Chapter 644: Allergy

"Let's take a look at the results of the troponin screening first." Lu Chen frowned.

After all, she was his classmate for the next three years, so Lu Chen and Ke Yue did not leave the emergency department immediately, but accompanied her patiently.

And Lu Chen also wanted to find out what disease this young girl had.

At this time, He Xiaohui was lying on the bed very weakly.

She felt that her chest pain had improved a little, but she was still in an extremely uncomfortable state.

This time, fortunately, she met her classmates, otherwise she really didn't know what to do.

He Xiaohui looked in Ke Yue's direction.

Why is that wretched man here too?

She frowned, but the pain in her chest made her not think about other things.

...

When Ke Yue was thinking about He Xiaohui's condition, she suddenly thought of a very strange thing.

That is, Lu Chen seemed to know about He Xiaohui's abnormality from the beginning, right?

From the moment she appeared in their sight, Lu Chen's eyes were very strange.

Did he realize that something was wrong at that time?

Ke Yue felt that this matter was really mysterious...

If it weren't for Lu Chen's timely reminder just now, she might not have discovered that He Xiaohui was about to faint.

"The results of myocardial enzymes are out!"

At this time, the emergency doctor suddenly stepped forward with a test report in his hand.

Lu Chen and Ke Yue hurried forward.

"Troponin is elevated!" The emergency doctor said in a deep voice.

Lu Chen looked at it intently.

Sure enough, the troponin in myocardial enzymes increased by about ten times!

"Lu Chen, is she really having a myocardial infarction?" Ke Yue whispered, "But she doesn't have any risk factors for coronary heart disease?!"

This time, Lu Chen did not answer immediately.

Myocardial infarction, in a narrow sense, refers to myocardial infarction caused by coronary heart disease, that is, plaque rupture in the coronary blood vessels and thrombosis.

In a broad sense, any factor that causes myocardial damage can be called a myocardial infarction, such as myocarditis, tachyarrhythmia, bradyarrhythmia, cardiomyopathy, etc.

Therefore, the increase in He Xiaohui's troponin means that her myocardium is damaged, which can be said to be a myocardial infarction in a broad sense.

But one thing is certain, the cause of her myocardial infarction is definitely not coronary heart disease.

Thinking of her previous history of fever, Lu Chen frowned, "Could it be fulminant myocarditis?"

Ke Yue was also stunned, "Myocarditis?"

"Well, myocardial damage caused by myocarditis cannot be ruled out at present." Lu Chen said seriously, "Because she has a history of prodromal infection, chest pain, and elevated troponin."

Lu Chen's idea coincided with that of the emergency doctor.

Fulminant myocarditis is an acute and critical illness.

If not handled properly, the patient may suffer from acute heart failure, malignant arrhythmia and other unpredictable malignant events at any time!

The only troublesome thing now is that He Xiaohui's family members are not around.

This kind of critical illness still requires family members to be around.

"No matter what the cause of myocardial damage is, she needs to be hospitalized for further examination now." Lu Chen said in a deep voice.

"Yes." Ke Yue nodded, "The teacher in the emergency department is communicating with her. Should we contact the graduate department?"

"I'll contact her." Lu Chen said, "Her parents are not here, and the teacher in the graduate department should come to take care of her."

"Okay."

The two of them acted separately.

Ke Yue looked after He Xiaohui and was ready to take her to go through the hospitalization procedures at any time.

Lu Chen contacted the teacher in the graduate department and informed her of He Xiaohui's condition one by one.

"Lu Chen, the teacher in the emergency department suggested that she stay in the CCU first." Ke Yue said, "Should we take her there?"

"Yes, according to the current condition, it is necessary to stay in the CCU." Lu Chen nodded slightly.

Before cardiovascular disease is ruled out, He Xiaohui is at high risk if she stays in a general ward.

"Is she willing to stay in the CCU herself?" Lu Chen said.

