I can see health

Chapter 479

Tucao belongs to Tucao, work still needs to be done!
Lu Chen accompanied Cheng Peng to redo the ECG, and then went back to the doctor's office.

Before going back, Lu Chen saw the door of CCU being opened again from a distance.

Every time the door is opened, that means a new patient is coming.

"I'm going, is there a new patient?" Cheng Peng saw Zhou Bin and Gu Xinyue at the door.

Lu Chen and Cheng Peng hurried forward.

……

"In your mother's case, it's best to be hospitalized!"

There is a wheelchair at the gate.

In the wheelchair was a woman about 50 years old.

Her hair was shaggy, and her expression was a little listless.

"But I don't have time to take care of her right now!" The patient's family member is a young woman, she is dressed in fashion and heavy makeup, "And she is already recovering now, no chest pain, is it so serious?"

On the side, Lu Chen has already stepped forward.

He has seen the patient's HP 46 (----).

The trend of life value change is three minus signs!

Three minus signs, basically means death is knocking on the door.

"No! Chest pain is a dangerous disease. If the cause is not identified and some key diagnoses are missed, there is a risk of sudden death!" Zhou Bin said to the patient's daughter.

The patient's daughter didn't make a sound, and the patient himself said, "Doctor, I'm really well, and I don't need to be hospitalized anymore."

Her voice was extremely weak, she tilted her head and leaned on the wheelchair, she didn't look like a normal person at all.

When Lu Chen and the others heard this, they naturally did not believe it.

He has judged the patient's condition through the patient's life value.

"Auntie, is your chest pain really gone?" Lu Chen emphasized again.

"Really." The patient nodded and stopped talking.

"Okay, the family members of the patient come to sign." Zhou Bin said immediately, "Write a letter of refusal to be hospitalized, expressing that you are willing to bear all risks. Then you can go."

Hearing this, the patient's daughter hesitated again.

"Well, I'll go to the general ward! Can't you?"

Zhou Bin shook his head, "Your mother's condition is critical, so she definitely can't go to the general ward,"

"I take these risks and go to the outpatient clinic for observation instead of being hospitalized, is that okay?"

"No! The outpatient clinic will not accept you, you will come back when the time comes!"

It is impossible for outpatient clinics to keep such high-risk patients as time bombs.

……

Next, the patient's daughter refused to be hospitalized this time with various excuses.

Lu Chen could tell that the patient's daughter didn't want her mother to be hospitalized at all.

However, she became a whore, and she wanted to go to the archway.

I don't want my mother to be hospitalized, but I pretend to be entangled here, and keep showing that I don't have time, and my mother is no longer uncomfortable.

"Doctor, I'm going to make a call outside." The patient's daughter said suddenly, "I'll be right back."

"Where are you calling?" Zhou Bin frowned.

"It's at the gate."

The patient's daughter pointed to the gate, and Zhou Bin nodded and let her go out.

The patient was left in the CCU ward by her.

……

"Lu Chen, the three of you take the patient's blood pressure first." Zhou Bin said, "Cheng Peng, go and get the ultrasound machine."

"it is good!"

Although the patient was placed at the door by his family, the doctor couldn't ignore it.

Once anything happens during the period, the CCU ward is responsible.

Lu Chen measured the patient's blood pressure, "Bilateral blood pressure is normal, around 180/70mmHg."

"Okay, thank you." Zhou Bin said, holding a portable ultrasound at this time, while asking, "This patient is a patient with chest pain. Does anyone of you know the common differential diagnosis of chest pain?"

Gu Xinyue immediately said: "The most common diseases in the Department of Cardiology are myocardial infarction, pulmonary embolism, and aortic dissection. Besides the first time, diseases in other departments include hiatal hernia, pneumothorax, fractures, herpes zoster, etc."

Zhou Bin nodded in satisfaction, "That's a good answer!"

Then, she glanced at Cheng Peng, "Cheng Peng, tell me, what is the most likely diagnosis for this patient?"

"Teacher, I haven't seen any tests on the patient." Cheng Peng said helplessly.

"I'm talking about diagnosis through clinical manifestations, not laboratory values." Zhou Bin said.

"Ah? This..."

Cheng Peng was taken aback, this difficulty is a bit high.

"Myocardial infarction?" He directly guessed a diagnosis.

"How did you judge the myocardial infarction?" Zhou Bin asked doubtfully.

"Feeling." Cheng Peng said slowly.

Zhou Bin was speechless for a while, glanced at Fatty Cheng, took the ultrasound machine, and began to perform cardiac ultrasound examination on the patient.

Lu Chen stood aside, watching Zhou Bin's operations carefully.

……

After half an hour.

Zhou Bin put down the ultrasound machine and said, "Echocardiography doesn't look like a big problem. The contractility of the myocardium is not bad. The possibility of myocardial infarction is not very high."

Lu Chen frowned and said, just now when he watched Zhou Bin's operation, he found something unusual.

"Mr. Zhou, can I use this ultrasound?" Lu Chen asked.

"You? Of course." Zhou Bin handed the portable echocardiography machine to Lu Chen, and made room for it.

She was very curious, could Lu Chen, a student, even know how to do ultrasound?
Ultrasound is actually not much technical content.

But it takes a long time to practice.

Most people do not have such ultrasound training conditions, even if they know a little bit, they will forget it after a while.

……

At this time, Lu Chen took over the echocardiography equipment and applied some gel.

An echocardiogram probe is placed over the heart.

On the window of the short axis of the left ventricle, as soon as Lu Chen got started, the ultrasound image of the heart immediately appeared on the ultrasound screen.

"This method is really fast!" Zhou Bin was shocked.

There is no doubt that Lu Chen is not only good at ultrasound, but also very skilled!
This is really not easy.

Lu Chen not only knows clinical and scientific research, but also the operation of this kind of auxiliary department!

All these talents are concentrated in one body, which is really the envy of the people around.

……

I saw Lu Chen staring at the ultrasound screen.

On the cut plane of the short axis of the left ventricle, the image of the root of the aortic arch is very clear.

"Lu Chen, is there something wrong with this picture?" Zhou Bin asked suddenly.

She found that Lu Chen had only seen the current section so far.
Is it only this aspect?
Before Zhou Bin could finish speaking, Lu Chen said, "Mr. Zhou, look carefully at the patient's aortic root."

"The root of the aorta?" Zhou Bin was taken aback and looked intently.

The first feeling is that there is nothing!
But staring closely at the root, Zhou Bin suddenly felt something move...

"This is... a floating inner membrane?" Zhou Bin asked in shock.

Lu Chen nodded slowly: "Mr. Zhou, you are really good. I also think this is a floating inner membrane."

Ultrasound of normal people, the aortic root, it is impossible to have this kind of floating intimal sheet.

There is only one case where this can be seen on ultrasound and that is aortic dissection!

Zhou Bin's heart tightened.

She swallowed, and did not move away from the new field of vision immediately, but continued to check at the root of the aorta, wanting to ensure the existence of the "floating intima".

(End of this chapter)