Dr. Xu snapped and then patted the student's head: Do you admit defeat?

In fact, it is not necessarily more difficult to detect. Free thrombosis may be very small or may be attached to the wall, making it difficult to distinguish. If you look for the root cause, you may find a relatively large piece. The damaged heart will definitely show certain changes in the anatomy.

With this idea as a guide, the doctor in the CT room must scan the key inspection area of ​​the patient.

The CT scan speed is not slow, but it takes time for the doctor to read the film. Not long after, Xiao Shu was just out of the examination room. Xie Wanying walked out and said hello to her cousin and sister-in-law, asking them to go to the inpatient department first, and stayed in the office to read the film with Teacher Xu.

Due to the fine scans, hundreds of images are displayed on the computer, and it is not easy for doctors to read and pick on them one by one.

Xie Wanying and Dr. Zhao sat next to Teacher Xu and read together. To be honest, if you were not a person who was used to this job, at first glance, these hundreds of images that seemed very similar, really suspect that you were blind.

"This is a boundary ridge, neither a thrombus nor a tumor." Dr. Xu said, pointing to a small gray area that looked like an abnormally bulging in the white area on the film.

The boundary ridge is the fusion line between the original atrial atrium and vena cava sinus, located between the right atrium and vena cava sinus, and extends from the superior vena cava to the inferior vena cava. The doctor in the ct room of the Provincial People's Hospital used this as a verb ball in the report, which was where Dr. Xu saw at a glance that there was some suspicion of fabrication of the report.

After the enhancement CT is done, the thrombosis in the right atrium seems to be difficult to find. Then look for the ventricle that was mentioned in the discussion just now.

There is suspected thrombosis in the right atrium, and the right ventricle is the focus of attention next. Anatomically, the right ventricle can be divided into three parts, one is the inflow tract part, the tricuspid valve entrance and its appendage structure. The other is the outflow tract part, and the arterial cone is a tubular structure supporting the pulmonary artery lobe. The third is the trabecular muscle between the upper two.

When the heart is impacted by external forces, it may first manifest as damage to the ventricular wall.

The ventricular wall of the right ventricle itself is very thin, only 3 mm. The doctor needs to look for it more patiently.

If the general outline of the heart structure is not abnormal, it depends on whether there is any problem with the activity function. It is best to do an ultrasound examination. Echocardiography can check valve activity and blood flow in the heart. From the CT, only the static structure of the tricuspid valve and pulmonary valve can be identified.

Three pairs of eyes look for trouble in hundreds of images like looking for needles in haystack.

The old-fashioned doctors read more movies, and the angle of the brain when watching the images turns faster with the movies. Young doctors are afraid that they will not be able to keep up with this rhythm.

Dr. Zhao rubbed his eyes from time to time. He was learning imaging now, not only because he was confused when he was going to see the eyes, but because he was confused. For this reason, he glanced at the classmate Xie beside him.

Xie Wanying followed the teacher with her eyes fixed on her face, her expression seemed very calm and meticulous.
Chapter completed!