There is no family member to accompany her in the CCU, so she can only stay alone. As a girl, it may be very inconvenient for her.

"She is willing." Ke Yue whispered, "She said that the chest pain was too uncomfortable, as if she was going to die. Now she would be willing to live anywhere."

"Well, that's good." Lu Chen breathed a sigh of relief, "I have contacted the teachers of the Graduate School, and a teacher will communicate with He Xiaohui at that time."

Lu Chen and Ke Yue no longer cared about the next things.

As a classmate who had just met, sending He Xiaohui to the emergency department and then to the CCU ward was already very considerate.

As for Lu Chen, the confused He Xiaohui still thought he was a wretched man.

…

I thought it was just a simple registration for the start of school, but I didn't expect to encounter such a thing.

Lu Chen felt that the "black-faced god" was lurking near him again.

Find a time to go to the temple to worship.

After registration, the Graduate School organized a meeting for all students and announced the requirements for their graduation thesis and the study arrangements for the next three years.

The doctoral students spend most of their time in the laboratory.

The first two years of the doctoral students are in the clinic, and the last year is in the laboratory.

However, each tutor has his own specific arrangements, which may be slightly different.

He Xiaohui was still hospitalized in the CCU due to her illness and could not come.

And the vacant bed in Lu Chen's dormitory was not occupied.

This made Lu Chen a little happy.

The double room became a single room!

No need to worry about what you do in the dormitory.

…

After the start of the school, Lu Chen's clinical tasks became more arduous.

In order to train Lu Chen, Zhang Shuqing added a few more beds for him.

Most importantly, Zhang Shuqing also asked Lu Chen to help take care of his three master's students.

Lu Chen was busy until late every day before returning to the dormitory.

He almost forgot about "He Xiaohui".

Until the fifth day after the start of the school, Ke Yue found him.

"Lu Chen, do you still remember He Xiaohui?"

"He Xiaohui?" Lu Chen was stunned, "Who?"

"It's the girl who had chest pain on the first day of school. You think she has myocarditis." Ke Yue explained.

"Oh... it's her!" Lu Chen remembered, "What happened to her?"

"She sent me a WeChat message this morning, saying that she had a coronary angiography yesterday and didn't find any stenosis." Ke Yue said, "In addition, there were no problems with the cardiac ultrasound."

"As expected." Lu Chen smiled, "She is so young, has no genetic diseases, and no bad habits. It is definitely not a heart attack caused by coronary heart disease."

"I heard from her that the CCU has not given a definite diagnosis. She is very upset every day and dare not leave the hospital easily." Ke Yue asked in confusion, "Is it really myocarditis?"

"The diagnosis of myocarditis is more complicated. It is definitely impossible to do a myocardial biopsy. The best way is to do a cardiac magnetic resonance examination." Lu Chen said slowly, "However, I thought about it carefully later, and there should be another possibility of disease..."

"What possibility?" Ke Yue immediately became interested. UU Reading www.uｕkanshu.net

"Do you remember that she took anti-inflammatory drugs at that time?" Lu Chen smiled.

"Anti-inflammatory drugs?" Ke Yue frowned, "You mean the clarithromycin she took?"

"Yes." Lu Chen nodded slightly, "In fact, we should ask her medical history more carefully. If her chest pain is related to taking clarithromycin, it is very likely that clarithromycin caused myocardial damage."

The situation was quite urgent at the time, and Lu Chen was not the first doctor to see the doctor, so he did not understand these situations.

After Lu Chen's reminder, Ke Yue immediately understood: "Lu Chen, do you mean, myocardial infarction caused by coronary artery spasm? Clarithromycin induces coronary artery spasm... side effects of drugs?"

Lu Chen smiled: "It can be said that the coronary artery spasm caused by clarithromycin led to myocardial infarction, but it is not necessarily a side effect of the drug."

"What is that?"

"Drug allergy!"　　16377/10332175