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【1603】sight and thinking

Where exactly is this clinically suspected thrombosis hidden? Is the heart damaged?

"Teacher. Look here." Xie Wanying's finger suddenly hit one of the images and said.

Dr. Xu glanced at the picture she pointed at, and if he couldn't see anything strange at first glance.

"There is a low-density shadow in this place, so it needs to be investigated." Xie Wanying said.

Dr. Zhao hurriedly put his eyes on the computer screen and took a look.

It really makes him look blurred. The low-density shadow is a little bit difficult to separate from a small piece of black from the surrounding area.

Dr. Xu pulled the student away, held his glasses and fixed his eyes in that area. After a while, he said, "It's a little darker. This place should be the anterior wall of the right ventricle, with crescent bulges. It is not ruled out that it is a blood clot or a clump attached to it."

"Teacher, there is still here." Xie Wanying pointed out another abnormal place.

Dr. Xu and Dr. Zhao followed her to the abnormal point on another image.

This time, Dr. Zhao saw it at a glance and said, "It seems that a myocardial infarction has occurred, and the apical part of the left ventricular wall has become thinner. This patient may have coronary artery damage."

Dr. Xu frowned. The doctors from the Provincial People's Hospital in this place should be able to see it easily. Could it be that the patients did not have typical myocardial infarction? They were eliminated because some patients with normal heart function would also have such image performance.

Dr. Zhao turned around and asked Student Xie: "How can you find questions so quickly?"

He and the teacher had just started looking for it. In less than five minutes, the student Xie had already found two problems. How scary is Xie's vision?

It’s not that she has good eyesight, but that she has different ideas for finding problems.

From the beginning, Xie Wanying judged that her cousin had a coronary artery damaged, so she kept looking for problems in the coronary artery area of ​​the heart.

After hearing her thoughts, Dr. Zhao opened his mouth into a goose egg, thinking to himself who she is.

The coronary artery is the blood vessels of the heart, and the small and small blood vessels are like big nets covering the heart. She said that looking in the coronary artery area means that if the brain turns a corner, you must first think about which coronary artery is damaged, and then look for problems from the corresponding heart area of ​​the blood supply. It is difficult to catch the problem if the coronary artery ct can only be scanned, let alone find the problem in the corresponding area.

She thought it was easier to find such a terrifying difficulty, and she found it. Dr. Zhao's mind could not move again, and could not be synchronized with the heart thinking concept in the mind of this student Xie.

Dr. Xu was very interested and turned to Xie Wanying, "How come you have this idea?"

This means that she has been with the patient all the way since she visited her cousin at the Provincial People's Hospital, and she can always observe the patient's clinical symptoms and electrocardiogram. Electrocardiogram is a tool for doctors to observe the patient's heart activities in clinical practice, and reading the electrocardiogram is the basic skill of clinicians.

Her cousin's electrocardiogram shows abnormal signs, occasionally arrhythmia, and occasionally a st segment has signs of elevation. All of this shows that there is a problem with the heart blood vessels and heart conduction system. Her cousin has no heart disease but has a car accident. The root cause of the problem can only be the heart damage involves the coronary blood vessel area. According to this idea, just look for the coronary artery area and find the blood vessel area where the heart is hit by trauma based on the electrocardiogram to find the heart contusion point.

Dr. Zhao caught the examination application report written by the clinician. Dr. Li did not write a single word about the description of the patient's electrocardiogram.

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