I Can See Health

Pregnant women come to the cardiology clinic?

This is still quite rare.

Obstetrics, gynecology, and pediatrics have relatively independent systems.

"Hello, Professor Lu."

As soon as the woman entered the door, she called softly, then slowly walked to Lu Chen and sat down.

These patients usually know that when they encounter a doctor in this kind of expert clinic, they are right to call him "Professor".

Lu Chen didn't bother to talk to these patients and usually didn't refute.

"Are you feeling uncomfortable?" Lu Chen asked.

From the moment the woman entered the door, his expression was very solemn.

Zhong Hui on the side could clearly feel that Lu Chenhe was different from usual.

"Professor Lu, I have been feeling chest tightness and shortness of breath recently." The woman said, and then rolled up her trouser legs. "Look, my legs are still swollen. At first, I thought it was a pregnancy reaction, but the symptoms became more and more obvious. , and finally couldn’t lie down to sleep.”

Lu Chen frowned.

Chest tightness, shortness of breath, edema of both lower limbs, and paroxysmal dyspnea at night.

If a middle-aged elderly person talks about these symptoms, any doctor's first reaction will be heart failure!

However, the woman in front of me is a pregnant woman under thirty years old!

Heart failure requires underlying diseases, such as coronary heart disease, cardiomyopathy, myocarditis, valvular disease, etc.

And such young people usually do not have the above diseases, except for one other situation, which is congenital heart disease!

Congenital heart disease refers to anatomical structural abnormalities caused by disorders or developmental abnormalities of the heart and great blood vessels during embryonic development.

Or after birth, the channel that should be closed automatically fails to close and persists (this is normal in the fetus).

Congenital heart disease exists after birth, or it can be said that it exists during the fetal period.

"Have you had any diseases before? For example, congenital heart disease?" Lu Chen asked about the medical history while conducting a physical examination on the patient.

"Heart disease?" The woman frowned, "No, before this week, I never felt uncomfortable with my heart?! And I have never heard my parents say that I have a heart disease before!"

"Really?" Lu Chen's eyes narrowed.

Because when he thought about the diagnosis of congenital heart disease, the system had already popped up a prompt.

"Congratulations, the system upgrade completion rate has increased!"

This tip undoubtedly proved that Lu Chen's guess and diagnosis was correct.

"Really not!" The woman still shook her head, "If there is, how come I didn't have any symptoms before?"

"Some congenital heart diseases are like this." Lu Chen explained, "When you reach a certain age, or when the physical load increases, the symptoms will become obvious. Your current symptoms are very obvious, they are symptoms of heart failure. And the symptoms are gradually getting worse!”

"The danger is very high!"

Lu Chen withdrew his stethoscope and stared at the woman in front of him.

With such an extremely low health value and "congenital heart disease", that's really tricky!

The woman's face turned pale when she heard Lu Chen's words, "Professor Lu, is it...really?"

If she was the only one who got sick, it wouldn't matter!

But now, there is still a little life in her belly.

If something went wrong with her, it would probably be difficult to save the baby in her belly!

Lu Chen nodded slowly, "Call me and inform your family members to come over now. You may need to complete some examinations or even be admitted to the hospital for examination and treatment!"

"This..." the woman was stunned, "I can do this alone."

"You can't!" Lu Chen said in a stronger tone, "I am responsible for your safety and your children. I will notify your immediate family members to come to the scene."

The woman frowned slightly, she just wanted to see a doctor.

During pregnancy, many tests and medications cannot be used casually, otherwise they may affect the fetus.

At this time, Lu Chen also said to Zhong Hui on the side: "Xiao Zhong, please inform the outpatient nurse that there is a high-risk patient in the clinic and ask them to arrange a wheelchair."

"good."

Zhong Huike no matter what Lu Chen said was right or wrong, she would strictly implement it.

She immediately ran to the clinic and began explaining the situation to the outpatient nurse.

Seeing Lu Chen being so aggressive, the woman became a little nervous and started to take out her mobile phone to make a call.

"It's best to call your parents and ask again if you had any heart disease when you were a child!" Lu Chen reminded.

The woman did not reply, but walked out of the consulting room and into the corridor, ready to make a call.

After Zhong Hui returned, Lu Chen arranged for her to accompany the pregnant woman outside the clinic.

…

Lu Chen did not let this pregnant woman interrupt the rhythm of the clinic.

He still has twenty-nine patients to see!

Outside the clinic.

Zhong Hui didn't dare to lose sight for a moment and stared closely at the pregnant woman.

She didn't dare to make any mistakes in what Director Lu told her.

Once a pregnant woman feels any discomfort, she should report it at any time and be transferred to the emergency department immediately.

At this time, the pregnant woman had already taken out her mobile phone.

Thinking of what Lu Chen had just said, she still dialed her mother.

"Mom, are you busy?" The woman's first sentence was still a bit unable to open her mouth.

"I'm buying groceries in the supermarket. What do you want to eat for lunch?" A laugh came from the other side immediately, "I've made it and will deliver it to you."

"Mom..." The woman paced back and forth in the corridor, her words full of hesitation, "I...I'm in the hospital now."

"Hospital? What's wrong with you? Are you sick?" The voice on the other side was very urgent, "Why didn't you tell me? Where are you now? I'll come over to see you right away!"

The woman took a deep breath and thought of what Lu Chen had just said again. She asked in a low voice: "Mom, when I was a child... I had a heart problem. Mom?"

As soon as he finished speaking, there was silence on the other side of the phone.

"mom?"

The woman's heart tightened. Judging from the reaction on the other end of the phone, had Professor Lu Chen really guessed it right?

"Mom, please say something!"

There was a hint of pleading in the woman's voice.

At this time, a very lonely voice rang on the other side of the phone, "Lili, if you don't talk about this, your dad and I will really forget it."

"Mom, do I really have... a heart disease?" The woman looked in disbelief. UU reading www. uukanshu.net

The voice on the phone continued, "When you were very young, you once went to the hospital for a check-up. The hospital said you had congenital heart disease, and the doctor recommended surgery. But the conditions at home were not good at the time, and you were always in poor health. Well, there was nothing uncomfortable, so I never had surgery and we didn’t care.”

The woman was holding the phone with a stunned expression.

This was the first time she heard from her mother that she had congenital heart disease.

If this hadn't been the problem, it would have been difficult to detect this congenital heart disease.

And for prenatal check-ups.

If the pregnant woman does not have underlying heart disease and does not have any related symptoms and manifestations of chest tightness and shortness of breath, cardiac color ultrasound is not a routine examination.

As a result, congenital heart disease becomes more difficult to detect.

However, after pregnancy, the burden on various maternal organs becomes heavier, which can easily induce heart disease that is asymptomatic. ​16377/10534678