v3 Chapter 2302： Headache to cure the heart

Back to the intervention department, Lin Yuan reported everything he knew to Boss Zheng. I once had a seizure before, and I just took the medicine for treating facial paralysis, and there were no sequelae; even the migraine that she didn't consider important was reported to Boss Zheng.

I talked for a long time and had more symptoms, and seemed to be more serious.

And she did not emphasize that the patient had surgery, and she did not get the first-hand information. People like Boss Zheng emphasized that no matter how much it was useless, Lin Yuan knew to himself.

"Su Yun, what do you think?" Zheng Ren asked.

"No smoking, no drinking, so young life and daily life is so good. What fun is life, do you want to go to nightclubs when you are old?" Su Yun said aloud.

For him who smokes and drinks, Yang Lixin is a typical example of his "evil" opposite.

"I asked the medical history badly. If she went there, I would know more details." Lin Yuan self-examined and acknowledged the mistake before Boss Zheng got angry.

方式 This method works well at home, and every time I cry, no matter what happens. Although Boss Zheng did not eat this set, Lin Yuan still called out habitually.

Maybe in this case, Boss Zheng can start with a lighter mind.

"You asked very well, the condition is basically clear." Zheng Ren smiled slightly.

"Uh……"

This sentence is more unacceptable to Lin Yuan than to be scolded.

了 Is the condition clear? Clear the yarn! Where is it clear, do not smoke, do not drink, often stay up late? Or something else.

"Oh? Do you suspect that the oval hole is not closed?" Su Yun asked, "Is it because of a migraine, plus a suspected cerebral infarction, a cerebral infarction?"

"If there is one point, there is no way to diagnose it. If the two points are combined, the probability that the oval hole is not closed is very high." Zheng Rendao.

Qi Linyuan's mind flashed out the diagnosis of oval foramen and clinical symptoms.

The book clearly stated in plain language that the oval hole was not closed and there were no symptoms, it was difficult to hear noise, and the electrocardiogram and chest X-ray were normal. Therefore, it is not easy to find and is not valued by people.

Tong Linyuan even thought of what was written on the data many years ago. One in 4-5 people had an oval opening that was not closed.

Because most patients have no symptoms, the probability that they will never find it in their lifetime is particularly high.

For a long time, it has been thought that the opening of the oval hole generally does not cause shunting of the two rooms, and has no effect on the hemodynamics of the heart, so it is considered "irrelevant."

Was Boss Zheng diagnosed like this?

Tong Suyun glanced at Zheng Ren, he frowned and said, "Boss, have you been skeptical of a young man with a cerebral infarction?"

"Almost, there must be a reason not." Zheng Ren said, "The probability of a migraine due to an oval oval opening is very high. Quite a few patients have a migraine, but it is difficult to diagnose because they have a oval oval. Caused. "

"Contradictory cerebral infarction, which you have always suspected is this." Su Yun smiled, "So you let Xiaolinzi ask the medical history?"

嗯 "Well, as long as there is a migraine headache, there is a high probability that it can be diagnosed as a contradictory cerebral infarction. Doing a transesophageal ultrasound ... The difficulty is still relatively large, and a foaming test may be needed."

"Boss Zheng, please wait a moment." Lin Yuan immediately stopped Boss Zheng's words. If this continues, there are even treatments, and a case study has come to an end.

He didn't have any clue.

Contradictory cerebral infarction, Lin Yuan knew. Generally speaking, cerebral infarction is caused by arterial thrombosis. However, some people have no emboli in the arterial system, but the emboli in his venous system pass through the oval hole and can be embolized to the blood vessels in the head.

This is also a theoretical basis for the treatment of open oval foramen once the paradoxical cerebral infarction is found in the medical community.

"Do you want to ask what is the relationship between migraine headaches and the opening of the oval hole?" Zheng Ren asked.

"Yes."

"There is no theoretical explanation in clinical practice now." Zheng Ren smiled and said, "However, there are several kinds of guesses. First, it is difficult to explain migraine. It may be that there are some neurotransmitters in the venous system that pass through this open egg. The round hole bypasses the pulmonary blood vessel inactivation and filtering functions, and directly goes to the cerebral circulatory system. It binds to some nerve receptors and produces symptoms of migraine headaches. "

"Second, the oval pores that are not closed completely under deep breathing, coughing, and exercise are open, and the small blood clots in the venous system enter the human brain circulation through the oval pores, which exacerbates the spread of disseminated inhibitory cortex. Find the elephant. "

Tong Linyuan sighed, and it seemed that his diagnosis was not good enough.

"When encountering an unexplained cerebral infarction, the theory is more inclined to check the heart recently." Zheng Ren continued, "The opening of the oval foramen is also a predisposing factor."

I had a brain infarction, I had to check the color of the heart, and it was related to migraine ... Lin Yuan sighed deeply again.

I said that I ca n’t have a headache or a headache, but I did n’t expect to be taught again today ~ www.novelhall.com ~ Su Yundao: "Would you like to be a B ultrasound yourself?"

"No need." Zheng Rendao, "Are you familiar with neurology?"

"The hospitalization has always dealt with before, but do you know the people in internal medicine? They haven't been in deep contact." Su Yundao, "May I remind you?"

"Well, do a transesophageal echocardiography or a foaming test. Anyway, how is it convenient? How to check the situation of the oval hole. If there is, there is a high probability of recurrence in the future. Intervening doctors simply blocked it. "

"Look at the delays involved. This was the work of heart." Su Yun glanced at his boss, all the grievances were piled on the boss.

"The Department of Circulation now mainly performs cardiac interventional surgery. Who do you complain about?" Zheng Ren said.

"I first asked people to check whether they checked, don't let us be warm on this side, neurology is already preparing to have surgery for an examination, it's so embarrassing." Su Yun shifted the topic and changed the direction.

"It's okay, as long as you don't miss this. If there are one after another, the patient will be miserable after one time." Zheng Ren said indifferently.

就 This matter is so confusing, it's not bad. Su Yun was reminded of the diagnosis that the patient might be ignored, and no doubt was raised. Lin Yuan did a good job.

Well, after a few days, the rich child left, and she had to teach her the surgery well. If there was anything wrong, knock it with a hemostat.

Lin Linyuan didn't know, because of a migraine headache, he even got the "attention" of boss Zheng.

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