I can see health

Chapter 482 Am I Pretending To Be In Front Of Him?

Through the imaging examination of echocardiography, students can keenly observe the structural and functional status of the patient's heart.

For example, some patients with myocardial infarction have weakened wall motion and decreased myocardial contractility.

In patients with aortic dissection, the aorta is widened, and floating intima can be seen in the aortic intima.

Even in some patients with pulmonary embolism, symptoms such as pulmonary hypertension and pulmonary artery widening can be seen.

As a quick and non-invasive imaging method, ultrasound can provide a lot of diagnostic information.

More importantly, this way of ward rounds allows every student to move, participate in the clinical diagnosis and treatment process, and increase the interaction with patients.

However, proficient use of ultrasound does not happen overnight and requires long-term training.

"This also depends on the feel." Zhou Bin held the ultrasound probe and operated on a patient with myocardial infarction, "Do you think the contractility of this patient's heart is significantly weaker than that of normal people?"

Cheng Peng nodded aside, "Yes, the contraction ability of his heart muscle seems to be half a beat slower than that of normal people."

"That's right. This is heart failure after a myocardial infarction. The heart has no strength to beat, so it seems that the myocardial contractility is reduced." Zhou Bin turned to the four students and said, "Who of you wants to try it yourself?"

Both Cheng Peng and Gu Xinyue were eager to try.

Cheng Dongbo, the brother of Yansan who was at the side, lost his spirits, "You three brothers, try it, I have used it before."

However, Lu Chen just smiled.

When he wants to use ultrasound in the virtual space of the system, he can train.

Now this kind of opportunity is left to Cheng Peng and Gu Xinyue.

Seeing this, Zhou Bin handed the ultrasound probe to Gu Xinyue, "Then Xiaogu will come first."

Gu Xinyue nodded slightly, took the probe, applied gel, and began to draw on the patient's heart.

However, the ultrasound screen was blurred and nothing could be seen.

"When doing an echocardiogram, you must ask the patient to turn slightly to the left." Zhou Bin explained, "Because there is a lot of air in the lungs, if the patient is lying flat for the ultrasound, the entire image will be blurred because of the image of the lung air. Yes, I can't see clearly, especially some obese people."

Hearing Zhou Bin's instruction, Gu Xinyue nodded slightly, and then asked the patient to turn sideways slightly.

However, after the patient turned sideways, the image on the ultrasound screen was still blurry!

"For the rest, you need to practice more." Zhou Bin said, "As long as you find the touch, you will be fine in the future."

Something like ultrasound might really require some talent.

Gu Xinyue fiddled with it for a long time, but still couldn't show the image of the heart, but Fatty Cheng just got started, and the image of the four-chambered heart appeared on the ultrasound screen. Although it was not very clear, it was already recognizable.

"Haha, Lao Gu, look!" Fatty Cheng was a little apprehensive, and raised his eyebrows at Gu Xinyue, "I made it!"

Gu Xinyue spread her hands helplessly, this fat man's luck is really good.

At this time, Zhou Bin had already left, and there were only a few students left.

Brother Cheng Dongbo smiled and said: "Brother, what you do is not very standard, you must aim at the right place."

With that said, Cheng Dongbo gently took the probe in Fatty Cheng's hand, and started to operate.

It has to be said that Cheng Dongbo has been in the CCU ward for a month, and he is indeed more skilled in ultrasound operations than Gu Xinyue and others.

However, in Lu Chen's view, they are all just getting started.

"Look, junior brother, this is the cross-section of the four-chambered heart." Cheng Dongbo showed a confident smile on his face, "If you do it a few times like me, you should be good at it!
On the screen of the ultrasound machine, the four chambers of the heart are shown.

"Senior brother, you are really amazing!" Fatty Cheng stretched out his thumb, "This four-chamber heart, how about the five-chamber heart?"

"Five-chambered heart" does not mean that the heart has five chambers, but from the perspective of imaging, in addition to the four chambers of the heart, the aortic root can also be seen during ultrasound. Cavity heart.

"This..." Cheng Dongbo was taken aback, "I, I don't know how to do this yet. Let Teacher Zhou demonstrate for us later."

As soon as he finished speaking, Cheng Dongbo saw that Gu Xinyue and Fatty Cheng didn't pay attention to him, but looked at Lu Chen who was beside him.

"This is... what's wrong?" Cheng Dongbo was a little puzzled.

At this time, Lu Chen smiled when he saw this, and said, "The five-chambered heart is very simple. In fact, on the interface of the four-chambered heart, if you slightly increase the angle of the probe, you should be able to see the five-chambered heart."

"What about the two-chambered heart?" Fatty Cheng asked again.

Lu Chen said: "Turn the probe 90 degrees, and you can get the image map of the two-chambered heart."

"Aren't you going to change the position of the probe?" Fatty Cheng frowned.

"No need." Lu Chen shook his head slightly, "You haven't understood the specific anatomical structure of the heart, and the ultrasound probe can see most of the heart at the apex. At this time, you only need to adjust the angle to get different results. interface."

Hearing Lu Chen's words, Cheng Dongbo was dubious.

Didn't this junior just arrive at the CCU ward?Why does it sound so powerful?
However, he still tried to follow what Lu Chen just said.

"Huh, that's true!" Cheng Dongbo was stunned for a moment, when he manipulated according to what Lu Chen said, a picture of a five-chambered heart really appeared on the ultrasound screen.

Immediately afterwards, he adjusted the position of the probe again.

This time, the two-chambered heart actually appeared successfully!
This junior brother is right!

……

Several people were very surprised, but Lu Chen just smiled, "Basic operation."

These operations are the most basic entry-level operations in the system space!

"The three of you practice the ultrasound first. I'm going to help Mr. Zhou write the course record."

After speaking, Lu Chen left.

Cheng Dongbo was shocked. "I'll go, who is this junior brother? So powerful?"

It was the first time he met such an awesome junior.

Fatty Cheng explained with a smile, "Cardiology, Lu Chen."

Hearing the word "Lu Chen", Cheng Dongbo's eyes widened, and he murmured, "Ah? Is he Lu Chen?"

This is the legendary character of Jinghua Second Hospital!

The 5-point SCI paper published by Lu Chen alone is something that Cheng Dongbo can't envy now.

He is now graduating. If there is such an article, he will be admitted to many hospitals!
"Damn it, I just pretended to be in front of Junior Brother Lu Chen?" Cheng Dongbo slandered in his heart, he secretly glanced at the two Junior Brothers beside him, and found that there was nothing unusual about them, so he was relieved.

……

At this time, Lu Chen had arrived at the doctor's office.

As soon as he walked in, Zhou Bin was about to go out, "It just so happened that the patient was transferred upstairs, let's go and see together."

(End of this chapter)