Chapter 1241 【1241】The Academic Dispute Between the Two Seniors

Young people who go out to work are lonely. If such young people get a serious illness, they may not be much better than the elderly.

Dr. Dong and Sister Xu rushed over and asked Xie Wanying, "Did you take an electrocardiogram for her?"

"Not done yet. The results of the blood test are not very good, so please come and take a look at the teacher." Xie Wanying said, holding the result report that had just been released by the laboratory in her hand.

Dr. Dong took the results of the checklist in her hand and was surprised: "You didn't give her an electrocardiogram, how did you suspect that there was something wrong with her heart?"

Generally, patients with cold and fever do not need to prescribe checklists related to heart disease.

"Her fever is not very high, it doesn't look like tonsillitis. She is not in good spirits. I auscultated her and found that her heart rate is fast. Fever and fast heart rate are a relatively normal physiological phenomenon, but her apex beat point is not normal. The possibility of moving down. I calculated it based on her weight and figure." Xie Wanying explained her thoughts to the teacher.

Others heard that she seemed to maintain a high degree of vigilance for myocarditis to young cold patients, like an old cardiovascular doctor, as if she had seen this kind of patients too much.

As a doctor in the cardiology department, Li Chengyuan couldn't help but see each other. They heard it, and she definitely saw and came into contact with such patients.

But she has never been to the Department of Cardiology and Cardiothoracic Surgery.

"Have you ever seen such a patient?" Xin Yanjun asked classmate Xie directly.

Teacher Xin suspects that student Xie has already accumulated a lot of clinical experience.

Xie Wanying must clarify this point, she does not have clinical experience in all diseases, because she was not a clinician after all before rebirth.

"There used to be a neighbor in our family who only had one son. His son went to the hospital after a cold and was not found to be myocarditis. He didn't find out until he had heart failure. It was too late." Xie Wanying said, "This situation seems to be hidden. Progressive myocarditis."

While expressing his own ideas, he discussed academics with senior cardiologists and cardiac surgeons present.

Dr. Dong did not reject her words, saying: "Concealing progressive myocarditis is the most troublesome thing. In fact, acute myocarditis generally has a better prognosis, as long as it is detected and treated early."

"The condition of the patient she mentioned." Li Chengyuan didn't quite agree with their statement, and said, "It should be dilated cardiomyopathy. As for whether it is dilated cardiomyopathy caused by a virus, this is a question that needs to be explored. Dilated cardiomyopathy And myocarditis are two different things."

"Some patients with myocarditis will eventually develop dilated cardiomyopathy." Dr. Dong argued with him, saying.

Doctors who are not cardiologists can only silently listen to the two of them arguing.

"Who told you that?" Li Chengyuan shook his head at Dr. Dong's words, "Myocarditis caused by a virus may also cause dilated cardiomyopathy. It's not dilated cardiomyopathy caused by myocarditis. Don't confuse it."

"You are confused. Some patients with myocarditis will develop dilated cardiomyopathy at the end stage. How does this phenomenon not come from myocarditis? Dilated cardiomyopathy has a natural cause and a virus infection factor, and the latter is undoubtedly the same as the virus Infected myocarditis."

Debates on academic issues in medicine are often the chicken or the egg. The two fought for a long time, and it was obvious that they couldn't decide whether it was an egg or a chicken.

Myocarditis is often called viral myocarditis by clinicians. It does not mean that myocarditis is only caused by viral infection. Myocarditis can be caused by non-infectious immune factors. There are also toxic myocarditis such as drug-induced myocarditis caused by taking the wrong medicine.