I Can See Health

   Chapter 239 The Mysterious Lu Chen (Second)

  Although Lu Chen's view is not as accurate as a professional cardiac ultrasound doctor, he can still see a few rough slices of the heart.

   However, Sun Guoguo's expression was somewhat puzzled.

   "Junior brother, when will you have a heart ultrasound??"

  The theoretical knowledge of cardiac ultrasound is very simple, but it requires long-term training.

   Their clinicians rarely touch this thing, unless they go to learn it, they basically don't know it.

  Lu Chen nodded and said, "I have learned before, and I can still see the common cuts clearly."

   was ambiguous when he looked back, but Sun Guoguo did not continue to ask.

   "That's all right, Junior Brother, try it first, if not, wait for the ultrasound teacher to do it."

   She knew that Lu Chen was not a targetless person. If she said that she could do a heart ultrasound, she must have two brushes!

  Lu Chen saw that Sun Guoguo agreed, so he went to the treatment room to get a portable echocardiograph.

  …

   However, Lu Chen forgot one thing.

   On a night shift, Fan Zhiping and Lu Chen worked together.

  Fan Zhiping knew very well that Lu Chen at that time was completely unaware of cardiac ultrasound.

   It's only been a week since Lu Chen suddenly met?

  If Lu Chen is not lying, then this is too unbelievable!

   But based on Fan Zhiping's understanding of Lu Chen, he is not such a person at all, so he doesn't need to lie.

   And it will be operated on the spot in a while, this lie will be seen immediately, it is completely unnecessary!

  Fan Zhiping watched Lu Chen walk into the ward with a portable echocardiograph in his hand. He suddenly felt that Lu Chen was covered with mist.

   Many things on Lu Chen's body are too mysterious!

The closer    got, the stronger Fan Zhiping felt.

  …

  Lu Chen got the echocardiograph, smeared the probe with couplant, and started his own operation.

   "Uncle, turn your body to the left." Lu Chen instructed.

   When probing the heart with an ultrasound machine, it is disturbed by air in the lungs.

   Therefore, the patient's body is generally tilted slightly to the left, the plane of the heart is down, and the interference by the gas becomes less.

   The patient nodded and shifted.

  Lu Chen sat on the right side of the hospital bed and began to view the first cardiac section.

  Sun Guoguo saw that Lu Chen's posture was very standard, and he knew that he would probably do it.

Fan Zhiping on the side of    was also shocked.

   Lu Chen's actions did not feel unfamiliar.

  Lu Chen came to work in the department every day, where did he get time to train?

   Could it be that he bought a portable cardiac ultrasound machine and trained in the bedroom?

   is the cheapest portable ultrasound machine and costs tens of thousands of dollars.

   It’s not unreasonable to buy one yourself!

  …

   At this time, Lu Chen didn't have time to pay attention to the thoughts of the people around him. He read the four common heart slices.

   At this look, I really see the problem!

   "The patient's left ventricle is hypertrophic and asymmetric, and the left ventricular outflow tract is also narrow, which is completely different from the normal heart myocardium."

  Lu Chenchao said to Sun Guoguo and Fan Zhiping on the side.

   "Myocardial hypertrophy?" Sun Guoguo was taken aback.

   This really showed Lu Chen the problem!

  Sun Guoguo knows the results of cardiac ultrasound, which are closely related to the operator's technique.

   It's not that she doesn't believe Lu Chen.

   It's that Lu Chen's performance is too evil!

  The surprised expression on Fan Zhiping's face was exactly the same as that of Sun Guoguo.

  If he didn't know Lu Chen's past, he would definitely feel that Lu Chen was talking nonsense.

However, Lu Chen nodded firmly: "I roughly measured the thickness of the myocardium, and the thickness of the myocardium was obviously widened, so there must be myocardial hypertrophy. However, in the specific situation, we still have to wait for the ultrasound teacher to do it again before making a diagnosis. ."

   The screen of the portable ultrasound system is only the size of a palm, and many functions are not available, and it is limited to Lu Chen's current technology. For further diagnosis, it is still necessary to rely on a professional ultrasound teacher.

  Sun Guoguo nodded: "If the ultrasound results are correct, why does the patient's left ventricle have asymmetric hypertrophy? And the left ventricular outflow tract is also narrow."

   "Hypertension?" The first thing Lu Chen thought of was that the patient's high blood pressure for many years had caused the left ventricular hypertrophy of the heart.

  Imagine that the blood pressure is so high that if the heart wants to pump blood out, it must increase the horsepower and do more work.

   Like regular physical exercise, over time, the left ventricle will become hypertrophic.

  The degree of myocardial hypertrophy is within a certain range of compensation, which is beneficial.

   But if there is too much hypertrophy, it will be like a spring that loses its elasticity and the heart function will be affected.

  Sun Guoguo shook his head, "Hypertension's cardiac hypertrophy is generally symmetrical, but you just didn't say that the patient's cardiac hypertrophy is asymmetric!"

  Lu Chen thought about it and said, "Could it be hypertrophic cardiomyopathy?"

  Sun Guoguo nodded in agreement.

  Hypertrophic cardiomyopathy is an inherited cardiomyopathy.

   Usually the ventricular muscles are characterized by asymmetric hypertrophy, and many adults die suddenly because of this disease.

   This type of hypertrophic myocardial infarction does not pump blood smoothly in the heart, which will lead to coronary ischemia, so it will also cause chest pain and chest tightness.

   But this is not the cause of the coronary artery itself, but the obstruction of the outflow tract caused by myocardial hypertrophy, which makes it difficult to pump blood.

   Thinking of this, Sun Guoguo began to feel annoyed, and should have done this echocardiography early in the morning.

   But then again, at that moment, a one-minute delay could be fatal.

  …

   About twenty minutes later, the doctor from the cardiac ultrasound department finally came.

  Sun Guoguo asked the doctor in the Department of Cardiac Ultrasound to re-do the patient's echocardiography.

   The results reconfirmed that the patient is a hypertrophic cardiomyopathy, and his interventricular septum thickness: left ventricular free wall thickness> 1.3:1.

   The patient had asymmetric ventricular hypertrophy without enlargement of the ventricular cavity, and the patient did have left ventricular outflow tract obstruction.

   "Junior Brother, you are really amazing!" Sun Guoguo exclaimed.

   In Sun Guoguo's mind, Lu Chen must have been studying cardiac ultrasound for a long time.

  Otherwise, it would be impossible to have this skillful technique.

   Diagnosed cardiac hypertrophy in a patient with just one portable echocardiograph!

   Even the ultrasound teacher was surprised,

   It is rare for such a young graduate student to be able to independently diagnose hypertrophic cardiomyopathy!

  …

   Fan Zhiping's expression became a little numb.

  Can you diagnose hypertrophic cardiomyopathy in less than a week of studying cardiac ultrasound?

   Although Fan Zhiping is not a professional cardiac ultrasound, he is well aware of the difficulty.

  Hypertrophic cardiomyopathy is easily missed because of their county hospital sonographers.

  Many patients had no problem with the cardiac ultrasound done at the county hospital, but when they arrived at the big hospital, they developed cardiac hypertrophy!

   This is not one or two patients, but a regular occurrence!

   Fan Zhiping looked at Lu Chen, it was hard to imagine.

  How did Lu Chen train his cardiac ultrasound technology to such an extent this week!

   There is one more.

   (end of this chapter)