C1201 The Oval-shaped Aperture Is Not Closed
"Zhou, do you have a history of sleepwalking? Or do you know that you have sleepwalking?"
Chi Hong still did not understand what Chen Qun was playing at. Why did she always conclude that his brain disease was caused by his heart? If she did not do a complete check, she might still believe that Chen Qun's explanation was possible. However, she had clearly done an MRI, CT, and heart chart. There was nothing wrong with it. Chen Qun still insisted that it was either a dispute or there was some evidence.
What exactly did Little Yiyun do yesterday? Only then did Chen Qun confirm that there was something wrong with her heart. She needed some time to gather information from Little Yiyun, so she came up with a delaying plan. She waited for Little Yiyun's mother to find out what had happened and send her a text message to confirm it.
"I don't have sleepwalking. When the nurse told me today, I was shocked. I also asked my parents and they answered the same question."
Zhou Peng looked at the female doctor in front of him with a distressed look. Her temperament was soul-stirring and she did not dare to take another look at her. He felt that if he met such a doctor, he would be willing to stay in the hospital for the rest of his life.
"What do you guys think?"
Chi Hong directly entered the teaching mode and looked at the female doctor beside Han Yue.
"If it is only a cerebral infarction, It was caused by cerebral infarction, space neglect, and sleepwalking, and it could be assumed that the fall from the height yesterday had damaged the blood vessels from the impact on the head. But the strange thing is that the blockage actually moved and disappeared in an instant. I don't know how to explain it. Is the brain injury serious or relatively light? "
The female doctor who was full of heroic spirit answered in a panic. Because the symptoms were rather strange, she took conservative views and opinions to try not to express any outrageous views. It was the safest to be humble.
When Han Yue saw Chi Hong looking at him, he calmed himself down and gave an answer.
"Could it be that the hormones are abnormal and due to excessive stimulation? All sorts of hormones in the body may be out of tune and have a stress reaction. "Could the two infarctions be the result of the increase in the blood coagulation factor?" The reason why the platelet abnormality was not detected was because of the increase in the blood coagulation factor. The duration was very short. Normally, it would be the same as before. Only when one's emotions were especially fluctuating would one be able to detect the abnormality of the platelet. Due to the excessive secretion of hormones, it resulted in two cerebral infarction. "
Han Yue found an answer that could barely be answered. However, he was a little dissatisfied with himself and the doctor in front of him. He only gave a few minutes to prepare. How could he find out the real situation?
Chi Hong's phone in her pocket vibrated. She took a casual look and saw a few words written on it. "When Yiyun saw Uncle Chen, she was blowing a balloon for the other children. Because she did not have the strength, she asked another patient brother to blow it."
Seeing this answer, Chi Hong became more and more depressed.
Zhou Peng blowing balloons triggered sleepwalking. What kind of connection was this? Could it be that the increase in pressure caused the blood clot to go up and cause another cerebral infarction? Even if this reason was correct, it could not explain that he fell down and caused another kind of neurological disease, an abnormality in half of the space.
It didn't matter. It was the right thing to let Chen Qun perform on stage first. Everything else was fake. In any case, showing off his strength wasn't for him! Chi Hong felt as if she was comforting herself, but she secretly sighed in her heart. She knew that what Zhou Lin said was reasonable, but it was too far-fetched. Especially when it did not conform to all the cardiovascular examinations. This was what she had been unable to see through all this time.
Zhou Lin had given her a correct theory, but it could not be verified, so he still did not know anything. He wanted to see what Chen Qun's answer was.
Chi Hong's expression did not change as she glanced at the three newcomers.
"Do you have any other opinions? Do you think there is something wrong with your brain? raise your hand to express your opinion?"
The three palms immediately stood up. Chi Hong had enough confidence in her charm now. Compared to a beauty like her who had a special temperament, even if everyone knew nothing about her, they would still give her face and react accordingly.
"Very good, but I can tell you. No one is right. " Because our attending physician, Chen Qun, is right. Think of the patient as a heart problem that causes all the symptoms. You guys don't have to say anything first. I know what you want to say. After all, all the results of the tests are in front of me. The heart is safe and sound. Next, we will ask Dr. Chen Qun to do a test to prove the accuracy of his words. Chen Qun, what experiment are you going to do?
Chen Qun revealed a trace of a smile at the corner of his mouth and said cheerfully.
Of course it's an experiment related to blowing air. The reason why the patient has no problems with all the heart tests is because the problem is too small. The known equipment can't be checked, but the problem can cause a huge uproar in the brain and create a problem. " This experiment of mine is aimed at this point. The name of the experiment is called Minute Bubble Test! "
" This test is not to allow the super-tiny bubbles to flow into the blood and observe the blood flow, right? Alright, the problem is... " Why do you think that an MRI scan can't detect a heart problem that can't be detected by this experiment? "
"That's the key. If my prediction is correct, you will see the results immediately."
Chen Qun waved his hand. Zhao Xue, who had prepared the ultrasound machine and equipment, immediately pushed them over.
"The tiny bubbles will reach the heart with the blood. It can clearly reflect the blood flow of the heart. These minute details are MRI and ultrasound cardiogram. CT photos cannot be seen. " Therefore, I only need to send the bubbles into the heart and check the blood flow of the heart to determine if there is a problem. "
Chen Qun took the two Zhao Xues from Zhao Xue and started to create small air bubbles on the left and right side of the catheter. Then, Xiao Lu directly inserted the oral catheter into the patient's oral cavity and sent the catheter into the aorta.
"Start the injection. Pay attention to the ultrasound changes!"
Chen Qun saw Xiao Lu make an OK gesture and immediately injected the saline water with a large amount of bubbles into the arterial blood vessels.
On the screen of the ultrasonograph at the side, a stream of liquid with tiny white dots was immediately seen flowing into the right side of the heart.0
"Small bubbles reach the right side of the heart!"
Zhao Xue immediately acted as the commentator and reported the situation.
"Okay. Next, please hold your breath. Don't breathe. Don't care about it in your mouth. Just don't breathe in your nose!"
Chen Qun gave Zhou Peng an order with an air of seniority. He had completely forgotten the fact that he was one or two years younger than Zhou Peng.
"One, two, three, four... thirty. Alright. You can breathe now! Everyone, watch the screen!"
As soon as Chen Qun's voice faded, Zhou Peng took a deep breath. On the ultrasound machine's screen, everyone saw a tiny white bubble enter the right heart and then flow to the left heart.
Chi Hong suddenly understood. She understood but did not understand, so Zhao Xue could not help but ask.
"Sister Hong, this should be abnormal. What kind of symptom is causing this?"
Chi Hong gave an answer very affirmatively.
"Through the oval-shaped hole, very small oval-shaped hole. In medicine, this is called the oval-shaped hole not closed!"
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