I can see health

Chapter 518 Strange Family
The bed was quickly pushed into the CCU ward.

The nurse immediately installed a monitor on the patient, and then Lu Chen began to perform a physical examination on the patient.

"The patient's general condition is poor, his mind is blurred, his blood pressure is 110/50mmHg, his jugular vein is congested, his breath sounds in both lungs are weak, and moist rales can be heard. No murmurs can be heard in the heart valve auscultation area, and his lower extremities are moderately edema."

At the same time, Fatty Cheng pushed over the ultrasound equipment.

"Lu Chen, let me do a cardiopulmonary ultrasound for the patient?"

"Okay, thank you." Lu Chen nodded slightly.

His ultrasound skills have been honed to perfection, and he would usually give up the opportunity to do ultrasounds to Fatty Cheng or Gu Xinyue.

Fatty Cheng pushed the echocardiography machine to the bedside. . .

Couplant was applied to the probe, and the examination of the patient's heart and lungs began.

"Wall motion is weakened, heart function is reduced, and the ejection fraction is only about 45%."

"The chambers of the heart are enlarged, and the left ventricle is the main one."

"There was a small amount of fluid in the pericardium and a large amount of pleural effusion in both lungs."

Fatty Cheng's ultrasound technique has made great progress.

He can skillfully perform some routine sections of echocardiography.

On the side, Gu Xinyue stood watching, eyes full of envy.

Although Gu Xinyue is proficient in basic knowledge and clinical skills, it is strange that these abilities seem to be insufficient when it comes to echocardiography.

As long as he gets the ultrasound for the patient, it always takes a lot of effort to make the correct section.

"Lao Gu, look at the A-line and B-line of the lungs, they are vertical, we can make them all by adjusting the angle a little bit."

"In addition, when you have a two-chamber heart, you only need to twist the probe a little bit when you have a three-chamber heart, and you can see it."

"If you look at valvular regurgitation, it's actually pretty good. Aortic valve regurgitation is best identified at the aortic root..."

Fatty Cheng spoke clearly and logically, while Gu Xinyue was also humbly learning.

After Fatty Cheng finished, Lu Chen performed an ultrasound examination on the patient again.

Only by doing it yourself can you have a clearer understanding of the patient's heart condition.

……

As soon as Lu Chen gets started, he will know if there is any!
In addition to conventional views, it includes some uncommon heart views, such as viewing the width of the pulmonary artery and so on.

Lu Chen finished it skillfully.

Although Fatty Cheng is already very proficient in ultrasound technology, compared with Lu Chen, there is still a big gap.

"Let me tell you, the three-chamber view of the heart just now was not very clear." Gu Xinyue curled her lips and said, "It turned out to be a level problem, and I thought it was a malfunction of the equipment."

Fatty Cheng rubbed the back of his head in embarrassment, "Lao Gu, don't blame me! Then I will definitely not be able to compare with Lu Chen!"

Lu Chen smiled and didn't pay attention to the discussion between the two.

At this time, he devoted himself to the diagnosis and treatment of patients.

"No wonder the breath sounds in both lungs are so weak, it turns out there is effusion!"

Normal lungs, breath sounds can be heard on auscultation.

If there is pleural effusion, the breath sounds will be reduced.

When there is a large amount of pleural effusion, breath sounds may disappear!

At this time, a large amount of pleural effusion has completely compressed the lung tissue.

At this time, only puncture can be performed!

If the oppression of the effusion is not released in time, the lung tissue will not recover, and the blood oxygen saturation will not be maintained, and the patient is at risk of sudden death at any time!

After reading all the examinations of the patient, Lu Chen already made a preliminary decision in his heart.

Patients with heart failure must strengthen diuresis!
However, while giving diuretics, rehydration should also be given, especially sodium ions, chloride ions, and potassium ions in the human body.

In addition, Lu Chen is also planning to perform puncture and drainage of pleural effusion on the patient.

"Has the family members not arrived yet?" Lu Chen looked at the nurse in charge of the bed.

"Not yet." The nurse shook her head slightly, "I just called the family again, and the patient's son said he would come in the afternoon."

"Okay." Lu Chen nodded slightly.

"But..." The nurse seemed hesitant to speak.

"What's wrong?" Lu Chen wondered.

The nurse thought for a while and then said: "The family members said on the phone that we should treat him as much as possible, so that we don't have to worry about the cost. All in all, we must do everything possible to treat his father."

Lu Chen was a little puzzled, this is normal, why does the nurse have such an expression?

However, Lu Chen didn't think too much, nodded, and began to prepare the piercing tools.

Thoracentesis is one of the four most common punctures.

Needless to say, Lu Chen's piercing proficiency.

Less than 10 minutes.

Bilateral pleural effusion tubes were successfully placed, and a large amount of yellow fluid was drained immediately.

"Continue to replenish fluids, especially ion supplements. On the basis of fluid replenishment, strengthen diuresis!"

This healing principle sounds easy enough.

But how to grasp the balance between fluid replacement and diuresis is beyond the reach of ordinary people.

This is also the most essential part of medical treatment.

Unlike surgical treatment, the treatment effect can be seen immediately.

Internal medicine is more often drug treatment.

Through disease analysis, combined with various drugs, the most accurate diagnosis and treatment is carried out for patients.

……

In the afternoon, the patient's son finally came back from the field.

CCU of Jinghua Second Hospital, doctor-patient communication room.

"Doctor, no matter what problems my dad has, he can't give up the treatment!"

"We must use a good treatment method to maintain my father's life."

"Don't worry, money is not a problem. But I hope there must be an effect, otherwise I will immediately transfer to the hospital in Kyoto."

In front of Lu Chen, stood a middle-aged man.

He rushed back in a hurry, with a tired look on his face.

Lu Chen could still understand the first few words.

After all, he was his relative, and he definitely hoped that his father could live on.

But listening to it, Lu Chen felt that something was wrong!
Lu Chen thought for a while, then asked: "The patient is currently old and has many underlying diseases. Some invasive operations may cause him a lot of harm, such as endotracheal intubation in the emergency room, continuous cardiopulmonary resuscitation, etc. Do you agree? Use the above treatment measures?"

"Agree!" The middle-aged man signed his name on the informed consent form without hesitation, "I said, at all costs, I must keep my dad's life alive. give up!"

Lu Chen frowned, "Don't worry, we will do our best to treat it. However, the patient is old and the course of the disease is long, so the treatment effect may not be very good. You need to be mentally prepared."

"In other words, even if you get better this time, your heart failure will recur, and you may come to the hospital more often in the future."

Hearing Lu Chen's words, the middle-aged man was obviously a little anxious.

"Isn't your Jinghua Second Hospital the best hospital in Jinghua?"

"Why can't you even cure a heart failure?"

"Where is your director? I want to see him! I want to complain about your hospital!"

(End of this chapter)