Chapter 1603 [1603] Eyesight and Thoughts
Where is this clinically suspected thrombus hiding? Is the heart broken?
"Teacher, look here." Xie Wanying's finger suddenly landed on one of the images and said.
Dr. Xu glanced at the picture she was pointing at, if there was nothing unusual at first glance.
"There is a low-density shadow in this place, which needs to be checked." Xie Wanying said.
Dr. Zhao hurriedly put his eyes on the computer screen to see.
It really dazzled his eyes. The low-density shadow is a little bit, a small piece of black that is difficult to distinguish from the surrounding area.
Dr. Xu pulled the student away, fixed his eyes on that area with his glasses, studied and judged for a while, and said, "It's a bit dark. This place should be the anterior wall of the right ventricle, with a crescent-shaped protrusion. It is not ruled out that it is a thrombus or What's the clump attached here."
"Teacher, there is still here." Xie Wanying pointed out another abnormal place.
Dr. Xu and Dr. Zhao followed her to point to the abnormal point on another image.
This time Dr. Zhao saw it at a glance and said: "It seems that a myocardial infarction has occurred, and the apex of the left ventricular wall is partially thinned. This patient may have damaged coronary arteries."
Doctor Xu frowned. The doctors at the provincial people's hospital in this place should be able to easily see that the patient was ruled out because he did not have typical symptoms of myocardial infarction. Because some patients with normal heart function will also have such image performance.
Dr. Zhao turned around and asked classmate Xie: "How can you find the problem so quickly?"
He and the teacher just started looking, and within five minutes, this classmate Xie had already found two problems. How terrible is Xie's eyesight?
It's not that she has good eyesight, but that she has a different way of thinking about finding problems.
Xie Wanying judged from the beginning that her cousin's coronary artery was damaged, so she kept looking for problems in the coronary artery area of the heart.
After hearing her thoughts, Dr. Zhao's mouth opened like a goose egg, wondering who she is.
The coronary arteries are the blood vessels of the heart, and the large and small blood vessels are like a large net covering the heart intricately. She said to look for it in the coronary artery area, which means that the brain has to turn another corner. It must first think of which coronary artery is damaged, and then look for the problem from the corresponding blood supply heart area. Coronary ct can only be scanned roughly and it is difficult to catch the problem, let alone find the problem in the corresponding area.
With such a terrifying difficulty, she actually thought it was easier to find, and she found it. Dr. Zhao's mind couldn't turn again, unable to synchronize with the heart thinking concept in the mind of student Xie.
Dr. Xu was very interested, and turned to Xie Wanying, "Why do you have this idea?"
This means that since she visited her cousin in the Provincial People's Hospital, she has been with the patient all the way and can always observe the patient's clinical symptoms and electrocardiogram. The electrocardiogram is a tool for clinical doctors to observe the heart activity of patients, and reading the electrocardiogram is the basic skill of clinicians.
Her cousin's electrocardiogram showed abnormal signs, occasionally arrhythmia, and occasionally signs of ST-segment elevation, all of which indicated that there was a problem with the cardiac conduction system of the heart. Her cousin did not have a heart disease but was in a car accident. The root cause of the problem can only be that the heart damage involved the coronary artery area. According to this idea, just look for the coronary artery area, and find the vascular area where the heart is impacted by trauma according to the electrocardiogram performance to find the heart contusion point.
Dr. Zhao took back the inspection application report written by the clinician. Regarding the description of the patient's electrocardiogram, Dr. Li did not write a single word.
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