"This is clearly pulmonary hemorrhage." This time, instead of cooperating with Dr. Xie to test the patient, Dr. Lu directly expressed his professional judgment.
First of all, we need to talk about the categories of lung damage caused by chest trauma.
Medicine emphasizes the finer the precision, the better. This does not mean that the condition will be the same after the lungs are injured.
As for the lung, we have previously talked about its anatomical structure and know that it is a complex organ that contains many things. For example, lung tissue is divided into lung parenchyma and lung interstitium. We have also previously talked about the simplest trauma classification method, which is also applicable to lung injuries caused by chest trauma, that is, closed injuries or open injuries.
It is precisely because closed injuries do not have obvious wounds on the outside of the human body that it is very easy to fool people, including the doctor himself, who may think that his injury is not serious and he can go to the hospital for treatment by himself, only to have problems halfway through.
This once again shows that there is some truth in doctors not treating themselves.
At first, Dr. Yang thought that she was in some kind of condition that required her to go to the hospital. It could be said that she mistakenly thought that her injury was not serious at all, or that she might have thought that she had a pulmonary contusion, which is a lung injury.
We have seen the word contusion before when we talked about cardiac contusion. By analogy, pulmonary contusion is equivalent to cardiac contusion, and the symptoms of serious injury will be delayed.
The main symptoms of pulmonary contusion are chest pain, cough, shortness of breath, and possible hemoptysis. It accounts for about 20% of lung injuries, which is not a low rate.
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Don’t say that Dr. Yang misjudged his injury. The medical intern who was studying with Dr. Lu in the CT room asked, “Teacher Lu, the lungs here look like bronchitis?”
The student was referring to the left lung. The image of the left lung showed an increase in lung texture and scattered small spots that ran along the bronchi and were blurred, which was similar to bronchitis.
Dr. Lu, the newly appointed instructor, imitated the Imperial Envoy Xie tonight and scolded his student, saying, "Who told you that bleeding can't be a symptom of bronchitis?"
The student rolled his eyes, racking his brains to figure out what was going on.
The difference between teachers and students is that teachers like Mr. Xie Qinchalu are good at using concepts to hammer students' brains out.
Most people understand pulmonary hemorrhage, such as this student who has not learned it well enough, as bleeding in the lung parenchyma. From this we can know that the lung parenchyma is the most obvious tissue of the lung, such as the alveoli and bronchi.
The pulmonary interstitium is responsible for filling the main tissues of the lungs, including blood vessels, lymphatic vessels, nerve fibers, etc. It is easy to see if there is an abnormality in this part, unless there is a large-scale problem. Once there is a large-scale problem, the lung parenchyma will inevitably have problems as well.
So, what Dr. Lu meant is: pulmonary contusion can lead to pulmonary interstitial hemorrhage, small-scale bleeding such as pulmonary vascular hemorrhage and plasma infiltration, which accumulates in the alveoli and causes imaging manifestations similar to bronchitis.
Looking back at Dr. Lu's first sentence, does the pulmonary hemorrhage refer to pulmonary contusion? Definitely not.
At this time, the doctor who has taken up the job will definitely speak frankly and straightforwardly and speak in the general direction without delaying anything.
Dr. Lu was referring to the patient's right lung bleeding.
This patient has left lung contusion and right lung hemorrhage.
Why did the patient think his injury was not serious but got worse on the way? It might be that his right lung was bleeding again on the way.
Now think about what Dr. Fu just said to your future mother-in-law. Don't move and wait for the ambulance to come and pull you onto the stretcher.
The road was bumpy and Dr. Yang was unaware that his ribs were in a precarious state. One of his ribs broke and pierced his right lung.
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