I Can See Health

,

Li Yao was a professor-level figure. After hearing what Lu Chen said, she thought about it and knew what Lu Chen had planned.

"Lu Chen, are you talking about the propranolol experiment?"

Lu Chen nodded quickly: "Yes, teacher, I think I can give it a try."

Propranolol, a beta-blocker, also known as "propranolol."

The propranolol experiment is mainly to distinguish non-specific ST-T changes caused by autonomic nervous system disorders and ST-T changes caused by cardiomyopathy.

Zhu Zhonghua also looked at the two doctors in front of him expectantly.

To be honest, he came from the county hospital below.

He has gone to the best hospital in the county and the best tertiary hospital in the city, but no doctor can solve his problem of T-wave inversion in the electrocardiogram.

Just because the electrocardiogram failed, the physical examination was stuck!

But he obviously doesn't have any disease!

The doctors in the cardiology department of the county and city hospitals were all helpless and even told him clearly that this kind of T-wave would be with him for life.

You can never stand upright!

Zhu Zhonghua almost gave up.

But this civil servant position is in Jinghua City, and the benefits are really great!

Zhu Zhonghua is really reluctant to give up!

Jinghua Second Hospital is the best hospital in the province and the seventh-ranked hospital in cardiology in China.

Therefore, this time Zhu Zhonghua came to Jinghua Second Hospital to try his luck.

If there is still no way, then he has really given up!

"Professor Li, what method are you talking about? Regardless of whether it works or not, I am willing to give it a try!" Zhu Zhonghua asked quickly.

Now that he can grasp a life-saving straw, he must hold on to it with all his strength!

This is related to the direction of his entire life in the future.

Li Yao hesitated for a moment.

This propranolol laboratory, to put it bluntly, is to identify whether the patient has an autonomic nervous system disorder or is really sick.

However, the specificity of this test is not strong.

So far, she has only seen a few cases of propranolol-positive patients, and they were all female patients!

But now there seems to be no other way!

Li Yao glanced at Zhu Zhonghua. He said slowly: "The method we are talking about is to conduct a propranolol experiment."

After taking propranolol orally, record the 12-lead ECG at 30 minutes, 1 hour, and 2 hours after taking the medicine, and compare and analyze with the 12-lead ECG before taking the medicine.

If the T wave changes from inverted to upright after taking the drug, the propranolol test is positive.

It is suggested that the ST-T changes before medication are caused by hypervegetative nerve function.

After listening to Li Yao's description, Zhu Zhonghua seemed impatient.

"Isn't it just a medicine? I'll take...by the way...is this medicine expensive?"

"It's not expensive. A box of 60 tablets only costs 20 yuan. You can take two tablets," Li Yao said.

"Okay, let me try this experiment!"

Li Yao did not immediately prescribe medicine to Zhu Zhonghua, but recorded all the circumstances in detail in the course of the disease, and then prescribed Zhu Zhonghua a box of propranolol.

Li Yao explained: "I will open a box of medicine for you first, and then give you an electrocardiogram application form. Remember to take the medicine half an hour before doing an electrocardiogram. Compare the two electrocardiograms before and after. If the T wave is upright, it is proved to be effective! "

"no problem."

Zhu Zhonghua took the medication order and electrocardiogram application form and quickly walked out of the outpatient room.

He was so excited that Li Yao couldn't bear to hurt him.

…

After dealing with this patient, the subsequent registered patients finally came in.

"Hey, after waiting for a long time, it's finally my turn!"

The patient this time was a fat, middle-aged man with a briefcase under his arm.

As soon as he walked in the door, he started shouting: "I'm here for a physical examination. My blood sugar was high before. I checked my blood sugar. I also checked my blood lipids, liver and kidney function, and electrolytes. By the way, I also had high uric acid before. Let's check again." It’s uric acid. I’m afraid I’ll get gout in the future. I need to check a blood test...”

Before Li Yao could speak, the fat man in front of her had already "diagnosed" herself.

"Just drive this much for now."

After saying that, the fat man added another sentence.

Li Yao showed no expression on her face and signaled to Lu Chen, asking him to prescribe all the examination items requested by the patient.

"Okay, thank you." The fat man took his briefcase and left the clinic.

This man came in a hurry and left in a hurry.

Li Yao smiled and said: "Nowadays, many people can diagnose diseases. Even if they don't, they can use Baidu. Look at this patient. I didn't say a word, and he already made the diagnosis by himself."

"But the expert account costs 300 yuan each." Lu Chen curled his lips and said.

"Don't worry, they will still come to see me after their test results come out."

Li Yao was right. The previous patient with chest pain had already completed a heart ultrasound and returned to the clinic.

The cardiac ultrasound results showed that there were no obvious abnormalities in the structure and function of the heart.

"Professor Li, look at my ultrasound results and they are normal. What is the chest pain?" The man looked very impatient.

He has done many tests.

I have had cardiac ultrasound done four or five times, and every time there is no problem, but I can’t find out what the problem is!

This made him worried!

Chest pain, this feeling is not pleasant!

However, after Li Yao saw this heart ultrasound, a smile appeared on her lips.

"Your chest pain may still be related to coronary heart disease!"

The man was about to interrupt Li Yao. His blood vessels had been operated on and there was no stenosis!

But Li Yao stretched out her hand to stop him: "Don't worry. You must first understand the concept. The blood vessels are not narrowed, and the chest pain may be caused by coronary heart disease."

"Our heart blood vessels are like branches. In addition to large blood vessels, there are also small blood vessels, and there are even roots buried underground. The blood vessels examined by angiography are all large blood vessels and some small blood vessels. Those roots buried in the ground, we There’s no way to check.”

"This root is what we often call microcirculation. If the microcirculation disorder reaches a certain level, the patient will have chest pain!"

The man looked quite panicked.

"You mean, I have a microcirculatory disorder now?"

"It seems so for now." Li Yao nodded.

"Microcirculation disorder...how to treat this disease?"

"I'll prescribe you a medicine called nicorandil. You go back and take it for a while to see the effect. If it doesn't work, come back for a follow-up visit."

Li Yao immediately wrote a prescription for the man.

Lu Chen typed it out on the computer very cooperatively. UU reading www. uukanshu.net

"Okay, thank you Professor Li."

The man went to several hospitals, but the problem of chest pain was not resolved.

He was satisfied now that he could get a reason for the chest pain.

Taking the prescription, he left the clinic.

…

For two hours, Li Yao saw more than ten patients in total.

Lu Chen followed Li Yao and learned many communication methods and diagnosis and treatment skills.

But so far, they have not encountered any difficult patients.

At least in Lu Chen's opinion, they are all relatively easy to solve.

This may be because Lu Chen has rich clinical experience and has seen many medical records, so he feels this way.