I can see the status bar

Chapter 961-21 D-day

This chapter is Chapter 2 for the leader Nebula Ruoyu. After this chapter, there are still 9 chapters to be updated

"Body temperature... 37.5 degrees Celsius." Sun Lien asked Yu Juan to take his temperature first, and then asked, "Have you been to Yunhe before you got sick? After treatment for so long, do you feel that the condition is getting worse recently?"

"I've never been to Yunhe." Yu Juan coughed twice, and then said, "Now I feel out of breath, and the flustered feeling is stronger. The pain is even worse..." She coughed a few more times, Then he said, "When I coughed two days ago, there was black blood in the sputum..."

While Yu Juan was telling her situation, her grandfather hurried back to the office of the first comprehensive clinic.After listening to the description of his granddaughter's condition, he asked cautiously, "Doctor... can this be cured?"

"If I pat my chest and tell you that this is a small problem, I must be fooling you." Sun Lien thought for a while and said, "However, since the treatment effects of several hospitals in a row have been problematic before, it means that their diagnosis is serious. The probability is that I missed my eyes."

"I think the baby vomits blood when he coughs now." The old man continued to ask, "Is this tuberculosis?"

"If it's tuberculosis, it's easier." Sun Lien shook his head, "Her symptoms are not consistent with tuberculosis." While talking, Sun Lien ordered blood routine, electrocardiogram and urgent chest CT.After thinking about it, I added a color Doppler echocardiogram, and then told me, "Except for CT, other items go directly to the emergency room of the emergency department. I'll say hello to there. After you get the CT, go there quickly." .”

Although her symptoms were atypical and not urgent enough, they were indeed classic among the "atypical".Sun Lien decided to shorten the diagnostic steps and time, and quickly transfer the person to the Department of Respiratory Medicine after the diagnosis was confirmed.

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"Director Sun, what's wrong with that girl just now?" After the grandpa and grandson left the consultation room, the little nurse who had just gone to help with the registration opened the door curiously and asked, "I just heard from the old man that his granddaughter didn't know that he was killed Something is infected, and it hasn’t healed after continuous treatment for more than a month.”

"The specific diagnosis depends on the report." Sun Lien replied, "But the antibiotics that have been used for a month have not worked, which at least shows that her problem should not be a bacterial infection."

"It can't be from Yunhe's side?" The little nurse asked in a low voice, "Yunhe has confirmed more than 20 cases of viral pneumonia of unknown cause locally."

"I just asked, no." Of course, Sun Li'en couldn't say anything like "The status bar is not blurred and I have a high risk of transmission warning on my face, so it must not be." According to the CT done, there is no typical ground-glass opacity on the lungs—it has a bit of lobe-like exudation."

Leaf-like exudation is a typical characteristic of lung inflammation. If we consider the small amount of pulmonary effusion shown on CT, and the CT value of the effusion is consistent with the CT value of water, it is really necessary to diagnose "pneumonia" or "pleurisy." "It's not a problem at all.

This made Sun Li'en a little helpless. Could it be that the other doctors who received the treatment were all made of titanium alloy skulls?Even if the CT image is completely consistent with the characteristics of the symptoms-up to a month of antibacterial treatment is ineffective, shouldn't other factors be considered?

This head is too iron.

"So... Her problem is not infection?" The nurse was a little surprised, "Then the fever and cough are other reasons?"

"Yes." Sun Lien replied concisely, and then picked up the phone from the table, "Respiratory Internal Medicine Department, right? I'm Sun Lien, First Department of Comprehensive Clinic. Do you have any beds in your inpatient department? I met a patient here." , probably a pulmonary embolism."

The most typical symptoms of patients with pulmonary embolism are dyspnea, hemoptysis, and chest pain "triad".However, clinical patients who will manifest this "triad" probably only account for less than 30% of the total number of pulmonary embolism patients.

Yu Juan's condition has been misdiagnosed many times, and the reasons are complicated.As a 22-year-old healthy woman, Yu Juan has no history of trauma, surgery, long-term bed rest, or high-risk factors such as cardiac insufficiency, malignant tumors, and deep vein thrombosis.It is indeed excusable that the receiving doctor did not consider pulmonary embolism immediately.

However, in Sun Li'en's view, insisting on the initial diagnosis even after a month is considered stubborn at best.To put it bluntly, dogmatism and brain pits are very appropriate terms.

About half an hour later, just as Sun Li'en was about to take out his mobile phone to look at the documents, Yu Juan and her grandfather returned to the consulting room——Yu Juan was sitting in a wheelchair by herself, her complexion not very good-looking.

"Doctor, this is the result of the examination." Yu Juan's grandfather carefully put the granddaughter's wheelchair aside, and rushed to Sun Li'en's desk by himself, and handed over a few forms.He said cautiously, "The CT said that the film will come out in the afternoon, but now you can see the results..."

Sun Lien quickly unfolded the electrocardiogram checklist, and found the evidence he needed "T wave inversion" on it.

Not only that, the cardiac color Doppler ultrasound also gave a more direct hint that "the left ventricle is slightly enlarged, the systolic and diastolic functions of the heart are normal; the inner diameter of the pulmonary artery is widened, and there is a small amount of regurgitation of the tricuspid and pulmonary valves." Prompt "there is a small amount of fluid in the left thoracic cavity".

The examination results of the imaging department maintained the same style as that of several other hospitals, "the patient had exudation and consolidation in the lingual and lower lobe of the left upper lobe; a small amount of left pleural effusion and partial compression of the left lower lobe No tension. Consider bacterial pneumonia, pleurisy, please combine with clinical practice.”

If the doctor who received the consultation didn't watch the film and didn't use his brain, it would be quite normal to think that it was pneumonia.Sun Li'en sighed, and then said to Juan's grandfather, "You have to be hospitalized immediately. I have contacted the Department of Respiratory Medicine, and I can accept it..." He saw the change in Grandpa Yu Juan's expression, and quickly added, "She Not pneumonia, not consumption or pleurisy."

"What's that?" Yu Juan's grandfather saw a little sweat on his face, and he asked nervously, "Does this matter?"

"If it is not treated, it will be very troublesome." Sun Lien said, "But it is not too late to start treatment now. The level of respiratory medicine in our hospital is still very good-her disease is pulmonary embolism."

"Pulmonary embolism?" Yu Juan's grandfather frowned and muttered a few words before asking, "What kind of disease is this?"

"There is a thrombus in the blood vessel in the lung." Sun Li'en explained succinctly, "There is an embolus in the blood vessel in the lung, and as a result, the blood cannot pass through." A small amount of pulmonary valve regurgitation” said, “After the blood vessels inside are blocked, the blood can only flow back. Fortunately, it seems that the situation is not too serious, and it can be greatly improved after active treatment.”

(End of this chapter)