I Can See Health

   Chapter 799 Oriental Beauty Sickness

   "What is the reason for the patient's hospitalization this time?" Lu Chen asked.

   "After catching a cold, I have chest tightness and chest pain." Dr. Hua said, "I was afraid of myocarditis, so I came to the hospital."

  Lu Chen nodded slightly.

   He flipped through the patient's medical records.

   The patient has just graduated and is looking for a job.

   Maybe because he was too busy, he fell ill all of a sudden, he had a fever, and his muscles were sore again.

   She immediately googled it online.

  Colds and flu are both caused by viruses.

   But the virus is different. Colds are mainly symptoms of the nose and pharynx, such as runny nose, sneezing, sore throat, fever, etc.

   But the flu is a bit more powerful, and it will also cause muscle soreness, and maybe myocarditis, pneumonia, and respiratory failure.

   This frightened her.

  If you haven't found a job, you will fall ill. That's not okay.

   She hurried to the pharmacy to buy medicines. In addition to the ordinary medicines for treating fever, she also bought two boxes of antiviral medicines.

   However, it was the third day of taking the medicine.

  She felt uncomfortable in her heart and tight in her chest for some reason.

   Occasionally, it will sting like this, especially when you are tired after walking for a long time, and you even feel a little panting.

   This is no good, she rushed to the hospital immediately.

  …

   "Or is there a possibility of arterial embolism?" Dr. Hua said after thinking for a while.

   "How to say?" Lu Chen asked with a smile.

"The patient has fever, chest tightness and chest pain, not necessarily viral myocarditis, but also infective endocarditis. There is bacterial infection in the endocardium, which may form a local thrombus. If the thrombus falls off and runs along the blood vessel, it will It may embolize to the upper extremity artery, resulting in poor blood flow, no pulse, and undetectable blood pressure?"

   Dr. Hua's brain was spinning rapidly, and he came up with another idea.

  Lu Chen nodded, "There is a possibility. But there are two points that are not supported."

   "Don't support?" Dr. Hua frowned.

  Lu Chen smiled and continued: "First, when I just auscultated, I didn't hear any obvious murmur in the patient's heart. It seems that there should be no growth in the heart."

   "Second, even if there is infective endocarditis, even if there is thrombosis, even if the thrombus falls off, it won't just fall off and block the upper limbs on both sides, right?"

   "Why not block the lower limbs, why not block the blood vessels in the head, and why block the arteries of the upper limbs on both sides?"

   "Is this possibility too low?"

   "It seems to be the same thing, what a coincidence." Dr. Hua smiled embarrassedly.

  Lu Chen said: "But you have this analytical ability, which is not bad."

   Dr. Hua smiled and touched the back of his head, "Director, what disease do you think of to explain?"

  Lu Chen cleared his throat and said, "A young girl like this is very pretty, so you should consider that it's called Oriental Beauty Disease."

   This time, not only Dr. Hua was shocked.

   The other doctors around were also shocked.

   "What? Oriental beauty sickness? You won't bluff me, Director." Dr. Hua was stunned.

  Lu Chen smiled, "This disease is Takayasu arteritis."

"This is also an inflammation of the large arteries. Inflammation can lead to stenosis or even occlusion of blood vessels. The most easily involved is the aorta and its large branches, such as the axillary artery, brachial artery, and radial artery. Therefore, the patient's upper limb pulse cannot be felt on both sides. Blood pressure can't be measured."

  Doctor Hua nodded slightly when he heard the words, but was quite puzzled, "Why is it called Oriental Beauty Disease?"

  Lu Chen said: "Some people have found that this disease is related to excessive estrogen levels, so young women are especially prone to the disease, especially young women in Asia, so it is called Oriental Beauty Disease."

   "Then the patient's chest tightness and chest pain were also caused by Takayasu arteritis?" Dr. Hua asked.

   "Not necessarily." Lu Chen shook his head. "Other diseases must be ruled out. Besides, Takayasu arteritis accumulates blood vessels in the heart and leads to coronary stenosis. It may also cause chest tightness and chest pain."

   At this moment, a critical value prompt popped up on the computer desktop in the doctor's office.

   "Director, the patient's cardiac enzymes have increased!" a graduate student said.

   "Well, coronary heart disease still needs to be ruled out." Lu Chen nodded.

   Through the patient's electrocardiogram and myocardial enzymes, if it is a male over fifty years old, it is absolutely necessary to consider coronary heart disease.

  …

   in the ward.

   I heard that coronary artery examinations and even surgery may be required, and the patient's mood fell to the bottom again.

   Fear and helplessness filled my heart.

   "I have to ask my family to come and sign." Dr. Hua said.

   "My family is not around, what should I do?"

   The patient was startled.

   She came to Guanghai to study at university and has no relatives or friends here.

   "In any case, you have to find your family. This disease may be no trivial matter. It may have affected the coronary arteries and affected the blood supply of the heart. If it is not dealt with as soon as possible, there may be accidents." Dr. Hua said firmly.

  Finally, under the coordination of the medical department, hospitalization is handled first, and immediate family members of the patient are simultaneously contacted.

  The patient's parents rushed over from their hometown overnight and arrived at the hospital early the next morning.

   in the doctor's office.

  Lu Chen and Dr. Hua communicated with the patient's family.

   Dr. Hua has organized the language and said, "Now it is suspected that it is Takayasu arteritis. This disease affects the large blood vessels of the whole body, but at present, it seems that it involves the arteries of the upper extremities and the large blood vessels of the heart, so the patient's pulse cannot be measured."

   "In addition, chest pain and chest tightness are all manifestations of cardiac ischemia. We need to conduct further examinations. If possible, we need to do a cardiac stent."

   This is a priority!

   Don’t think that the chest pain caused by Takayasu arteritis does not require stent placement.

   As long as coronary stenosis meets the standard of interventional treatment, no matter what the cause is, it needs to be dealt with in time.

  The patient's parents are from the countryside. I heard that the disease is dangerous, and the three souls have disappeared, so I can only keep saying that no matter how much money it takes, it can be cured.

  Cure until there is nothing you can do!

  …

   This morning, the patient was drawn several more tubes of blood. It is necessary to check a series of rheumatic immune indicators to further confirm whether it is Takayasu arteritis.

   Dr. Hua reviewed the electrocardiogram, but there was still obvious myocardial ischemia.

  I did a cardiac ultrasound, and it seemed that there was no obvious abnormality. It was not infective endocarditis.

   At least no vegetation was seen.

   On the same day, the patient was scheduled for coronary angiography.

   During the operation, it was found that both the left and right coronary arteries were severely stenotic, but one of the arteries had the most severe stenosis, 90% of which was blocked, and almost no blood flow could pass through.

   Finally, a coronary stent was placed to open the narrowed blood vessel, restore blood flow, and save the heart.

  After the operation, the patient returned to the cardiology intensive care unit and felt that the chest tightness and chest pain were relieved a lot. It can be said that the effect of stent surgery was immediate.

   (end of this chapter)