The only way is to reduce the pressure and minimize the resistance. Therefore, the physiological structure of the pulmonary circulation is that the pulmonary blood vessels are short, thin-walled, and dilated. This can speed up the blood flow and quickly expand the volume to accommodate the huge cardiac output.
In pulmonary hypertension, which is contrary to normal physiology, the pulmonary artery pressure is high, the resistance is high, and the pulmonary artery cannot receive the blood pumped by the heart, causing the blood in the heart to accumulate in the right ventricle. Over time, the right ventricle is forced to expand, and right heart failure has to occur.
Du Meng'en, who had proudly expressed his opinion, waited for a while, and when he saw that Xie Wanying did not agree, he asked in doubt: "Do you think the patient does not have pulmonary hypertension?"
Pulmonary hypertension is divided into primary pulmonary hypertension and secondary pulmonary hypertension. In simple terms, it is pulmonary hypertension caused by problems with the pulmonary artery itself or other diseases including heart disease or systemic diseases. Primary pulmonary hypertension is a rare disease in clinical practice, and its cause is still unclear in modern medical research.
The most common clinical condition is secondary pulmonary hypertension, which may be a complication, complication or syndrome.
"What is the reason why you think the patient has secondary rather than primary disease?" Du Meng'en asked, not thinking that she could figure out anything based on the patient's clinical symptoms just now.
Without the patient's medical records and examination reports as evidence, Xie Wanying did not dare to guarantee anything, but there was one thing she could try to discuss with her classmates. She said, "The patient's attending physician is in the cardiac surgery department, not the thoracic surgery department."
After hearing her concise words, Du Meng'en felt like his lungs were about to bleed. He pointed his finger at her for a long time and didn't know what to say: You, aren't you the legendary academic stubborn? How did you learn to take shortcuts?
It means that the patient's main attending team is cardiac surgery, not thoracic surgery. If the problem is mainly caused by the lungs, the thoracic surgery team should be consulted. Guozhi is not a special hospital like other hospitals. It is a specialized hospital with more detailed divisions in this regard, with separate cardiac surgery and separate thoracic surgery.
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Anyway, Du Yeqing and Du Haiwei, who were walking in front, obviously heard the discussion of the group of students in the back and laughed. The fact that two serious teachers could laugh out loud was enough to prove how clever Xie's answer was.
Du Mengen pulled the collar of his white coat unconvinced and said to her, "You know what? Patients like this, whether it's secondary or primary, are basically going to die after giving birth."
Xie Wanying could not deny Du's promise. Patients with pulmonary hypertension during pregnancy are the key patient group that obstetricians and gynecologists and cardiovascular doctors focus on. Such patients are most afraid of sudden death. For this reason, clinicians often advise such patients to terminate the pregnancy early. If there is a primary disease, the primary disease is treated and whether it can be pregnant again. After all, you only have one life, so there is no need to fight for a child.
Unfortunately, some women are willing to do anything to have a child. This kind of maternal love, like a moth to a flame, is admirable on the one hand, but on the other hand, some people burn doctors and family members at the stake.
Some patients may always think that clinical treatment can be like in TV dramas, as long as they dare to work hard, miracles can be performed and ignore some scientific facts. The fact is that the mortality rate of this disease is too high.
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