Chapter 1069 Worrying Syndrome (Leader gxy678 adds × 3)

"Don't worry, nothing is wrong." Zhou Congwen comforted, "Go to the emergency department to go to the hospitalization procedures. I ask who is on duty for liver and gallbladder. If you meet the time for fasting, hurry up and get the surgery. You can sign it."

Seeing that Zhou Congwen had said so much to her, Shi Ning almost fainted with a little nervousness and felt a little excited.

"Doctor Zhou, I feel heartache." Gao Lu always felt that she had a heart disease, so she said while lying on the clinic bed.

"I know." Zhou Congwen said, "It was the nerve reflex that passed."

"I..." Gao Lu hesitated for a moment and told the truth, "Once I saw a doctor myself, the doctor said I had a heart attack and the electrocardiogram was clearer. But I felt that I was young and could not delay my work, so I forced myself to not tell them."

"I'm so brave." Zhou Congwen smiled slightly, "If it's really a heart attack, I'm afraid you have a bigger problem now, so people probably won't have it at any time."

“…”

"It's not a myocardial infarction, it's a false phenomenon of clinical symptoms."

"Ah?" Gao Lu was stunned.

At the same time, doctors in the emergency department also felt that there were some problems.

Myocardial infarction is a very urgent and common disease in clinical practice. Everyone would rather believe it than not, so as to avoid an accident.

Now the patients say that they had an electrocardiogram once, so why did Professor Zhou directly deny it?

"I judged it to be gallbladder syndrome. Simply put, it is cholecystitis and gallbladder stones, but there is no pain in the abdomen, which is manifested as chest tightness and shortness of breath, and even myocardial infarction of the electrocardiogram. Don't worry, just cut off the gallbladder."

Zhou Congwen did not explain in detail what gallbladder and heart syndrome is, but handed the ultrasound order to the doctor in the emergency department, and then left without saying hello without calling.

"Congwen!" Shen Lang saw him walking out of the corridor of the emergency department and immediately grabbed Zhou Congwen, "What's your relationship with that little girl?"

Zhou Congwen frowned and looked at Shen Lang, "You don't understand if you know too much will be silenced?"

"Hahaha, I feel like you have a story."

Xiao Kai envies Shen Lang very much.

He didn't dare to ask Zhou Congwen directly.

However, although Xiao Kai was also very curious, he did not want to see Zhou Congwen in a dilemma, so he hurriedly walked up to rescue the situation.

"Professor Zhou, gallbladder syndrome? I have some impression of it, but I have returned it to the teacher a long time ago. What's going on?"

"Cystolic heart syndrome is a clinical syndrome caused by insufficient blood supply to the coronary artery, dysfunction of the heart and abnormal electrocardiogram caused by biliary system diseases."

Zhou Congwen smiled and explained.

Shen Lang was dejected. He knew very well that Zhou Congwen definitely didn't want to tell the "secret" between him and the tall and thin little girl.

"Uh, I have only heard that patients with myocardial infarction will have symptoms of upper abdominal pain, so I have issued a regulation in the central hospital that all patients with abdominal pain in the emergency department must check the electrocardiogram."

"The principle is similar." Zhou Congwen said, "The heart is innervated by the T2-8 spinal nerves, while the gallbladder and common bile duct are innervated by the T4-9 spinal nerves. The two have crossovers at the T4-5 spinal nerves."

"When there is inflammation in the bile duct and the pressure in the bile duct increases, the coronary artery contraction through the T4-5 nerve reflex causes the blood flow to decrease, and induces cardiac activity disorders.

In addition, when the concentration of bilirubin and bile acid in the blood increases, the vagus nerve can be excited, causing vagus nerve reflex, and can also directly inhibit the energy metabolism of myocardial cells and reduce the function of heart activity."

Xiao Kai originally just wanted to rescue Shen Lang and not to make things difficult for him, and not to make things difficult for Zhou Congwen.

But after Zhou Congwen explained in detail, Xiao Kai felt that this thing was much more interesting than asking Zhou Congwen's private life.

Xiao Kai didn't know about gallbladder and heart syndrome before, but just talked nonsense. After Zhou Congwen's explanation, Xiao Kai's eyes lit up, just like Shen Lang heard gossip.

"But the patient's cholecystitis and the symptoms of stones are not serious."

"Director Xiao, do you listen to the patient's self-report that she will only get sick every time the girl group performs on stage?"

"I heard it, is it related to being nervous?"

"Well, I probably have something to do with tension." Zhou Congwen said, "The electrocardiogram is okay, and I thought of cholecystitis first. Besides, even if the electrocardiogram is wrong, cholecystitis must be ruled out."

"The patient said there was a problem with the electrocardiogram before. What's going on?"

"About 1/3 of the patients may experience nonspecific ST segment depression and T wave low or inverted." Zhou Congwen said, "The high incidence of arrhythmia may be related to the disorder of the autonomic regulation of the heart through the autonomic nerve, especially the vagus nerve reflex, which is prone to reentry agitation."

I would ask a little more. Although Xiao Kai was curious about Zhou Congwen's diagnosis process, he had already said so much. If he asked more questions, Zhou Congwen might not be able to explain it until tomorrow morning.

"Shen Lang, learn a little." Xiao Kai patted Shen Lang's shoulder, "In the future, when working in a chest pain center, I will encounter similar patients for a B-ultrasound. If the patient has any objection, just say that."

Of course, Shen Lang knew the importance of this diagnosis, but it was just gallbladder and heart syndrome? Just remember it. What interested Shen Lang even more was the relationship between Zhou Congwen and that little girl.

I didn’t see Zhou Congwen attracting bees and butterflies, so why did a beautiful woman fall from the sky and hit him?

This big gossip made Shen Lang feel itchy, but he still had a little rationality after all, and he didn't want to die in the Second Hospital of Medical University.

"Cystolic heart syndrome, can it be called worry?" Shen Lang said a homonym.

"Yes." Unexpectedly, Zhou Congwen gave a positive answer, "I'm worried that it will induce neural reflexes, leading to similar situations. Didn't the patient just say that every time a girl group performs on stage, she will get sick."

"Then I remember it." Shen Lang smiled, "This disease is quite easy to remember."

"Director Xiao is right. If you want to scan a B-ultrasound for similar situations, you need to check it out." Zhou Congwen said, "If you just pull it up and do coronary angiography, it will be a big joke. Although the patient and the patient's family may not say anything about you, it is not good."

"I know." Shen Lang waved his hand, but he still wanted to ask Zhou Congwen about the little girl named Shining.

Zhou Congwen saw Shen Lang's expression and sighed.

"The pink banner was given by her."

"!!!" Countless exclamations appeared on Shen Lang's head, like endlessly.

This time, even Xiao Kai began to be curious about the fans' pennant, who has seen this thing clinically?

Professor Zhou Congwen is worthy of being the world's number one, and even collecting banners is pink! Xiao Kai was amazed in his heart.

However, he adhered to the principle of not committing suicide and did not continue to ask, but instead put an anticipated look at Shen Lang.
Chapter completed!