Big Doctor Live Room
Chapter 1201 Patent foramen ovale
Chapter 1201 Patent foramen ovale
"Student Zhou, do you have a history of sleepwalking? Or do you know, do you have sleepwalking?"
Qi Hong has not figured out what kind of tricks Chen Qun was playing until now, and why he always concluded that his cranial nerve diseases were all caused by the heart.If she hadn't done a thorough examination, she might still have believed what Chen Qun said was possible, but she had already done an MRI, CT and cardiogram, and there was nothing abnormal. what evidence.
What did little Evian do yesterday?It was only then that Chen Qun was convinced that there was something wrong with her heart, and she needed a little time to inquire about the news from Xiao Yiyun, so she came up with a plan to delay the attack, waiting for Xiao Yiyun's mother to find out the matter, and then send a text message to herself for the final confirmation.
"I don't have sleepwalking. When the nurse told me today, I was taken aback. I also asked my parents, and they got the same answer!"
Zhou Peng looked at the female doctor in front of him with a disturbed temperament, who dared not take a second look. He felt that if he met such a doctor, he would stay in the hospital for the rest of his life, and he was willing to do so.
"What do you guys think?"
Qi Hong directly entered the teaching mode and looked at the female doctor next to Han Yue.
"If there is only cerebral infarction, no matter whether spatial neglect or sleepwalking, it is caused by cerebral infarction. It can be preliminarily judged that it was a fall from a high place yesterday, and the head was hit and the blood vessels were damaged. But it is strange that these infarctions can be transferred. If it disappeared all of a sudden, then I don’t know how to explain it, whether the brain damage is serious or relatively mild.”
The heroic female doctor gave an answer in a panic, because the symptoms were rather peculiar, so she adopted conservative views and opinions, trying not to express any outrageous opinions, the safest thing to do is to be humble.
When Han Yue saw Qi Hong's eyes looking towards him, he calmed down and gave an answer.
"Could it be that the hormones are abnormal? Due to excessive abnormal stimulation, various hormones in the body may be out of balance, resulting in a stress response. The two infarctions may be the result of increased coagulation factors in the blood? The reason? The abnormality of platelets cannot be detected because of the increase and decrease of hormones, the time is very short, and it is the same as before. Only when the mood is particularly fluctuating, the hormones are excessively secreted, resulting in two cerebral infarctions."
Han Yue found an answer that he could barely answer, but he felt dissatisfied with himself and the doctor in front of him. How could he find out the real situation with only a few minutes of preparation time?
The phone in Qi Hong's pocket vibrated, she glanced casually, and saw a few words written on it. "When Yiyun met Uncle Chen, she was blowing up balloons to give to other children. Because she was exhausted, she asked another patient brother to blow it up."
Seeing this answer, Qi Hong became more depressed,
Zhou Peng blowing up balloons caused sleepwalking. What is the connection?Could it be that the increase in air pressure caused the blood clot to ascend, which again caused a cerebral infarction.Even if this reason is correct, it can't explain that he fell down, which caused another neurological disease, the abnormality of the half space.
No matter what, let Chen Qun perform on stage first is the right way, everything else is fake.Anyway, it's not for me to get off my horse!Qi Hongru comforted herself, but she sighed secretly in her heart. She knew that Zhou Lin's statement was reasonable, but it was too far-fetched, especially it did not match all the cardiovascular examinations. This is what she has been unable to see through.
Zhou Lin gave a correct theory, but he couldn't prove it, so he still didn't know anything.Let's see what Chen Qun's answer is.
Qi Hong glanced at the three newcomers calmly.
"Do you have any other opinions? If you think it's a brain problem, please raise your hand to express it?"
The three palms immediately stood up, and now Qi Hong has enough confidence in her own charm.Compared with a beautiful woman with a special temperament like her, even if everyone knows nothing, they will respond to face.
"Very good, but I can tell you that your ideas can be regarded as completely wrong, and no one is right. Because our attending doctor, Chen Qun, thought that the patient had a heart problem, which caused all the symptoms. Don't rush to talk What, I also know what you want to say. After all, all the test results are placed in front of you, and the heart is absolutely safe. Next, I will ask Dr. Chen Qun to do a test for us to prove the accuracy of his statement. By the way , Chen Qun, what experiment are you going to do?"
A smile overflowed from the corner of Chen Qun's mouth, expressing cheerfully.
"Of course it is an experiment related to insufflation. The reason why the patient has no problems in all heart tests is because the problem is too small to be detected by known equipment, but the problem caused can just cause an uproar in the brain, creating Trouble with each other. My experiment is aimed at this, and the name of the experiment is: micro-bubble test!"
