Returning to ’90s, She Became Famous in Major Surgical Fields Chapter 2113: 【2113】Student exchange

   Chapter 2113 [2113] Classmates Exchange

   The patient's lower extremities were swollen, and the jugular vein was slightly distended, which was a manifestation of advanced right heart failure. These numbers and symptoms are the result of the patient's continued administration of so drugs under control. It shows that the patient's condition is conceivably bad, and the heart function has reached the fourth level of danger.

   Such a critically ill patient, it is useless to live in a good ward with a TV and refrigerator, and they cannot enjoy it.

  Du Ye Qing took out a stethoscope from his white coat pocket and wanted to hand it to Du Haiwei.

  Du Haiwei shook his head. When it cos to listening to the heart and lungs, how can he specialize in cardiothoracic surgeons, listening to the description of the cardiothoracic surgery specialist hospital here is enough.

   "This morning's physical examination showed thick breath sounds in both lungs, no rales, hyperactive second heart sound in the pulmonary valve area, systolic murmur in the precordial area, and leftward enlargent of the cardiac border." Du Yeqing supplented the patient's physical examination data.

   There was a head nurse and a nurse standing on the scene, holding a fetal heart rate monitor on the patient's belly to detect the baby's fetal heart rate.

   This belongs to the diagnosis and treatnt work that obstetricians and gynecologists are good at. Du Haiwei approached to listen to the fetal heart rate data.

   The baby's fetal heart rate is okay and falls within the normal range. Visually asuring the patient's abdominal circumference, and what the dical records show, the fetus should now be thirty-four weeks plus. The patient's age as a pregnant mother is not too old at the age of 26, on the contrary, it is the right age to conceive and give birth to a child. Not an advanced mother, there are still other diseases that directly endanger the health of the mother and the child.

  Du Haiwei raised his head and wanted to talk to the patient himself to ask about the situation. Then, seeing that the patient was in a hypoxic state when he was inhaling dium-concentration oxygen, his mind was not very clear.

   The group ca here to see the patient and evacuated from the ward.

   Several young dical students had no chance to browse the patient's dical records before, so they could only guess by themselves after seeing the patient's condition on the spot.

  Dumont pulled up the corner of Xie's classmate's clothes in front and asked her, "What kind of disease do you think she has?"

   Ask who is not good, just ask her, the teacher's son is clearly only most interested in her answer.

   People asked her if she must have seen a patient, and she felt a little bit in her mind, just like other doctors who were listening. The normal communication between dical students is on an equal footing, Xie Wanying calmly asked the other side first: "What are your thoughts?"

"That's what I think." Du ngen really couldn't hold back the academic insights in his heart, and he talked eloquently, "The patient is in the third trister of pregnancy, not an advanced mother, it is very likely to be a congenital disease, and it is not suitable for pregnancy. To be pregnant creates this condition. Looking at the symptoms and signs of this patient, I personally think she has a high probability of primary pulmonary hypertension."

   After hearing what he said, others thought: he is the son of a famous teacher, and he is a scholar who studied in a famous dical school. It is rare to be able to make such a quick judgnt only by looking at the patient's condition without looking at the dical record.

   Having said that, so of the clinical manifestations of this patient are not too difficult for doctors to judge. Right heart failure is common clinically, especially in pregnant won, which is a typical manifestation of pulmonary hypertension.

  What is pulmonary hypertension.

  We must first talk about how normal pulmonary artery blood pressure is in order to explain hypertension.

  The normal pulmonary artery has low pressure, because the pulmonary circulation is not like the systemic circulation. The lungs are close to the heart, and the blood vessels without systemic circulation are far from the heart. There are more blood vessels and a good buffer. Under this premise, the pulmonary circulation can accommodate all the blood pumped by the heart at one ti.