I can see health

Chapter 251 The Experiment of Propranolol (seeking Monthly Subscription Pass)
Li Yao is a professor-level person. Hearing what Lu Chen said, she thought about it and knew what Lu Chen was up to.

"Lu Chen, are you talking about the propranolol experiment?"

Lu Chen nodded quickly: "Yes, teacher, I think I can give it a try."

Propranolol, a beta-blocker, also known as "propranolol".

The propranolol experiment is mainly to identify non-specific ST-T changes caused by autonomic nervous dysfunction and ST-T changes caused by cardiomyopathy.

Zhu Zhonghua also looked expectantly at the two doctors in front of him.

To be honest, he came from the county hospital below.

He has already gone to the best hospital in the county, and also to the best tertiary hospital in the city, but no doctor can solve his T-wave inversion problem in the electrocardiogram.

It was because the electrocardiogram failed, so the physical examination was stuck!
But he obviously doesn't have any disease!

All the doctors in the cardiology department of the county and city hospital were helpless, and even told him clearly that this T wave would accompany him for life.

It will never be possible to stand upright!

Zhu Zhonghua was about to give up.

But this civil servant's position is in Jinghua City, and the benefits are really good!
Zhu Zhonghua is really reluctant to give up!

Jinghua Second Hospital is the best hospital in the province, and it is also the seventh-ranked hospital in China for cardiology.

Therefore, Zhu Zhonghua came to Jinghua Second Hospital this time to try his luck.

If there is still no way, then he really gave up!

"Professor Li, what method are you talking about? Whether it works or not, I am willing to give it a try!" Zhu Zhonghua hurriedly asked.

Now that he can grab a life-saving straw, he will desperately grab it!
This is related to the direction of his entire life in the future.

Li Yao hesitated for a moment.

The propranolol laboratory, to put it bluntly, is to identify whether the patient has an autonomic disorder or is really sick.

However, the specificity of this test is not strong.

So far, she has only seen a few cases of propranolol-positive patients, and they are all female patients!
But now there seems to be no other way!

Li Yao glanced at Zhu Zhonghua.Slowly said: "The method we are talking about is to conduct a propranolol experiment."

口服普萘洛尔后，分别记录服药后30min、1h、2h的12导联心电图，与服药前的12导联心电图进行对比分析。

If after taking the medicine, the T wave changes from the inversion before the medicine to the upright person, it is positive for the propranolol test.

It suggested that the change of ST-T before medication was caused by autonomic hyperfunction.

After listening to Li Yao's description, Zhu Zhonghua seemed impatient.

"Isn't it just a medicine? I'll take it... By the way... Is this medicine expensive?"

"It's not expensive, a box of 60 tablets only costs 20 yuan, you can eat two tablets." Li Yao said.

"Okay, let me do this experiment!"

Li Yao did not prescribe Zhu Zhonghua the medicine immediately, but recorded all the conditions in detail in the course record, and then gave Zhu Zhonghua a box of propranolol.

Li Yao confessed: "I will open a box of medicine for you first, and then I will give you an application form for an electrocardiogram. Remember to take the medicine for half an hour before taking an electrocardiogram. Compare the two before and after electrocardiograms. If the T wave is upright, it proves to be useful! "

"no problem."

Zhu Zhonghua quickly walked out of the outpatient room with the prescription and ECG application form.

So excited, Li Yao couldn't bear to hit him.

……

After dealing with this patient, the follow-up registered patient finally walked in.

"Hey, after waiting for a long time, it's finally my turn!"

This time the patient was a middle-aged man with a fat head and big ears, with a briefcase under his arm.

As soon as I walked in the door, I started yelling: "I came here for a physical examination. My blood sugar was high before. I also checked my blood sugar, blood lipids, liver and kidney function, and electrolytes. By the way, I also had high uric acid before. Check again. I'm worried about uric acid, I'm afraid I'll get gout in the future. Why don't I have another blood test..."

Before Li Yao could speak, the fat man in front of him had already "diagnosed" herself.

"Let's drive so much first."

After finishing speaking, the fat man added another sentence.

Li Yao had no expression on her face, and signaled to Lu Chen to ask him to prescribe all the items that the patient requested to be checked.

"Okay, thank you then." The fat man left the outpatient room with his briefcase in his hands.

This man came in a hurry and left in a hurry.

Li Yao smiled and said: "People nowadays, many people can consult a doctor, even if they can't, they can use Baidu. Look at this patient, I didn't say a word, he has already diagnosed himself."

"But the expert account costs 300 yuan each." Lu Chen curled his lips and said.

"Don't worry, they will still come to see me after their inspection results come out."

What Li Yao said was right, the patient who had chest pain before had already finished the echocardiography and returned to the consulting room.

The results of echocardiography showed no obvious abnormalities in the structure and function of the heart.

"Professor Li, look at my ultrasound results are normal, what exactly is the chest pain?" The man's expression was very impatient.

He has done a lot of checks.

The echocardiography has been done four or five times, and there is no problem every time, but I can't find out what the problem is!
This worry broke him!
Chest pain, this feeling is not good!

However, after Li Yao saw the echocardiogram, a smile appeared on the corner of her mouth.

"Your chest pain may still be related to coronary heart disease!"

The man was about to interrupt Li Yao's words, but his blood vessels had been operated on, and there was no stenosis!
But Li Yao stretched out her hand to stop him: "Don't be in a hurry. You must first understand a concept. If the blood vessels are not narrowed, the chest pain may still be caused by coronary heart disease."

"Our heart vessels are like tree branches. In addition to large blood vessels, there are also small blood vessels, and even roots buried in the ground. The blood vessels examined by angiography are all large blood vessels and some small blood vessels. Those roots buried in the ground, we There is no way to check."

"This kind of root is what we often call microcirculation. If the microcirculation is disturbed to a certain extent, the patient will suffer from chest pain!"

The man looked quite flustered.

"You mean, I'm a microcirculatory disorder right now?"

"It looks like it is right now." Li Yao nodded.

"Microcirculation disorder... how to treat this disease?"

"I'll prescribe you a medicine called Nicorandil. You go back and take it for a while to see how it works. If it doesn't work, come back for a follow-up visit."

Li Yao immediately prescribed a prescription for the man.

Lu Chen cooperatively typed it out on the computer.

"Okay, then thank you, Professor Li."

The man went to many hospitals, but the problem of chest pain was not resolved.

Now he can get a reason for the chest pain, and he is very satisfied.

Holding the prescription, he left the outpatient clinic.

……

For two full hours, Li Yao saw more than ten patients.

Lu Chen followed Li Yao and learned a lot of communication methods and diagnosis and treatment skills.

But so far, they have not encountered any difficult patients.

At least in Lu Chen's view, they are relatively easy to solve.

This may be because Lu Chen has rich clinical experience and has seen a lot of medical records, so he feels this way.

(End of this chapter)