"Isn't this test just letting ultra-tiny air bubbles flow into the blood and watching the blood flow? Well, just one question, why do you think an MRI can't detect heart problems that this test can't detect?"
"This is the key. If my prediction is correct, you will see the result immediately."
Chen Qun waved his hand, and Zhao Xue, who was ready beside him, immediately pushed over the prepared ultrasound machine and equipment.
"Tiny bubbles will arrive at the heart along with the blood, which can clearly reflect whether there is any abnormality in the blood flow of the heart, and these subtle places cannot be seen through MRI, echocardiography, and CT photos. Therefore, I only You need to send air bubbles into the heart and check the blood flow in the heart to determine if there is a problem."
Chen Qun took the two syringes handed over by Zhao Xue, one on the left and one on the right, and started to create tiny air bubbles in a Y-shaped catheter. Enter the aorta.
"Start the injection, pay attention to the changes in the ultrasound!"
Seeing Xiao Lu's OK gesture, Chen Qun immediately injected normal saline with a lot of air bubbles into the artery.
On the screen of the ultrasound machine on the side, a wave of fluid with tiny white dots was immediately seen entering the right atrium.
"Tiny bubbles reach the right atrium!"
Zhao Xue immediately acted as a commentator subconsciously and reported the situation directly.
"Okay, now, classmate Zhou, please hold your breath first, don't breathe, don't worry about it in your mouth, just don't breathe in your nose!"
Chen Qun gave orders to Zhou Peng in an old-fashioned way, completely forgetting the fact that he was one or two years younger than others.
"1, 2, 3, 4, .30, well, you can breathe! Everyone pay attention to the screen!"
As soon as Chen Qun's voice fell, Zhou Peng took a deep breath of air, and on the screen of the ultrasound machine, everyone saw a white dot of tiny bubbles, which entered the right atrium and then diverted to the Left atrium.
Qi Hong suddenly understood, but Zhao Xue, who didn't understand why, couldn't help asking.
"Sister Hong, this should be abnormal, what symptoms are causing this?"
Qi Hong gave the answer very positively.
"Through the foramen ovale, a very small foramen ovale, which is called a patent foramen ovale in medicine!"
(End of this chapter)
"Student Zhou, do you have a history of sleepwalking? Or do you know, do you have sleepwalking?"
Qi Hong has not figured out what kind of tricks Chen Qun was playing until now, and why he always concluded that his cranial nerve diseases were all caused by the heart.If she hadn't done a thorough examination, she might still have believed what Chen Qun said was possible, but she had already done an MRI, CT and cardiogram, and there was nothing abnormal. what evidence.
What did little Evian do yesterday?It was only then that Chen Qun was convinced that there was something wrong with her heart, and she needed a little time to inquire about the news from Xiao Yiyun, so she came up with a plan to delay the attack, waiting for Xiao Yiyun's mother to find out the matter, and then send a text message to herself for the final confirmation.
"I don't have sleepwalking. When the nurse told me today, I was taken aback. I also asked my parents, and they got the same answer!"
Zhou Peng looked at the female doctor in front of him with a disturbed temperament, who dared not take a second look. He felt that if he met such a doctor, he would stay in the hospital for the rest of his life, and he was willing to do so.
"What do you guys think?"
Qi Hong directly entered the teaching mode and looked at the female doctor next to Han Yue.
"If there is only cerebral infarction, no matter whether spatial neglect or sleepwalking, it is caused by cerebral infarction. It can be preliminarily judged that it was a fall from a high place yesterday, and the head was hit and the blood vessels were damaged. But it is strange that these infarctions can be transferred. If it disappeared all of a sudden, then I don’t know how to explain it, whether the brain damage is serious or relatively mild.”
The heroic female doctor gave an answer in a panic, because the symptoms were rather peculiar, so she adopted conservative views and opinions, trying not to express any outrageous opinions, the safest thing to do is to be humble.
When Han Yue saw Qi Hong's eyes looking towards him, he calmed down and gave an answer.
"Could it be that the hormones are abnormal? Due to excessive abnormal stimulation, various hormones in the body may be out of balance, resulting in a stress response. The two infarctions may be the result of increased coagulation factors in the blood? The reason? The abnormality of platelets cannot be detected because of the increase and decrease of hormones, the time is very short, and it is the same as before. Only when the mood is particularly fluctuating, the hormones are excessively secreted, resulting in two cerebral infarctions."
