I Can See Health

   Chapter 518 Strange Family

The    hospital bed was quickly pushed into the CCU ward.

  The nurse immediately installed a monitor on the patient, and Lu Chen began to perform a physical examination on the patient.

   "The patient's general state was poor, with confusion, blood pressure 110/50mmHg, jugular vein filling, weak breath sounds in both lungs, moist rales, no murmurs in the auscultation areas of the heart valves, and moderate edema in both lower extremities."

   At the same time, Fatty Cheng brought an ultrasound instrument.

   "Lu Chen, let me give the patient a cardiopulmonary ultrasound?"

   "Okay, thank you." Lu Chen nodded slightly.

   His ultrasound technology has been honed to perfection. Usually, he will give the opportunity to do ultrasound to Fatty Cheng or Gu Xinyue.

   Fatty Cheng pushed the cardiac ultrasound machine to the bedside. . .

   Coupling was applied to the probe and examination of the patient's heart and lungs began.

   "The ventricular wall motion is weakened, the cardiac function is reduced, and the ejection fraction is only about 45%."

   "The various chambers of the heart are enlarged, and the left heart is the main one."

   "There is a small amount of fluid in the pericardium, and there is a large amount of pleural effusion in both lungs."

   Fatty Cheng's ultrasound technique has made great progress.

  He is able to make some routine slices of cardiac ultrasound.

   Beside, Gu Xinyue stood watching, eyes full of envy.

   Although Gu Xinyue is proficient in basic knowledge and clinical skills, it is strange that when he encounters cardiac ultrasound, his abilities seem to be insufficient.

   As long as he gets an ultrasound for the patient to do, it always takes a lot of effort to make the correct slice.

   "Lao Gu, you can see that the A and B lines of the lungs are vertical. We can make them all by adjusting the angle a little."

   "In addition, when making a two-chambered heart, you only need to twist the probe a little in the case of a three-chambered heart, and you can see it."

   "If you look at valve regurgitation, it's actually very beautiful. Aortic valve regurgitation is best identified at the aortic root..."

   Fatty Cheng speaks righteously, while Gu Xinyue also learns humbly.

   After Fatty Cheng was finished, Lu Chen performed an ultrasound examination on the patient again.

   Only by doing it yourself can you have a clearer understanding of the patient's heart condition.

  …

   Once Lu Chen got started, he would know if he had any!

  In addition to the conventional views, it includes some uncommon cardiac views, such as checking the width of the pulmonary artery and so on.

  Lu Chen finished it proficiently.

   Although Fatty Cheng's ultrasound technology is very skilled now, compared with Lu Chen, there is still a big gap.

   "What I said, just now I couldn't see the three-chamber section of the heart clearly." Gu Xinyue curled her lips and said, "It turned out to be a level problem, I thought it was a malfunction of the instrument."

   Fatty Cheng touched the back of his head embarrassedly, "Lao Gu, don't bury me! Then I definitely can't compare with Lu Chen!"

  Lu Chen smiled, not paying attention to the discussion between the two.

   At this time, he devoted himself to the diagnosis and treatment of patients.

   "No wonder the breath sounds in both lungs are so weak, it turns out that there is fluid accumulation!"

  Normal lungs, breath sounds can be heard during auscultation.

   If there is pleural effusion, it will reduce breath sounds.

   When there is a lot of pleural effusion, the breath sounds may disappear!

   At this time, a large amount of pleural effusion had completely compressed the lung tissue.

   At this time, only puncture can be performed!

  If the pressure of the effusion is not released in time, the lung tissue will not recover, the blood oxygen saturation will not be maintained, and the patient will be at risk of sudden death at any time!

   After reading all the examinations of the patient, Lu Chen already had a preliminary decision in his heart.

  Patients with heart failure must strengthen diuresis!

   However, along with diuretics, fluids should also be given, especially sodium ions, chloride ions, and potassium ions in the human body.

   In addition, Lu Chen is also preparing to perform puncture and drainage of pleural effusion for the patient.

   "Aren't the family members here yet?" Lu Chen looked at the nurse in charge of the bed.

   "Not yet." The nurse shook her head slightly, "I just called the family again, and the patient's son said he would come in the afternoon."

   "Okay." Lu Chen nodded slightly.

   "But..." The nurse seemed to be hesitant to speak.

   "What's wrong?" Lu Chen asked in confusion.

  The nurse thought for a while and then said, "The family said on the phone that we should treat as much as possible so that we don't have to worry about the cost. In short, we will try our best to treat his father."

  Lu Chen was a little puzzled, this is normal, why does the nurse look like this?

   But Lu Chen didn't think much, nodded, and started to prepare the puncture tool.

   Thoracentesis, which is one of the four most common punctures.

   Lu Chen's puncture proficiency naturally goes without saying.

   Less than ten minutes.

   Bilateral pleural effusions were successfully placed and immediately drained a large amount of yellow fluid.

   "Continue rehydration, especially ion supplementation. On the basis of rehydration, strengthen diuresis!"

   This healing principle sounds easy.

  However, how to maintain the balance of fluid rehydration and diuresis is beyond the reach of ordinary people.

   This is also the most essential part of medical treatment.

   Unlike surgical treatment, you can see immediate results.

   Internal medicine is more often drug treatment.

  Through disease analysis, combined with various drugs, the most accurate diagnosis and treatment for patients.

  …

  In the afternoon, the patient’s son finally came back from the field.

  CCU, doctor-patient communication room, Jinghua Second Hospital.

   "Doctor, no matter what problem my dad has, he can't give up treatment!"

   "Be sure to use a good treatment method to maintain my dad's life."

   "Don't worry, money is not a problem. But I hope there must be an effect, otherwise I will immediately transfer to the hospital in Kyoto."

   In front of Lu Chen, a middle-aged man stood.

   He hurried back with a tired look on his face.

   The first few sentences, Lu Chen can still understand.

   After all, he is his own relative, and he must hope that his father can live.

   But listening to it, Lu Chen felt that something was not quite right!

After thinking about it, Lu Chen asked: "The patient is currently older and has many underlying diseases. Some invasive procedures may cause a lot of damage to him, such as endotracheal intubation in the emergency room, continuous cardiopulmonary resuscitation, etc. Do you agree? Use the above-mentioned treatments?"

"Agree!" The middle-aged man signed his name on the informed consent form without hesitation, "I said, at all costs, I must maintain my dad's life, as long as he has a breath, he can't give up!"

  Lu Chen frowned, "You can rest assured, we will try our best to treat it. However, the patient is old and the course of the disease is very long, and the effect of the treatment may not be very good. You need to be mentally prepared."

   "In other words, even if it gets better this time, the heart failure will recur, and you may come to the hospital more often in the future."

   Hearing Lu Chen's words, the middle-aged man was obviously a little anxious.

   "Isn't your Jinghua Second Hospital the best hospital in Jinghua?"

   "Why can't you even cure a heart failure?"

   "Where is your director? I want to see him! I want to file a complaint against your hospital!"

   (end of this chapter)