I Can See Health

Although Lu Chen's reading is not as accurate as that of a professional cardiac ultrasound doctor, he can still roughly see a few sections of heart disease.

However, Sun Guoguo's expression is a little puzzled.

"Junior brother, when will you be able to do cardiac ultrasound?"

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

They are clinical doctors who rarely touch this thing. Unless they go to learn it specifically, they basically don't know how to do it.

Lu Chen nodded without blushing and said, "I have learned it before, and I can still see the common sections clearly."

She was ambiguous, but Sun Guoguo did not continue to ask.

"Okay, junior brother, you try it first. If it doesn't work, wait for the ultrasound teacher to do it."

She knew that Lu Chen was not a person who shot at nothing. He said that he could do cardiac ultrasound, so he must be very good at it!

Seeing Sun Guoguo agreed, Lu Chen went to the treatment room to get a portable cardiac ultrasound machine.

...

However, Lu Chen forgot one thing.

On the last night shift, Fan Zhiping went with Lu Chen.

Fan Zhiping knew very well that Lu Chen did not know how to do cardiac ultrasound at that time.

Now, only one week has passed, and Lu Chen suddenly knows how to do it?

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, and there is no need to lie.

And the operation will be performed on the spot soon, and this lie will be exposed immediately, so there is no need at all!

Fan Zhiping watched Lu Chen walk into the ward with a portable cardiac ultrasound machine in his hand. He suddenly felt that Lu Chen was covered with a layer of fog.

Many things about Lu Chen are too mysterious!

The closer he got, the stronger Fan Zhiping felt.

…

Lu Chen took the cardiac ultrasound machine, applied coupling agent to the probe, and then he began his own operation.

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

When using an ultrasound machine to explore the heart, it will be interfered by the gas in the lungs.

So generally, the patient's body will be slightly tilted to the left, with the plane of the heart at the bottom, and the interference from the gas will be reduced.

The patient nodded and moved his body.

Lu Chen sat on the right side of the bed and began to check the first heart section.

Sun Guoguo saw that Lu Chen's posture was very standard, so she knew that he would probably be able to do it.

Fan Zhiping on the side was also amazed.

Lu Chen's set of movements did not feel unfamiliar at all.

Lu Chen came to the department to work every day, where did he find time to practice?

Could it be that he bought a portable cardiac ultrasound machine and practiced in the dormitory?

But the cheapest portable ultrasound machine costs tens of thousands of yuan.

It is not unreasonable to buy one yourself!

…

At this time, Lu Chen had no time to pay attention to the thoughts of the people around him. He finished looking at the four common heart sections.

This look really showed the problem!

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

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

"Myocardial hypertrophy?" Sun Guoguo was stunned.

This really showed Lu Chen the problem!

Sun Guoguo knew that the results of cardiac ultrasound were closely related to the operator's technique.

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

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

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

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

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

The screen of the portable ultrasound machine is only the size of a palm, and many functions are not available. Moreover, due to Lu Chen's current technology, if he wants to make further diagnosis, he still has to rely on professional ultrasound teachers.

Sun Guoguo nodded: "If the ultrasound results are correct, then 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 led to left ventricular hypertrophy of the heart.

Just imagine, with such high blood pressure, if the heart wants to pump blood out, it must increase its horsepower and do more work.

Just like regular physical exercise, over time, the left ventricle will be hypertrophied.

The degree of myocardial hypertrophy is beneficial within a certain compensatory range.

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

Sun Guoguo shook her head, "Myocardial hypertrophy in hypertension is generally symmetrical, but didn't you just say that the patient's myocardial hypertrophy is asymmetrical!"

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

Sun Guoguo nodded in agreement.

Hypertrophic cardiomyopathy is a hereditary cardiomyopathy.

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

This type of hypertrophic myocardial infarction does not pump blood smoothly, which will cause 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 myocardial hypertrophy causes outflow tract obstruction, which leads to difficulty in pumping blood.

Thinking of this, Sun Guoguo began to regret that he should have done this cardiac ultrasound early.

But then again, in those moments, a 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 cardiac color ultrasound department to perform a cardiac color ultrasound on the patient again.

The results once again confirmed that the patient had hypertrophic cardiomyopathy, and his ventricular septal thickness: left ventricular free wall thickness was \u003e1.3:1.

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

"Junior brother, you are really amazing!" Sun Guoguo sighed.

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

Otherwise, such skillful techniques would not be possible.

The patient's cardiac hypertrophy was diagnosed using just a portable cardiac ultrasound machine!

Even the ultrasound teacher was surprised.

It is really rare that such a young graduate student can independently diagnose hypertrophic cardiomyopathy. UU Reading www.uukanshu.net!

…

Fan Zhiping's expression on the side was a little numb.

Can you diagnose hypertrophic cardiomyopathy in less than a week after learning cardiac ultrasound?

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

Because the sonographers at their county hospital could easily miss the diagnosis of hypertrophic cardiomyopathy.

Many patients have no problem with cardiac ultrasound in county hospitals, but when they arrive at large hospitals, they develop cardiac hypertrophy!

This is not just one or two patients, but appears frequently!

Fan Zhiping looked at Lu Chen and it was really unimaginable.

How did Lu Chen master the cardiac ultrasound technology to such an extent in just one week!

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