Only by understanding the cause of the narrowing of the blood vessels can the specialists find the appropriate way to deal with the patient. Different causes require different treatments.

The patient is currently showing only some signs of myocardial insufficiency, but not to the point of inducing ventricular fibrillation. He does not need immediate treatment to restore myocardial perfusion—at least not at the moment under emergency supervision. As for his right side circulation due to compensation, according to the results of the imaging examination, the problem is not too big at present.

"We don't know exactly when he'll have another heart attack. Dr. Cao Yanhua sighed, "Stents are generally not considered for three lesions, and even if surgery is required, bypass surgery is required." With this degree of stenosis and lesions, the upper stent is of little use and is prone to recurrence. ”

Three-vessel disease is a description of the degree of coronary artery disease in the patient, and is also one of the indications for the decision to use PCI or bypass grafting. Most people with coronary heart disease have different areas of the coronary arteries narrowed at the same time. In general, patients with more than 50% stenosis are considered to have coronary heart disease. In most people, more than 51% of stenosis begins to compensate for hyperplasia to varying degrees.

Sun Lien did not participate in the conversation between Cao Yanhua and Yuan Ping'an, he looked at the condition of the patient on the bed and raised his eyebrows.

"Wang Ge, male, 25 years old. Elevated C-reactive protein (1933.21.29), decreased complement C3 (1834.49.28), proteinuria (1818.43.28), coronary arteritis (935.17.34), systemic lupus erythematosus [inactive] (781.39.52)"

This one...... There is no need to diagnose it yourself, right? Sun Lien muttered in his heart, he wanted to see how far Yuan Ping'an had progressed now. Although the probability of SLE in men is not too large, in the case of unexplained coronary heart disease, almost every doctor will take this into account and improve the relevant examination.

The only question is when Yuan Ping'an will start to suspect that the patient is an autoimmune disease.

Sun Lien blinked, and returned to the state of "systemic lupus erythematosus". SLE: He'd seen quite a few of them, but this was the first time that the type of disease had been written in blue like this patient.

Could it be that after seeing a certain number of the same disease, the status bar can directly give the answer together? Sun Lien was a little excited and a little looking forward to it. If you don't have to worry about the status bar prompt in the future, it will save you a lot of problems.

But how many patients have I seen with systemic lupus erythematosus...... Sun Lien was a little confused, and he also saw a lot of common diarrhea and colds. Why is there a blue tip for SLE right now?

"Let's check it out first. After communicating with Cao Yanhua for a while, Yuan Ping'an officially took over the patient. "Let him stay in the emergency room first and check the five infectious diseases...... I'll take a look at the blood routine. ”

When you already know the answer, it's very difficult to resist not revealing the truth. Sun Lien was holding back a little pain beside him. If it weren't for the fact that the inactive SLE patients generally do not progress too quickly, and the patient's own coronary heart disease problems are not serious, he would have said it directly. In order to divert his attention, Sun Lien decided to talk to Wang Ge, whose name was born to take advantage of others.

"How are you feeling now?" Sun Lien habitually took out a notebook and pen from his pocket, and he asked with a smile, "I heard from the doctor that you started to feel weak a few years ago?"

Wang Ge lay on the hospital bed, raised his eyelids and glanced at Sun Lien, and then said helplessly, "Yes." ”

"Then why haven't you come to the hospital for a check-up?" Sun Lien sat down on a stool with his foot, and then continued to ask in the gentlest tone possible, "No time?"

"I don't want to come. Wang Ge sighed, "I'm afraid of the hospital." ”

That's a whole new reason. Sun Lien looked at Wang Ge with some surprise, this young man did not have the signature skin lesions of lupus erythematosus, and he looked quite healthy. Shouldn't this kind of sturdy young person find himself unwell?

"I'm afraid of hospitals. Wang Ge seemed to be afraid that Sun Lien would not understand what he meant, so he emphasized again, "What if I come to the hospital and show me a serious illness? I'm not very old, what serious problems can there be?"

