Chapter 235 The Mysterious Lu Chen

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?"

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."

Looking back, it 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.

...

But 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's feeling became.

...

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.

Therefore, the patient's body is generally tilted slightly 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.

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

Sun Guoguo saw Lu Chen's posture, which was very standard, and 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 found 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 gave Lu Chen a problem!

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

It wasn't that she didn't believe Lu Chen.

It was 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 increased, 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 a further diagnosis, he still has to rely on a professional ultrasound teacher.

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, the heart must work harder to pump blood out.

Just like regular physical exercise, the left ventricle will become thicker over time.

Myocardial hypertrophy is beneficial within a certain range of compensation.

But if it is too thick, 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, 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 lead to coronary ischemia, so it will also cause chest pain and chest tightness.

But this is not caused by the coronary artery itself, but by myocardial hypertrophy causing outflow tract obstruction, which leads to difficulty in pumping blood.

Thinking of this, Sun Guoguo began to regret that she should have done the cardiac ultrasound earlier.

But then again, at that moment, a minute's delay could be fatal.

...

About 20 minutes later, the doctor from the cardiac ultrasound department finally arrived.

Sun Guoguo asked the doctor from the cardiac ultrasound department to do another cardiac ultrasound on the patient.

The results once again confirmed that the patient had hypertrophic cardiomyopathy, and his ventricular septum thickness: left ventricular free wall thickness>1.3:1.

The patient's ventricles were asymmetrically hypertrophied, while the ventricular cavity was not enlarged, and the patient did have left ventricular outflow tract obstruction.

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

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

Otherwise, it would be impossible to have such a skilled technique.

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

Even the ultrasound department teacher was surprised.

Such a young graduate student could diagnose hypertrophic cardiomyopathy independently, which is rare!

…

Fan Zhiping's expression was a little numb.

After learning cardiac ultrasound for less than a week, he was able to diagnose hypertrophic cardiomyopathy?

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

Because the ultrasound doctors in their county hospital could easily miss hypertrophic cardiomyopathy.

Many patients had no problems with cardiac ultrasound in the county hospital, but once they arrived at a large hospital, they were diagnosed with myocardial hypertrophy!

This was not just one or two patients, but a frequent occurrence!

Fan Zhiping looked at Lu Chen and it was really hard to imagine.

How did Lu Chen train his cardiac ultrasound technology to such a level in just one week!