Returning to '90s, She Became Famous in Major Surgical Fields

Chapter 2607 : Crazy explosion

It's just that she has no clinical experience in other departments and can't think of the cause.

   "What kind of disease is this blood pressure difference between the two sides too much?" Liu Li asked. She knew that in normal people, the blood pressure of the right upper extremity is usually 10 to 20 higher than that of the left upper extremity. There are congenitally large differences in blood pressure between the left and right hands, which are very rare.

"Several of us discussed this case in the afternoon. Everyone's thinking is like this, either we are overthinking it, it is better to overthink it. It may not be a problem. If the problem is the worst, my personal guess is this, she She had this aortic aneurysm before, but the aneurysm was small and the symptoms were not obvious. It was mixed with the symptoms of her cervical spondylosis. From the orthopedic doctor who added the electrocardiogram to the patient, we could know that the patient had a little chest and back pain before, otherwise No more examinations. The aortic aneurysm has not broken to the outer layer, and it has recently developed into aortic dissection, so you are very worried about the symptoms caused by it." Xie Wanying finished her speech in one breath.

   With this bad discussion result, it is definitely necessary to contact Mr. Liu Li as soon as possible. I was just about to meet Mr. Tan, and by the way, I asked Mr. Tan for his opinion. Not expecting Teacher Liu Li to come to dinner, Teacher Tan took the initiative to talk about it.

   Now she is talking and looking at Teacher Tan's expression. In fact, the results of their classmates' discussions were written on the back of the medical record copy paper, and both Mr. Tan and Mr. Cui saw it. The two teachers seemed to agree with her and let her speak.

  Liu Li's head was blown up: what? !

  Aortic dissection of aortic aneurysm, heavy bleeding? What is the acute case fatality rate? Twenty or thirty?

   "Here, her electrocardiogram and echocardiogram showed no abnormality." Liu Li asked, how did she remember that these two diseases could be detected by the above methods.

"The detection rate of these two diseases by ECG is too low. The previous echocardiography could not be detected, indicating that the aortic aneurysm and dissection should have occurred in the section from the descending aorta to the abdominal aorta. , what needs to be done is transesophageal echocardiography instead of ordinary transthoracic echocardiography. The gold standard for diagnosing this disease is cta. She can't do CT angiography when she is pregnant, so she can only do MR." Xie Wanying said, "Fortunately, Liu Teacher, it's also right for you to give her the first blood pressure control rupture."

   Didn't feel that she should be praised, Liu Li's head was blank, indicating that she was not familiar with these two diseases at all, and her specialist knowledge was almost zero.

   Don't blame her, I have to meet such a rare maternal case in Beidu San, I don't know if there is one every year. If such patients are encountered in the National Association, it is almost the same.

   Looking at the appearance of his cousin, Tan Kelin frowned sternly.

  Cui Shaofeng stood up and called Director Liang of the Obstetrics Department. This kind of difficult case requires leaders to control the situation, and it is not enough for a young doctor like Liu Li to handle it.

After a phone call, Director Liang must have been frightened by the opposite side, and asked the young doctor to quickly notify the patient and family members to come to the hospital.

  Liu Li didn't eat, so he hurried out of the restaurant and took a taxi back to the hospital, calling the patient's family first.

   "Eat." Tan Kelin picked up the chopsticks and instructed his apprentice.

   Xie Wanying, who was chasing after Teacher Liu's figure, was stared at by Teacher Tan's eyes and turned back to eat.

  Clinically speaking about the order of diagnosis and treatment, it does not mean that when a patient encounters a swarm of patients, they will rush to rescue them, which will lead to chaos, and chaos will lead to mistakes. The attending doctor will deal with it first, and if it can't be dealt with, then call others to help, so there is no need to worry about it too much.