I Can See Health

Remember [new] in one second! The door of ccu.

Lu Chen, Zhou Bin, Gu Xinyue and others gathered around the hospital bed.

The patient's family members looked quite nervous. He kept looking left and right, towards the CCU ward, and then lowered his head to check his mobile phone.

On the hospital bed, the patient's condition was still very bad.

"Dissection! This should be an aortic dissection!" Lu Chen suddenly said in a deep voice.

The sudden words stunned Gu Xinyue and Fatty Cheng.

Fatty Cheng approached Lu Chen again, blinked his eyes, and asked doubtfully: "Lu Chen, did you see the interlayer from this ordinary CT scan?"

Gu Xinyue looked at Lu Chen with confusion.

He had carefully looked at the CT scan, and there was no sign of aortic dissection. .

"Yes!" Lu Chen nodded slightly.

When Lu Chen was asked to answer in the affirmative, Gu Xinyue and Fatty Cheng became even more confused.

At this time, Lu Chen smiled, picked up the CT image film in his hand, and placed it in front of the two of them.

"Actually, Lao Gu is right. On this picture, you can only see white calcified plaques. But have you noticed the characteristics of the plaques?"

"Characteristics..." Gu Xinyue frowned, and he carefully looked at the location and characteristics of the plaques. "Except for the plaques on every picture, I didn't see any other differences..."

Fatty Cheng nodded at the side, "I can't see any difference."

When Lu Chen heard this, he smiled and said, "Look at the locations where these plaques appear, especially the locations on each level. Is there any difference?"

Gu Xinyue and Fatty Cheng were both stunned when they heard this, and then turned their attention to the CT image film in Lu Chen's hand.

A long while.

Gu Xinyue was the first to say: "I feel that the position of this white patch is not fixed at every level."

"Yes, it seems to be moving downwards." Fatty Cheng nodded slightly.

Lu Chen had a smile on his face, "You read that right, the white calcified plaques on the CT scan are constantly moving towards the intima."

Simply put, the location of plaques at each level is different, and they are getting closer to the lining of blood vessels.

Gu Xinyue frowned deeply and said: "According to common sense, blood vessels should be flat, so the location of calcified plaques is fixed at every level. Why does it move inwards?"

Fatty Cheng scratched the back of his head with a puzzled look on his face.

Lu Chen smiled easily, "Because the blood vessels are dissected and divided into two layers, the calcified plaque will keep moving inward!"

"Mezzanine?!" Gu Xinyue and Fatty Cheng were slightly startled.

"Yes! It's a dissection!" Lu Chen nodded affirmatively, "In the CT image analysis, the calcification points move inward, the inner diameter of the aorta widens, or there are independent calcification points. Once these symptoms appear, dissection can be highly suspected. possible……"

After hearing Lu Chen's explanation, Gu Xinyue and Fatty Cheng suddenly realized.

Zhou Bin also noticed something unusual about the three of them.

Lu Chen handed the CT film to Zhou Bin.

"Teacher Zhou, take a look at this CT film."

Zhou Bin took it and took a look, then he was suddenly startled and looked at Lu Chen.

"The calcification point moves inward, aortic dissection!"

Lu Chen nodded slowly.

After hearing Zhou Bin's words, Gu Xinyue and Fatty Cheng confirmed Lu Chen's judgment.

This is indeed the CT sign of aortic dissection!

The two looked at each other, and couldn't help but feel a sense of admiration in their hearts.

The longer they spend time with Lu Chen, the more "scary" they can feel about Lu Chen.

"Doctor, what were you talking about just now?"

On the side, the patient's family members saw several doctors talking animatedly and asked quickly.

Zhou Bin took the CT film and said seriously: "We just re-read the CT film you took at the county hospital, and we consider that there is a high probability that it is an aortic dissection!"

"What?" The patient's family members were stunned, "You, didn't you just say that you need enhanced CT to confirm the diagnosis? Why can you just do a plain CT now?"

"Moreover, the plain CT scan I requested from the county hospital did not report the possibility of aortic dissection?!"

Zhou Bin paused and explained patiently.

"Aortic dissection cannot be seen with ordinary plain CT scans, but aortic dissection can still be diagnosed with certain special CT signs!"

The patient's family members looked bitter. He glanced at the patient on the hospital bed and frowned: "Doctor, how confident are you that this is an aortic dissection?"

"With the patient's symptoms and the chest CT findings, the probability is more than 80%!" Zhou Bin said.

This probability is still a conservative estimate by Zhou Bin!

Chest pain, high blood pressure, widened aortic diameter, and inward migration of calcification points. Taking all clues together, the probability of diagnosing aortic dissection is at least 90%!

At this time, the patient's family members were completely stunned when they heard the probability spoken by Zhou Bin.

With a probability of more than 80%, this can basically confirm the diagnosis of aortic dissection!

"Doctor, if it is really aortic dissection, what should we do next?" the patient's family asked.

"Depending on the type of dissection, it generally requires surgical treatment." Zhou Bin said.

"What about the cost?"

"A conservative estimate is about two hundred thousand." Zhou Bin paused and said, "This does not include the cost of after-care."

"What...two hundred thousand?"

The patient's family members were startled when they heard this.

Zhou Bin continued: "And as far as I know, the current success rate of surgery is only 50%, which means that there is a half chance that the patient will not be able to get off the operating table."

The patient's family member did not speak. His eyes wandered, he glanced at the patient on the bed, and pursed his lips.

Lu Chen also knew the family's dilemma.

Two hundred thousand is not a small amount for any family!

What's more, the patient has no medical insurance.

Two hundred thousand all at his own expense is a bit scary.

And the patient is not his direct family member.

"Doctor, if we don't do surgery and conservative treatment, how long can it last?" The patient's family member whispered again.

"Conservative..." Zhou Bin frowned, "I told you before that aortic dissection is an extremely dangerous disease. If the tear in the inner membrane becomes larger, the person may die at any time due to severe blood loss and shock. It's like a time bomb that may explode at any time. None of us knows when it will explode. It is very likely to be the next second we speak." "Time bomb..." The patient's family muttered with a bitter face, then looked up at Zhou Bin, "Okay, I know, thank you doctor, then we won't stay in the hospital, we will go back home." "What?" Lu Chen was stunned when he heard this. He diagnosed aortic dissection through ordinary CT, but asked the patient's family to give up treatment in advance? This was something Lu Chen never expected! "Doctor, you are all highly skilled doctors. The doctors at the county hospital didn't see it, otherwise I wouldn't have to make the trip." The patient's family sighed softly, "I have done my best now. I really don't have money to treat my uncle. He is an old man living alone, and it is even more impossible for him to have money. Let's forget it, let's go home." Seeing this, Zhou Bin did not continue to dissuade him. Lu Chen watched the family carry the patient to the rented wheelchair and slowly walked out of the CCU ward. He couldn't help but sigh in his heart that doctors can only control the diagnosis and treatment of diseases, and cannot make decisions on anything else.