Chapter 219 Hemangioma
"Old Qian... I have to trouble you again. Take a look at this patient and see if you have transferred to your respiratory department. We are not specialized in this..." Li Huaming greeted Qian Zhixun with a smile on his face. The two of them were very familiar with each other.
Xu Ze stood behind Qian Zhixun, but sighed lightly. It seemed that he could not escape today. He sighed lightly and said with a wry smile: "Hello, Director Li..."
First of all, Li Huaming hadn't noticed Xu Ze behind Qian Zhixun. He was stunned when he heard this familiar voice. Although he didn't hear who the voice was, the voice seemed to make him feel uncomfortable.
He frowned, looked in the direction where the sound came with some confusion, and finally saw Xu Ze behind Qian Zhixun.
"Uh...it's this guy..." Seeing Xu Ze, Li Huaming remembered that incident and thought of the subject he had lost, his face turned blue and widened his eyes. After a while, his face calmed down a little, and he said with gritted teeth: "Xu Ze...you little thing...you are really pretty..."
"Ga...Director Li, don't be excited..." Seeing Li Huaming's resentment and bitter look, Xu Ze knew that he was still very concerned about the topic he helped the emergency department to steal the subject last time, so he had to smile helplessly and said, "Director Li, don't always worry about that matter, you can't blame me for that matter..."
"Hmph... You kid, you hide so deeply... No wonder Director Zhang said you kid is a monster..." Li Huaming also knew that it was hard to say who was right or wrong in that matter at the beginning, so he could only snort: "Okay... OK... You kid... don't bother to argue with you..."
The two of them stared at each other with deep resentment here. Qian Zhixun and the two doctors next to them were stunned. Qian Zhixun was a little better and had a little deeper heart, but the other two doctors were stunned. Who is this kid? It seems that he is just an intern, how dare he talk to Director Li like this? And although Director Li was unhappy, he seemed to be quite familiar with this guy.
"Let's go... go see the patient..." Li Huaming didn't want to always be entangled with Xu Ze. After sighing, he nodded to Qian Zhixun and the two doctors.
After hearing the director's speech, the two doctors woke up and quickly led a few people to the ward.
As soon as everyone walked into the ward, they heard a burst of coughing sounds inside. The doctor pushed open the door and took everyone in.
After hearing this, 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 patient's lung condition is not very obvious now, but he still coughs like this, which is indeed a bit troublesome.
However, Qian Zhixun was quite responsible. Since he brought Xu Ze to the consultation, he also signaled to Xu Ze and asked Xu Ze to see it too.
Seeing Qian Zhixun signaling, Xu Ze also took the stethoscope and listened to the patient. After listening carefully, he realized why Qian Zhixun frowned. Now, there is no other abnormality in the patient's lungs except for the slightly thick breathing sound. Then the willingness of coughing is more precise.
Qian Zhixun took advantage of Xu Ze's examination of the patient, and he also took the opportunity to start thinking. The patient was a little strange. He first took a chest radiograph, considering that it was a lung infection, but now the infection has improved significantly, but why does it make it worse? Could it be that mycoplasma infection is combined again? Mycoplasma infection is not very effective for cephalosporins in neurology, but it is very likely.
At this time, Xu Ze turned on x-ray fluorescence and examined the patient's lungs while listening to the patient's lungs. Although the lungs sounded like nothing wrong, it was still impossible to use x-ray fluorescence to examine them intuitively.
As the X-ray perspective started, the patient's lung field began to become translucent in Xu Ze's eyes. In a dim field, Xu Ze carefully aimed at the patient's lungs and found that the lung texture was slightly thicker and no other abnormalities were found.
Xu Ze has always been very confident about what he saw directly. Now he is sure that the patient's lungs should not have too many problems, but the reason for this cough is a bit strange.
However, his head turned quickly and conducted a detailed analysis of the patient's condition.
The patient was admitted to the hospital because of dizziness. The Department of Neurology is considered to be caused by cerebrovascular sclerosis and insufficient blood supply. So is there any problem with the cerebrovascular nerve?
