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    The patient had edema in both lower limbs and slightly distended jugular veins, which is a sign of advanced right heart failure.  These numbers and symptoms are also the result of the patient's continuous infusion of some medications.  This shows that the patient's condition is predictably bad, and his heart function has reached dangerous level four.

    For such critically ill patients, it is useless to live in a good ward with a TV and a refrigerator. They cannot afford it.

    Du Yeqing took out the stethoscope from the pocket of his white coat and wanted to hand it to Du Haiwei.

    Du Haiwei shook his head.  When it comes to listening to the heart and lungs, he is not a cardiothoracic surgeon. The description of the cardiothoracic surgery specialist hospital here is enough.

    "This morning's physical examination revealed thick breath sounds in both lungs, no rales, an elevated second heart sound in the pulmonary valve area, a systolic murmur in the precordial area, and the heart boundary expanded to the left." Du Yeqing added the patient's physical examination data.

    There was a head nurse and a nurse standing at the scene, holding a fetal heart rate monitor and placing it on the patient's belly to detect the baby's fetal heart rate.

    This is the diagnosis and treatment work that obstetricians and gynecologists are good at.  Du Haiwei walked closer to listen to the fetal heart rate data.

    The baby¡¯s fetal heart rate is okay and within the normal range.  Visual inspection of this patient's abdominal circumference and what is shown in the medical records indicate that the fetus should now be 34 weeks plus.  This patient's age as a pregnant mother is not considered old at twenty-six. On the contrary, she is the right age to become pregnant and give birth to a child.  Regardless of the advanced maternal age, there are still other diseases that directly endanger the health of mother and child.

    Du Haiwei raised his head and wanted to talk to the patient himself and ask about the situation. Looking at the patient who was breathing medium-concentration oxygen, he was obviously in a hypoxic state, and his consciousness was not very clear. In this case, it was impossible to ask questions.

    The group of people had finished seeing the patients and evacuated the ward.

    Since several young medical students had not had the opportunity to browse the patient's medical records before, they could only make guesses by themselves after seeing the patient's condition on the spot.

    Du Meng¡¯en pulled the corner of Xie¡¯s clothes in front of her and asked her: ¡°What disease do you think she has?¡±

    When asking someone who is bad, just ask her. The teacher's son is obviously most interested in her answer.

    People asked her that she must have felt a little weird after seeing the patient, just like the other doctors who were listening.  Normal communication between medical students is on equal terms. Xie Wanying calmly asked the other person for advice first: "What do you think?"

    "That's what I think." As expected, Du Meng'en couldn't hold back his academic opinions and started talking eloquently, "The patient is in the third trimester of pregnancy and is not an advanced maternal age. It is very likely that she has a congenital disease and is not suitable for pregnancy.  It takes pregnancy to cause such a situation. Looking at this patient's symptoms and signs, I personally think that the possibility of her having primary pulmonary hypertension is very high."

    After hearing what he said, others thought: After all, he is the son of a famous teacher and is a top student in a well-known medical school. It is rare to be able to make such a quick judgment without looking at medical records and only looking at the patient's condition.

    Having said that, some of this patient¡¯s significant clinical manifestations are not too difficult for doctors to judge.  Right heart failure is clinically common, especially in pregnant women, and is a typical manifestation of pulmonary hypertension.

    What is pulmonary hypertension?

    We must first talk about what the normal pulmonary artery blood flow pressure is before we can explain hypertension.

    Normal pulmonary artery pressure is low because the pulmonary circulation is not like the systemic circulation. The lungs are close to the heart. There are no blood vessels in the systemic circulation. There are more blood vessels far away from the heart, so there is a good buffer zone.  Under this premise, the pulmonary circulation can accommodate all the blood pumped out by the heart at a time.  (Remember the website address: www.hlnovel.com
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