I Can See Health

   Chapter 649 Face Brushing Opportunity

   Ke Yue was the first to hear such an argument.

  Clarithromycin can actually cause allergic reactions, cause coronary spasm, and finally lead to myocardial ischemia, increased troponin, and symptoms of chest pain!

  Ke Yue also admired Lu Chen's amount of knowledge, and he really didn't know where he obtained these bizarre medical knowledge.

   These days, Ke Yue occasionally goes to CCU to see He Xiaohui.

  The doctor in the tube bed never told her that He Xiaohui's disease was caused by drug allergy.

   "Ke Yue, I'm just guessing." Lu Chen smiled, "After all, I didn't really care about her."

   "Well, I see." Ke Yue nodded.

   She thought about it. When she went to CCU to see He Xiaohui later, she must talk to the doctor in charge of the bed.

  …

  The First Affiliated Hospital of Magic Capital.

  Cardiology CCU.

  He Xiaohui has been admitted to CCU for almost a week, but the doctor in charge of the bed has not found the cause.

   "Ke Yue, you came to see me again."

  He Xiaohui watched Ke Yue come to the bed and said with a smile.

   "Lest you be bored alone." Ke Yue said, "The teacher of the graduate department has given me the task, so that I have time to accompany you."

  Although the two met by chance, there were few female doctors, and everyone was in the same department, and they quickly became familiar with each other.

   "Well, I feel much better, but I haven't found the cause yet..." He Xiaohui looked lonely.

   The symptoms are getting better, but the cause has not been found out. What if I do it again?

   "Don't worry, you will find it." Ke Yue thought about what Lu Chen said in the morning, and then said, "Xiaohui, what were you doing when you had chest pains?"

   "The first time it hurt was when I woke up in the morning." He Xiaohui said immediately, "The second time it hurt was when I came to sign up, and you were there."

   "Did you take medicine before you felt pain?"

   "Take medicine?" He Xiaohui was stunned for a while, then nodded, "Yes, I took clarithromycin prescribed by the emergency doctor."

   "What about before you come to the school to register?"

   "I ate it too, I ate it and went out."

   Sure enough!

   Ke Yue's heart shuddered, was Lu Chen's diagnosis correct?

  He Xiaohui's chest pain is coronary vasospasm caused by clarithromycin allergy?

   "Ke Yue, what's wrong?" He Xiaohui frowned, "Could it be that my illness is related to clarithromycin?"

   "For the time being, I just suspect this possibility." Ke Yue said slowly, "If you want to make a diagnosis, you need to go to further confirmation."

   "Clarithromycin?" He Xiaohui thought back carefully, and it was after she took clarithromycin that the symptoms of chest pain appeared.

   Ke Yue and He Xiaohui chatted for a while, and then went to her bed doctor.

   "You said it was allergy to clarithromycin, which caused coronary spasm?"

  He Xiaohui's bed doctor is Cao Lei, who used to be a graduate student in the Department of Respiratory Medicine, and was later transferred to the Cardiology Intensive Care Unit.

"Well, myocarditis is ruled out now, Xiaohui is so young, coronary heart disease is definitely impossible, and the results of angiography are still normal." Ke Yue said slowly, "So is there coronary spasm caused by drug allergy? Then she appeared. Chest pain symptoms and elevated troponin?"

  Cao Lei was a little silent.

   He also recalled He Xiaohui's disease process in his mind.

   For this cardiologist, they are still very attentive.

   "Let me ask Director Yang." Cao Lei thought for a while, "I have never seen coronary spasm caused by allergy to this drug."

   "Well, thank you Mr. Cao." Ke Yue smiled, "We are only suspicious now, so please trouble you."

   "It's alright." Cao Lei smiled, "You young people are still active, I really never thought about this cause."

After   , Cao Lei left with He Xiaohui's medical records.

   Director's Office of Cardiology CCU.

   "Director Yang, do you say there is coronary spasm caused by allergy to this drug?" Cao Lei handed He Xiaohui's medical record to Director Yang Songlin.

