Chapter 2607 【2607】Crazy Explosion

It's just that she has no clinical experience in other departments and can't think of the cause.

"What's wrong with the blood pressure difference between the two sides?" Liu Li asked. She knew that for normal people, the blood pressure of the right upper extremity is generally 10 to 20 higher than that of the left upper extremity. It is extremely rare to have a congenital large difference in blood pressure between the left and right hands. If there is, it should be detected early in the previous inspection.

"Several of us discussed this case in the afternoon. Everyone's thoughts are like this, either we worry too much, it's better to worry too much. Maybe the problem is not big. If the problem is the worst, my personal guess is that, she I had this aortic aneurysm before, but the tumor was small and the symptoms were not obvious. It was mixed with the symptoms of her cervical spondylosis. From the orthopedist who added an electrocardiogram to the patient, it can be known that the patient had a little chest and back pain before, otherwise No more examinations. The aortic aneurysm did not break through to the outer layer, and it has recently developed into aortic dissection, so the symptoms caused by it make you very worried, Mr. Liu Li." Xie Wanying finished speaking in one breath.

With such a bad discussion result, it is definitely necessary to contact Teacher Liu Li as soon as possible. I just want to meet Teacher Tan, and I will ask Teacher Tan for his opinion by the way. I didn't expect Teacher Liu Li to come to eat, but Teacher Tan took the initiative to talk about it.

Now she was talking while looking at Teacher Tan's expression. In fact, the results of their classmates' discussions were written on the back of the copy paper of the medical records, and both Teacher Tan and Teacher Cui saw it. The two teachers seemed to agree with her and let her speak.

Liu Li's head was blown wildly: what? !

Aortic aneurysm aortic dissection, bleeding? What is the acute case fatality rate? More than twenty or thirty?

"Here, her EKG showed no abnormalities in color Doppler ultrasound." Liu Li asked, how did she remember that these two diseases could be detected by the above methods.

"The detection rate of these two diseases by electrocardiogram is too low. The previous cardiac color Doppler ultrasound could not detect it, indicating that the aortic aneurysm and dissection should have occurred in the section from the descending aorta to the abdominal aorta. If color Doppler ultrasound had to be done at that time , What needs to be done is a transesophageal echocardiogram instead of an ordinary transthoracic echocardiogram. The gold standard for diagnosing this disease is cta, and she can't do CT contrast imaging when she is pregnant, so she can only do MR." Xie Wanying said, "Fortunately, Liu Teacher, you are right to give her the pressure reduction first to control the rupture."

Liu Li didn't feel that she should be praised, and her mind went blank, which showed that she was not familiar with these two diseases at all, and her professional knowledge was almost zero.

Don't blame her. I don't know if there is such a rare maternal case in the three capitals of Beijing. If this kind of patients were encountered in Guoxie Guozhi, it would be almost the same.

Looking at his cousin's appearance, Tan Kelin frowned seriously.

Cui Shaofeng stood up and called Director Liang of the Obstetrics Department. This kind of difficult case needs the leadership to suppress the situation, and it is impossible for a young doctor like Liu Li to handle it.

When I called, Director Liang must have been frightened at the other side, and asked the young doctor to quickly notify the patient and his family to come to the hospital.

Liu Li didn't eat, so he hurried out of the restaurant and took a taxi back to the hospital, calling the patient's family first.

"Eat." Tan Kelin picked up the chopsticks and instructed his disciples.

Xie Wanying, who was following Teacher Liu's figure, was stared at by Teacher Tan, and turned to eat.

The order of diagnosis and treatment in clinical practice does not mean that when patients flock to rescue patients, there will be chaos, and chaos will lead to mistakes. The attending doctor will deal with it first, and then call other people to help if it can't be dealt with, so there is no need to worry too much.

Thank you for your support! ! ! good night dears~