if you have recurrent or long-term fever.

Therefore, based on the symptoms and course of the disease, combined with X-rays, and recently the patient had some hemoptysis and blood in the sputum, lung cancer, pulmonary fungal infection, common pneumonia, etc. were ruled out. Tuberculosis is not gone.

Li Chunsheng was diagnosed with tuberculosis and there was nothing wrong with him.

Chen Qi stood there, listening to the discussions of several old directors, and felt that tuberculosis should not be used as an explanation.

Otherwise, how can we explain why the patient's symptoms have not been relieved at all, but have worsened after more than half a month of anti-tuberculosis treatment?

The idea of ​​clinical diagnostic medication is correct, but if you try it and it doesn't work, in fact, it can also prove that there is something wrong with the "tuberculosis" diagnosis, instead of continuing to fight against tuberculosis.

Upon hearing Chen Qi's question, Director Li quickly explained:

"This patient has seen too many doctors in the past three years. After taking this medicine and that medicine, I guess he already has certain antibodies in his body. Maybe he has drug-resistant tuberculosis?"

When Chen Qi heard this, he realized that it made sense, so he nodded and said nothing more.

If it were another patient, he would definitely take out the bedside portable CT scan in the hospital in his own space to scan the patient and quickly determine what the disease is.

But now we are members of the Jin family. Anyway, superficial skills are enough. If we can save, we can save. If we can’t save, we can only blame ourselves for the misfortune. Anyway, it is impossible for Chen Qi to take risks and play cheats for Jin Wenyao.

When Huang Ying heard that everyone had unified their thoughts, she made a decision directly:

"Since everyone has the same opinion, we should continue the anti-tuberculosis treatment and make it clear to the patient's family. In addition, we must pay for the broken things. If we don't pay, we will not be cured. Let's do whatever we want."

When the old lady heard that the previous internal medicine diagnosis was correct, she felt confident and her tone became tougher.

Outside the ward, Jin Kangsheng felt relieved when he heard that all the experts in the hospital, especially the director Chen Qi, thought it was tuberculosis.

So he said to Huang Ying with a smile on his face:

"Okay, Huang Shuji, this is our fault. I will apologize to Director Li right away. I will pay for whatever things are broken."

Jin Kangsheng's wishful thinking was very good. Now that the diagnosis is clear, there will definitely be no big problem with treatment. As long as his grandson's illness can be cured, everything can be discussed easily.

After all, Jin Wenyao is the grandson of his branch and the only heir to the family, and his status is extraordinary.

Anti-tuberculosis treatment continued, and Li Chunsheng even increased the dose in order to increase the efficacy and prevent the emergence of drug-resistant strains.

Good guy, in the next month, in addition to daily hemoptysis, blood tests showed that white blood cells continued to decline, but various indicators of liver and kidney function increased linearly.

Li Chunsheng was doing ward rounds every day, and his heart was getting weaker and weaker. After getting the test results, he knew that this time he was completely overturned.
Chapter completed!
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