I Can See Health

   Chapter 482 I actually pretended to be in front of him?

  Through the imaging examination of cardiac ultrasound, students can keenly observe the structural and functional status of the patient's heart.

  For example, in some patients with myocardial infarction, wall motion is weakened and myocardial contractility is reduced.

   In patients with aortic dissection, the aorta is widened, and a floating intimal sheet can be seen in the aortic intima.

   Even some patients with pulmonary embolism can see signs of pulmonary hypertension and pulmonary artery dilation.

  As a quick and non-invasive imaging method, ultrasound can provide a lot of diagnostic information.

   More importantly, this way of ward rounds allows every student to move, participate in the clinical diagnosis and treatment process, and increase interaction with patients.

   However, the proficient use of ultrasound is not an overnight thing and requires long-term training.

   "This also depends on the feel." Zhou Bin took the ultrasound probe and operated it on a patient with myocardial infarction. "Do you think the cardiac contractility of this patient is significantly weaker than that of normal people?"

  Cheng Peng nodded, "Yeah, his cardiac muscle contraction ability is half a beat slower than normal people."

   "That's right, this is heart failure after myocardial infarction. The heart has no strength to beat, so it seems that the myocardial contractility is reduced." Zhou Bin turned to the four students and said, "Who among you wants to try it yourself?"

  Cheng Peng and Gu Xinyue are both eager to try.

   Cheng Dongbo, the senior fellow of the third grader, was displeased, "Three juniors, try it, I have used it before."

   However, Lu Chen just smiled.

   When he wants to use ultrasound in the virtual space of the system, he can train.

   Now this opportunity is left to Cheng Peng and Gu Xinyue.

   Zhou Bin saw this and handed the ultrasound probe to Gu Xinyue, "Then Xiaogu will come first."

  Gu Xinyue nodded slightly, took the probe, put on the couplant, and began to scratch on the patient's heart.

   However, the ultrasound screen was blurry, and nothing could be seen.

"When doing a cardiac ultrasound, the patient must be turned slightly to the left." Zhou Bin explained, "Because there is a lot of gas in the lungs, if the patient is lying down for the ultrasound, the whole image will be blurred because of the lung gas image. Yes, it's hard to see, especially for some obese people."

   Hearing Zhou Bin's teaching, Gu Xinyue nodded slightly, and then instructed the patient to turn slightly sideways.

   However, after the patient turned sideways, the image on the ultrasound screen was still blurry!

   "You need to practice more for the rest." Zhou Bin said, "As long as you find the feel, you will be able to do it later."

   Ultrasound might really require some talent.

  Gu Xinyue fiddled with it for a long time, but still couldn't show the image of the heart, but Fatty Cheng just got started, and an image of the four-chambered heart appeared on the ultrasound screen. Although it was not very clear, it was already recognizable.

   "Haha, Lao Gu, look at it!" Fatty Cheng was a little confused, and raised his eyebrows towards Gu Xinyue, "I made it!"

  Gu Xinyue reluctantly spread her hands, this fat man's luck is really good.

   At this time, Zhou Bin had already left, and there were only a few students left.

  Senior brother Cheng Dongbo smiled and said: "Senior brother, what you do is not very standard, you must aim at the place."

   Said, Cheng Dongbo lightly connected the probe in Fatty Cheng's hand, and then began to operate.

   I have to say that Cheng Dongbo stayed in the CCU ward for a month, and his ultrasound operation is indeed more skilled than Gu Xinyue and others.

   However, in Lu Chen's view, they are all just getting started.

   "Look, junior brother, this is the face of the four-chambered heart." A confident smile appeared on Cheng Dongbo's face, "Do it a few times like me, and you should be able to do it!

   On the screen of the ultrasound machine, the four chambers of the heart are displayed.

   "Senior brother, you are amazing!" Fatty Cheng stretched out his thumb, "What about this four-chambered heart and the five-chambered heart?"

"Five-chambered heart" does not mean that the heart has five chambers, but from an imaging point of view, during ultrasound, in addition to the four chambers of the heart, the aortic root can be seen. This image is called five-chambered heart. cavity heart.

   "This..." Cheng Dongbo was stunned, "I, I don't know this yet. Let Teacher Zhou help us demonstrate."

   As soon as he finished speaking, Cheng Dongbo saw that Gu Xinyue and Fatty Cheng were not paying attention to themselves, but looked at Lu Chen beside him.

   "This is... what's wrong?" Cheng Dongbo was a little puzzled.

   At this time, seeing this, Lu Chen smiled and said, "The five-chambered heart is very simple. In fact, at the interface of the four-chambered heart, if you slightly increase the angle of the probe, you should be able to see the five-chambered heart."

   "What about the second-chambered heart?" Fatty Cheng asked again.

  Lu Chen said: "Rotate the probe 90 degrees to get the image of the second-chambered heart."

   "Don't change the position of the probe?" Fatty Cheng frowned.

"No." Lu Chen shook his head slightly, "You haven't understood the specific anatomical structure of the heart. The ultrasound probe can see most of the heart at the apex of the heart. At this time, you only need to adjust the angle to get a different view. interface."

   Hearing Lu Chen's words, Cheng Dongbo was dubious.

   Didn't this junior brother just arrive at the CCU ward? Why does it sound so awesome?

   However, he still tried to do as Lu Chen just said.

   "Hey, really!" Cheng Dongbo was stunned for a moment. When he manipulated according to Lu Chen's instructions, a picture of a five-chambered heart really appeared on the ultrasound screen.

   Immediately afterwards, he adjusted the probe position again.

   This time, a two-chambered heart actually appeared successfully!

   This junior and senior brother is right!

  …

   Several people were very surprised, but Lu Chen just smiled lightly, "Basic operation."

   These operations are the most basic entry-level operations in the system space!

   "The three of you should practice ultrasound first. I'm going to help Teacher Zhou write a medical record."

After   , Lu Chen left.

  Cheng Dongbo was shocked. "I'm going, who is this junior brother? So powerful?"

   It was the first time that he had met such an awesome junior brother.

   Fatty Cheng explained with a smile, "Department of Cardiology, Lu Chen."

   Hearing the word "Lu Chen", Cheng Dongbo widened his eyes and murmured, "Ah? Is he Lu Chen?"

   This is the legendary figure of Jinghua Second Hospital!

   Just the 5-point SCI paper published by Lu Chen is something that Cheng Dongbo cannot envy now.

   He is now facing graduation. If there is such an article, he will be admitted to many hospitals!

   "Damn, I was just pretending to be in front of Junior Brother Lu Chen?" Cheng Dongbo murmured in his heart. He secretly glanced at the two Junior Brothers beside him and found that they were not abnormal, so he was relieved.

  …

   At this time, Lu Chen had come to the doctor's office.

   As soon as he walked in, Zhou Bin was about to go out, "Just now, the patient has been transferred upstairs, let's go see it together."

   (end of this chapter)