Chapter 463 This Is Intuition, Do You Believe It?

Remember [New] in one second!     For all the clinical manifestations of the patient, he only thought of diseases of the respiratory system.

But he overlooked a very important point, that is, diseases of other systems, such as the cardiovascular system!

Persistent chest pain, combined with hypertension, the most important thing is that the life value is so low!

It is easy to think of an extremely dangerous disease-aortic dissection!

...

Back to the doctor's office.

While Lu Chen asked Wang Defa to check the patient's blood pressure again, he told Fan Yujing his thoughts.

"Aortic dissection?" Fan Yujing frowned.

This disease is more common in cardiology and cardiac surgery, but it is still rarely seen in the respiratory department.

"Well." Lu Chen said in a deep voice, "The patient has chest pain, and there is no special abnormality in the electrocardiogram. Although the pain can be relieved after taking painkillers, the pain reappears after the effect of the medicine has worn off!"

In fact, based on the patient's clinical symptoms and auxiliary examinations alone, the possibility of aortic dissection is not high.

However, Lu Chen looked at the red life value on his head and felt very uneasy.

If it was just pneumonia, tuberculosis, or even a tumor, his life value could not be so low, and the speed of decline was so fast!

Just in case, Lu Chen still felt that it was better to be cautious.

"Teacher Fan, I think it is better to let the patient complete the aortic CTA." Lu Chen said.

Fan Yujing frowned slightly. According to the current condition of this patient, aortic CTA is not ruled out, but the possibility is not great.

Because high blood pressure may just be that the patient has not controlled it well, and chest pain may also be caused by pneumonia or lung tumors.

"Let's talk to the patient's family." Fan Yujing said, "If the family agrees to complete the examination, then take it to the CT room for one. If they don't agree, then control the blood pressure for the time being."

"Okay!" Lu Chen nodded.

He also understood that if he couldn't see the life value, judging from the patient's current condition, the possibility of confirming active layer dissection was indeed small!

...

Respiratory Department 1 Ward.

Outside the ward corridor.

"Brother, what did you say? There is... the possibility of aortic dissection?"

Mei Yejun's little face was frightened pale.

As a medical student, she knew too well what "aortic dissection" meant!

This disease is almost as famous as the god of death.

Without surgery, there is almost no hope!

Even if surgery is performed, it is a life-or-death situation!

If a person has a tumor, if it is treated in time, he may still have many years to live.

But this aortic dissection is a time bomb, and you don't know when it will explode.

This means that the patient may die suddenly at any time!

"Junior sister, don't worry." Lu Chen hurriedly comforted, "I just suspect that there is such a possibility now, not 100% confirmed."

Mei Yejun had no opinion at this time.

"Senior brother, what should we do next?"

"I suggest doing an aortic CTA!" Lu Chen said seriously, "No matter what, we still need to confirm and rule out aortic dissection!"

Hearing this, Mei Yejun hesitated and said, "Senior brother, don't tell my dad yet. I'll notify my mom first, she is out of town."

"Okay." Lu Chen nodded, "Let's decide as soon as possible."

"Yeah."

...

Back to the doctor's office.

Lu Chen immediately issued a medical order to lower blood pressure.

The patient's current blood pressure is 180/100mmhg. If it is really an aortic dissection, this blood pressure is very dangerous.

According to clinical guidelines, the blood pressure of patients with aortic dissection should be controlled below 120/80mmhg.

If the blood pressure is too high, it is very likely to cause the dissection to rupture and directly lead to shock.

This kind of shock is extremely difficult to rescue.

"Lu Chen, what does the patient's family say?" Fan Yujing said.

"She still needs to contact other family members."

"Well." Fan Yujing said, "Go and ask for an emergency consultation from the cardiology department first."

Lu Chen was stunned. Ask for an emergency consultation from the cardiology department?

Teacher Fan doesn't believe in his own judgment.

However, Lu Chen also understands that judging dissection only by high blood pressure and chest pain, no one will believe it!

"Okay, I'll call the cardiology department." Lu Chen said.

...

Ten minutes later.

The chief resident of the cardiology department came. This time, it was not Li Qinghua who came, but another acquaintance of Lu Chen - Senior Sister Sun Guoguo.

When Sun Guoguo appeared in the respiratory department, Lu Chen was stunned for a moment.

"Senior Sister Guoguo, why are you here?"

Sun Guoguo was also quite surprised and smiled and said, "Didn't your respiratory department ask for an emergency consultation?"

"Ah? Isn't it Teacher Li Qinghua who came for a consultation?" Lu Chen said.

"Senior Brother Li has been the chief resident for a year, he should be allowed to rest." Sun Guoguo smiled, "Junior Brother, do you know which group's teacher asked for an emergency consultation?"

Lu Chen touched his nose and said slowly: "Senior Sister, it's our group..."

"What?" Sun Guoguo was stunned, "You still need an emergency consultation?"

Lu Chen's clinical ability is obvious to all, and he is not inferior to some senior attending doctors or even deputy chief physicians.

Lu Chen explained, "I suspect a patient has aortic dissection, but Teacher Fan thinks it's safer to ask the cardiology department to take a look."

"Teacher Fan...Fan Yujing?" Sun Guoguo asked in confusion.

"Yes." Lu Chen nodded.

Sun Guoguo showed a sympathetic look on her face.

She had also heard of Fan Yujing's name.

"Where is Teacher Fan?"

Lu Chen said, "In her office. Shall I go and call her?"

"Then let's go see the patient first." Sun Guoguo said.

"Okay." Lu Chen said, "Sister, the patient doesn't know his condition yet."

"Don't worry, I understand."

...

Came to the ward.

Mei Yejun was not beside the bed, and the patient was lying alone on the bed.

Lu Chen immediately stepped forward and said with a smile, "Uncle, your blood pressure is a bit high, so I asked a cardiologist to see you. Although we used antihypertensive drugs, this cardiologist is an expert in blood pressure reduction."

The patient immediately got up from the bed and said with a smile, "Thank you, Dr. Lu. Xiaojun went out for something and will be back soon."

"Okay, I will communicate with her if there is anything."

After the introduction, Sun Guoguo began to ask questions and examine the patient.

After some inquiries, Sun Guoguo basically understood the patient's condition.

"Uncle, you should have a good rest first." Lu Chen said to the patient, and then followed Sun Guoguo out of the ward.

Outside the ward.

Sun Guoguo said to Lu Chen in surprise: "The patient does have a history of hypertension and persistent chest pain in the left chest, but the blood pressure on both sides is equal. Although the possibility of aortic dissection cannot be ruled out, it is unlikely!"

The implication is why Lu Chen considered the diagnosis of dissection?

Normal clinical thinking may be pneumonia, tuberculosis, lung tumors and other diagnoses.

Lu Chen smiled and said: "Sister, I said this is intuition, do you believe it?"

You can't say that I can see the life value...