I Can See Health

Magic City No. 1.

Cardiology ward.

When the girl said the words "contraceptive pills", the middle-aged man looked in disbelief.

"Lili, what did you say? Do you take birth control pills to regulate your menstruation?"

"Who did you listen to?"

"How can you take medicine randomly! If you have any problems, please tell dad immediately!"

The middle-aged man couldn't help but scolded in a low voice.

It would be intolerable and unacceptable for any other father to have his precious daughter taking this kind of medicine.

"Dad...I..." The girl lowered her head, her eyes were red, and she couldn't squeeze out a word for a long time.

Lu Chen was also quite surprised and quickly said: "Contraceptive pills can indeed regulate menstruation. We also use this method clinically. For some patients with irregular menstruation, short-acting contraceptive pills can temporarily regulate menstruation." Back to normal.”

"Really?" Hearing this, the middle-aged man's expression became a little better.

Lu Chen nodded.

Birth control pills generally contain estrogen and progesterone.

The principle of using birth control pills to regulate menstruation is mainly to adjust the levels of estrogen and progesterone in the body by taking birth control pills, so that the original abnormal hormone levels can be adjusted to normal.

The girl also spoke up at this time: "That's it. There was a girl in our dormitory who had irregular menstruation. After she went to the hospital, the doctor gave her birth control pills. After that, her menstruation became normal. So I tried it. I didn’t expect it to be very useful.”

When the middle-aged man heard this, his face was livid and he didn't say much.

Lu Chen shook his head helplessly, "The reasons for irregular menstruation are different for everyone. Maybe you can take birth control pills to treat it, but this is only treating the symptoms and not the root cause."

"The most important thing is that birth control pills cannot be taken for a long time!"

At this point, Lu Chen already understood the reason why the girl in front of him had chest tightness.

"Doctor, please tell me the specific side effects." The middle-aged man looked a little anxious and stared at Lu Chen intently.

Lu Chen thought for a while and then said: "Common causes of obesity, elevated blood pressure, mental depression, and some butterfly spots on the body. The most serious thing is that long-term use of birth control pills will put a person's body in a state of Hypercoagulable state.”

"High coagulation state?" the middle-aged man asked doubtfully, "Is there any harm in this?"

"This is what I want to tell you next." Lu Chen said in a deep voice, "It is related to your daughter's current condition!"

Lu Chen's words made the middle-aged man a little nervous.

The girl on the hospital bed also looked at Lu Chen closely.

"Come out first and I'll tell you carefully." Lu Chen said to the middle-aged man in front of him.

"Okay." The middle-aged man lowered his head to comfort his daughter, and then walked out of the ward with Lu Chen.

…

In the ward corridor.

Lu Chen and the middle-aged man came to a corner.

"The body is in a hypercoagulable state. To put it simply, it means blood stasis and it is easy to form thrombus." Lu Chen paused and said, "If the thrombus is in some small blood vessels, it may not matter, but if it is in large blood vessels, it may be more important. blood vessels..."

Lu Chen looked back at the middle-aged man, "That's more complicated. For example, if the blood clot is in the heart blood vessels and completely blocks the blood vessels, it will cause myocardial infarction. If the blood clot is in the pulmonary blood vessels, it will cause pulmonary embolism!"

"Myocardial infarction, pulmonary embolism?" The middle-aged man was startled, "Then my daughter is..."

Lu Chen said slowly: "I now suspect that she may have a pulmonary embolism!"

The middle-aged man swallowed and said with difficulty, "Is this disease serious?"

Lu Chen nodded slightly: "If the great pulmonary blood vessels are completely blocked, the patient is at a very high risk of sudden death!"

When the middle-aged man heard this, he became anxious, "Boss, what should I do next? What medicine should I use to treat it? Do I need surgery?"

"Don't be so nervous yet." Lu Chen comforted, "Next, you may need to do an enhanced CT scan of the pulmonary blood vessels to confirm whether this is the disease."

"Okay, I'll listen to you. Take all the tests and medicines that need to be done!" The middle-aged man was a little incoherent.

Afterwards, Lu Chen asked the middle-aged man to return to the ward first.

He came to the doctor's office to talk to Jiao Jingqiu about the patient's condition.

…

"She's been taking birth control pills?"

When Jiao Jingqiu heard the news, her mouth opened wide.

Who would have thought that an eighteen-year-old girl would take birth control pills for a long time? !

"In order to regulate menstruation, follow the example of your roommate." Lu Chen shook his head helplessly, "There is still relatively little popularization of this knowledge in our society. If you have menstrual problems, you still have to come to the hospital for examination as soon as possible instead of eating randomly. drug."

"Hey." Jiao Jingqiu also sighed, "You're a little girl. She's thin-skinned. Do you really suspect pulmonary embolism now?"

"Yes." Lu Chen said, "I have communicated with the patient's family and will arrange for a pulmonary artery CTA later."

"Okay, I'll notify the CT room immediately." Jiao Jingqiu also understood the seriousness of the matter.

If it is really pulmonary embolism, the patient's risk level will rise to a higher level.

And the treatments will be completely different.

Pulmonary artery contrast-enhanced CT is different from ordinary CT. It requires a high-pressure syringe to create contrast agent into the blood vessels.

If you have an emergency enhanced CT scan at night, you need to notify the CT room in advance so that the nurse who administers the medicine can come over.

"Lu Chen, I will accompany the patient for an examination later. Please help me check the ward." Jiao Jingqiu contacted the CT room and asked the patient to be pushed to the CT room in half an hour.

"Okay, no problem." Lu Chen readily agreed. This is also one of the responsibilities of the resident general.

Although there was a graduate student working the night shift in the ward, he was only a student after all. Jiao Jingqiu did not dare to ask the student to accompany him for examination, or to leave the student alone in the ward. This was a very high-risk matter.

…

Half an hour later.

When you get a call from CT, you can go for inspection.

Jiao Jingqiu immediately took the girl to the CT room in the outpatient building.

Lu Chen stayed in the cardiology ward, temporarily taking care of the patients in the ward.

Nurse Yan Shuming walked into the doctor's office and gave Lu Chen a thumbs up.

"Mr. Lu, you are so amazing! You came here for less than half an hour and you were able to handle the patient that others couldn't handle."

She was very clear about the reason why the patient suddenly went out for examination.

"It hasn't been diagnosed yet." Lu Chen smiled, "Don't praise me to the heavens."

"I see, this pulmonary embolism is almost certain!" Yan Shuming was extremely confident in Lu Chen. "Otherwise, how could a simple pneumonia last so long?!"

"I would rather my diagnosis was wrong and she just had simple pneumonia." Lu Chen smiled.

Pulmonary embolism is not a simple disease.

For example, a few days ago, the patient with pulmonary embolism in the emergency department was intubated and almost failed to be rescued. 16377/10456149