I can see health

Chapter 799 Oriental beauty disease

"What is the reason for the patient's hospitalization?" Lu Chen asked.

"After catching a cold, I developed chest tightness and chest pain." Dr. Hua said, "I was afraid of myocarditis, so I came to the hospital."

Lu Chen nodded slightly.

He read the patient's medical records.

The patient has just graduated and is looking for a job everywhere.

Maybe it was because I was too busy and fell ill all of a sudden, with fever and muscle aches, and I was listless.

She immediately googled it online.

Colds and flu are both caused by viruses.

But viruses are different. Colds are mainly symptoms of the nose and throat, such as runny nose, sneezing, sore throat, and fever.

But if the flu is a little bit better, it will also cause muscle soreness, and if it is not done well, it will also cause myocarditis, pneumonia, and respiratory failure.

This terrified her.

It is not acceptable for people to fall ill before finding a job.

She hurried to the pharmacy to buy medicines, including two boxes of antiviral medicines in addition to ordinary medicines for fever.

However, it was the third day of taking the medicine.

For some reason, she felt uncomfortable in her heart and tight in her chest.

Occasionally, it still hurts like this, especially when you are tired after walking for a long time, and you even feel a little breathless.

It's not going to work now, she rushed to the hospital immediately.

……

"Or is there a possibility of arterial embolism?" Doctor Hua thought for a while and asked again.

"How?" Lu Chen asked with a smile.

"The patient has fever, chest tightness and chest pain. It is not necessarily viral myocarditis, but may also be infective endocarditis. There is bacterial infection in the endocardium, and a thrombus may form locally. If the thrombus falls off and runs along the blood vessel, it will be It may be embolized to the upper extremity artery, resulting in unsmooth blood flow, no pulse, and blood pressure cannot be measured?"

Dr. Hua's brain was spinning rapidly, and he came up with another idea.

Lu Chen nodded, "There is a possibility. But there are two unsupported points."

"No support?" Dr. Hua frowned.

Lu Chen smiled and continued: "First, when I auscultated the patient just now, I didn't hear any obvious murmurs in the patient's heart. It seems that there shouldn't be any growths in the heart."

"Second, even if there is infective endocarditis, even if there is a thrombus, even if the thrombus falls off, it won't just fall off and block the upper limbs on both sides, right?"

"Why not block the lower limbs, why not block the blood vessels in the head, why just block the arteries of the upper limbs?"

"Is this possibility too low?"

"It seems to be the same thing, what a coincidence it takes to happen." Doctor Hua smiled embarrassedly.

Lu Chen said: "But you have this analytical ability, it's not bad."

Doctor Hua smiled and touched the back of his head, "Director, what disease do you think of to explain?"

Lu Chen cleared his throat, and said, "Young girls like this are quite beautiful, so we have to consider the oriental beauty disease."

This time, not only Doctor Hua was shocked.

The other doctors around were also shocked.

"What? Oriental beauty disease? You won't scare me, director." Dr. Hua was stunned.

Lu Chen smiled, "This disease is Takayasu arteritis."

"This is also an inflammation of the large arteries. Inflammation can lead to stenosis or even occlusion of the blood vessels. The aorta and its large branches are most likely to be affected, such as the axillary artery, brachial artery, and radial artery. Therefore, the pulse of the upper limbs on both sides of the patient cannot be felt. The undetectable blood pressure can be explained."

Dr. Hua nodded slightly when he heard the words, but was quite puzzled, "Why is it called Oriental beauty disease?"

Lu Chen said: "Someone found that this disease is related to high estrogen levels, so young women are especially prone to the disease, especially our Asian young women, so it is called Oriental Beauty Disease."

"The patient's chest tightness and chest pain are also caused by Takayasu arteritis?" Dr. Hua asked.

"That's not necessarily true." Lu Chen shook his head. "We still have to rule out other diseases. In addition, Takayasu arteritis accumulates in the heart vessels and leads to narrowing of the coronary arteries. It may also cause chest tightness and pain."

At this moment, a critical value prompt popped up on the computer desktop in the doctor's office.

"Director, the patient's myocardial enzymes have increased!" a graduate student said.

"Well, coronary heart disease still needs to be ruled out." Lu Chen nodded.

According to the patient's electrocardiogram and myocardial enzymes, if it is a man over 50 years old, coronary heart disease must definitely be considered.

……

in the ward.

Hearing that coronary artery examination and surgery may be required, the patient's mood fell to the bottom again.

Feelings of fear and helplessness filled my heart.

"We need to ask the family to come and sign." Dr. Hua said.

"My family is not around, what should I do?"

The patient froze.

She came to Guanghai to study at university, and she had no relatives or friends here.

"In any case, we have to find our family members. This disease may be serious. It may have affected the coronary arteries and affected the blood supply to the heart. If we don't deal with it as soon as possible, something may happen." Dr. Hua said firmly.

Finally, under the coordination of the medical department, the hospitalization was handled first, and the immediate family members of the patient were contacted simultaneously.

The patient's parents rushed over from their hometown overnight and arrived at the hospital early the next morning.

in the doctor's office.

Together with Dr. Hua, Lu Chen communicated with the patient's family.

Dr. Hua had already organized his words, and said: "Now it is suspected to be Takayasu arteritis. This disease will affect the large blood vessels of the whole body, but at present, it seems to affect the large blood vessels of the upper limb arteries and the heart, so the patient's pulse cannot be measured."

"In addition, chest pain and tightness, etc., are all manifestations of cardiac ischemia. We need further examination. If possible, a cardiac stent is needed."

This is imperative!
Don't think that chest pain caused by Takayasu does not require a stent.

As long as the coronary artery stenosis reaches the standard of interventional therapy, no matter what causes it, it needs to be treated in time.

The patient's parents are both from the countryside. Hearing that the disease is dangerous, the three souls have disappeared and the seven souls have disappeared.

Cure until there is no other way!

……

This morning, the patient was drawn several more tubes of blood.It is necessary to check a series of rheumatic immune indicators to further confirm whether it is Takayasu.

Dr. Hua rechecked the electrocardiogram, and there was still obvious myocardial ischemia.

Had a color Doppler echocardiography, and it seemed that no obvious abnormalities were seen, so it was not infective endocarditis.

At least no growths were seen.

On the same day, the patient was scheduled for coronary angiography.

During the operation, it was found that both the left and right coronary arteries were severely stenosis, but one side had the most severe stenosis, which was 90% blocked, and almost no blood flow could pass.

Finally, a coronary stent was inserted to open the narrowed blood vessel, restore blood flow, and save the heart.

After the operation, the patient returned to the intensive care unit of the Cardiology Department and felt that the chest tightness and pain were indeed relieved a lot. It can be said that the effect of the stent surgery was immediate.

(End of this chapter)