Chapter 219: Hemangioma

"Old money... I have to trouble you again. Look at this patient to see if it is transferred to your respiratory medicine department. This is not our expertise..." Li Huaming greeted Qian Zhixun with a smile on his face, the two It's very familiar.
Xu Ze was standing behind Qian Zhixun, but he sighed softly. It seems that he can't escape now. He sighed softly and said with a wry smile: "Hello Director Li..."
Li Huaming hadn't noticed Xu Ze behind Qian Zhixun first. Hearing this somewhat familiar voice was shocked. Although he didn't hear who the voice was, the voice seemed to make him very uncomfortable.
He frowned, looking in the direction of the sound with some doubt, and finally saw Xu Ze behind Qian Zhixun.
"Uh...it's this kid..."Li Xuming remembered the incident and the subject he had lost when he saw Xu Ze. His face turned blue uncontrollably, his eyes widened, and his face softened slightly after half a loud voice. It's a bit of a grin: "Xu Ze...you're a little thing...you really have a face..."
"Ga... Director Li, don't be excited, don't be excited..." Seeing Li Huaming's resentful look, Xu Ze knew that he still remembered the subject that he helped the emergency department take away from the subject last time. Dao: "Director Li. Don't forget to hang up on it, you can't blame me for that...
"Hum...you kid, hide so deeply... No wonder Director Zhang said your kid is a monster..." Li Huaming also knew that it was hard to say who was right and who was wrong, and now he had to grunt: "OK...OK... You kid...too lazy to care about you..."
The two men stared at each other with bitterness and hatred. Qian Zhixun and the two doctors beside him looked dumbfounded. Qian Zhixun was a little better, and his heart was a little bit deeper, but the other two doctors were watching. Was dumbfounded. Who is this kid, it seems to be an intern, how dare to talk to Director Li like this; and although Director Li is not happy, but he still looks very familiar with this guy.
"Let's go...Look at the patients..." Li Huaming didn't want to get entangled with Xu Ze. After sighing, he nodded to Qian Zhixun and the two doctors.
Hearing what the director said, the two doctors woke up and hurried to the ward.
As soon as the people entered the ward, they heard a burst of coughing, and the doctor pushed the door open and led the people in.
I heard a specialist from the Department of Respiratory Medicine come for consultation. The patient was very happy and cooperative. Qian Zhixun asked the medical history very carefully, and then did a careful examination. After the examination, he frowned. The condition of this patient's lungs is not obvious now, but he still coughs like this. Sure enough, some trouble.
However, Qian Zhixun was quite responsible. Since he brought Xu Ze to the consultation, he also gestured towards Xu Ze and asked Xu Ze to take a look.
Seeing Qian Zhixun signal, Xu Ze also came forward with a stethoscope and listened to the patient. This was carefully listened to, so that he knew why Qian Zhixun frowned. Now the patient's lungs are slightly thicker than the breath In addition, there are no other abnormalities; then the willingness to cough will be well-prepared.
Qian Zhixun will take advantage of Xu Ze's examination for the patient. He also took the opportunity to start thinking. This patient is a bit strange. First, he took a chest radiograph and considered it was a lung infection, but now the infection has obviously improved, but Why is it bad to cough? Is it possible to merge mycoplasma infection again? Mycoplasma infection is not very good for cephalosporins in neurology, but it is very likely.
While Xu Ze was listening to the patient's lungs, he turned on X-ray fluoroscopy to examine the patient's lungs. Although the lungs sound no problem, after all, it is still more intuitive to use X-ray examination.
With the start of X-ray fluoroscopy. The lung field of the patient began to become translucent in Xu Ze's eyes. In a dim field of vision, Xu Ze carefully aimed at the lungs of the patient and found that only a few of the lungs had thickened texture, and no other was found. Exception.
Xu Ze has always been very confident about what he saw directly. Now he can be sure that the patient's lungs should not have too many problems, but the reason for this cough is a bit strange.
However, his brain turned quickly, and a detailed analysis of the patient's condition.
The patient was admitted to the hospital because of dizziness, and the neurology department considered it to be caused by cerebrovascular sclerosis and insufficient blood supply. Is it possible that it is a cerebrovascular nerve problem?
Xu Ze suddenly felt that this was very possible. Although the patient first showed signs of lung infection, but since antibiotics were used and the lungs improved significantly, he still coughed, so the possibility of such re-infection should be relatively small ; And if the patient's cerebrovascular or nerve abnormalities occur, then it is naturally possible...
Thinking of this, Xu Ze raised his head quickly and looked at the patient's head.
At this time, Xu Ze had checked for a while, and Li Huaming and the two doctors next to him had already been waiting a little impatiently, but it seemed that Qian Zhixun was also thinking about something, but he did not have the intention to urge it.
