"When we were at the subway station." Xie Wanying also spoke in a low voice, "I saw that she seemed to be out of breath when climbing stairs. After questioning, she admitted that she usually has difficulty breathing when climbing stairs."
This Zhu Huicang, as a cardiothoracic surgeon himself, did not notice that his pregnant wife was panting abnormally while climbing the stairs? Fu Xinheng frowned. All I know is that if word of this gets out, people who are not aware of it will probably be laughed at.
"Her husband doesn't know?" You must ask more to confirm.
In this regard, Xie Wanying said a few words to help her brothers and sisters: "The patient's symptoms should have occurred recently and there was no time to notice. After all, some diseases in pregnant women only show up when the fetus is large. For example, cardiac color ultrasound is not a routine prenatal check-up item for pregnant women."
Hearing her words sound like she was defending others, Fu Xinheng raised his eyebrows and glanced at her.
Xie Wanying received it, and Teacher Fu thought it was best for her to stop talking about this kind of nonsense.
This robot. Li Xiaobing, who was lying on the hospital bed, did not dare to move because of her pregnancy. She could only stare at the robot talking to her junior sister. Thinking about what this emotionless guy was going to say to his junior sister.
"You said on the phone that her heart function was not very good. Is there any other diagnosis?" Fu Xinheng asked.
Teacher Fu actually asked her this question, which was beyond her expectation. Because the patients are all here, we can do the examination and the diagnosis results will be available soon. Could it be that Teacher Fu was testing her on purpose?
Can¡¯t the diagnosis be made by electrocardiogram? Xie Wanying looked at the electrocardiogram machine.
"What, you have no idea?" Fu Xinheng asked again after catching her eye movements.
Xie Wanying quickly replied, wanting to leave a good impression on Teacher Xinwai, and said: "I suspect she has mitral valve prolapse."
"Mitral valve prolapse." Fu Xinheng repeated the disease she mentioned in a low voice. He narrowed his eyes, but he didn't expect that she would actually give him the answer.
There are many types of heart diseases, but breathlessness when climbing stairs is one of the symptoms of poor heart function and is a common symptom of many heart diseases. How did she suspect a specific disease?
"Please tell me the basis for diagnosis." Fu Xinheng said, with a cold tone like a judge hearing the case.
The teacher's tone was stern, and Xie Wanying had to be more cautious. She carefully thought about the previous diagnostic ideas in her mind and said: "Her body shape is thin in the upper body. Most young women with mitral valve prolapse have signs similar to a relatively flat chest. If it is In the case of cusp stenosis, the facial features are more obvious, and most of them have a history of rheumatic fever. Mitral valve prolapse is just the opposite. It is always difficult to find clues from the patient's physical signs, so the onset is slow and the symptoms are relatively insidious. Unless the patient Only when your body has undergone relatively serious and drastic changes will you start to show some symptoms."
There is some basis for this, but if you want to make a diagnosis, you will definitely need more clinical examinations to make an accurate judgment.
Zhou Junpeng came over with the completed electrocardiogram and handed it to Fu Xinheng.
Lowering his head and checking the electrocardiogram, Fu Xinheng's eyes were squinted, like ice, and he asked, "How about auscultation?"
After listening to the patient, Zhou Junpeng replied: "The systolic murmur of the heart is not very obvious. On the electrocardiogram, there are only premature atrial contractions. The abnormal characteristics are not obvious. The judgment should be made in conjunction with other examinations."
"Okay, send her for a cardiac ultrasound." Fu Xinheng ordered the doctor below.
Zhou Junpeng went to ask the nurse to push the wheelchair over.