I Can See Health

Vol 2 Chapter 469: Diagnosed with dissection! (The leader of Xuantengluo plus 1)

   Chapter 469 Diagnosed with dissection! (The leader of Xuantengluo plus 1)

   Lu Chen heard the words and rushed to the ward immediately.

   Mei Youjun followed closely.

   Repeated chest pain is not a good sign!

  …

   rushed to the ward, where the patient was lying on the bed with his eyes tightly closed.

  Lu Chen looked at his health, which dropped by two points!

   This is really hard to do!

   "Give me some more painkillers!" Lu Chen said solemnly.

   If the pain is severe, it is likely to stimulate the body's stress response and cause adverse effects.

   Pain relief can minimize this risk.

   However, not all pains can be treated with painkillers!

   For example, some unexplained abdominal pain cannot be relieved, otherwise it may mask the symptoms and cause more serious consequences.

   "You can't just blindly relieve the pain." Mei Youjun said, "Hurry up and lower your blood pressure, and then go for a bronchoscopy!"

  Lu Chen frowned deeply and did not speak.

   The patient's chest pain is currently unclear.

   It may be the inflammatory exudation of pneumonia, leading to pleurisy, causing chest pain.

   There is also a possibility of cancer pain caused by lung cancer.

   is more likely to be chest pain caused by other fatal diseases.

  …

   After taking painkillers, the pain in the left chest gradually eased.

   After careful inquiries, Lu Chen found that the patient's pain has persisted in the past few days, but it has not been aggravated, so he did not particularly care.

   Back to the doctor's office.

  Lu Chen handed over the patient's condition to the doctor on duty at noon.

   changed his white coat, he was about to leave, but Mei Yejun suddenly appeared.

   "Junior sister, what's wrong? Your dad won't be in pain again, will he?"

  Mei Yejun shook his head and stared at Lu Chen, "Senior brother, do you really think it's necessary for my dad to do aortic CTA?"

  Lu Chen looked into Mei Yejun's eyes, his eyes were unusually firm.

   "Do it!"

   He has already thought about it, if the final result is not aortic dissection, then he will bear the notoriety of a quack doctor at most.

   But if it is really aortic dissection... that is a living life!

   Mei Yejun bit his lip lightly, the hesitation and helplessness in his eyes suddenly disappeared.

   "Senior brother, then take my dad down for an examination!"

  Lu Chen was startled, thinking he heard it wrong.

   "You don't listen to your uncle?"

   This girl is really sentimental, instead of listening to her relatives, she came to listen to herself instead?

  Mei Yejun shook his head: "Senior brother, I don't care what my relatives say, what I care about is my dad. As you said before, after the inspection, everyone is happy if there is no problem. If there is a problem, it must be dealt with as soon as possible!"

  Lu Chen nodded, "Okay, then I'll change into a white coat now and take your dad for an examination!"

   "Yeah." Mei Yejun nodded, "By the way, brother, there is actually another reason, I've heard of you before."

   "Huh?" Lu Chen was taken aback, "When?"

   "Senior Sister Yao Jie and I are very familiar. We were assigned the same dormitory before." Mei Yejun said softly, "Before she went to Kyoto, she kept mentioning you in front of me."

  …

   got an affirmative reply from Mei Yejun.

  Lu Chen immediately put on a white coat, and with Wang Defa, who had not left, pushed the hospital bed to the CT room.

   Mei Youjun also followed everyone.

   On the way, his face was not very good.

  My niece doesn't listen to me, but listens to an outsider!

   And he is also a cardiologist, it is really shameless to say this.

   "Xiaojun, why don't you listen to me?"

   Mei Youjun asked in a low voice.

  Mei Yejun shook his head and said, "Uncle, if there is nothing wrong with the examination, then it can be considered that a disease has been ruled out, and the examination cost has been spent, I agree! But if the examination shows that there is really a problem?"

   Hearing what Mei Yejun said, Mei Youjun shook his head helplessly and didn't say anything more.

   Everyone came to the CT room, and the nurse who gave the injection was ready.

  CTA is different from normal CT.

  CTA requires the injection of a contrast agent, which is then imaged in the blood vessels.

   So you need to inject a needle in the patient's artery and then inject the contrast agent.

   After Lu Chen and Wang Defa pushed the patient into the CT examination room, they came to the operating room.

   "What is the patient's condition?"

   "High blood pressure, chest pain, suspected dissection." Lu Chen said.

   "Huh, there have been so many dissections in recent years!" The technician in the operating room shook his head and said, "I can diagnose one every few days."

   "Is this disease rare in the past?" Wang Defa whispered.

   "It used to be very rare!" the technician said.

However, Lu Chen said, "Now everyone's living environment has changed, and many types of diseases have also changed. In addition, there was no such examination equipment as CTA before, and many aortic dissections were treated as acute myocardial infarction. ."

   You must know that aortic dissection and acute myocardial infarction are also two diseases with completely different treatment methods!

  Myocardial infarction is a blockage of a blood vessel and requires anticoagulation.

  Dissection is a rupture of a blood vessel, which requires hemostasis.

   Treating aortic dissection as acute myocardial infarction, the outcome can be imagined!

  …

After the nurse gave Mei Yejun's father an injection, the technician started his own operation.

   On the screen in the operating room, a cross-sectional image of the patient begins to appear.

  Lu Chen stared at the screen, afraid of missing any aspect.

   "Almost to the position of the aortic arch!"

  Lu Chen's heart came to his throat.

   I saw that the patient's aortic arch was intact, and there was no sign of dissection!

   But dissection is not only the location of the aortic arch, but also the location of the thoracic aorta, abdominal aorta, etc.!

  As the image moved down, suddenly, at the junction of the aortic arch and the thoracic aorta, Lu Chen saw a torn blood vessel shadow!

   "This is... the mezzanine!" The technician also said.

  Although the technician is not qualified to issue reports, he has been working in the front line of CT all the year round, and naturally he has seen many similar films.

  Lu Chen doesn't have the joy of having a correct diagnosis now.

  Thinking of Mei Yejun outside the operating room, his heart is still a little heavy!

   "Okay, when you're done, go to the examination room and help the patient down." The technician whispered, "Patients with dissection, be careful!"

   "Okay, thank you teacher."

  Lu Chen came out of the operating room, and Mei Yejun immediately greeted him and said anxiously, "Senior brother, what happened?"

   "Let's go back and talk about it." Lu Chen shook his head slightly, "Send your dad back first."

   Seeing Lu Chen's expression, Mei Yejun's heart sank.

   And Mei Youjun on the side was also stunned. Could it be that this kid was really hit by a dead mouse?

  …

  Everyone carefully pushed the patient back to the ward.

   Along the way, no one spoke much, as if they understood something in their hearts.

   After placing the patient in the ward, Mei Youjun and Mei Yejun came to the doctor's office.

  Lu Chen turned on the computer's examination system and called up the patient's aortic CTA image.

   When the image of the patient's thoracic aorta appeared, Mei Youjun's face became extremely ugly.

  Mei Yejun couldn't understand this kind of video, but when he saw his uncle's expression, he understood everything.

   "Senior brother, is it really a mezzanine?"

  Lu Chen nodded slowly.

   At the same time, a prompt popped out from the Lu Chen system panel.

   "Congratulations, the completion of the system upgrade has increased!"

   However, Lu Chen did not feel the slightest joy.

   On the contrary, when everyone learned of the diagnosis of dissection, Lu Chen could clearly feel the sadness in Mei Yejun's heart.

   There is one more

  

  

   (end of this chapter)

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