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Chapter 1603: 【1603】Sight and ideas



   "Teacher. Take a look here." Xie Wanying said suddenly with her finger on one of the images.

  Doctor Xu glanced at the picture she was pointing at, and at first glance, he couldn't see anything different.

   "There is a low-density shadow in this place that needs to be checked." Xie Wanying said.

   Dr. Zhao hurriedly put his eyes in front of the computer screen to take a look.

   really made his eyes dizzy. The low-density shadow, is a little, a small black patch that is difficult to distinguish from the surrounding area.

Dr. Xu pulled the students away, fixed his eyes on the area with the glasses, studied and judged for a while, and said, "It's a little darker. This place should be the anterior wall of the right ventricle, with a crescent-shaped bulge. It is not ruled out that it is a thrombus or a thrombus. What's the clump attached here."

   "Teacher, there is still this place." Xie Wanying pointed out another abnormal place.

   Dr. Xu and Dr. Zhao followed her to point to an abnormal point on another image.

   This time, Dr. Zhao saw it at a glance and said, "It seems that there has been a myocardial infarction, 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 whether the patient was ruled out because the patient did not have typical myocardial infarction manifestations. Because some patients with normal cardiac function also have such image manifestations.

   Dr. Zhao turned around and asked Xie: "How can you find problems so quickly?"

   He and the teacher just started looking for it. It took less than five minutes. This student Xie has already found two problems. Xie's eyesight is terrifying.

   It's not that she has good eyesight, it's that she has a different way of looking for problems.

  Xie Wanying judged from the beginning that her cousin was damaged by the coronary artery, so she has been looking for problems in the coronary artery area of ​​the heart.

   After listening to her thoughts, Dr. Zhao opened his mouth like a goose egg, thinking about who she is.

  Coronary arteries are the blood vessels of the heart, and the large and small blood vessels are intricately wrapped around the heart like a large mesh. She said that looking for it in the coronary artery area means that the brain needs to turn around again. You must first think about which coronary artery is damaged, and then look for the problem from the corresponding blood supply heart area. Coronary CT scans can only be rough, 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 move again, unable to synchronize with the heart thinking in Xie's mind.

  Doctor Xu was very interested and turned to ask Xie Wanying, "Why do you have this idea?"

   This has to say that since she visited her cousin in the Provincial People's Hospital, she was a person who accompanied the patient all the way, and could always observe the patient's clinical symptoms and electrocardiogram. ECG is a tool used by doctors to observe the heart activity of patients in clinic, and reading ECG is the basic skill of clinicians.

   Her cousin's electrocardiogram showed abnormal signs, occasional arrhythmia, and occasional ST segment elevation, all of which indicated a problem with the heart conduction system of the cardiovascular system. Her cousin had no heart disease but had a car accident. The root cause of the problem could only be that the damage to the heart involved the coronary artery area. According to this idea, just look for the coronary artery area, and find the heart contusion point according to the electrocardiogram performance to find the blood vessel area where the heart is impacted by trauma.

   Dr. Zhao took back the examination application report written by the clinician. Regarding the description of the patient's electrocardiogram, Dr. Li did not write a word.

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

  

  

   (end of this chapter)


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