   "This patient is the doctor that Director Liu recruited this year?" Yang Songlin picked up the medical record in his hand and examined it carefully.

   "Yeah." Cao Lei nodded, "I've lived here for almost a week, and I haven't found the cause. I just heard from Ke Yue that I'm allergic to drugs. I haven't seen it before, so I'm here to ask your opinion."

   "Ke Yue told you?" Yang Songlin was startled.

   Ke Yue is the doctor he recruited this year, Kebo.

  I mainly do basic research in the laboratory. How can I understand this kind of clinical knowledge?

   "It's true, just five minutes ago, she came to my office and said it." Cao Lei said.

   Yang Songlin was quite surprised, and then explained: "Actually, there is a very professional term for this disease, called Kounis syndrome."

   Cao Lei said helplessly: "Director, what are you talking about? Another rare disease?"

"Then you are wrong." Yang Songlin smiled, "Kounis syndrome is not a rare disease, it is an allergic reaction that causes mast cells, macrophages and T lymphocytes to activate, synthesize and release inflammatory mediators, and cause peripheral vasodilation. lower blood pressure.”

   "A syndrome of decreased coronary blood flow, arrhythmia, coronary spasm, coronary atherosclerotic plaque erosion, rupture, or coronary stent thrombosis, also known as allergic myocardial ischemia syndrome."

   Cao Lei realized this, "Director, this disease...how was it diagnosed?"

"If you want to clarify the relationship between clarithromycin and coronary spasm, you need to do clarithromycin-induced lymphocyte stimulation test (DLST)." Yang Songlin said, "If the result is strongly positive, it can confirm the coronary Arterial spasm is an allergic reaction to clarithromycin."

  Cao Lei stood up immediately, "Director, then I'll do it now!"

   "Well, let's go." Yang Songlin nodded slightly.

   After Cao Lei left, Yang Songlin thought of his student Ke Yue again.

   "With this kind of clinical thinking, it would be a pity to be only an experimental researcher!"

  …

   At this time, Lu Chen was on the phone with Li Yao.

  Although Lu Chen graduated from Jinghua Medical University, there are still many things to do in the follow-up of his national nature project.

Since the top paper was published in "Circulation", AstraZeneca and Jinghua have both started to operate, wanting to promote the heart failure indications treated by dapagliflozin, and even write it into the guidelines for clinical heart failure treatment. middle.

   To this end, Li Yao has been working hard for a while, giving reports at major medical conferences across the country and even around the world, promoting Dapagliflozin's diagnosis and treatment of heart failure after myocardial infarction.

   After winning the title of "Outstanding Youth", Li Yao's status in the academic circle has a further upward trend!

Whether    can go further in the name of "Jie Qing" depends on her follow-up research results.

   "Lu Chen, are you still used to studying and living in the magic capital?" Li Yao's voice came from the microphone.

  Lu Chen immediately felt very familiar and friendly, "It's okay, life here is very convenient. By the way, teacher, I have met Director Liu Jun."

   "You know his relationship with me?" Li Yao smiled.

   "Director Liu took the initiative to tell me." Lu Chen said.

   "Well, sometimes you can find him for things, but..." Li Yao paused, "For important things, you still have to rely on yourself."

   "Well, teacher, I remember it." Lu Chen said.

   Liu Jun is an outsider after all, it is better to rely on himself than others.

   "I will come to Modu tomorrow to attend a meeting. Do you have time tomorrow? Come with me to attend." Li Yao said again.

   "Okay, teacher. I'll just rest tomorrow." Lu Chen said.

   "That's fine, you wait for my notice."

  Lu Chen is not very keen on participating in these conferences, but there are a lot of various conferences in the academic circle, one is to promote himself and increase the influence of the academic circle, and the other is to make friends with other academic circles and find cooperation projects.

   For him, this is a good opportunity to brush his face.

   (end of this chapter)