Chapter 220

"Old money I have to trouble you again. Look at this patient and see if he is transferred to your respiratory department. We are not good at this... " Li Huaming said hello to Qian Zhixun with a smile on his face. They were very familiar.

Standing behind Qian Zhixun, Xu Ze sighed. It seemed that he couldn't hide himself. He sighed and said with a bitter smile: "Hello, director Li..."

Li Huaming didn't notice Xu Ze behind Qian Zhixun. He was stunned by the familiar voice. Although he didn't recognize who the voice was, it seemed to make him uncomfortable.

He frowned and looked in the direction of the voice, and finally saw Xu Ze behind Qian Zhixun.

"Well It's this kid... " Seeing Xu Ze, Li Huaming thought of the incident and the topic he had lost. His face turned blue and his eyes widened. After half a ring, his face softened a little. He gnashed his teeth and said, "Xu Ze You little thing You really have the face to come... "

"Ga Director Li, don't be excited, don't be excited... " Seeing Li Huaming's bitter look on his face, Xu Ze knew that he was still very concerned about the topic he had helped the emergency department snatch away last time. Now he had to smile bitterly and said, "director Li, don't always remember that. I can't blame it for that..."

"Hum You boy, you are so 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 at that time. Now he had to hum: "OK Come on You little boy I don't care about you... "

The two men glared at each other bitterly and bitterly. Qian Zhixun and the two doctors nearby were dumbfounded. Qian Zhixun was a little better, and his heart was a little bit deep. However, the other two doctors were stunned. Who is this boy? It seems that he is an intern. How dare he talk to director Li like this? What's more, although director Li is not happy, he seems to be still with him This guy looks familiar.

"Let's go Go and see the patient, go... " Li Huaming didn't want to tangle with Xu Ze. After sighing, he nodded to Qian Zhixun and two doctors.

After listening to the director's words, the two doctors woke up and quickly took several people to the ward.

As soon as they entered the ward, they heard the sound of coughing. The doctor opened the door and took them in.

The patient was very happy and cooperative when he invited an expert in respiratory medicine to consult. Qian Zhixun carefully inquired about his medical history, and then made a careful examination. After the examination, he also frowned. Now, the patient's lung condition is not very obvious, but he still coughs so much, which is really troublesome.

However, Qian Zhixun is quite responsible. Since he brought Xu Ze to the consultation, he also motioned to Xu Ze for a look.

Seeing Qian Zhixun's sign, Xu Ze also took a stethoscope to listen to the patient. After listening carefully, he knew why Qian Zhixun would frown. Now the patient's lungs, except for the slightly thick breathing sound, have no other abnormalities. Then the cough will be more elegant.

Qian Zhixun took advantage of Xu Ze's examination of the patient. He also took the opportunity to think about it. The patient was a little strange. He first took a chest X-ray and considered that it was a pulmonary infection. But now the infection has obviously improved, but how can he cough? Is it difficult to merge mycoplasma infection again? Mycoplasma infection on neurology cephalosporins, but the effect is not very good, it is very possible.

While listening to the patient's lungs, Xu Ze turned on X-ray fluoroscopy to examine the patient's lungs. Although the lungs don't sound like a problem, they can't be compared to an intuitive X-ray examination.

With the start of X-ray fluoroscopy, the patient's lung field began to become translucent in Xu Ze's eyes. In some dim vision, Xu Ze carefully aimed at the patient's lung, and found that there were only slight thickening of lung markings, and no other abnormalities were found.

For what he saw directly, Xu Ze has always been very confident. Now he can be sure that the patient's lung should not have too big a problem, but the cause of this cough is a little strange.

However, his brain melon seed is to rotate quickly, to this patient's condition, carry on detailed analysis.

The patient is because dizziness into the hospital, neurology department considers is cerebral vascular sclerosis, blood supply is insufficient caused by, so is it possible that the problem of cerebrovascular nerve?

Xu Ze suddenly felt that this is very likely, although the patient first had the performance of pulmonary infection, but since the use of antibiotics, and the lung condition improved significantly, but still cough, the possibility of this recurrence of infection should be relatively small; and if it is because of the patient's cerebral blood vessels or nerves appear abnormal, then it is also possible

Thinking of this, Xu Ze is quickly raised his head and looked at the patient's head.

