Chapter 219 Hemangioma
"Old Qian... I have to trouble you again. Take a look at this patient and see if he is transferred to your Department of Respiratory Medicine. We are not specialized in this..." Li Huaming greeted Qian Zhixun with a smile on his face, and the two It's very familiar.
Standing behind Qian Zhixun, Xu Ze sighed softly. It seemed that he couldn't escape today, so he sighed softly and said with a wry smile: "Hello, Director Li..."
Li Huaming didn't notice Xu Ze who was behind Qian Zhixun at first, and was taken aback when he heard this familiar voice. Although he didn't recognize who the voice was, it seemed to make him feel a little uncomfortable.
He frowned, looked in the direction of the voice with some doubts, and finally saw Xu Ze behind Qian Zhixun.
"Uh...it's this kid..." Seeing Xu Ze, Li Huaming thought of that incident and the subject he had lost, his face turned blue involuntarily, his eyes widened, and his expression softened a little after a while. He gritted his teeth and said: "Xu Ze...you little thing...you really have the face..."
"Gah... Director Li, don't get excited, don't get excited..." Seeing Li Huaming's resentful expression on his face, Xu Ze knew that he was still very concerned about the last time he helped the emergency department take away that subject, so he had no choice but to smile wryly Said: "Director Li, don't always forget about that matter, you can't blame me for that matter..."
"Hmph... You kid, you hide really deep... No wonder Director Zhang said you are a monster..." Li Huaming also knew that it was hard to say who was right and who was wrong in that incident, so he could only snort now: "Okay...Okay... You kid...too lazy to argue with you..."
These two people stared at each other bitterly and bitterly here, but Qian Zhixun and the two doctors next to him were dumbfounded. He was stunned, who is this kid, he looks like an intern, how dare he talk to Director Li like this; and Director Li seems to be quite familiar with this guy even though he is upset.
"Let's go...go see the patient..." Li Huaming didn't want to keep getting entangled with Xu Ze. After sighing, he nodded to Qian Zhixun and the two doctors.
Hearing the director's words, the two doctors came to their senses, and quickly led a few people towards the ward.
As soon as everyone walked into the ward, they heard coughing sounds coming from inside. The doctor opened the door and led everyone in.
Hearing that a specialist in respiratory medicine was invited for consultation, the patient was very happy and cooperative. Qian Zhixun asked about the medical history carefully, and then did a careful examination. After the examination, he also frowned. , the condition of the patient's lungs is not obvious now, but he still coughs like this. Sure enough, there are some troubles.
But Qian Zhixun is quite responsible.
Since he brought Xu Ze to the consultation, he immediately motioned to Xu Ze to let Xu Ze take a look.
Seeing Qian Zhixun's signal, Xu Ze stepped forward with a stethoscope and listened to the patient. After listening carefully, he realized why Qian Zhixun frowned. Now the patient's lungs, except for the slightly rough breathing Other than that, there is no other abnormality; then the willingness to cough is quite delicate.
Qian Zhixun took advantage of Xu Ze's examination of the patient, and he also took the opportunity to start thinking, but this patient was a little strange. First, he took a chest X-ray, thinking it was a lung infection, but now the infection has obviously improved, but Why is coughing bad? Is it possible that mycoplasma infection was merged again? Mycoplasma infection is not very effective against neurology cephalosporins, but it is very possible.
While Xu Ze was listening to the patient's lungs, he turned on the X-ray perspective to check the patient's lungs. Although there is nothing wrong with the lungs, it is still not as intuitive as an X-ray examination.
With the start of X-ray perspective. The patient's lung field began to become translucent in Xu Ze's eyes. In the somewhat dim field of vision, Xu Ze carefully looked at the patient's lungs, only to find that some lung markings were slightly thickened, and he did not find anything else. exception.
Xu Ze has always been very confident about what he saw directly. Now he is sure that the patient's lungs should not have any major problems, but the reason for this cough is a bit strange.
However, his brain turned quickly, and he made a detailed analysis of the patient's condition.
The patient was admitted to the hospital because of dizziness. The neurology department considered that it was caused by cerebrovascular sclerosis and insufficient blood supply. So is it possible that it is a problem of cerebrovascular nerves?
Xu Ze suddenly felt that this was very possible. Although the patient had a lung infection at first, since antibiotics were used and the lung condition improved obviously, but he still coughed, the possibility of this recurrence of infection should be relatively small. ; And if it is because of abnormalities in the patient's cerebrovascular or nerves, then it is naturally possible...
Thinking of this, Xu Ze quickly raised his head and looked at the patient's head.
