I Can See Health

【I can see the health value】 【】

The hospital bed was quickly pushed into the CCU ward.

The nurse immediately put a monitor on the patient, and Lu Chen began to conduct a physical examination on the patient.

"The patient's general condition is poor, he is confused, his blood pressure is 110/50mmHg, his jugular veins are full, his breathing sounds are very weak in both lungs, moist rales can be heard, no murmurs are heard in the auscultation area of ​​each heart valve, and his lower limbs are moderately edematous."

At the same time, Fatty Cheng brought over the ultrasound equipment.

"Lu Chen, let me do a heart and lung ultrasound on the patient?"

"Okay, thank you." Lu Chen nodded slightly.

His ultrasound technology has been honed to perfection. Usually, he would give up the opportunity to do ultrasound to Cheng Fatty or Gu Xinyue. .

Fatty Cheng pushed the cardiac ultrasound machine to the bedside.

Coupling agent is applied to the probe, and examination of the patient's heart and lungs begins.

"Ventricular wall motion is weakened, cardiac function is reduced, and the ejection fraction is only about 45%."

"The chambers of the heart are enlarged, with the left heart being the main one."

"There was a small amount of effusion in the pericardium and a large amount of pleural effusion in both lungs."

Fatty Cheng's ultrasound techniques have made great progress.

He can skillfully perform some conventional sections of cardiac ultrasound.

On the side, Gu Xinyue stood and watched, her eyes full of envy.

Although Gu Xinyue is very skilled in basic knowledge and clinical skills, the strange thing is that when it comes to cardiac ultrasound, his abilities seem to be insufficient.

As long as he gets ultrasound to perform on the patient, it always takes a lot of effort to make the correct section.

"Lao Gu, look at the A and B lines of the lungs. They are vertical. We can make them all by adjusting the angle slightly."

"In addition, when doing a two-chamber heart, you only need to slightly twist the probe to see it when doing a three-chamber heart."

"If you look at valvular regurgitation, it actually looks very good. Aortic valve regurgitation is best recognized at the aortic root..."

Fatty Cheng spoke eloquently, and Gu Xinyue also learned humbly.

After Fatty Cheng finished, Lu Chen performed another ultrasound examination on the patient.

Only by doing it yourself can you have a clearer understanding of the patient's heart condition.

…

As soon as Lu Chen got started, he would know if there was any!

In addition to conventional views, it also includes some uncommon cardiac views, such as checking the width of the pulmonary artery, etc.

Lu Chen completed it very skillfully.

Although Fatty Cheng is now very proficient in ultrasound technology, there is still a big gap compared with Lu Chen.

"Tell me, why couldn't I see clearly the three-chamber section of the heart just now?" Gu Xinyue curled her lips and said, "It turns out it was a level problem. I thought it was an instrument failure."

Fatty Cheng rubbed the back of his head in embarrassment, "Lao Gu, don't underestimate me! Then I definitely can't compete with Lu Chen!"

Lu Chen smiled and didn't pay attention to the discussion between the two.

At this time, he devoted himself wholeheartedly to the diagnosis and treatment of patients.

"No wonder the breath sounds in both lungs are so weak, it turns out there is fluid accumulation!"

In normal lungs, breath sounds can be heard during auscultation.

If there is pleural effusion, the breath sounds will be weakened.

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【I can see the health value】 【】

When there is a large amount of pleural effusion, the breath sounds may disappear!

At this time, the large amount of pleural effusion had completely compressed the lung tissue.

At this time, puncture can only be performed!

If the pressure of the fluid accumulation is not relieved in time, the lung tissue does not recover, and the blood oxygen saturation cannot be maintained, the patient is at risk of sudden death at any time!

After reading all the patient's examinations, Lu Chen already made a preliminary decision in his mind.

Patients with heart failure must strengthen diuresis!

However, while giving diuretics, fluid rehydration must also be given, especially sodium ions, chloride ions, and potassium ions in the human body.

Gu: In addition, Lu Chen is also preparing to perform puncture and drainage of pleural effusion on the patient.

"Have the family members not arrived yet?" Lu Chen looked at the nurse in charge of the bed.

"Not yet." The nurse shook her head slightly, "I just called the family again, and the patient's son said he would come in the afternoon."

"Okay." Lu Chen nodded slightly.

"But..." The nurse seemed hesitant to speak.

"What's wrong?" Lu Chen asked confused.

The nurse thought for a while and then said: "The family said on the phone that they should treat him as much as possible so that we don't have to worry about the cost. In short, we should do everything possible to save his father."

Lu Chen was a little confused. This was normal. Why did the nurse look like this?

However, Lu Chen didn't think much, nodded, and began to prepare the puncture tools.

Thoracentesis is one of the four most common punctures.

Needless to say, Lu Chen's proficiency in piercing was natural.

Less than ten minutes.

Bilateral pleural effusions were successfully catheterized, and large amounts of yellow fluid were immediately drained.

"Continue to replenish fluids, especially ions. On top of fluid replenishment, increase diuresis!"

This treatment principle sounds easy.

But how to balance rehydration and diuresis is something that most people cannot do.

This is also the most essential part of medical treatment.

Unlike surgical treatment, the treatment effect can be seen immediately.

Internal medicine mostly involves drug treatment.

Through disease analysis and combined with various drugs, we provide the most accurate diagnosis and treatment to patients.

…

In the afternoon, the patient's son finally came back from other places.

CCU, Doctor-Patient Communication Room, Jinghua Second Hospital.

"Doctor, no matter what problem my dad has, we cannot give up treatment!"

"We must use good treatment methods to maintain my father's life. UU Reading www.uukａａｈｕｔ"

"Don't worry, money is not a problem. But I hope it must be effective, otherwise I will immediately transfer to a hospital in Kyoto."

In front of Lu Chen stood a middle-aged man.

He came back after a long journey, with a tired look on his face.

Lu Chen could still understand the first few sentences.

After all, he is his relative, and he must hope that his father can survive.

But as he listened, Lu Chen felt that something was not quite right!

Lu Chen thought for a while and then asked: "The patient is currently older and has many underlying diseases. Some invasive operations may cause a lot of harm to him, such as endotracheal intubation in the rescue room, continuous cardiopulmonary resuscitation, etc. Do you agree? Use the above treatments?”

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【I can see the health value】 【】

"Agree!" The middle-aged man signed his name on the informed consent form without hesitation, "I said that my dad's life must be maintained at all costs. As long as he is breathing, then I can't give up!"

Lu Chen frowned, "Don't worry, we will try our best to treat him. However, the patient is old and has a long course of disease, so the treatment effect may not be very good. You need to be mentally prepared."

"In other words, even if it gets better this time, heart failure will recur, and you may have to come to the hospital frequently in the future."

Hearing Lu Chen's words, the middle-aged man was obviously a little anxious.

"Isn't your Jinghua Second Hospital the best hospital in Jinghua?"

"How come you can't even cure a heart failure patient?"

"Where is your director? I want to see him! I want to file a complaint against your hospital!"