I can see health

Chapter 94 Angina?
Open the medical record system, there are still 5 vacant beds.

Lu Chen sent a WeChat message to Wang Zihao.

"There are still empty beds."

After a while, Wang Zihao replied to WeChat.

"Okay, come at nine o'clock in the morning."

……

When the early shift was over, Sun Guoguo led the crowd to make rounds.

Of the four hospital beds managed by Lu Chen, one of the beds was empty.

The condition of the other three patients is relatively stable, and they are all planning to be discharged from the hospital at an elective date.

"That 13-bed little patient came back from the CCU."

Everyone came to bed 13.

Lu Chen saw a little girl lying on the hospital bed.

That little girl with familial hypercholesterolemia.

The surrounding hospital beds are full of elderly people over 70 and [-] years old, and she looks out of place.

"Little friend, does your chest still hurt?"

Sun Guoguo bent down and touched the little girl's head.

The little girl looked timidly at the group of doctors in front of her, then buried her head in the quilt, not daring to speak.

"She feels much better." The little girl's mother smiled and said, "After the heart surgery that day, her chest pain has eased a lot. Thank you doctors."

"Well, that's good." Sun Guoguo stood up, "I still need to take blood lipid-lowering drugs in the future. For her disease, she must control her blood lipids well, otherwise she will get sick again in the future."

"Okay." The girl's mother nodded.

"Don't put too much psychological pressure on you." Seeing that the little girl had been silent, Sun Guoguo continued to comfort her, "Now that the cause has been found, it will get better and better with proper treatment in the future."

As if she heard Sun Guoguo's words, the little girl slowly poked her head out of the quilt, her eyes fixed on Sun Guoguo.

"Don't worry, it will get better gradually. In the future, you can eat delicious food and play in the amusement park like other children." Sun Guoguo looked at the little girl with a smile.

A gleam of hope flashed in the little girl's eyes.

However, Lu Chen on the side frowned.

He glanced at the HP on the little girl's head, the value was 65!

It's not life threatening for the time being.

But there was one thing about this little girl that he never understood.

According to her extremely poor vascular condition, why did the surgeon in the catheterization room downstairs only perform PTCA and gave up direct PCI treatment?

If it is because the patient is young, she is afraid of affecting her future life.

But in case, her blood vessels narrow again in the future, it will affect her even more!

I am afraid that this question can only be asked face-to-face with the surgeon in the future.

……

Just checked the room.

Before Lu Chen returned to the doctor's office, he saw Wang Zihao walking into the eighth district of his heart in a white coat.

Behind him was a middle-aged woman about 50 years old.

"Hey, Lu Chen, I brought my aunt here." Wang Zihao held a hospital certificate in his hand and handed it to Lu Chen, "I have asked Teacher Li Yao to issue a hospital certificate at the outpatient clinic."

Lu Chen took the hospital certificate and took a look at Wang Zihao's aunt.

She was bloated, with a fat face, a necklace around her neck, and her eyes narrowed into a slit when she smiled.

"Zihao, take your hospital certificate and ask the nurse to arrange a bed for you first."

"Okay." Wang Zihao nodded, turned around and said, "Auntie, please sit and rest for a while, and I'll go to the nurse's desk."

"Well, hurry up and come back."

After Wang Zihao left, Lu Chen began to ask about the relevant medical history.

"Aunt Fu, what's wrong with you usually?"

"I, it's just my chest hurts in this position." Fu Fengqin pointed to the place on her left chest.

As Lu Chen asked, he began to take brief notes.

"Then when did you have chest pain, did you feel the pain after exercising, or when you were inactive and rested?"

"This..." Fu Fengqin paused, "Let me think about it, it hurts when I move, and it hurts when I don't move. The pain has no pattern."

Lu Chen wanted to continue asking, but was interrupted by Fu Fengqin.

"Oh, Xiao Lu, I came to your hospital this time just to do a cardiac imaging, you don't have to ask so many if you have any." Fu Fengqin waved her hand lightly, revealing the big gold bracelet on her wrist .

"Auntie, our consultation is a normal procedure for seeing a doctor." Lu Chen smiled helplessly, "And no one can say that your heart problem is [-]%?"

Fu Fengqin shook her head hastily.

"I have a problem with my heart! Don't you really say no to this. I know my own body very well."

"Then what kind of examination did you do at the local county hospital? Did you have a cardiovascular CTA?" Lu Chen continued.

"I didn't do CTA, but I did several ECGs."

Fu Fengqin dug into her small bag for a long time and found three wrinkled electrocardiograms.

Lu Chen picked it up and took a look.

The three electrocardiograms are similar, all of which are caused by T waves in leads V4-V6 on the chest.

Looking at the ECG alone, the T wave in the chest leads is inverted.

It is indeed the change of myocardial ischemia, combined with the patient's symptoms, there is a possibility of coronary heart disease.

At this time, Wang Zihao came back from the front desk of the nurse station.

"Lu Chen, the bed has been arranged, it's in bed 11."

11 beds, which happened to be the beds under Lu Chen's management.

"Okay, you take Auntie to the ward first, and I'll come over right away with the electrocardiogram machine." Lu Chen said.

Fu Fengqin immediately interrupted Lu Chen, "Hey, Xiao Lu, didn't I give you so many ECGs? Why do you need an ECG?"

Before Lu Chen could speak, Wang Zihao on the side immediately said: "Auntie, the electrocardiogram may change every moment, and this is the department's regulation. New patients admitted to the hospital must have an electrocardiogram. Don't worry about the treatment. , just let the doctor handle it."

"Zihao, it's very valuable to have an electrocardiogram. It seems to be fifty or sixty. I don't want to waste this money!" Fu Fengqin muttered and walked towards the 11th bed.

Lu Chen had a somewhat helpless expression, but he still pushed the electrocardiogram machine and followed behind the two of them.

Come to bed number 11.

Under the supervision of Wang Zihao, Lu Chen gave Fu Fengqin an electrocardiogram, which showed that the results were not much different from before.

……

Outside the hallway of the ward.

"Lu Chen, my aunt has a rather anxious personality, so don't worry about it." Wang Zihao scratched his head embarrassingly.

"It's okay." Lu Chen smiled.

"Then when can we arrange for a cardiac angiography?" Wang Zihao said, "She came here this time for this operation."

Lu Chen frowned and said, "Actually, I just asked a few simple questions. Your aunt doesn't necessarily have coronary heart disease!"

"It's not a heart problem?" Wang Zihao was taken aback, "Her electrocardiogram seems to be the change of myocardial ischemia."

"An EKG isn't everything."

"But she also had chest pains, which were more like angina symptoms."

"The angina pectoris of coronary heart disease is mainly chest pain after exertion." Lu Chen said, "Your aunt's chest pain is not a typical angina pectoris of coronary heart disease."

Wang Zihao asked suspiciously, "That's not coronary heart disease, what could it be?"

(End of this chapter)