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¡¾1116¡¿Surprising complications

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    "Did the patient have a heart attack?!" Dr. Ma said in shock, "It's impossible. The patient was monitored and there was no obvious abnormality in the ECG."

    "If he really had a heart attack and found out through an electrocardiogram, how could he not find the person on duty and call the professor?"

    "No." Xie Wanying shook her head, "What I mean is that it is probably not the patient's original disease that caused this situation, but the complications after endoscopic treatment."

    "What complication did you say it was?" Fang Xueqing and Dr. Ma anxiously wanted her to explain clearly.

    This is a technical issue related to internal medicine, and it is very serious.  Besides, endoscopic treatment is much safer than surgical treatment.  The most terrifying complications of endoscopic treatment should be massive bleeding or perforation. However, the current symptoms and signs of the patient do not support the occurrence of these two serious complications.

    Xie Wanying said: "It's pulmonary embolism."

    Fang Xueqing and Doctor Ma stared at her blankly for a while, then looked at each other.  As physicians, they had never heard of this complication.

    ¡°There are papers reporting such cases.¡± Xie Wanying told them.

    "Professor Fang?" Dr. Ma asked Professor Fang, but he was completely unsure.  Pulmonary embolism is extremely rare in clinical practice. As a young man, he had never seen it before, so he could only ask the professor if the patient's symptoms could be suspected of pulmonary embolism.

    Fang Xueqing frowned. Speaking of pulmonary embolism, she seemed to have never seen it before.  She is a gastroenterologist, not a respiratory or cardiothoracic doctor.

    The most important thing is that there are extremely rare clinical cases that can be published as special case reports in journal papers.  But it is indeed too rare to be used clinically.  It can only serve as a reminder that clinicians may need to pay attention to the existence of such special cases.

    How to determine whether what Xie Wanying said is a guess based on random thoughts and associations from a paper?  Some medical students who like to work on research papers and leave clinical practice are like this. They immediately become suspicious when they see similar cases in the clinic.  In the eyes of clinical teachers, this kind of medical students seem to deliberately show off their talents and show off their skills, and the clinical teachers do not like them very much.

    It is okay to speculate, but it needs to be supported by evidence.  Presumably rare cases mean patients need extra tests.  All expenses are borne by the patient and his family.  If the suspicion is wrong, the money is wasted. Once a medical dispute arises, the patient's family will use this to attack the doctor.  Now this patient and his family members are already dissatisfied. Are we going to perform random examinations on the patient again?  Fang Xueqing's brows were so furrowed that she couldn't untie them.  Dr. Ma was waiting for her decision, and sometimes looked anxiously at the family members outside.

    "Doctor Song." Fang Xueqing asked Song Xuelin's opinion again.

    Song Xuelin said: "Do as Dr. Xie said."

    Fang Xueqing's eyes flashed with surprise: "Do you support her opinion, Doctor Song?"

    Dr. Ma was more anxious than anyone else and asked urgently: "If pulmonary embolism is suspected, what tests are needed? Should I be sent for CT immediately?"

    It is too rare in clinical practice, and it is easy for doctors to suddenly forget the more remote knowledge points in textbooks.

    "You can try taking a blood gas analysis first." Xie Wanying suggested, "The cost is not high, and the results are obtained quickly. In acute pulmonary embolism, the patient's body is hypoxic and suffocated. The typical performance of blood gas analysis is that blood carbon dioxide and blood oxygen are evenly balanced.  Low. This kind of examination report can be said to distinguish many diseases, and it is an important reference indicator. After there is data support, other examinations can be considered for further confirmation." (Remember the website address: www.hlnovel.com
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