I Can See Health

   Chapter 789 Congenital Heart Disease

   Pregnant women come to the Cardiology Clinic?

   This is still pretty rare.

   Obstetrics and gynecology and pediatrics have relatively independent systems.

   "Professor Lu, hello."

  The woman just entered the door and called out in a soft voice, then walked slowly to Lu Chen and sat down.

   These patients usually know that when they meet a doctor in this kind of specialist clinic, they are sure to call a professor.

  Lu Chen was too lazy to talk to these patients, and usually would not refute them.

   "Are you feeling any discomfort?" Lu Chen asked.

   From the moment the woman entered the door, his expression was very solemn.

Zhong Hui on the side of    can clearly feel the difference between Lu Chen and peacetime.

"Professor Lu, I've been feeling chest tightness and shortness of breath recently." The woman said, then rolled up her trouser legs, "Look, my legs are still swollen. At first I thought it was a pregnancy reaction, but the symptoms became more and more obvious. And in the end, I couldn't lie down and fall asleep."

  Lu Chen frowned.

   Chest tightness, shortness of breath, edema of both lower extremities, and paroxysmal dyspnea at night.

   If a middle-aged person says these symptoms, the first reaction of any doctor is heart failure!

   But, the woman in front of me is a pregnant woman who is less than 30 years old!

  Heart failure requires a disease basis for heart failure, such as coronary heart disease, cardiomyopathy, myocarditis, valvular disease, etc.

   And such young people usually do not have the above diseases, except for one other situation, that is congenital heart disease!

  Congenital heart disease refers to the abnormal anatomical structure caused by the abnormal formation or development of the heart and great blood vessels during embryonic development.

   Or after birth, the channel that should be closed automatically fails to close and persists (normal in the fetus).

  Congenital heart disease exists after birth, or it can be said to exist in the fetal period.

   "Did you have any previous illness? For example, congenital heart disease?" Lu Chen asked the patient's medical history while conducting a physical examination.

   "Heart disease?" The woman frowned slightly, "No, I never felt heart disease before this week?! And I've never heard my parents say that I have heart disease!"

   "Really not?" Lu Chen's eyes narrowed.

   Because when he thought of the diagnosis of congenital heart disease, the system had already popped up a prompt.

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

The prompt    undoubtedly proved that Lu Chen's guess was correct.

   "No!" The woman still shook her head, "If so, why did I have no symptoms before?"

"Some congenital heart disease is like this." Lu Chen explained, "When you reach a certain age, or when the physical load increases, the symptoms will start to become obvious. Your current symptoms are very obvious, it is a symptom of heart failure, And the symptoms are getting worse!"

   "The danger is very high!"

  Lu Chen retracted the stethoscope and stared at the woman in front of him.

   This kind of extremely low life value, but also encounters "congenital heart disease", that is really tricky!

   The woman's face turned pale when she heard Lu Chen's words, "Professor Lu, really...really?"

   If she is sick alone, it doesn't matter!

   But now, there is a little life in her stomach.

   If something goes wrong with her, most of the children in her stomach will be difficult to keep!

  Lu Chen nodded slowly, "Call, now tell your family to come over, you may have to improve some examinations next, or even go to the hospital for a good examination and treatment!"

   "This..." The woman was stunned, "I can do it alone."

   "You can't!" Lu Chen's tone was tougher, "This is for your safety and for your children. Inform your immediate family to come to the scene."

The    woman frowned slightly, she just wanted to come see a doctor.

   During pregnancy, many tests and medicines cannot be used casually, otherwise it may affect the fetus.

   At this time, Lu Chen also said to Zhong Hui, who was beside him, "Little Zhong, you go to inform the outpatient nurse now that there is a high-risk patient in the consultation room and ask them to arrange a wheelchair."

"it is good."

   Zhong Huike, no matter if Lu Chen is right or wrong, she will strictly enforce it.

   She immediately ran to the consultation room and began to explain the situation to the outpatient nurse.

   Seeing that Lu Chen was so aggressive, the woman was also a little nervous, and she started to take out her mobile phone to make a call.

   "It's best to call your parents and ask if you had a heart attack when you were young!" Lu Chen reminded.

  The woman didn't answer, but walked out of the consultation room and came to the corridor, ready to make a call.

After Zhong Hui returned, Lu Chen arranged for her to accompany the pregnant woman outside the clinic.

  …

  Lu Chen was not interrupted by the pregnant woman.

   He has twenty-nine patients to see next!

   Outside the clinic.

  Zhong Hui didn't dare to be distracted for a moment, and stared at the pregnant woman.

  What Director Lu explained, she didn't dare to make any mistakes.

  Once the pregnant woman has any discomfort, she should report it at any time and transfer it to the emergency department immediately.

   At this point, the pregnant woman has already taken out her mobile phone.

  Thinking of what Lu Chen just said, she still called her mother.

   "Mom, are you busy?" The woman's first sentence was still a little bit hard to open.

   "What do you want to eat for lunch when you're shopping at the supermarket?" A laughter came from the opposite side, "I'm done, I'll send it to you."

   "Mom..." The woman paced back and forth in the corridor, her words were full of hesitation, "I... I'm in the hospital now."

   "Hospital? What's wrong with you? Are you sick?" The voice on the other side was very urgent, "Why didn't you tell me? Where are you now? I'll come to see you right away!"

  The woman took a deep breath and thought again of what Lu Chen had just said. She asked in a low voice, "Mom, when I was young... I had a heart problem, Mom?"

   As soon as he finished speaking, there was silence on the other side of the phone.

"mom?"

  The woman's heart tightened. Judging from the response on the other end of the phone, did this Professor Lu Chen really guess it?

   "Mom, say something!"

   There was a hint of pleading in the woman's voice.

   At this time, a very lonely voice rang from the phone, "Lili, if you don't talk about this, your dad and I really forgot."

   "Mom, do I really have...heart disease?" The woman's face was incredible.

The voice over the phone continued, "When you were very young, you once went to the hospital for an examination. The hospital said you had congenital heart disease, and the doctor suggested surgery. But the conditions at home were not good at that time, and you had always been in poor health. Well, there wasn't any discomfort, so we haven't had surgery, and we didn't care."

  The woman held the phone, her expression froze.

   It was the first time she heard from her mother that she had congenital heart disease.

   If this is not the problem, it is estimated that this congenital heart disease is difficult to detect.

   And for maternity checks.

   If the pregnant woman has no underlying heart disease and no other related symptoms and manifestations of chest tightness and shortness of breath, echocardiography is not a routine examination.

   In this way, congenital heart disease is more difficult to detect.

   But after pregnancy, the burden on various organs of the mother becomes heavier, and it is easy to induce heart disease without symptoms.

   (end of this chapter)