Han Yue found an answer that he could barely answer, but he felt dissatisfied with himself and the doctor in front of him. How could he find out the real situation with only a few minutes of preparation time?
The phone in Qi Hong's pocket vibrated, she glanced casually, and saw a few words written on it. "When Yiyun met Uncle Chen, she was blowing up balloons to give to other children. Because she was exhausted, she asked another patient brother to blow it up."
Seeing this answer, Qi Hong became more depressed,
Zhou Peng blowing up balloons caused sleepwalking. What is the connection?Could it be that the increase in air pressure caused the blood clot to ascend, which again caused a cerebral infarction.Even if this reason is correct, it can't explain that he fell down, which caused another neurological disease, the abnormality of the half space.
No matter what, let Chen Qun perform on stage first is the right way, everything else is fake.Anyway, it's not for me to get off my horse!Qi Hongru comforted herself, but she sighed secretly in her heart. She knew that Zhou Lin's statement was reasonable, but it was too far-fetched, especially it did not match all the cardiovascular examinations. This is what she has been unable to see through.
Zhou Lin gave a correct theory, but he couldn't prove it, so he still didn't know anything.Let's see what Chen Qun's answer is.
Qi Hong glanced at the three newcomers calmly.
"Do you have any other opinions? If you think it's a brain problem, please raise your hand to express it?"
The three palms immediately stood up, and now Qi Hong has enough confidence in her own charm.Compared with a beautiful woman with a special temperament like her, even if everyone knows nothing, they will respond to face.
"Very good, but I can tell you that your ideas can be regarded as completely wrong, and no one is right. Because our attending doctor, Chen Qun, thought that the patient had a heart problem, which caused all the symptoms. Don't rush to talk What, I also know what you want to say. After all, all the test results are placed in front of you, and the heart is absolutely safe. Next, I will ask Dr. Chen Qun to do a test for us to prove the accuracy of his statement. By the way , Chen Qun, what experiment are you going to do?"
A smile overflowed from the corner of Chen Qun's mouth, expressing cheerfully.
"Of course it is an experiment related to insufflation. The reason why the patient has no problems in all heart tests is because the problem is too small to be detected by known equipment, but the problem caused can just cause an uproar in the brain, creating Trouble with each other. My experiment is aimed at this, and the name of the experiment is: micro-bubble test!"
"Isn't this test just letting ultra-tiny air bubbles flow into the blood and watching the blood flow? Well, just one question, why do you think an MRI can't detect heart problems that this test can't detect?"
"This is the key. If my prediction is correct, you will see the result immediately."
Chen Qun waved his hand, and Zhao Xue, who was ready beside him, immediately pushed over the prepared ultrasound machine and equipment.
"Tiny bubbles will arrive at the heart along with the blood, which can clearly reflect whether there is any abnormality in the blood flow of the heart, and these subtle places cannot be seen through MRI, echocardiography, and CT photos. Therefore, I only You need to send air bubbles into the heart and check the blood flow in the heart to determine if there is a problem."
Chen Qun took the two syringes handed over by Zhao Xue, one on the left and one on the right, and started to create tiny air bubbles in a Y-shaped catheter. Enter the aorta.
"Start the injection, pay attention to the changes in the ultrasound!"
Seeing Xiao Lu's OK gesture, Chen Qun immediately injected normal saline with a lot of air bubbles into the artery.
On the screen of the ultrasound machine on the side, a wave of fluid with tiny white dots was immediately seen entering the right atrium.
"Tiny bubbles reach the right atrium!"
Zhao Xue immediately acted as a commentator subconsciously and reported the situation directly.
"Okay, now, classmate Zhou, please hold your breath first, don't breathe, don't worry about it in your mouth, just don't breathe in your nose!"
Chen Qun gave orders to Zhou Peng in an old-fashioned way, completely forgetting the fact that he was one or two years younger than others.
"1, 2, 3, 4, .30, well, you can breathe! Everyone pay attention to the screen!"
As soon as Chen Qun's voice fell, Zhou Peng took a deep breath of air, and on the screen of the ultrasound machine, everyone saw a white dot of tiny bubbles, which entered the right atrium and then diverted to the Left atrium.
Qi Hong suddenly understood, but Zhao Xue, who didn't understand why, couldn't help asking.
"Sister Hong, this should be abnormal, what symptoms are causing this?"
Qi Hong gave the answer very positively.
"Through the foramen ovale, a very small foramen ovale, which is called a patent foramen ovale in medicine!"
(End of this chapter)
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