Chapter 1201

"Classmate Zhou, do you have a history of sleepwalking? Or, you know, do you have sleepwalking? "

Qi Hong has not yet figured out what tricks Chen Qun is playing and why he always concludes that his brain and nerve diseases are all caused by his heart. If she doesn't have a complete examination, she may believe that Chen Qun's statement is possible, but she has already done MRI, CT and cardiogram, and there is no difference. Chen Qun still insists that it is either an excuse or some evidence.

What did Xiao Yiyun do yesterday? Chen Qun was convinced that there was something wrong with her heart. She needed some time to ask for information from little Yiyun, so she came up with a plan to slow down. She waited for little Yiyun's mother to find out and send a text message to her to make the final confirmation.

"I don't have sleepwalking. When the nurse told me today, I was shocked. And I've asked my parents, the same answer! "

Zhou Peng looked at the woman doctor with a heart stirring temperament in front of him. He didn't dare to see more. He felt that if he met such a doctor, he would be willing to live in the hospital for a lifetime.

"What do you think?"

Qi Hong directly entered the teaching mode and looked at the female doctors beside Han Yue.

"If there is only cerebral infarction, then both spatial neglect and sleepwalking are caused by cerebral infarction. It can be preliminarily judged that it was yesterday when he fell from a high place and his head was hit, resulting in vascular damage. But it's strange that these infarcts actually metastasize and disappear. I don't know how to explain it. Is it serious brain damage or relatively mild? "

The heroic woman doctor gave a flustered answer. Because of the strange symptoms, she took a conservative view and tried not to express any extraordinary views. It was the safest thing to be conservative.

Han Yue sees Qi Hong's eyes and looks at him. He calms down and gives an answer.

"Can it be that the hormone is abnormal? Due to excessive abnormal stimulation, all kinds of hormones in the body may be out of balance, resulting in stress response. Two infarcts may be the result of increased coagulation factors in the blood? The reason why platelet abnormality can't be detected is that the time of hormone promotion and reduction is very short. Usually, it is the original situation. Only when the mood is especially fluctuating, the hormone secretion is too much, leading to two cerebral infarction

Han Yue found an explanation that he could barely answer, but he was dissatisfied with himself and the doctor in front of him. Given only a few minutes to prepare, how could he find out the real situation?

The mobile phone in Qi Hong's pocket vibrated. She glanced at it casually and saw a few words written on it“ When Yiyun saw Uncle Chen, she was blowing balloons to give them to other children. Because she had no strength, she asked another patient's brother to blow them. "

Seeing this answer, Qi Hong became more and more depressed,

Zhou Peng blew a balloon and caused sleepwalking. What's the connection? Could it be that the increase of air pressure led to the rise of blood clot, which once again led to cerebral infarction. Even if that's the right reason, it doesn't explain why he fell down, leading to another neurological disorder, hemispacial abnormalities.

No matter, let Chen Qun perform first is the right reason, the rest is false. Anyway, it's not for yourself to get down! Qi Hong comforts herself, but sighs to herself. She knows that Zhou Lin's statement is reasonable, but it's too far fetched. In particular, it doesn't conform to all the cardiovascular tests. This is what she can't see through all the time.

Zhou Lin gave a correct theory, but it couldn't be proved, so he still knew nothing about it. Let's see what Chen Qun's answer is.

Qi Hong looked at the three new comers.

"Do you have any other opinions? If you think there is something wrong with the brain, raise your hand to show it?"

Three palms immediately stand up, for their own charm, but now Qi Hong has enough confidence. More like her such a special temperament of big beauty questions, even if we know nothing, will also give face to make a certain reaction.

"That's good, but I can tell you that your ideas are all wrong, and none of you are right. Because our attending doctor Chen Qun thought that the patient had heart problems, which led to all the symptoms. You don't have to say anything. I know what you want to say. After all, all the examination results are in front of you. Your heart is absolutely safe. Now let's ask Dr. Chen Qun to do a test for us to prove the accuracy of his statement. By the way, Chen Qun, what experiment are you going to do? "

Chen Qun's mouth brimmed with a smile and said happily.

"Of course, it's a test related to air blowing. The reason why patients have no problems in all heart tests is that the problems are too small to be detected by the known equipment. However, the problems can just cause a big disturbance in the brain and cause trouble one after another. My experiment is aimed at this point. The name of the experiment is "micro bubble test!""This test doesn't let tiny bubbles flow into the blood and watch the blood flow, right? Well, there's just one question. Why do you think MRI can't detect heart problems that this test can't detect? "

"That's the point. If my prediction is correct, you'll see the result soon."

Chen Qun waves his hand, and Zhao Xueli, who is ready beside him, pushes the ultrasonic machine and equipment.

"Tiny bubbles will arrive at the heart with the blood, which can clearly reflect whether the blood flow of the heart is abnormal, and these tiny places can't be seen by MRI, echocardiography and CT. So, I just need to send bubbles into the heart and check the blood flow of the heart to determine if there is a problem

Chen Qun took two syringes from Zhao Xue, one left, one right, and another Ya shaped catheter, and began to make tiny bubbles. Then Xiao Lu quickly intubated the patient's mouth and sent the catheter to the aorta.

"Start the injection, pay attention to the ultrasonic changes!"

Chen Qun saw that Xiao Lu gave an OK gesture and immediately injected normal saline with a lot of bubbles into the artery.

On the screen of the ultrasonic instrument on one side, a wave of liquid with tiny white spots entered the right atrium immediately.

"Tiny bubbles reach the right atrium!"

Zhao Xueli subconsciously acted as a commentator and directly reported the situation.

"Well, next, please hold your breath, don't breathe, don't worry about it in your mouth, just don't breathe in your nose!"

Chen Qun gives orders to Zhou Peng, forgetting the fact that he is one or two years younger than others.

"1, 2, 3, 4,... 30, OK, you can breathe! Watch the screen

As Chen Qun's voice fell, Zhou Peng took a deep breath of the atmosphere. On the screen of the ultrasonic machine, everyone saw a white spot of tiny bubbles entering the right atrium and then flowing to the left atrium.

Qi Hong suddenly realized, but didn't understand, so Zhao Xue couldn't help asking.

"Sister Hong, this should be abnormal. What's the cause of this?"

Qi Hong gave a very positive answer.

"Through the foramen ovale, very small foramen ovale, which is called patent foramen ovale in medicine!"