Where exactly is this clinically suspected blood clot hidden? Is the heart damaged?
"Teacher. Look here." Xie Wanying's finger suddenly moved to one of the images and said.
Doctor Xu glanced at the picture she pointed to, and didn't see anything unusual at first glance.
"There is a low-density shadow in this place, which needs to be checked." Xie Wanying said.
Doctor Zhao hurriedly put his eyes close to the computer screen to take a look.
It really made his eyes dizzy. The low-density shadow was a little bit, a small black area that was difficult to distinguish from the surrounding area.
Doctor Xu pulled the student away, adjusted his glasses, and fixed his eyes on that area. After studying it for a while, he said, "It's a little darker. This place should be the anterior wall of the right ventricle. It's a crescent-shaped bulge. It's possible that it's a blood clot or some mass attached here."
"Teacher, there's also this place." Xie Wanying pointed out another unusual place.
Dr. Xu and Dr. Zhao followed her pointing to the abnormal point on another image.
...
...
This time, Dr. Zhao saw it at a glance and said, "It seems that there has been a heart attack. The apex of the left ventricle wall has become thinner. This patient may have damaged coronary arteries."
Doctor Xu frowned. The doctors at the Provincial People's Hospital should be able to easily see this. Could it be that because the patient did not have typical symptoms of myocardial infarction, they ruled it out? Because some patients with normal heart function would also have such imaging manifestations.
Doctor Zhao turned around and asked Xie: "How can you find the problem so quickly?"
He and the teacher just started looking, and within five minutes, Xie had already found two problems. How terrible is Xie's eyesight?
It’s not that she has good eyesight, it’s just that her way of thinking about problems is different.
Xie Wanying judged from the beginning that her cousin had damaged coronary artery, so she kept looking for problems in the coronary artery area of the heart.
After hearing her thoughts, Dr. Zhao's mouth opened into a goose egg, wondering what kind of person she was.
The coronary artery is the blood vessel of the heart. The large and small blood vessels are like a big net covering the heart. She said that if we look for it in the coronary artery area, it means that we need to think about which coronary artery is damaged first, and then look for the problem in the corresponding heart area that supplies blood. It is difficult to find the problem with a rough scan of the coronary artery CT, let alone find the problem in the corresponding area.
With such a terrifyingly high difficulty, she actually thought it was relatively easy to find, and she found it. Doctor Zhao's brain was once again unable to work, unable to synchronize with the heart thinking conception in Xie's brain.
Doctor Xu was very interested and turned to ask Xie Wanying: "How did you come up with this idea?"
This is because she was the one who accompanied the patient all the way when she went to the Provincial People's Hospital to visit her cousin. She could observe the patient's clinical symptoms and electrocardiogram. Electrocardiogram is a tool for clinical doctors to observe the patient's heart activity, and reading electrocardiogram is a basic skill for clinical doctors.
Her cousin's electrocardiogram showed abnormal signs, with occasional arrhythmia and occasional ST segment elevation, all of which indicated that there was a problem with the cardiovascular conduction system. Her cousin did not have heart disease but had a car accident, so the root of the problem could only be that the heart was damaged and involved the coronary artery area. According to this idea, we only need to find the coronary artery area and find the vascular area where the heart was impacted by trauma based on the electrocardiogram to find the heart contusion point.
Dr. Zhao took back the examination application report written by the clinician. Dr. Li did not write a single word about the patient's electrocardiogram.
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