At this time, Qian Zhixun also temporarily considered the possibility of recurring mycoplasma infection. However, Xu Ze who was seen was still inspecting, so he did not say anything. He will wait until Xu Ze finishes the inspection. After all, he was taught by himself, so he had to give the students enough time to check.
At this time, Xu Ze also knew that his examination time was indeed a little longer. At the moment, he quickly grasped the time and looked at the patient's head and commanded: "Start color B-mode ultrasound examination..."
Xu Ze did not have any certainty about the start of this examination, because modern general color ultrasound can indeed see the situation of some blood vessels, but the blood vessels in the deep part of the head are generally very ugly, and CT or brain must be done. Angiography is only possible to see clearly.
But Xu Ze is looking forward to the color Doppler function of this future super system, which should be more powerful than the modern color Doppler function.
With Xu Ze's order, the system automatically responded to the system's quick response: "Color B-mode ultrasound starts..."
With the start of the color Doppler ultrasound, the patient's head gradually became translucent in Xu Ze's field of vision, and some of the colored lines began to slide slowly and flow again.
Looking at this scene, Xu Ze naturally knows that these colorful lines represent blood vessels and blood.
Now I took a light breath and carefully observed, because these blood vessels are the superficial blood vessels of the neck and the head, and now I mainly look at the blood vessels in the head. Now I can only watch this color Doppler ultrasound. So, can it penetrate into the head.
Xu Ze held his breath and watched the layers of colored lines emerge in his field of vision. I finally relaxed my breath. It seems that the color Doppler ultrasound in this future world is still easier to use and can see the deep blood vessels.
Observed carefully one by one blood vessels, and by the way, carefully observed the flow of those blood. After a while, Xu Ze's eyes suddenly fixed, and he saw a colorful swirl on a blood vessel near the cerebellum of the patient. exist.
Looking at the colorful swirl that is only one centimeter in size, Xu Ze was surprised: Hemangioma?
"It must be a hemangioma. This hemangioma may have appeared only a few days ago, and it has compressed a nerve. Therefore, the patient will have such a rapid cough..." Xu Ze is completely clear at this time, and it is considered to have found the patient. The reason for the cough, but his mood at this time was not relaxed at all. He estimated that this hemangioma only appeared in recent days, which means that this hemangioma is extremely unstable, and it is likely to continue to grow and even cause rupture. .
This blood vessel is a large blood vessel. Once ruptured, this patient will have a stroke of cerebral hemorrhage, and the position of this cerebellum is extremely bad. There may be a hernia of the brain at any time, which is life-threatening.
"Cough... Xu Ze, have you finished reading?" Xu Ze was thinking for a while, and suddenly some strange voice came from Qian Zhixun's ear, which made Xu Ze wake up from being distracted.
Looking at Li Huaming and two other doctors next to him, they looked at themselves with strange faces. Xu Ze couldn't help but blush a little, knowing that he had spent more time on this examination, but he quickly smiled and said: "After reading, after reading..."
"Okay...After reading it, let's go back to the office and discuss the situation together..." Qian Zhixun was also a little embarrassed at this time. Xu Ze was really strange enough. You just need to spend more time on the patient. Still distracted, it is really humiliating, and even my own teacher who teaches has no face.
Everyone went back to the office, and after sitting down in the primary and secondary order, Li Hua Ming coughed and looked at Qian Zhixun with a smile: "How? Old money... Did you find anything unusual?"
"Hmm..." Qian Zhixun nodded his head~EbookFREE.me~ and then said: "This patient is indeed a bit weird. I think that for the situation you said a few days ago, the condition of the lungs can already be said to be obvious. Has improved; but the patient is still coughing more violently, so I consider...the possibility of re-infection..."
"Re-infection?" Li Huaming nodded thoughtfully, then looked at Qian Zhixun: "Old money, you mean. This patient may be mycoplasma infection?"
"Yes... Mycoplasma is more likely to be infected. Only in this case will the patient have such a severe cough if the lung infection is not obvious..." Qian Zhixun nodded.
Since Qian Zhixun considered mycoplasma infection, Li Huaming said with a smile: "Old money, since considering mycoplasma infection, and the patient's dizziness symptoms have improved significantly, how about this patient transferred to your respiratory medicine?"
Hearing Li Huaming say this, Xu Ze was shocked and transferred to the department? If this patient is transferred to the department, it will be annoying. Such a large hemangioma may rupture at any time. It must be transferred to neurosurgery as soon as possible. If it is transferred to the Department of Respiratory Medicine, it will be delayed for a day or two, then it is over... (!)