Chapter 291 I Didn’t Do Anything!

The condition of the patient in bed 16 became stable, so Lu Chen stayed by bed 15 and asked Wang Ruoxi about his medical history.

Since Wang Ruoxi used to be a medical-related person, Lu Chen's process of asking for medical history was relatively simple.

Wang Ruoxi understood it very well. As long as Lu Chen mentioned it, she could quickly answer the corresponding question.

But Lu Chen was also very cautious to avoid being led astray by Wang Ruoxi.

After asking, Lu Chen summarized Wang Ruoxi's illness process.

In the past month, she had intermittent pain in the chest area and a stabbing pain in the chest.

The pain in my back was dull for the first two days, and then turned to tingling pain.

The pain lasts no more than 1 minute each time. Sometimes the chest and back hurt at the same time, sometimes only the back hurts. The pain is accompanied by nausea and retching. The pain is irregular in duration.

The time between the two pains became shorter, with the shortest being 5 minutes.

Electrocardiogram, because the pain is too short-lived.

Wang Ruoxi has only done one electrocardiogram when she was in pain. The electrocardiogram after the pain was consistent with the electrocardiogram during the pain, and no obvious abnormalities were found.

After taking the medical history, a routine physical examination is performed.

Lu Chen first sterilized his stethoscope, auscultated Wang Ruoxi's heart and lungs, and then performed a simple abdominal examination, but found no abnormalities.

"This is the blood I went to the emergency department to check when I got sick." Wang Ruoxi took out a stack of medical records from her bag.

Lu Chen reached out and took it. This was seen in the emergency department of Jinghua Second Hospital.

When chest pain occurs, urgent blood test results show that blood routine, liver function, kidney function, myocardial enzyme spectrum, etc. are all normal.

After that, Wang Ruoxi also had a chest and full abdominal CT scan, and the results showed no obvious abnormalities.

In addition, ultrasound of the abdominal great vessels, heart, and neck vessels was also completed, and no obvious abnormalities were found in the results.

Lu Chen frowned slightly after reading all Wang Ruoxi's test results.

The examinations she performed were very detailed and comprehensive.

But all the tests were normal.

"Dr. Lu, to tell you the truth, I've seen patients in your cardiology clinic, and most of the doctors said I'm not sick." Wang Ruoxi smiled bitterly, "But I just felt a tightness and pain in my chest, and it never improved. "

Lu Chen paused and looked up at Wang Ruoxi on the bed: "If you just go through these examination reports in your hand, you are indeed not sick."

"Really?" Wang Ruoxi looked a little disappointed.

Not sick, which is of course a good result.

But she could really feel her chest pain. This chest pain was physical pain, not caused by mental stress.

"but……"

When Wang Ruoxi heard these two words from Lu Chen's mouth, a glimmer of hope flashed in her eyes.

"but what?"

Lu Chen said seriously: "But it cannot be ruled out that you have other diseases that have not been discovered."

"Dr. Lu, can you tell me more about it?"

Although Wang Ruoxi has studied medicine, she has never really been a doctor.

When it comes to professional knowledge, she only knows a little bit about it.

Lu Chen thought for a while and said: "We generally need to complete relevant examinations, such as examinations of the heart, lungs, digestive tract, aorta, etc., and consider whether there are herpes zoster, pleurisy, intercostal neuralgia, costochondritis, etc., and rule out the above Organic diseases, combined with anxiety, mental stress and other mental and psychological factors, can be considered to diagnose benign chest pain or cardiac neurosis. Of course, about 30% of chest pains have no cause! "

Hearing Lu Chen's words, Wang Ruoxi nodded.

Her chest pain lasted for a long time.

Many doctors saw the report sheet in her hand and said she was not sick.

Well, it made her even more anxious.

Because she knew that this kind of pain had affected her daily life, and it was definitely not such a simple thing.

At this time, Lu Chen held the inspection report in his hand.

Looking at the health value on Wang Ruoxi's head, it showed 75!

"There shouldn't be any big problems." Lu Chen thought to himself.

For these female patients in their twenties and thirties, some patients do experience persistent chest pain.

Although Lu Chen doesn't have much clinical experience, he has seen a few cases.

In most cases, this kind of patient has benign chest pain or cardiac neurosis.

However, doctors cannot just beat the patient to death with a stick and say that the patient is not sick.

This can cause patients to feel extremely bored and resistant.

"Dr. Lu, do you think it is necessary for me to do a coronary CTA or coronary angiography?" Wang Ruoxi suddenly asked again.

Lu Chen shook his head: "It's not necessary! Although coronary CTA is a non-invasive examination, it also requires the injection of a small amount of contrast agent. Coronary angiography is an interventional and invasive examination. In your current state, there is absolutely no need to do it. Of these two types of examinations, electrocardiograms can be performed several times during each attack. This is the most economical and convenient examination that can also understand the state of the heart. "

As medical technology continues to develop, coronary angiography interventional procedures are also rapidly improving and innovating.

Many large hospitals have conditions for day angiography, which means that a coronary angiogram can be performed directly in the outpatient department and the patient can be discharged from the hospital on the same day.

For the sake of convenience, more and more people go directly for coronary intervention for minor problems.

Thus, coronary intervention is ignored, which is an invasive examination.

Invasive examinations, as the name suggests, cause certain trauma to the human body.

Even, many complications are irreversible and permanent damage.

Unless coronary heart disease is suspected or ruled out, then this kind of interventional treatment of coronary angiography will be recommended.

For young women like Wang Ruoxi, there is no high-risk factor for coronary heart disease, and the probability of patients having coronary heart disease is very small!

"Doctor Lu, I listen to you." Wang Ruoxi smiled and looked at Lu Chen.

Maybe it was because Wang Zihao always mentioned Lu Chen's excellence in front of her these days, and she witnessed the whole process of Lu Chen presiding over the rescue with her own eyes, and after the first visit, Wang Ruoxi believed in Lu Chen's judgment.

"Well, if you are really worried, you can do an exercise treadmill test to rule out coronary heart disease." Lu Chen said.

The exercise treadmill test is to let the patient exercise on a flat plate (similar to a treadmill) according to a set plan.

It is a method of adding burden to the heart and monitoring the changes in electrocardiogram and blood pressure in real time during exercise.

It is a simple, easy, non-invasive and inexpensive auxiliary examination method commonly used in cardiovascular medicine.

However, because the exercise treadmill test has certain risks, many small hospitals do not have this kind of examination.

"Okay, I'll listen to you." Wang Ruoxi smiled.

At this time, Lu Chen found a prompt popped up in the system panel.

"Congratulations, received a thank you value from Wang Ruoxi +1!"

After receiving this prompt, Lu Chen suddenly felt a little strange, I haven't done anything yet!

Wang Ruoxi started to thank him directly?