Chapter 261: Hot Potato

"Congratulations, the system upgrade completion rate has increased to 37%!"

After completing this case, Lu Chen's system completion level increased.

But Lu Chen didn't get any gratitude points, and he didn't care.

Mostly the family members are still struggling with drug abuse.

After the patient was administered vancomycin, his blood pressure increased compared with before.

Although the oxygen saturation did not rise, the vital signs were temporarily stable.

In Lu Chen's eyes, the patient's health was also slowly rising.

"How about we call the police?" Yin Xinhua said suddenly.

The police stations have indicators for drug addicts like this.

However, the patient's current situation may be a hot potato.

"Hey, I have seen two patients who take drugs like this." Fan Zhiping suddenly said, "They are both young, have dilated cardiomyopathy, and have severe and refractory heart failure. I suspect It's related to drug abuse. Every time they come to our department when they get sick, everyone knows that they are drug addicts, and the police also know about it, but the police station doesn't dare to take care of their sudden death at any time. "

Yin Xinhua sighed, this patient was also an unstable factor in the eighth zone of his heart.

"I hope he wakes up soon and is discharged from the hospital soon."

After dealing with this patient, the eight areas in my heart returned to calm.

…

Recalling the diagnosis and treatment process just now, Yin Xinhua was thankful and also thought of Lu Chen.

Fortunately, Junior Brother Lu Chen was here. If it had been anyone else, tonight would not have been so easy.

The pinholes on the patient's skin were discovered by Lu Chen.

Everyone thought it was a “rash” at first!

"It's not easy!"

Yin Xinhua looked back at Lu Chen and found that he was completing the patient's course records and medical instructions.

Somehow, Yin Xinhua suddenly felt a little relieved that Lu Chen entered the second round of the provincial competition.

Unlike Yin Xinhua, Comrade Lao Fan was extremely calm.

Following Lu Chen, there was an endless stream of such difficult and weird cases!

Comrade Lao Fan began to think about collecting the cases he encountered during this period.

All of them are very classic cases!

…

Perhaps this drug addict has consumed too much of everyone's energy.

The other patients' conditions remained stable throughout the night.

That night, Lu Chen, Yin Xinhua and Comrade Lao Fan all slept very peacefully.

A night of silence.

The next day, Lu Chen opened his eyes and looked at the time. It was already half past seven.

It was rare to have a whole night of silence without being woken up by a nurse.

Lu Chen quickly washed up, and after a while, everyone else was about to arrive.

After washing up, I came to the doctor's office.

Lu Chen saw Fan Zhiping and Yin Xinhua sitting and chatting.

Seeing Lu Chen come in, both of them smiled.

Yin Xinhua smiled at Lu Chen and said, "Junior Brother Lu, get up."

"Yes." Lu Chen nodded, "Senior sister, the nurse didn't call you last night."

"You didn't call me, that's good." Yin Xinhua smiled.

"That's good." Lu Chen also found a seat and sat down.

"By the way." Yin Xinhua suddenly said, "Junior brother, yesterday I saw that you are so skilled in using ultrasound. Who did you learn from?"

Lu Chen was stunned for a moment, and then said without blushing, "I usually study part of it on my own. In addition, I have a classmate in the ultrasound department in my dormitory. I sometimes go to him to use the machine and learn."

"Oh, that's it." Yin Xinhua didn't believe Lu Chen's words.

She has been teaching herself cardiac ultrasound for a long time, but she is not as skilled as Lu Chen.

But Lu Chen didn't want to say it, and she stopped asking.

…

At eight o'clock sharp, shift handover begins.

The only content of Lu Chen's shift was this drug-addicted patient.

"The patient in bed 37 suffered a sudden high fever around 8 o'clock last night, and then developed difficulty breathing... After consultation from multiple departments, and after completing the cardiac ultrasound, it was finally suspected that he was a patient with intravenous drug addiction, infective endocarditis, and valvular vegetations. falling off, causing pulmonary embolism.”

