The only thing we can do is to reduce our own pressure and reduce the resistance to a small level. Therefore, the physiological structure of pulmonary circulation is reflected in the short pulmonary blood vessels, thin wall, and large expansion. This can speed up the blood flow and expand the volume quickly.
To accommodate the huge cardiac stroke volume.
Pulmonary arterial hypertension is contrary to normal physiology. The pressure and resistance of the pulmonary artery are high, and it cannot receive the blood pumped by the heart, causing the heart's blood to accumulate in the right ventricle. Over time, the right ventricle is forced to expand and has to become a right ventricle.
decline.
Du Meng'en, who proudly expressed his opinion, waited for a while and saw that Xie Wanying did not agree, so he asked: "Do you think the patient does not have pulmonary hypertension?"
Pulmonary arterial hypertension is divided into primary pulmonary arterial hypertension and secondary pulmonary arterial hypertension. Simply put, it is pulmonary arterial hypertension caused by problems with the pulmonary arteries themselves or pulmonary arterial hypertension caused by other diseases including heart disease or systemic diseases. Primary pulmonary arterial hypertension is
It is a rare disease clinically, and its cause is temporarily unclear according to modern medical research.
Secondary pulmonary hypertension is more common clinically, and pulmonary hypertension at this time may be a complication, comorbidity, or syndrome.
"Why do you think the patient has secondary disease rather than primary disease?" Du Meng asked, not thinking that she could tell anything based on the patient's clinical symptoms just now.
She didn't have the patient's medical records and examination reports as evidence base, so Xie Wanying didn't dare to vouch for it, but there was something she could try to discuss with her classmates, saying: "The patient's attending doctor is in the cardiac surgery department, not the thoracic surgery department."
After Du Meng'en heard her finishing words, his lungs felt like he was about to bleed. He held her finger on her for a long time and didn't know what to say: You guys, aren't you the legendary academic stubbornness? How did you learn to take advantage of others?
?
What I mean is that the patient's attending team is extracardiac, not thoracic. If it is a lung-dominated problem, the thoracic team should be consulted. Guozhi is not another hospital, it is a specialized hospital, and it has a separate hospital for this aspect.
Extracardiac and separate extrathoracic.
In any case, Ye Qing and Du Haiwei, who were walking in front, clearly heard the discussion of their group of students behind them and burst out laughing. It made the two serious teachers laugh, which was enough to confirm Xie's answer.
There are so many ghosts and elves.
Du Meng'en tugged on the collar of his white coat unconvinced and said to her: "Did you know? Patients like this, whether it is secondary or primary, will basically die after giving birth."
Xie Wanying cannot deny Du's pledge. Patients with pulmonary hypertension during pregnancy are a key patient group that obstetricians and gynecologists and cardiovascular doctors are keeping an eye on. Patients like this are most afraid of sudden death. For this reason, clinicians treat these patients
The advice that is often given is to terminate the pregnancy early. If there is a primary disease, treat the primary disease and see if you can get pregnant again. After all, you only have one life, so there is no need to have a baby.
Unfortunately, some women are willing to do whatever it takes to have a child. This kind of maternal love is like a moth rushing to a flame. On the one hand, it is admirable, but on the other hand, it puts doctors and family members on the stake.
Maybe some patients always think that clinical practice can be like a TV series and they can perform miracles as long as they dare to fight hard and ignore some scientific facts. The fact is that the mortality rate of this disease is too high.