I Can See Health

Remember [new] in one second! Through cardiac ultrasound imaging examination, students can keenly observe the structure and functional status of the patient's heart.

For example, some patients with myocardial infarction have weakened ventricular wall motion and decreased myocardial contractility.

In patients with aortic dissection, the aorta is widened and floating intimal sheets can be seen in the aortic intima.

Even some patients with pulmonary embolism can see signs of pulmonary hypertension and widening of the pulmonary arteries.

As a fast, non-invasive imaging method, ultrasound can provide a lot of diagnostic information.

More importantly, this ward round method allows every student to get active, participate in the clinical diagnosis and treatment process, and increase interaction with patients.

However, the proficient use of ultrasound does not happen overnight and requires long-term training.

"This also depends on the feel." Zhou Bin held the ultrasound probe and operated it on a patient with myocardial infarction. "Do you think this patient's cardiac contractility is significantly weaker than that of normal people?"

Cheng Peng nodded aside, "Yes, his myocardial contraction ability is half a beat slower than that of normal people."

"You're right. This is heart failure after a myocardial infarction. The heart has no strength to beat, so it seems that the contraction force of the myocardium is reduced." Zhou Bin turned to the four students and said, "Which of you wants to try it yourself?"

Cheng Peng and Gu Xinyue were both eager to give it a try.

Senior fellow student Cheng Dongbo, who was studying at the third level at the side, was not very interested, "You three junior fellow apprentices, let's try it. I have used it before."

However, Lu Chen just smiled.

He can train whenever he wants to use ultrasound in the system virtual space.

Now this opportunity is left to Cheng Peng and Gu Xinyue.

Seeing this, Zhou Bin handed the ultrasound probe to Gu Xinyue, "Then let Xiaogu come first."

Gu Xinyue nodded slightly, took the probe, applied coupling agent, and began to draw on the patient's heart.

However, the ultrasound screen was blurry and nothing could be seen.

"When doing a heart ultrasound, the patient must turn slightly to the left." Zhou Bin explained, "Because there is a lot of air in the lungs, if the patient lies flat for an ultrasound, the entire image will be blurry because of the air in the lungs. It’s hard to see clearly, especially for some obese people.”

After hearing Zhou Bin's instructions, Gu Xinyue nodded slightly, and then asked the patient to turn slightly sideways.

However, after the patient turns sideways, the image on the ultrasound screen is still blurry!

"The rest you need to practice more by yourself." Zhou Bin said, "As long as you find the feel, you will be able to do it in the future."

Something like ultrasound may really require some talent.

Gu Xinyue fiddled with it for a long time, but still couldn't display the image of the heart. But as soon as Fatty Cheng got started, the image of the four chambers of the heart appeared on the ultrasound screen. Although it was not very clear, it could be identified.

"Haha, Lao Gu, look!" Fatty Cheng was a little embarrassed and raised his eyebrows at Gu Xinyue, "I've made it!"

Gu Xinyue spread her hands helplessly. This fat man's luck was really good.

At this time, Zhou Bin had left, and there were only a few students left.

Senior brother Cheng Dongbo smiled and said: "Junior brother, what you are doing is not very standard. You must aim at the right place."

With that said, Cheng Dongbo gently took the probe from Fatty Cheng's hand and began to operate it.

It has to be said that Cheng Dongbo has been in the CCU ward for a month and is indeed more skilled in ultrasound surgery than Gu Xinyue and others.

However, in Lu Chen's view, they were just getting started.

"Junior brother, look, this is the aspect of the four-chambered heart." Cheng Dongbo showed a confident smile on his face, "Do this a few more times like me, and you should be able to do it!

The four chambers of the heart are displayed on the screen of the ultrasound machine.

"Senior brother, you are so amazing!" Fatty Cheng extended his thumb, "How do you make this four-chamber heart and that five-chamber heart?"

"Five-chamber heart" does not mean that the heart has five chambers, but from an imaging perspective, during ultrasound, in addition to the four chambers of the heart, the aortic root can also be seen. This image is called a five-chamber heart. Heartfelt.

"This..." Cheng Dongbo was stunned, "I, I don't know how to do this yet. Let Teacher Zhou help us demonstrate it later."

As soon as he finished speaking, Cheng Dongbo saw that Gu Xinyue and Fatty Cheng did not pay attention to him, but looked at Lu Chen aside.

"What's going on?" Cheng Dongbo was a little confused.

At this time, when Lu Chen saw this, he smiled and said: "The five-chamber heart is very simple. In fact, at the interface of the four-chamber heart, if you slightly increase the angle of the probe, you should be able to see the five-chamber heart."

"What about the two-chambered heart?" Fatty Cheng asked again.

Lu Chen said: "By rotating the probe 90 degrees, you can get the image of the second chamber heart."

"Aren't you going to change the position of the probe?" Fatty Cheng frowned.

"No need." Lu Chen shook his head slightly, "You haven't understood the specific anatomical structure of the heart. The ultrasound probe can see most of the heart at the apex. At this time, you only need to adjust the angle to get different images. interface.”

Hearing Lu Chen's words, Cheng Dongbo was dubious.

Didn't this junior brother just arrive in the CCU ward? Why does it sound so powerful?

However, he still tried to do what Lu Chen just said.

"Hey, it's true!" Cheng Dongbo was stunned. When he followed Lu Chen's instructions, the image of a five-chambered heart really appeared on the ultrasound screen.

Then, he adjusted the probe position again.

This time, the two-chambered heart actually appeared successfully!

This junior brother was right!

…

Several people were very surprised, but Lu Chen just smiled lightly and said, "Basic operation."

These operations are the most basic entry-level operations in the system space!

"You three should practice ultrasound first. I'm going to help Teacher Zhou write down the course of the disease."

After saying that, Lu Chen left.

Cheng Dongbo was shocked. ＵUReading ｗww.uukanshu.net "Let me go, who is this junior brother? So powerful?"

This was the first time he met such an awesome junior brother.

Fatty Cheng smiled and explained, "Department of cardiology, Lu Chen."

Hearing the word "Lu Chen", Cheng Dongbo's eyes widened and he murmured: "Ah? Is he Lu Chen?"

This is a legend from Jinghua Second Academy!

Just the 5-point sci paper published by Lu Chen is something that Cheng Dongbo can't envy now.

He is now facing graduation. If there was such an article, he would have been admitted to many hospitals!

"Damn it, did I just pretend to be in front of Junior Brother Lu Chen?" Cheng Dongbo cursed in his heart. He secretly glanced at the two Junior Brothers beside him and found that there was nothing unusual about them, so he felt relieved.

…

At this time, Lu Chen had arrived at the doctor's office.

As soon as he walked in, Zhou Bin was about to go out, "Just in time, the patient was transferred upstairs. Let's go see him together."