At this time, Xu Ze had been checking for a long time, and Li Huaming and the two doctors beside him were getting a little impatient, but Qian Zhixun seemed to be thinking about something, so he didn't have the nerve to urge him.
At this time, Qian Zhixun also temporarily considered the possibility of reoccurrence of mycoplasma infection, but he saw that Xu Ze was still checking, so he kept quiet and waited until Xu Ze finished checking. After all, he can be regarded as teaching by himself, and the students must have enough time to check.
At this time, Xu Ze also knew that his examination time was really long, so he hurriedly seized the time, looked at the patient's head, and ordered: "Start the color B-mode ultrasound examination..."
Xu Ze is really not sure about the start of this examination, because the modern general color B-ultrasound can indeed see the condition of some blood vessels, but it is generally difficult to see through such blood vessels deep in the head, so CT or brain surgery is necessary. Angiography is possible to see clearly.
But Xu Ze hoped that the color ultrasound function of this super system from the future should be more powerful than the modern color ultrasound function.
Following Xu Ze's order, the system automatically responds quickly: "Color B-mode ultrasound starts..."
With the activation of the color ultrasound, the patient's head gradually became translucent in Xu Ze's field of vision, and some colored lines began to slide and flow slowly.
Looking at this scene, Xu Ze naturally knew that these colored lines represented blood vessels and the running of blood.
Now I took a deep breath and observed carefully, because these blood vessels are superficial blood vessels in the neck and head, and now I mainly look at the blood vessels in the head, so I can only look at this color Doppler ultrasound, okay? Make, whether it can penetrate into the head.
Xu Ze held his breath, watching layers of colored lines emerge in his vision. I finally breathed a sigh of relief. It seems that the color ultrasound in this future world is still easier to use, and I can see the deep blood vessels.
Carefully observe the blood vessels one by one, and carefully observe the flow direction of the blood. After a while, Xu Ze suddenly focused his eyes. He saw a colorful swirl on a blood vessel near the patient's cerebellum. exist.
Looking at the colorful swirl that was only one centimeter in size, Xu Ze was startled: Hemangioma?
"It must be a hemangioma. This hemangioma may have only appeared in the past few days, and it has compressed a certain nerve. That's why the patient has such a rapid cough..." Xu Ze understood completely now, and he could be considered to have found the patient The reason for coughing, but his mood at this time is not relaxed at all. He estimates that this hemangioma may only appear in the past few days, which means that this hemangioma is extremely unstable, and it is very likely that it will continue to grow, and even cause rupture .
This blood vessel is a large blood vessel. Once it ruptures, the patient will suffer from cerebral hemorrhage and stroke. Moreover, the position of the cerebellum is extremely bad, and brain herniation may occur at any time, which is life-threatening.
"Ahem...Xu Ze, have you finished watching?" Xu Ze was thinking, when Qian Zhixun's strange voice suddenly came from his ear, which woke Xu Ze up from his distraction.
Seeing Li Huaming and the other two doctors looking at him strangely, Xu Ze couldn't help but blushed a little, knowing that his examination took a little longer, so he quickly said with a dry smile: "It's over, it's over..."
"Okay... After reading it, let's go back to the office first and discuss the situation together..." Qian Zhixun also felt a little embarrassed at this time, this Xu Ze is really strange enough, you just need to spend a little more time seeing the patient. Still distracted, it's really embarrassing, and even the teacher who teaches him loses face.
After everyone returned to the office, Li Huaming coughed, looked at Qian Zhixun with a smile, and said, "How is it? Old Qian... Did you notice anything unusual?"
"Well..." Qian Zhixun nodded, and then said: "This patient is indeed a bit weird. Considering what you said a few days ago, the condition of the lungs has obviously improved; but the patient Now I still have a severe cough, so I consider...whether there is a possibility of reinfection..."
"Reinfection?" Li Huaming nodded thoughtfully, then looked at Qian Zhixun and said, "Old Qian, what do you mean. This patient may be infected with mycoplasma?"
"Yes... Mycoplasma infection is more likely. Only in this case, the patient will have such a severe cough when the symptoms of lung infection are not obvious..." Qian Zhixun nodded in praise.
Since Qian Zhixun was considering mycoplasma infection, Li Huaming smiled and said: "Old Qian, since mycoplasma infection is being considered, and the patient's dizziness symptoms have obviously improved, how about transferring this patient to your respiratory department?"
Hearing what Li Huaming said, Xu Ze was surprised, transferred? If this patient is transferred to another department, he will be in serious trouble. Such a large hemangioma may rupture at any time, so he must be transferred to neurosurgery as soon as possible. )