2114 Chapter 2114 [2114] The Answer of Ghosts and Elves

The only way is to reduce the pressure on the body and reduce the resistance. For this reason, the physiological structure of the pulmonary circulation is reflected in the short pulmonary vessels, thin walls, and large expansion. In this way, the blood flow can be accelerated, and the capacity can be quickly expanded to accommodate a huge cardiac output.

Pulmonary hypertension, which is contrary to normal physiology, has high pressure and resistance in the pulmonary artery, which cannot receive the blood pumped by the heart, resulting in blood stasis in the right ventricle of the heart. Over time, the right ventricle is forced to expand and has to become right heart failure.

Du Mengen, who proudly expressed his opinion, waited for a while, and seeing that Xie Wanying did not agree, he asked, "Do you think the patient is not pulmonary hypertension?"

Pulmonary hypertension is divided into primary pulmonary hypertension and secondary pulmonary hypertension. Simply put, it is pulmonary hypertension caused by problems with the pulmonary arteries itself or pulmonary hypertension caused by other diseases, including heart disease or systemic diseases. Primary pulmonary hypertension is a clinically rare disease, and its etiology is temporarily unclear in modern medical research, that is, it is unclear.

Clinically, secondary pulmonary hypertension is more common, and pulmonary hypertension at this time may be a complication, a complication or a syndrome.

"You think the patient is secondary and not primary. What's the reason?" Du Mengen asked, not thinking that she could see anything based on the patient's clinical symptoms just now.

She didn't have the patient's medical records and examination reports as the evidence base. Xie Wanying didn't dare to guarantee it, but there was something she could try to discuss with her classmates. She said, "The patient's attending doctor is in the Department of Cardiac Surgery, not Thoracic Surgery."

Du Mengen felt as if his lungs were about to bleed profusely after hearing her finishing touch. He held his finger on her and didn't know what to say for a long time: You guy, aren't you the legendary academic nerd? How did you learn to be opportunistic?

It is said that the patient's attending team is outside the heart, not outside the chest. If the problem is lung-dominated, the thoracic team should be referred. Guozhi is not any other hospital, but a specialized hospital. It has a relatively detailed division in this area, with separate cardiology and thoracic surgery.

No matter what, Ye Qing and Du Haiwei, who were walking in front, obviously heard their group of students discussing in the back, and burst out laughing. It can make two serious teachers laugh out loud, which is enough to prove how ghostly Xie's answer is.

Du Mengen tugged at the collar of his white coat in disbelief, and said to her, "You know what? A patient like this, no matter if it's secondary or primary, basically dies after giving birth."

Xie Wanying couldn't deny her vow to Du. Patients with pulmonary arterial hypertension during pregnancy are a key patient group that obstetricians and cardiologists focus on. Patients like this are most afraid of sudden death. For this reason, clinicians often suggest that the pregnancy be terminated early, and if there is a primary disease, treat the primary disease and see if it is possible to conceive again. After all, I only have one life, so I don't need to fight for a child.

Unfortunately, some women will do anything to have a baby. This kind of maternal love like moths to the flame, on the one hand, makes people feel admirable, on the other hand, it somewhat puts doctors and their families on the stake.

Some patients may always think that clinical work can be like TV dramas, as long as they dare to work hard, they can perform miracles and ignore some scientific facts. The fact is that the mortality rate of this disease is too high.