I can see the status bar

Chapter 90 Another Conclusion

The results of the color Doppler echocardiography were very straightforward, congestive heart failure, and at the same time suggested that there was a large amount of pleural effusion in Zhou Xiufang's chest cavity.

Luo Yiping, deputy director of the Department of Cardiology, was invited for a consultation, and he made a joke as soon as he saw Sun Lien. "Boss Sun, is there another business to take care of us? I heard from Director Wang that you invited him to dinner the day before yesterday."

"Director Luo, please take a look at this patient's condition." Sun Lien ignored Luo Yiping's joke, he is not in the mood to joke with others now.He lowered his voice and said, "The patient is a relative of my teacher."

Luo Yiping put away his relaxed look, and glanced at the printed cardiac ultrasound results, "Congestive heart failure is no problem, and pleural effusion is one of the typical manifestations."

"How to deal with it?" Sun Li'en asked, "Just take diuretics? I'm worried that the old man is too old and may have hypokalemia."

The renal function of the elderly is generally poor, especially the reabsorption of potassium by the kidneys is much weaker than that of young people.Rash use of diuretics to reduce body fluids can relieve the pressure on the heart, but it may cause symptoms of hypokalemia, which can lead to more serious heart problems.

"Looking at it now, the benefits of giving diuretics to the elderly are definitely greater than the risks." Luo Yiping made some calculations and said firmly, "Looking at the blood potassium level, as long as it is greater than 3mmol/L, diuretics should be given first." He suddenly paused "It is also necessary to determine the cause of heart failure. Generally speaking, if the elderly suddenly suffer from heart failure in winter, eight out of ten are lung infections."

"The blood sample has been sent out." Sun Lien nodded.Xu Yourong added, "The result should be available within half an hour."

Luo Yiping thought for a while and continued, "I suggest to do another CT to clarify the situation of the old man's pleural effusion. If the pleural effusion is too large, you can consider asking for a chest drain."

There is some effusion in the chest cavity of the human body.The interlayer between the visceral layer and the parietal pleura is called the pleural cavity, and there is usually an effusion of about ten milliliters in it, which acts as a lubricant when a person breathes.The pleural cavity produces and absorbs approximately 1000 ml of fluid per day.Increased production of fluid in the pleural space, or decreased absorption, can lead to a pleural effusion.

When congestive heart failure occurs, the patient's pulmonary capillary pressure will increase significantly, resulting in increased production of pleural effusion.Pleural effusions form when the amount produced exceeds the drainage capacity of the lymphatic system.

Zhou Xiufang was lying on the hospital bed, her mind still a little unclear.The nurse's call was occasionally answered, but he couldn't tell where he was or what his name was.

"Send the video." Sun Li'en looked at the old man and sighed. When people are old, they are afraid of something wrong.Minor illnesses and disasters may become fatal in an instant because of age.

The number of people queuing up in the Imaging Department was much less than that of the previous two days. As a pilot unit of the emergency department, as long as the emergency room can be a little easier, the other departments will be a lot easier.

Brother Imaging Cologne was off today, and Zhou Jun personally pushed the old lady's gurney into the CT room.And his father, Comrade Zhou, also asked for leave from the work unit and came to the hospital to take care of his old mother.

Old Comrade Zhou is an engineer of the local electric power company. He claims that the biggest regret in his life is not persuading his son to study medicine. Zhou Jun, who has become a doctor, attaches great importance to the health management of the old couple, and he insists on forcing old Comrade Zhou to quit for 20 years. Years of smoking addiction.At the same time, a strict daily schedule and daily recipes were formulated for the old couple.Old Comrade Zhou’s favorite steamed sausage was ordered to only eat half of it for a month.Sometimes eating sausage secretly while his son was away became Comrade Zhou’s biggest hobby.It's a pity that my wife has always stood on the united front with my son, and if he steals food, he will be arrested.Zhou Jun's cynicism with a cold face made even the old Comrade Zhou unable to stand it.

"What's the matter with your grandma?" Together with their son, they carried the old lady into the CT machine.Comrade Zhou, who was not afraid of anything, finally panicked, "Is this a relapse of an old illness?"

"It's not coronary heart disease." Zhou Jun shook his head with an ugly face, "The initial diagnosis is congestive heart failure with pleural effusion."

"I haven't heard you say that you have this problem before." Old Comrade Zhou's face turned ugly, "Is it a new one?"

Zhou Jun also had a cold face, "I don't know. Why didn't you stop grandma for a walk in such a cold day?"

"I'm not a doctor!" Comrade Zhou called Zhuang Tianqu, "There are only two doctors in our family, one for you and one for your grandma. When did you two hear what I said?"

Zhou Jun shook his head, "Let's see the results first. If the amount of pleural effusion is not large, drug treatment will be fine."

Old Zhou sighed, "I hope you don't have the surgery. It will be the Chinese New Year in a blink of an eye. If the old lady is stabbed, this year will not be over. Let's take turns to come to the hospital to watch over."

Comrade Zhou wandered outside the CT room, while Zhou Jun dragged Sun Lien aside and questioned the situation.

"What do you think?" Zhou Jun still looked like a teacher, but the anxious look on his face couldn't be concealed. "How serious is the situation?"

"The type of pleural effusion needs to be judged." Sun Li'en thought about it, and said his thoughts, "It's okay if it's just caused by congestive heart failure. What I'm worried about now is that the pleural effusion may be caused by caused by an infection."

"No, the old lady has no signs of infection these days." Zhou Jun had a different view on Sun Lien's judgment, "There is no fever and cough, it doesn't seem like an infection."

Sun Lien shook his head and said, "Coronary heart disease, high blood pressure, and senile degenerative valvular disease may all cause congestive heart failure. But it shouldn't be so fast."

"The possibility of coronary heart disease is relatively high." Zhou Jun frowned, "She has a history of coronary heart disease..."

"If the elderly don't have the habit of walking, this is indeed possible." Sun Lien understood that his teacher was really panicked, "Many elderly people have low exercise ability and habits, and they may not be able to show third-grade heart failure. But the old lady has to go out for a walk every day, if it is heart failure caused by coronary heart disease, the symptoms should have already appeared. The time is not right."

"You think it's an infection?" Sun Li'en's reason was very strong, and Zhou Jun had to admit that his student's judgment was correct. "But I had no symptoms before..."

"I can only say that I hope it's caused by the infection." Sun Lien sighed, "If it's not the infection, then it's troublesome."

Lung infections that can cause heart failure are fatal to young people, but Sun Lien is now secretly praying that the elderly are really infected.

Low hemoglobin, elevated IgG antibodies, heart failure, pleural effusion.The combined answer of these four symptoms, if not infection, leads to another dire diagnosis.

leukemia.

　New Year's Eve!Sanguan hereby wishes all the readers a new year~
　　I wish you all good health and good luck in the new year!

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(End of this chapter)