I Can See Health

  Chapter 523 Calcified Plaque Shifted Inward (First Update)

  CCU entrance.

  Lu Chen, Zhou Bin, Gu Xinyue and others surrounded the bed.

   The patient's family was quite nervous. He kept looking around, looking at the CCU ward, and then lowered his head and brushed his mobile phone.

   On the hospital bed, the patient's condition is still very bad.

   "Dissection! This should be aortic dissection!" Lu Chen suddenly said in a deep voice.

   The sudden sentence made Gu Xinyue and Fatty Cheng stunned.

   Fatty Cheng approached Lu Chen again, blinked his eyes, and asked in confusion, "Lu Chen, did you see the interlayer from this ordinary CT scan?"

  Gu Xinyue looked at Lu Chen suspiciously.

  This CT film, he has looked carefully, there is no sign that there is a possibility of aortic dissection. . .

   "Yes!" Lu Chen nodded slightly.

   asked Lu Chen to answer in the affirmative, Gu Xinyue and Fatty Cheng were even more confused.

   At this time, Lu Chen smiled, picked up the CT image in his hand, and placed it in front of the two of them.

   "Actually, Lao Gu is right. On this film, only white calcified plaques can be seen, but have you found the characteristics of the plaques?"

   "Characteristics..." Gu Xinyue frowned, and he carefully looked at the location and features of the plaques, "Except for the plaques on every piece, I didn't see any other differences..."

   Fatty Cheng also nodded and spread his hands, "I can't see any difference."

  Lu Chen heard the words and smiled, "Look at the location of the plaque, especially the location on each level, is there any difference?"

  Gu Xinyue and Fatty Cheng were both stunned when they heard the words, and then turned their attention to the CT image in Lu Chen's hand.

   for a long time.

  Gu Xinyue took the lead: "I feel that the position of the white patch is not fixed on every level."

   "Yes, it seems to be moving down." Fatty Cheng nodded slightly.

   A smile appeared on Lu Chen's face, "You read that right, the white calcified plaques on the CT are constantly moving towards the intima."

  Simply put, the plaque location on each level is different, and it is getting closer and closer to the intima of the blood vessel.

  Gu Xinyue frowned deeply and said, "According to common sense, blood vessels should be flat, so the location of calcified plaques is fixed at each level, why does it move inward?"

   Fatty Cheng scratched the back of his head with a puzzled look on his face.

  Lu Chen smiled lightly, "Because the blood vessel is dissected and divided into two layers, the calcified plaque will always move inward!"

   "Is this caused by the mezzanine?!" Gu Xinyue and Fatty Cheng were slightly taken aback.

"Yes! It's caused by the dissection!" Lu Chen nodded affirmatively, "In the CT image, the calcification points move inward, the inner diameter of the aorta widens, or there are independent calcification points. Once these symptoms appear, you can be highly suspicious. The possibility of a mezzanine..."

   Hearing Lu Chen's explanation, Gu Xinyue and Fatty Cheng suddenly realized.

   Zhou Bin also noticed the abnormality of the three.

  Lu Chen handed the CT film to Zhou Bin.

   "Mr. Zhou, take a look at this CT film."

   Zhou Bin took a look, then suddenly stunned and looked at Lu Chen.

   "The calcification point moves inward, aortic dissection!"

  Lu Chen nodded slowly.

After hearing Zhou Bin's words, Gu Xinyue and Fatty Cheng confirmed Lu Chen's judgment.

   This is indeed the CT sign of aortic dissection!

  The two looked at each other and couldn't help but feel a little admiration in their hearts.

   The longer they spend with Lu Chen, the more they can feel the "terrifying" aspect of Lu Chen.

   "Doctor, what were you talking about just now?"

   On the side, the family members of the patient saw several doctors chatting enthusiastically, and asked quickly.

   Zhou Bin held the CT film and said sternly: "We just re-looked at the CT film you took in the county hospital, and we consider that there is a high probability of an aortic dissection!"

   "What?" The patient's family was stunned. "You, didn't you just say that you need an enhanced CT to make a diagnosis? Why can you just do a plain CT now?"

   "Furthermore, the plain CT scan I want from the county hospital didn't report the possibility of aortic dissection?!"

   Zhou Bin paused and explained patiently.

   "Aortic dissection cannot be seen on ordinary plain CT scans, but some special CT signs can still diagnose aortic dissection!"

   The patient's family showed bitterness. He looked at the patient on the eye bed and frowned, "Doctor, how confident are you that this is aortic dissection?"

   "With the patient's symptoms and this chest CT appearance, the probability is more than 80%!" Zhou Bin said.

   This probability is still conservatively estimated by Zhou Bin!

  Chest pain, high blood pressure, widened aortic diameter, and inward displacement of calcification points. Combining all the clues, the probability of diagnosing aortic dissection can be at least 90%!

   At this time, the patient's family members were completely stunned when they heard the probability of what Zhou Bin said.

  The probability of more than 80%, then this can basically diagnose aortic dissection!

   "Doctor, if it is really aortic dissection, what should I do next?" said the patient's family.

   "Regardless of the type of dissection, surgery is generally required." Zhou Bin said, "Open the chest for vascular catheterization."

   "What about the fee?"

   "A conservative estimate is about 200,000." Zhou Bin paused and said, "This does not include the cost of post-care."

   "What... two hundred thousand?"

   The patient's family was stunned when they heard this.

   Zhou Bin continued: "And as far as I know, the success rate of the current operation is only 50%, that is to say, there is a half chance that the patient cannot get off the operating table."

   The patient's family did not speak. His eyes were erratic, he looked at the patient on the bed, and pursed his lips again.

  Lu Chen also knew the dilemma of his family.

  200,000 is not a small amount for any family!

   What's more, this patient does not have any medical insurance.

  200,000 yuan at his own expense, which is a bit scary.

   And the patient is not his immediate family.

   "Doctor, if you don't have surgery and conservative treatment, how long will it take?" the patient's family whispered again.

"Conservative..." Zhou Bin frowned, "I told you before, aortic dissection is an extremely dangerous disease, if the tear in the intima becomes larger, a person may die at any time due to massive hemorrhagic shock. . It's like a ticking time bomb that could detonate at any time, and none of us know when it will explode. It could be the next second we speak."

   "Time bomb..." The patient's family murmured bitterly, then looked up at Zhou Bin, "Okay, I see, thank you doctor, then we won't be hospitalized, we'll go back to our hometown."

   "What?" Hearing this, Lu Chen was stunned.

   He diagnosed aortic dissection through ordinary CT, but made the patient's family give up treatment ahead of schedule?

   This is something Lu Chen never expected!

"Doctor, these you, you are all high-level doctors, and the doctors in the county hospital didn't notice it, otherwise I wouldn't have to go." The patient's family sighed softly, "I've done my best now, I've done my best. I really don't have money to treat my uncle, he is alone and an old man, and he can't possibly have money, let's forget it, let's go home."

   Zhou Bin saw this and did not continue to discourage him.

  Lu Chen watched the family members put the patient in the rented wheelchair and slowly walked out of the CCU ward. He also sighed in his heart, "The doctor can only control the diagnosis and treatment of the disease, and nothing else can be done!"

   (end of this chapter)