As soon as these words came out, the doctors in the entire department were a little surprised.

Although the content of Lu Chen's shift was not much, his clinical thinking was rigorous.

This case of drug abuse is definitely not as simple as it sounds.

It is quite difficult to make a clear diagnosis of a patient in one night!

Everyone looked at Yin Xinhua a little differently.

Because everyone took it for granted that this patient was diagnosed by Yin Xinhua, the senior physician on duty.

"We'd better call the police and contact the police for a drug test."

Knowing that there was this special patient, Li Yao also came to the ward.

"We also need to report this patient to the medical department. Lu Chen, you are familiar with the patient, so I'll leave it to you."

"Okay teacher." Lu Chen nodded.

Shift handover completed.

Several attending doctors in the department gathered around Yin Xinhua.

Xia Gang clicked his tongue and said in surprise: "Junior sister Yin, you are so ruthless. You figured out the diagnosis of this patient in one night."

The doctor who treats drug addicts is Xia Gang.

He was still thinking about the reasons for the patient's fever and chest tightness yesterday. Unexpectedly, he was solved by Yin Xinhua as soon as he came in the morning.

This is pulmonary embolism!

It’s not just an ordinary pulmonary embolism!

For such an extremely dangerous disease, if the diagnosis is missed, lawsuits will be filed.

Director Lin Cui's face was full of smiles. "Doctor Yin is good. He was able to diagnose pulmonary embolism caused by infective endocarditis in such a short time. The complexity of this case can be used as a teaching case!"

Yin Xinhua's face was a little embarrassed.

She contributed to the diagnosis of this patient, but it was not the most important one.

If it weren't for Lu Chen, Li Qinghua, and the doctor in the ultrasound department, she alone would definitely not be able to diagnose it.

She might have foolishly dissolved the thrombus for others!

"It's all thanks to everyone." Yin Xinhua said angrily.

Everyone thought Yin Xinhua was just being polite and praised her again.

Lu Chen was hiding his merits and fame.

After filing with the medical department, he returned to the dormitory after checking the room.

The second round of the competition will be the day after tomorrow!

He has more important things to do, which is to continue to learn knowledge related to electrophysiology.

Lu Chen slept well last night. He didn't sleep as usual, but directly turned on the cheating learning mode.

It just so happens that tomorrow is the weekend, so he can study in the dormitory for a few more days.

…

It's Monday again.

Today is the day for the second round of the competition.

The start time of the competition is set at 2 pm as usual.

In the morning, Lu Chen came to the eighth area of ​​the heart.

The high fever of the drug addict turned into a low fever.

The blood pressure was completely stable, and the respiratory oxygenation also improved.

Lu Chen called up the doctor's order and saw that the doctor in charge had reviewed his heart ultrasound.

The results of the heart ultrasound showed that the pressure load on the right heart was reduced.

Lu Chen estimated that the bacterial mass embolus was dissolved and broken up, so the pulmonary artery was restored.

The blood culture results came out.

Positive, it is Staphylococcus aureus. UU Reading www.uukanshu.net

From then on, there was no doubt about the diagnosis!

From the beginning, the patient may have been infected with Staphylococcus aureus.

Bacteria enter the blood, causing infection of the endocardium, and bacterial masses will form after inflammation of the endocardium.

The mass will fall off accidentally. If it is a mass on the left endocardium, it will not cause pulmonary embolism, but will only cause embolism in other arteries.

But if the bacterial vegetation on the right endocardium falls off, it will be pulmonary embolism.

This type of pulmonary embolism is not the common pulmonary thromboembolism, but pulmonary bacterial vegetation embolism, so thrombolysis is not required and thrombolytic drugs cannot be used.

Only by relying on strong antibiotics to disperse the bacteria can the pulmonary artery be restored to patency.

The patient was saved by this!

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