Where is this clinically suspected thrombus hidden? Is the heart damaged?
"Teacher, look here." Xie Wanying's finger suddenly touched one of the images and said.
Dr. Xu's eyes glanced at the picture she was pointing at, and there was nothing unusual about it at first glance.
"There is a low-density shadow here, which needs to be investigated," Xie Wanying said.
Dr. Zhao hurriedly put his eyes to the computer screen to take a look.
It really made his eyes dazzled. The low-density shadow was a little bit, a small piece of black that was difficult to distinguish from the surrounding area.
Dr. Xu pulled the student away, adjusted his glasses and fixed his eyes on that area. After studying for a while, he said: "It's a bit darker. This place should be the anterior wall of the right ventricle, with a crescent-shaped bulge. It cannot be ruled out that it is a thrombus or
What’s the clump that’s attached here.”
"Teacher, there is another place here." Xie Wanying pointed out another unusual place.
Dr. Xu and Dr. Zhao followed her and pointed to the abnormal point on another image.
This time Dr. Zhao saw it at a glance and said: "It seems that a myocardial infarction occurred, and the apex of the left ventricular wall is partially thinned. This patient may have damaged coronary arteries."
Dr. Xu frowned. Doctors at the Provincial People's Hospital in this place should be able to easily see that the patient did not have typical symptoms of myocardial infarction, so he was excluded because some patients with normal heart function would also have such images.
Performance.
Dr. Zhao turned back and asked Classmate Xie: "How can you find problems so quickly?"
He and the teacher just started searching. In less than five minutes, this student Xie had already found two problems. How terrible is Xie's eyesight?
It’s really not that her eyesight is good, it’s that she has a different way of thinking about finding problems.
Xie Wanying judged from the beginning that her cousin's coronary artery was damaged, so she kept looking for problems in the coronary artery area of the heart.
After hearing her thoughts, Dr. Zhao's mouth opened like a goose egg, wondering who she was.
Coronary arteries are the blood vessels of the heart, and the large and small blood vessels are like a wide net covering the heart. She said that looking for it in the coronary artery area means that if the brain wants to make another turn, it must first think of which coronary artery is damaged, and then start from
Find the problem corresponding to the heart area that supplies the corresponding blood. Coronary CT scan can only do a rough scan and it is difficult to find the problem, let alone find the problem in the corresponding area.
It was so terrifyingly difficult, but she actually thought it would be easier to find it, and she found it. Dr. Zhao's brain couldn't move again, and she couldn't synchronize with the heart thinking concept in the mind of this classmate Xie.
Dr. Xu was very interested and turned to ask Xie Wanying: "Why do you have this idea?"
This means that since she visited her cousin in the Provincial People's Hospital, she has been with the patient all the way and can always observe the patient's clinical symptoms and electrocardiogram. The electrocardiogram is a clinical tool for doctors to observe the patient's heart activity, and reading electrocardiogram is a clinical tool for clinicians.
basic skills.
Her cousin's electrocardiogram showed abnormal signs, with occasional arrhythmias and occasional elevation of the st segment. All this indicated that there was a problem with the cardiovascular conduction system of the heart. Her cousin did not have heart disease but was in a car accident. The root cause of the problem could only be
The damage to the heart involves the coronary blood vessel area. According to this idea, just look for the coronary artery area and use the electrocardiogram performance to find the blood vessel area where the heart has been impacted by trauma and find the heart contusion point.
Dr. Zhao retrieved the examination application report written by the clinician. Regarding the description of the patient's electrocardiogram, Dr. Li did not write a word.