Chapter 815： Rigorous study

Large imaging department, divided into X-ray, CT, nuclear magnetic, B-ultrasound. However, the general hospital B-room is listed separately, although it is also the imaging department, but it is outside the imaging department.

Perhaps it is because there is no radiation, perhaps it is the time when B is beyond the current domestic level.

It is like European spine surgery is done by neurosurgery, while the domestic is doing orthopedics.

X-ray and CT, nuclear magnetic hospitals are combined with the large imaging department, and some hospitals are separate.

912 is separate here, and the director is the director of CT and nuclear magnetics.

Zheng Ren did a 64-row CT three-dimensional reconstruction before, and he had an exchange with the director, and he also came to the front of the director's office and knocked on the door.

It was quiet inside.

Ok? At this point, is the director of the hospital not here?

Zheng Ren tried to knock twice, but no one answered.

I didn't expect to rush, and this time Zheng Ren took the wax. It is a big mistake to not contact the Director in advance.

As he self-reviewed, he pondered whether he would ask Dr. Liang, the student of the director, to solve this problem.

Or look for it first, Su Yun is also busy, and it is very important.

Zheng Ren’s heart has always been a lot of fate. He threw so much life to Su Yun, and he found him no matter what, so he couldn’t say it.

Although he hangs the name of the boss, if anything is thrown to Su Yun, the goods can kill themselves.

Doctor's office...office...office...

Most of the doctor's offices in the CT room are called reading rooms, which are the places where CT and nuclear magnetic doctors read out the diagnostic reports.

Zheng Ren found the reading room and saw through the door slits that seven or eight doctors were sitting around the reader and discussing what was going on.

The most middle person is the director.

Finally found, Zheng Ren quickly knocked on the door. Although no one will hear the knocking on the door, no one will notice his knocking on the door, but Zheng Ren is still knocking on the door and then going in.

Director Yan looked at the film and whispered something.

Zheng Ren walked behind and glanced at the film first.

It is a coronary artery 256CT, the three coronary arteries are very smooth, and it does not look like coronary heart disease. But what are the directors who are obsessed with an almost normal film?

"Hey Director, hello." Although Zheng Ren knows that the idea of ​​interrupting others is not good, but the patients in the Department of Gastroenterology are waiting to be examined, he is still cheeky and hurry up.

Director Yan was a little unhappy, but turned around and saw Zheng Ren, and suddenly laughed.

He grabbed Zheng Ren’s arm across the crowd and pulled him over and asked, “Zheng boss, come and come.”

Uh... Zheng Ren took a moment.

"Look at the palm and see if there is any problem with this patient." Director Yan was rude to take Zheng Ren to his side and said.

"I……"

"Hurry to watch the film, after reading the story." Director Yan also had some hegemony, directly interrupted Zheng Ren's words. "This is the user of the 64-row CT three-dimensional reconstruction new method, Zheng Renzhen boss."

When the director saw the doctors around him, they were very confused and introduced them.

The quiet around the reader, this very young little doctor turned out to be the famous Zheng boss.

This is really a human appearance.

It is said that Zheng Boss is not very old, but whoever wants to be so young.

Zheng Ren is also very strange, coronary 256CT is mainly to see the coronary artery. The film shows that the coronary artery is very smooth, no problem image, what are you doing here?

Wait... The image of myocardial reconstruction seems to be a bit of a thing.

"Hey, Director, the coronary is fine, but the heart muscle seems to be a problem." Zheng Ren habitually asked, watching the film on the reader.

"Xiaoliang, introduce the condition of Zheng Bo."

Dr. Liang stood on one side, and he replied with a slap in his hand and began to focus on it.

The patient was a 32-year-old man with flustered and shortness of breath after 6 months of activity. At that time, no attention was paid, but the disease progressed rapidly. The patient developed syncope after one activity after more than one month, accompanied by edema of the extremities.

He went to the local hospital for examination. The electrocardiogram found typical symptoms of myocardial infarction such as T wave changes and ST segment depression.

Serum troponin and brain natriuretic peptides are elevated, and several tests also indicate heart disease.

It is strange that the hospital was inspected thoroughly, but there was no problem with the coronary artery. The local hospital did not give a definite diagnosis, but just diagnosed a suspicious heart attack and asked him to come to the superior hospital of the Imperial City for diagnosis.

The medical history is like this, Dr. Liang quickly finished reading.

Zheng Ren has some feelings, 912 is such a place, really worthy of being a superior hospital, no wonder the level of people is high!

The CT room is only responsible for reporting according to the images seen, but the directors of the hospital will also discuss the medical history and find the suspected points.

This rigorous style of study is really good!

"Zheng boss, this patient's medical history should be a myocardial infarction. But the heart supply is no problem, the possibility of a typical myocardial infarction is not great." Director Zhang ordered a film: "Here, I see a change in myocardium, suspected may be some A disease that changes the structure of the myocardium has been told by the outpatient clinic. Let the nurse take an urgent examination of an echocardiogram Zheng Ren nodded, and he himself considered it.

What is the specific disease... There is only one film with a heart coronary artery of 256, which is impossible to give an answer.

The passive ability of [reconstruction] is not omnipotent. The system panel can be directly diagnosed, but in many cases, the emperor's family is accompanied by a film to see the patient, the patient has not followed, or like the front, they can not see the patient.

It is completely different from Haicheng.

Zheng Ren’s mind recalled Dr. Liang’s condition and suddenly asked: “Dr. Liang, patient’s proteinuria, is there a test report?”

Some heart diseases are accompanied by proteinuria, and pure proteinuria does not explain any problems. Dr. Liang did not pay special attention.

He began looking for printed information. This information is a case of circulatory medicine. There is no report of urine routine or urine protein test.

It is estimated that there is a local information carried by the patient himself, and the director of the cycling department did not check the bill.

"Zheng boss, the medical record has not been written yet, you can't see it." Dr. Liang replied quickly.

"Yeah." Zheng Ren began to look at the film again.

This time he did not focus on the coronary artery, but began to carefully observe changes in the structure of the heart.

[Reconstruction] The ability to convert a 64-slice CT three-dimensional reconstruction into echocardiography, MR of the heart, and Zheng Ren noticed some changes in the patient's heart image.

Domestic cardiac MR is the same as breast MR, and it is rarely seen. It is not clinically useful. However, this patient's cardiac MR delayed image can see a subendocardial ring-shaped strengthening lesion.

Echocardiography, there are some subtle changes, whole heart thickening, irregular echo in the myocardium.

Zheng Ren began to recall similar medical reports.

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