I Can See Health

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

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

Lu Chen nodded slightly.

He looked through the patient's medical records.

The patient had just graduated and was looking for a job.

Maybe I was too busy, so I fell ill all of a sudden, had a fever, muscle aches, and was completely listless.

She immediately searched on Baidu online.

Colds and flu are both caused by viruses.

But viruses are different. Colds mainly cause symptoms in the nose and throat, such as runny nose, sneezing, sore throat, fever, etc.

But if the flu is serious, it can also cause muscle soreness, and worse, myocarditis, pneumonia, and respiratory failure.

This frightened her.

It's not okay if someone falls ill before a job is found.

She hurried to the drugstore to buy medicine. In addition to ordinary fever medicine, she also bought two boxes of antiviral medicine.

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

For some reason, she felt uncomfortable with her heart and chest tightness.

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

It was no longer possible, so she rushed to the hospital immediately.

…

"Or is there a possibility of arterial embolism?" Dr. Hua thought for a while and then said.

"How do you say it?" Lu Chen asked with a smile.

"The patient has fever, chest tightness and chest pain. It may not necessarily be viral myocarditis, but it may also be infective endocarditis. There is bacterial infection in the endocardium, which may cause local thrombus formation. If the thrombus falls off and runs along the blood vessels, it will It may be embolized to the arteries of the upper limbs, resulting in blocked blood flow, no pulse, and undetectable blood pressure?”

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

Lu Chen nodded, "This is possible. But there are two unsupportable points."

"Don't support it?" Doctor Hua frowned.

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

"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? Why block the arteries in both upper limbs?"

"Isn't the possibility too low?"

"It seems to be the same thing. It takes a lot of coincidence." Doctor Hua smiled sheepishly.

Lu Chen said: "But you have this analytical ability, which is pretty good."

Doctor Hua smiled and touched the back of his head, "Director, what disease do you have in mind to explain it?"

Lu Chen cleared his throat and said, "Young girls like this, who are quite beautiful, should consider the Oriental Beauty Disease."

This time, it was not only Dr. Hua who was shocked.

The other doctors around were also shocked.

"What? Oriental beauty disease? You can't bluff me, director." Dr. Hua was stunned.

Lu Chen smiled and said, "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 aorta and its large branches are most likely to be affected, such as the axillary artery, brachial artery, and radial artery. Therefore, the pulse of the patient's upper limbs on both sides cannot be felt. It can be explained if the blood pressure cannot be measured.”

Dr. Hua nodded slightly when he heard this, but was quite confused, "Why is it called Oriental Beauty Disease?"

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

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

"That's not necessarily true." Lu Chen shook his head, "We still need to rule out other diseases. In addition, Takayasu arteritis accumulates in the heart and blood vessels, leading to coronary artery stenosis, which may also cause chest tightness and chest pain."

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

"Director, the patient's cardiac enzymes are elevated!" said a graduate student.

"Well, we still have to rule out coronary heart disease." Lu Chen nodded.

Based on the patient's electrocardiogram and cardiac enzymes, if the patient is a man over fifty years old, coronary heart disease must definitely be considered.

…

In the ward.

Hearing that he would need to undergo coronary examination and even surgery, the patient's mood fell to the bottom again.

Feelings of fear and helplessness filled my heart.

"We need to ask family members to come over and sign." Dr. Hua said.

"What should I do if my family is not nearby?"

The patient was startled and said.

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

"No matter what, we have to find the family members. This disease may be serious. It may have affected the coronary arteries and affected the blood supply to the heart. If it is not treated as soon as possible, something may happen." Dr. Hua said firmly.

Finally, under the coordination of the medical department, the patient will be hospitalized first and the patient's immediate family members will be contacted simultaneously.

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

In the doctor's office.

Lu Chen and Dr. Hua worked together to communicate with the patient's family.

Doctor Hua had already organized his words and said: "It is now suspected to be Takayasu arteritis. This disease affects the large blood vessels throughout the body, but currently it seems to have affected the arteries of the upper limbs and the large blood vessels of the heart, so the patient's pulse cannot be measured."

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

This is a top priority!

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

As long as the coronary artery stenosis meets the standards for interventional treatment, it needs to be treated in time regardless of various causes.

The patient's parents are from rural areas. Hearing that this disease is dangerous and that three souls have disappeared and seven souls have disappeared, he can only keep saying that no matter how much money he has, he can cure it.

Treat it until nothing can be done!

…

This morning, UU read a book www. uukanshu.net The patient had several more tubes of blood drawn. A series of rheumatic and immune indicators should be checked to further confirm whether it is Takayasu arteritis.

Dr. Hua reviewed the electrocardiogram and found that there was still obvious signs of myocardial ischemia.

I did a cardiac color ultrasound and found no obvious abnormalities. It was not infective endocarditis.

At least no growths were seen.

The patient was scheduled for coronary angiography that day.

During the operation, it was discovered that both the left and right coronary arteries were severely stenotic, but one artery was the most severely stenotic, with 90% blockage and almost no blood flow.

Finally, a coronary stent was inserted 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 had indeed been relieved a lot. It can be said that the effect of the stent surgery was immediate. ​16377/10547499