Xu Ze suddenly felt that this was very likely. Although the patient first showed lung infection, since he used antibiotics and his lung condition improved significantly, he still coughed, so the possibility of this re-infection should be relatively small; and if it is because of abnormal cerebrovascular or nerves in the patient, 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 while, and Li Huaming and the two doctors next to him were already a little impatient. However, when Qian Zhixun seemed to be thinking about something, he didn't have the nerve to urge him.
Qian Zhixun temporarily considered the possibility of recurring Mycoplasma infection. However, Xu Ze was still checking, so he didn't say anything. He would wait until Xu Ze finished the examination. After all, he was the one who taught himself, so he had to give the students enough time to check.
Xu Ze knew at this time that his examination had been a little longer. He quickly seized the time and looked at the patient's head and ordered: "Start the color b-type ultrasound examination..."
Xu Ze is indeed not sure about the initiation of this examination, because modern colored B-ultrasound can indeed show some blood vessels, but for such blood vessels deep in the head, it is generally difficult to see through. It is necessary to do CT or cerebral angiography to see clearly.
However, Xu Ze hopes that the color ultrasound function of this future super system should be stronger than the modern color ultrasound function.
With Xu Ze's command, the system automatically responds to the system quickly responds: "Color B-type ultrasound starts..."
As the color ultrasound started, the patient's head gradually became translucent in Xu Ze's field of vision, and some of the colorful lines began to slowly slide and flow.
Looking at this scene, Xu Ze naturally knew that these colorful lines represent blood vessels and blood circulation.
He took a light breath and observed carefully, because these blood vessels are superficial blood vessels on the neck and head. Now I mainly look at the blood vessels in the head. Now I can only see if this color ultrasound is good and whether it can penetrate into the head.
Xu Ze held his breath and watched the layers of colorful lines appear in his vision. He finally breathed a sigh of relief. It seemed that the color ultrasound in this future world was more useful, and he could see deep blood vessels.
He carefully observed the blood vessels one by one, and carefully observed the flow of the blood. After a while, Xu Ze's eyes suddenly condensed. He saw a colorful spiral on a blood vessel near the patient's cerebellum.
Looking at the colorful swirl that was only a centimeter in size, Xu Ze was shocked: Hemangioma?
"It must be a hemangioma. This hemangioma may have appeared in the past few days and compressed a certain nerve, which made the patient have such a rapid cough..." Xu Ze was completely clear now, and he found the reason for the patient's cough, but his mood was not relaxed at all. He estimated that this hemangioma might have appeared in recent days, which means that the hemangioma is extremely unstable and may 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 location of the cerebellum is extremely poor, and brain hernia may occur at any time, which will endanger life.
"Ahem... Xu Ze, have you finished reading?" As Xu Ze was thinking, Qian Zhixun's strange voice suddenly came from his ears, which made Xu Ze wake up from his distracted mind.
Looking at Li Huaming and the other two doctors next to him looking at him with a strange look, Xu Ze couldn't help but blush slightly. He knew that the time for his examination had taken a little longer. He quickly smiled and said, "I've finished reading, I've finished reading..."
"Okay... After reading, let's go back to the office and discuss the situation together..." Qian Zhixun felt a little embarrassed at this time. Xu Ze was really strange. It would be fine if you see the patient spending more time, but he was even distracted. He was really disgusted. Even the teacher who taught him was also embarrassed.
Everyone returned to the office and sat down according to the main and secondary. Li Huamingqing coughed, then looked at Qian Zhixun with a smile and said, "How is it? Old Qian... did you find anything abnormal?"
"Well..." Qian Zhixun nodded and said, "This patient is indeed a bit strange. I think that for what you mentioned a few days ago, the lungs are now significantly improved; but the patient is still coughing more severely, so I consider...whether there is a possibility of re-infection..."
"Re-infection?" Li Huaming nodded thoughtfully, then looked at Qian Zhixun and said, "Old Qian, do you mean that this patient may be infected with Mycoplasma?"
"There is a high possibility of mycoplasma infection. Only in this case can the patient have such a severe cough when the lung infection characteristics are not obvious..." Qian Zhixun nodded and praised.
Since Qian Zhixun was considering mycoplasma infection, Li Huaming smiled and said, "Old Qian, since mycoplasma infection is considered, and the patient's dizziness has improved significantly, how about this patient being transferred to your respiratory department?"
Chapter completed!