At this time, Xu Ze had checked for a long time. Li Huaming and the two doctors nearby were already impatient. However, Qian Zhixun seemed to be thinking about something, but he didn't mean to urge him.But Qian Zhixun was also temporarily considering the possibility of a relapse of mycoplasma infection. However, Xu Ze was still under examination, so he did not make any noise. After all, he was teaching by himself, and students had to have enough time for examination.

At this time, Xu Ze also knew that his examination time was indeed a little long. He immediately grasped the time, looked at the patient's head, and ordered: "start color B-mode ultrasound examination..."

For the start of this examination, Xu Ze is really not sure, because the modern general color B ultrasound can really see some blood vessels, but for such deep blood vessels 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 Doppler ultrasound function of this super system in the future should be stronger than that of modern color Doppler ultrasound.

With Xu Ze's command, the system automatically reacts and the system responds quickly: "color B-mode ultrasound starts..."

With the start of color Doppler ultrasound, the patient's head in Xu Ze's vision also gradually translucent up, some of the color lines, began to slide and flow slowly.

Looking at this scene, Xu Ze naturally knows that these colored lines represent blood vessels and the operation of blood.

Now I took a breath gently and observed carefully, because these blood vessels are the superficial vessels of the neck and head. Now I mainly look at the blood vessels in the head. Now I can only see whether the color Doppler ultrasound works well and can penetrate into the head.

Xu Zeping breathed, watching the layers of color lines emerge in the field of vision, and finally relaxed. It seems that the color Doppler ultrasound of the future world is better to use and can see deep blood vessels.

Carefully observe one blood vessel by one, and observe the flow direction of those blood carefully. After a long time, Xu Ze's eyes suddenly coagulated. He saw that there was a color swirl on a blood vessel near the patient's cerebellum.

Looking at the color swirl of no more than one centimeter in size, Xu Ze was shocked: hemangioma?

"it must be a hemangioma. This hemangioma may have appeared in recent days, oppressing a certain nerve, so that the patient has such a rapid cough..." Xu Ze understood the cause of the patient's cough. However, his mood was not relaxed at this time. He estimated that the hemangioma only appeared in recent days, which indicated that the hemangioma was extremely unstable and might continue to grow and even cause rupture.

This blood vessel is a large blood vessel, once ruptured, the patient will have cerebral hemorrhage stroke, and the position of the cerebellum is extremely bad, there may be cerebral hernia at any time, which is life-threatening.

"Cough Xu Ze, have you finished reading it? " Xu Ze is thinking, suddenly heard Qian Zhixun some strange voice, let Xu Ze wake up from distraction.

Looking at Li Huaming and the other two doctors, they all looked at themselves strangely. Xu Ze's face turned a little red. Knowing that his examination took a long time, he immediately chuckled and said, "finished, finished..."

"Well After reading it, let's go back to the office and discuss the situation together... " Qian Zhixun also felt a little embarrassed at this time. Xu Ze is really strange enough. You can only spend more time with the doctor. You are still distracted. It is really a shame to lose your mind. Even the teacher who teaches is also shameless.

When they returned to the office, they sat down according to their priorities. Li Hua coughed in the Ming and Qing Dynasties, then looked at Qian Zhixun with a smile and said, "how about it? Old money Did you find anything unusual? "

"Well..." Qian Zhixun nodded his head and then said, "this patient is really a little strange. As far as the situation you mentioned a few days ago, the lung condition has improved obviously. However, the patient still has a severe cough, so I think Is there a possibility of reinfection... "

"Reinfection?" Li Huaming nodded as he thought, then looked at Qian Zhixun and said, "Lao Qian, do you mean that this patient may be infected with Mycoplasma?"

"The possibility of mycoplasma infection is relatively high. Only in this case can the patient have such a severe cough when the characteristics of pulmonary infection are not obvious..." Qian Zhixun nodded.

Since Qian Zhixun considered that it was mycoplasma infection, Li Huaming said with a smile: "Lao Qian, since considering mycoplasma infection, and the patient's dizziness has obviously improved, how about transferring this patient to your respiratory department?"

Listen to Li Huaming so say, Xu Ze is a surprise, transfer? If the patient is transferred to another department, it will be in great trouble. Such a large hemangioma may rupture at any time. It must be transferred to neurosurgery as soon as possible. If the patient is transferred to the Department of respiratory medicine, it will be over for a few days (to be continued, please visit www.qidian.com , more chapters, support authors, support legitimate reading! )

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