I Can See Health

   Chapter 575 The electrocardiogram that was rushed!

   Such a simple operation, Lu Chen personally took the stage, and the process was naturally very smooth.

After the operation, Ding Rongli wanted to thank Lu Chen, but he refused.

   "Doctor Lu, let me treat you to dinner."

   "You can come to me at any time where it will be useful in the future."

   "Doctor Lu, you don't have to be polite to me, it's a little trivial, take it!"

  Ding Rongli made goodwill many times, but Lu Chen rejected them all!

   Healing and saving people is his principle.

   But emotionally, he had a hard time with these privileged classes.

  Especially when Ding Rongli wanted to live in when he had only two wards and had already admitted two emergency patients.

  Lu Chen doesn't have any good feelings for Ding Rongli, this is completely disregarding the safety of emergency patients!

   More importantly, after the operation was over, Lu Chen did not receive any "thank you value" prompt in the system panel.

  What does this mean...

  Ding Rongli, who was very grateful on the surface, was actually thinking what she was thinking, no one knew!

  Lu Chen just treated Ding Rongli as an ordinary patient. After the diagnosis and treatment, there will be no more entanglements in the future.

  …

  The first area of ​​the heart, the rest room of the catheterization laboratory.

  Lu Chen and Qin Sifeng sat opposite each other.

   "Oh, Lu Chen, you really look like when I was young!"

   "Mr. Qin, otherwise we wouldn't be able to get together!"

  Lu Chen felt more and more that Professor Qin had too much appetite for him.

   Qin Sifeng saw all of Lu Chen's performances.

  Qin Sifeng when he was young, relying on his medical skills, just like Lu Chen now, he simply treats illnesses and saves people. He doesn't try to flatter and follow the trend, and he doesn't know how to maintain the relationship with his superiors.

   Therefore, Qin Sifeng did not go in the direction of the official career, but stayed in the front-line clinical work.

   and Dong Feng, who was the same year as him, entered the leadership of the hospital early.

   As a result, the gap between the two is getting bigger and bigger!

   Dong Feng is now Qin Sifeng's direct supervisor, Qin Sifeng can only be a professor in the department!

   Does Qin Sifeng regret it?

  This stubborn old man has no regrets at all!

   Seeing that Lu Chen was so similar to himself, he was quite relieved.

   However, since Lu Chen is his student, it is impossible for him to let Lu Chen go back to his old ways.

   Qin Sifeng was already thinking about how to pave the way for Lu Chen's future.

   After all, he hopes that Lu Chen's future can go further than himself!

  …

   After a few days of "farce", Lu Chen took over the four beds again.

  The two patients he received in the emergency department are still living in hospital beds.

  The diagnosis of both of them is still unclear, but the symptoms of heart failure have improved for the most part.

   In the past two days, although Lu Chen did not have an independent bed, he was also paying attention to the changes in the condition of the two.

   In the morning, Lu Chen was writing a record of the disease course in the office.

   Each patient here must write a difficult case discussion record.

   This will take Lu Chen a lot of time!

   At this time, a little nurse suddenly trotted into the doctor's office.

   She glanced in and found Lu Chen's location.

   "Doctor Lu, your bed 18 suddenly became flustered again, you should go and see her."

   Lu Chen heard the words and immediately stood up, "Okay, let's go right away!!"

The 18-bed patient was the girl named Lin Xinxin who was transferred from the emergency department.

  Most of these diseases involving electrophysiology cannot be detected when there is no disease onset, so Lu Chen communicated with the patient again. Once the condition is unstable, he immediately calls the doctor on duty.

   This time, Lu Chen happened to be there.

   He immediately pushed the electrocardiograph and went to Ward 18.

  …

   Next to the 18-bed ward.

   "Xinxin, what's the matter with you?" Lin Qiang was very anxious.

  In the past few days, Lin Xinxin's condition has stabilized. Why did she suddenly get sick again today?

   "Dad, Dad, don't worry." Lin Xinxin tried her best to smile on her pale face, "I, I'm fine, the doctor will be here soon."

   As soon as he finished speaking, Lu Chen walked in with an electrocardiograph.

   While doing a physical examination for Lin Xinxin, he issued various medical orders to the nurses beside him.

   "Electrical monitoring and oxygen inhalation!"

   "Open another venous access for backup!"

After the physical examination was over, Lu Chen immediately performed an electrocardiogram on Lin Xinxin.

  Although the two are of the same age, they usually avoid it, but at this time, they don't care about the other problems of these men and women.

   When Lu Chen just finished the electrocardiogram, Lin Xinxin's symptoms suddenly eased.

   These symptoms really come and go in a hurry!

   However, fortunately, Lu Chen rushed to complete the ECG as soon as possible, leaving behind the ECG changes of Lin Xinxin when he got sick.

   And, the effort is worth it!

   The picture that I managed to grasp immediately solved Ding Xinxin's diagnosis question.

   "It is basically consistent with the ECG manifestations of tricuspid valve depression. The first picture is a B-type pre-excitation, from the bypass of the posterior septum."

"The second picture shows atrial flutter with right bundle branch block, intermittent pre-excitation (the hops of the long II lead-width QRS wave are pre-excited down). The second picture is particularly interesting, all right bundle branch block There is no pre-excitation in the stagnation..."

   Every previous electrocardiogram was taken when Lin Xinxin was normal and did not have the disease, so no abnormality was found.

   "Doctor Lu, have you found the cause?" Lin Qiang looked excited and turned to look at Lu Chen.

  Lu Chen didn't speak at first, he took the electrocardiogram in his hand and looked at it carefully.

  Lin Qiang slowly calmed down when he saw his serious expression.

   After a long while, Lu Chencai raised his head and said slowly: "Combining with the patient's previous echocardiography, the diagnosis should be tricuspid valve depression (Ebstein's deformity, also known as Ebstein's deformity)."

  The incidence of tricuspid valve downshift deformity accounts for 0.03%~1% of congenital heart disease, which is a rare congenital heart deformity.

Depressed tricuspid valve deformity is the tricuspid valve that moves downward and divides the right ventricle into atrialized right ventricle and functional right ventricle. Although it looks like a very large right ventricle, this part of the atrialized right ventricle has a thin wall and contains a large number of fibers. Tissue, the endocardium is smooth, and the myocardium is non-contractile.

  This results in the patient being very young, but the symptoms of heart failure are extremely severe!

   "Congratulations, +1 for receiving thanks from Lin Xinxin!"

   "Congratulations, +1 for receiving thanks from Lin Qiang!"

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

   Lu Chen was also a little overjoyed when he saw these three prompts pop up from the system panel.

   This high-quality difficult patient will immediately give thanks once the diagnosis is correct.

   Unlike the previous Ding Rongli, even after the surgery was done on her, there was no "thank you" at all!

  Although the original intention of curing diseases and saving lives is not for the "thanks" of patients, but if they can receive thanks, it will make every doctor feel happy.

   (end of this chapter)