MMB Chapter 796 Guaranteed?Keep small?
Chapter 796 Guaranteed?Keep small?
Chapter 796 Guaranteed?Keep small?
Lu Chen began to perform cardiac ultrasound examinations on pregnant women.
Today, his cardiac ultrasound proficiency has reached 92.98%.
In the field of ultrasound, this kind of proficiency is comparable to that of the general deputy chief physician of the ultrasound department.
Even in the field of cardiac ultrasound, Lu Chen's ability is even better than that of regular ultrasound doctors.
As the ultrasound probe was placed on various sections of the patient's heart, Lu Chen's brows became more and more wrinkled.
Seeing Lu Chen's nervous appearance, the people around did not dare to vent their anger.
Lu Chen carefully checked every section of the echocardiogram, left ventricular short axis, left ventricular short axis, three-chamber heart, four-chamber heart, etc.
After about 10 minutes.
Lu Chen finally put down the ultrasound probe in his hand.
He raised his head slightly, the seriousness in his eyes flashed past.
"Director Lu, what's the result?" Gu Xinyue immediately stepped forward and asked.
Because the patient is a young woman, all the men just now, except Lu Chen and the patient's husband, all avoided.
"The result is not bad." Lu Chen said calmly, "Well... the patient's family members come out with me, and I will tell you about the follow-up treatment."
Hearing this, the pregnant woman instantly became a little nervous.
The husband at the side squeezed her hand, and said in a low voice, "Professor Lu said there's nothing wrong, so you can rest assured."
"Hmm." The pregnant woman nodded slightly, but there was a slight uneasiness in her eyes.
However, if nothing happened, it would be impossible for Professor Lu to communicate with the family alone!
……
Come to the doctor's office.
The patient's husband couldn't wait to ask: "Professor Lu, what happened to the result just now?"
Lu Chen shook his head slightly, "The patient has a fever, it may not be as simple as a cold!"
"Ah? Is the problem serious?" The patient's husband looked nervous, and he hurriedly asked.
"The echocardiogram I performed on her just now showed growths on the aortic valve and tricuspid valve." Lu Chen said slowly.
Hearing Lu Chen's words, Gu Xinyue beside her was shocked.
Vegetation of the valve, isn't this infective endocarditis?
If this is the case, then it will be troublesome!
And it's a big trouble!
"Professor Lu, please keep it simple." The patient's husband swallowed with a nervous expression.
Lu Chen paused, and organized his words a little bit, "The last time the patient was hospitalized, you also know her condition, and she has been diagnosed with congenital heart disease."
"Yeah, I know that."
Lu Chen continued: "Congenital heart disease is actually the abnormal shunting of the abnormal channels inside the heart, which is easy to form blood turbulence."
"It's like a river. Suddenly there is a stone blocking a certain place. The river hits the stone and forms a vortex. The speed of the blood or the river slows down, and the microorganisms in the blood deposit to form vegetations."
"In this way, vegetation will form at the valve defect, which may induce systemic infection. This is infective endocarditis."
"What kind of creature is this? Is it serious?" The patient's husband is most concerned about whether the condition is critical.
Lu Chen nodded slightly, "In addition to anti-infection treatment, the growth is too large to be removed by conservative means, so surgery is needed, otherwise, this kind of infective endocarditis infection is very difficult to get rid of." Completely remove the root of the disease."
As soon as he heard that surgical treatment was required, the patient's husband fell silent.
After a while, he came back to his senses and looked at Lu Chen, "Professor Lu, if you don't have surgery..."
Lu Chen said slowly: "Without surgery, if the infection spreads and develops into sepsis, the mother and fetus will suffer severe injuries. Moreover, this surgery needs to be done as soon as possible. The longer it takes, the greater the risk! Of course, the surgery The risk is also very high! There are some cases where you can’t even get off the operating table.”
"Thank you, Professor Lu." The patient's husband said slowly, "I'll go back and discuss it, and I'll give you an answer at noon."
"Okay, as soon as possible." Lu Chen nodded slightly, "Besides, I'm not a professional in ultrasound, so I told you so much just now, it's all based on my ultrasound diagnosis. To be on the safe side, we'll make arrangements for patients later. A cardiac ultrasound examination by an ultrasound department, waiting for the final results of the ultrasound doctor's examination."
"it is good."
When the patient's husband heard this, for the first time, he hoped that Lu Chen's judgment was wrong.
He thought in his heart, now that the specialist department is so sophisticated, how can a doctor in the cardiology department still do ultrasound?
The patient's husband walked out of the doctor's office and asked a few nurses if Lu Chen used ultrasound a lot.
The answer is always "not many times".
This made the patient's husband feel even more lucky.
However, the final outcome was destined to disappoint him.
……
Inspections were quickly arranged.
The results of the final examination by the sonographer were almost the same as those performed by Lu Chen himself.
Ultrasound of the patient revealed: congenital heart disease complicated with infective endarteritis, vegetation on the tricuspid valve 16*13mm, multiple vegetation on the aorta, moderate to severe aortic valve insufficiency, and moderate tricuspid valve insufficiency.
When this result was clearly seen, the last hope of the patient's husband also dissipated.
He told his wife the final result.
The following treatment must be informed to the patient himself, otherwise he will not be able to cooperate!
It is impossible to continue to hide it.
"Wife, why don't we...we don't want this child anymore." The husband of the patient said slowly, "I will do my best to operate on you and take care of your body, so we can regenerate in the future. Your body is the most important thing!"
It is very difficult to keep the big and small at the same time.
But if the child is abandoned, the damage to the mother is minimal.
Simply put, before pregnancy, although the patient had congenital heart disease, he had no symptoms at all.
After pregnancy, the symptoms of heart failure gradually appeared, and even infective endocarditis appeared.
This is the child, the burden on the patient's heart.
"No!" The patient shook his head firmly, "I want to give birth, I must give birth! If I miss this opportunity, no one knows what my body will look like in the future, and it may be even worse. .”
"But, the risks of surgery..." The patient's husband was about to say something, but was interrupted.
"Husband, don't worry, this is the best hospital in Guanghai and one of the top hospitals in China. You have to trust their medical skills." The woman comforted her husband in turn. She touched her stomach, "It's already I have been tortured enough by this little guy, and now I am not willing to give up, it is also unfair to him."
"Ugh……"
The patient's husband opened his mouth to say something, but swallowed it again.
As a husband, as a father, the idea of giving up on anyone is cruel and difficult.
(End of this chapter)