Chapter 2113 【2113】Student Exchange

The patient's lower limbs were edematous, and the jugular vein was slightly distended, which is the manifestation of late right heart failure. These numbers and symptoms are still under control after the patient continues to receive some drugs. It shows that the patient's condition is conceivably bad, and the heart function has reached the dangerous fourth level.

For such critically ill patients, it is useless to live in a good ward with a TV and refrigerator, and they cannot enjoy it.

Du Yeqing took out a stethoscope from the pocket of his white coat and wanted to pass it to Du Haiwei.

Du Haiwei shook his head. When it comes to heart and lung, how can he have the expertise of a cardiothoracic surgeon? Listening to the description of the cardiothoracic surgery hospital here is enough.

"The physical examination this morning showed rough breath sounds in both lungs, no rales, hyperactivity of the second heart sound in the pulmonary valve area, systolic murmur in the precordial area, and expansion of the heart circle to the left." Du Yeqing supplemented the patient's physical examination data.

A head nurse and a nurse were standing at the scene, holding a fetal heart rate monitor to detect the baby's fetal heart rate on the patient's belly.

This belongs to the diagnosis and treatment work that obstetricians and gynecologists are good at. Du Haiwei approached to listen to the fetal heart rate data.

The baby's fetal heart rate is okay and within the normal range. According to the visual inspection of the patient's abdominal circumference and the medical records, the fetus should be thirty-four weeks plus. Twenty-six years old is not an advanced age for this patient as a pregnant mother. On the contrary, she is the right age for pregnancy and childbirth. If it is not an advanced maternal age, there are still other diseases that directly endanger the health of the mother and child.

Du Haiwei raised his head and wanted to talk to the patient himself and ask about the situation, and then saw that the patient's concentration of oxygen inhalation was obviously in a hypoxic state, and his mind was not very clear. In this case, he couldn't ask why.

A group of people came here to see the patient and withdrew from the ward.

Several young medical students had no chance to browse the patient's medical records before, so they could only guess by themselves after seeing the patient's condition on the spot.

Du Mengen pulled the corner of the student's clothes in front of her and asked her, "What disease do you think is wrong with her?"

It's not good to just ask her. The teacher's son is obviously only interested in her answer.

When people asked her, she must have felt a little bit after seeing the patient, and the other doctors who were listening were the same. Normal communication among medical students is on an equal footing. Xie Wanying calmly asked the other party first: "What do you think?"

"I think so." Sure enough, Du Mengen couldn't hold back his academic opinion, and he talked eloquently, "The patient is in the third trimester of pregnancy, not an advanced maternal age. It is very likely to be a congenital disease. It is not suitable for pregnancy. Pregnancy caused such a situation. Looking at the symptoms and signs of this patient, I personally think that she has a high possibility of primary pulmonary hypertension."

After hearing what he said, the others thought: After all, he is the son of a famous teacher, and he is a top student in a well-known medical school. It is rare to make such a quick judgment without looking at the medical records and only looking at the patient's condition.

Having said that, some of the significant clinical manifestations of this patient are not too difficult for doctors to judge. Clinically common right heart failure, especially in pregnant women, is a typical manifestation of pulmonary hypertension.

What is pulmonary hypertension.

We must first talk about what the normal pulmonary artery blood flow pressure is in order to explain hypertension.

Normal pulmonary artery pressure is low, because the pulmonary circulation is not like the systemic circulation, the lungs are close to the heart, and the blood vessels without systemic circulation are far away from the heart. Under such a premise, the pulmonary circulation can accommodate all the blood pumped by the heart in close proximity at one time.