Sun Lien's mind was suddenly filled with the urge to scold.

He finally managed to restrain his impulse, and then continued to ask with a pleasant face, "Then why did you come to the hospital when you felt a little uncomfortable this time?"

A doctor's job is to treat the sick and save lives. Helping patients establish a correct outlook on health is also an important part of curing diseases and saving lives.

"My girlfriend forced me to come. Wang Ge looked a little impatient, "I've been lying here for an hour, almost, right? ”

"Whatever you do, it's best to stop. Sun Lien sighed, he pointed to Wang Ge's bound legs and said, "Why are your legs so strong...... Do you know why?"

Before Wang Ge answered, Sun Lien first gave the answer, "You just had a coronary angiogram of the heart, and the results of the imaging showed that the stenosis of three blood vessels on your heart reached 99%. ”

"And then?" Wang Ge still had a look of indifference on his face, "It's not blocked!"

Sun Lien almost choked on this sentence and had a heart attack. He looked Wang Ge up and down, "Dude, you usually don't mess around in forums, right?"

"The coronary arteries are the main conduits that supply your heart with oxygen and nutrients. Sun Lien said to the national first-class bar-lifting athlete in front of him, who was suspected of being from the NGA Forum, "You are now covering your mouth with your hands and pinching your nose to death." Then inhale hard – you can get a little bit of air coming in. That's what it's like to be 99% clogged. Your heart is not the same as yours, you can lie still in bed. It also has to keep beating to keep you alive. You run and jump while covering your mouth and nose and try it, and after a few seconds you can't stand it. ”

Wang Ge seems to have been convinced—at least partially. He still wanted to raise a bar, "Then open up the narrow area." ”

"You are three lesions, not one. Sun Lien took out the photo of the imaging and showed it to Wang Ge, "This means that the price of just using the bracket will be very expensive." Three stenosis, with a minimum of three stents. A domestic stent is about 10,000 or 20,000 yuan, and after three stents plus CCU monitoring, you will probably have to collect more than 100,000 or 200,000 yuan. Even so, there is no guarantee that you will not relapse in the future. ”

"You're robbing money! I'm going to call the police!" Wang Ge suddenly became excited, he struggled twice, but found that he was tied to the bed solidly.

"I advise you not to struggle, and not to get too excited. Sun Lien raised his voice slightly, "If you suddenly have ventricular fibrillation because of the struggle, then you have to make a stent right away - you must take out the ten or two hundred thousand." ”

Unreasonable people will show their brutal attitude in as many places as possible. But only in front of the money is very humble. Wang Ge immediately stopped struggling, but still glared at Sun Lien and said angrily, "What about your leader, call him over, I want to complain to you!"

"The Complaints Section is on the second floor and staff do not accept complaints from outside the office. If you want to complain, just listen to me. This way, while saving a lot of money, you also have the opportunity to go to the second floor to complain yourself. Sun Lien threw the notebook aside and said in a fierce voice, "When you started to feel weak five years ago, did you feel uncomfortable in anything else on your body?"

"I ......" Wang Ge was stunned by Sun Lien's sudden change in attitude, and then replied honestly, "I feel a little dry eyes." ”

"Do you have swollen joints, dry mouth, or low-grade fever?" Sun Lien continued to ask, he really didn't want to drag it out. Such patients...... It's better to get cured quickly and let him get out of here.

"Yes. Wang Ge nodded, and then said with a shocked face, "You spied on me?"

...... Sun Lien clenched his fist with all his strength, and then exhausted all his self-control to prevent himself from facing the other party. He turned his head to Yuan Ping'an on the side and said, "Doctor Yuan, did you hear me?"

Yuan Ping'an nodded, "I heard it, I'll ask someone to check his rheumatism markers again." ”

"Also, let the patient's family come over. Sun Lien turned his back to Wang Ge, but he didn't have to hide his disgust anymore, "I think it's better to communicate directly with the family." ”