Chapter 4085 【174】Test You Again

"This is obviously pulmonary hemorrhage." This time, instead of cooperating with Dr. Xie in the exam, Dr. Lu directly expressed his professional judgment.

First of all, it is necessary to talk about the several categories of lung injury caused by thoracic trauma.

Medical science emphasizes that the precision is as fine as possible. This does not mean that the condition of the lungs will be the same after trauma.

Regarding the lung, we have briefly talked about its anatomical structure before and know that it is a complex organ that contains many contents. For example, lung tissue is divided into lung parenchyma and lung interstitium. We have also talked about the simplest trauma classification method before, which is also suitable for lung injuries caused by thoracic trauma, that is, whether it is a closed injury or an open injury.

It is because there are no obvious wounds outside the human body due to closed injuries that it is very easy to fool people, including the doctor himself, thinking that his injury is not serious and he can go to the hospital to deal with it, but something goes wrong halfway.

It once again shows that there is a certain reason for doctors not to treat themselves.

At first, Dr. Yang thought that he just needed to go to the hospital for some reason? It can be said that she mistakenly believed that her injury was not serious at all, or that she may have thought that she had a pulmonary contusion as part of pulmonary trauma.

The word contusion has been seen before when we talked about cardiac contusion. By analogy, pulmonary contusion is equivalent to cardiac contusion, and the manifestations of severe injury will be delayed.

The main symptoms of pulmonary contusion are chest pain, cough, shortness of breath, and maybe a little hemoptysis. The proportion of pulmonary trauma accounts for about 20%, which is not low.

Not to mention that Dr. Yang misjudged his injury. The intern medical student studying with Dr. Lu in the CT room asked: "Teacher Lu, does the lung here look like bronchitis?"

The student is referring to the left lung. In the left lung image, we can see increased lung markings, scattered small spots, walking along the bronchi and being blurred, which is similar to bronchitis.

Dr. Lu, the newly appointed teacher, followed the example of Commander Xie Qin tonight and lectured the students: "Who told you that bleeding cannot be a manifestation of bronchitis?"

The student rolled his eyelids vigorously, racking his brains to think about what was going on.

The difference between teachers and students is that teachers like Xie Qinchalu are good at switching concepts to hammer students' heads to death.

Most people understand pulmonary hemorrhage. For example, the student in front of me didn't study well enough and thought it was hemorrhage in the lung parenchyma. From here we can know that the lung parenchyma is the most obvious tissue of the lungs, such as the alveoli and bronchi.

The pulmonary interstitium is responsible for filling the main tissues of the lungs, including blood vessels, lymphatic vessels, nerve fibers, etc. Abnormalities in this part are not easily obvious unless there is a large-scale problem, and once there is a large-scale problem, the lung parenchyma will inevitably follow. Something went wrong.

Therefore, what Dr. Lu means is: Pulmonary setback can lead to interstitial pulmonary hemorrhage. Small-scale hemorrhage, such as pulmonary blood vessel blood plasma leakage, accumulates in the alveoli, causing imaging manifestations similar to bronchitis.

Looking back at what Dr. Lu said in the first sentence, does the pulmonary hemorrhage refer to pulmonary contusion? Certainly not.

Doctors who have taken up their posts must speak straightforwardly and in a general direction without delaying matters.

Dr. Lu was referring to the patient’s right lung bleeding.

This patient suffered a left lung contusion and right lung hemorrhage.

Why did the patient previously think that his injury was not serious, but it worsened on the road? It may be that the right lung bleeds again on the road.

Now think about what Dr. Fu just said to the mother-in-law-to-be, don't wait for the ambulance to pull you onto the stretcher lathe.

The road was bumpy, and Dr. Yang didn't know that his ribs were actually in a critical condition. The ribs were broken on the road and punctured his right lung.