Chapter 632 - Primary Pulmonary Hypertension!
After Chen Tianlin watched Mr. Wang and Zhang Yifei walk out of the consultation room, a middle-aged man and an old man walked into the consultation room, Chen Tianlin saw the middle-aged man in front of him, and asked suspiciously: "Mr. Zhao!
"Professor Chen, I came to see you this time, not because I saw a doctor myself, but because I brought a relative of mine, this is my uncle, who was diagnosed with a heart attack in our local hospital. ”
"When I got home from the hospital, I heard my aunt mention my uncle's condition, and I thought I would bring him to you. When Mr. Zhao heard Chen Tianlin's inquiry, he immediately told Chen Tianlin the reason why he came.
Chen Tianlin heard Mr. Zhao's introduction, and politely said to the old man: "Uncle Zhao, please take a seat, I will help you check the pulse first." ”
After Chen Tianlin waited for the old man to sit down, he immediately reached out to hold the pulse of the old man, and seriously felt the patient's pulse breath, from the reaction of the patient's pulse, Chen Tianlin preliminarily affirmed that the patient did have a heart attack, but out of a serious attitude towards the work, Chen Tianlin immediately picked up the stethoscope after the pulse diagnosis, attached to the patient's chest, and listened to the patient's heartbeat.
Through the stethoscope, Chen Tianlin found that the patient's second heart sound in the pulmonary valve area was hyperactive and there was also a jet murmur, which made him basically sure that the patient's illness was probably not just a heart problem, and immediately turned on a human imaging scan to examine the old man's body.
After helping the patient do the body imaging scan, Chen Tianlin did not get much useful information, he recalled all the medical knowledge related to cardiovascular in his mind, and then compared it according to the patient's symptoms, but found that although the patient's symptoms were somewhat similar to these diseases, they were very different, which made his brows wrinkle unconsciously.
Uncle Zhao saw Chen Tianlin's brows furrowed tightly, and he knew in advance that Chen Tianlin was an expert in brain science and tumors, which made him instinctively think that Chen Tianlin would definitely not be able to find out the cause of his illness, and a disappointed expression unconsciously appeared on his face, and he said: "Professor Chen! I know my condition well, to be honest, I don't have much hope for my disease, if it weren't for the children, I wouldn't have come to Jiangcheng with Qidong." ”
Chen Tianlin, who was pondering, suddenly felt as if he had grasped the key issue when he heard Uncle Zhao's words, and hurriedly asked Uncle Zhao: "Uncle Zhao! What did you just say? Can you repeat what you just said." ”
When the disappointed Uncle Zhao heard Chen Tianlin's request, he was obviously stunned, and even made him feel a little inexplicable, but he still followed Chen Tianlin's instructions and repeated: "Professor Chen! As I just said, I don't have much hope for my illness......
Hearing Uncle Zhao's words, Chen Tianlin finally understood what the problem was, when Uncle Zhao spoke just now, his voice was a little hoarse, and the jugular venous pulse appeared an enlarged A wave, so that Chen Tianlin couldn't help but blurt out: "Uncle Zhao! Every time you get sick, do you always feel fatigue, labor pain in your chest, and not enough air?"
Uncle Zhao heard Chen Tianlin's inquiry, recalled the situation when he was sick, nodded subconsciously, and replied: "Professor Chen! You are right, every time I get sick, my chest will feel pain, and my whole body is soft, and I can't lift up a little strength, do you know what kind of disease I have?"
When Chen Tianlin heard Uncle Zhao's answer, he could almost determine Uncle Zhao's condition, and replied with a stern face: "Uncle Zhao! You have a rare cardiovascular disease called primary pulmonary hypertension. ”
"This disease is characterized by a progressive increase in spontaneous pulmonary artery pressure, often accompanied by right ventricular hypertrophy and right heart insufficiency, the basic lesion is pulmonary arteriole sclerosis, stenosis, embolism or plexiformity, early patients can have no symptoms, only in the middle and late stages, palpitations, shortness of breath, fatigue, chest pain and syncope. ”
Uncle Zhao and Zhao Qidong came to Jiangcheng to see a doctor this time, completely with the attitude of dealing with the children, but he never imagined that Chen Tianlin would be able to determine the cause of his illness, which made his originally disappointed face immediately show a happy expression, nodded excitedly, and asked Chen Tianlin: "Professor Chen!
Primary pulmonary hypertension is an extremely rare cardiovascular disease nowadays, it can be said that among millions of cardiovascular diseases, there will not be a single case, so far, there has never been a successful cure case of this disease, if Chen Tianlin does not have a medical assistance system, it is impossible to diagnose Uncle Zhao's condition, let alone treat Uncle Zhao's condition.
Chen Tianlin heard Uncle Zhao's inquiry, and replied with a stern face: "Uncle Zhao! It is very rare, it can be said that there will not be a single case in a million people, and it is precisely for this reason that your local hospital will not be able to find out the cause of your illness." ”
"However, the treatment of this disease requires you to have considerable willpower, because this treatment process is not as easy as ordinary treatment, your left ventricular hypertrophy, right heart insufficiency, although there are no symptoms of heart failure, but if you want to cure this disease, you must cure your left ventricular hypertrophy, cardiac insufficiency. ”
"The whole treatment process is very complicated, to put it mildly, it's a bit like cancer chemotherapy, when you start treatment, you have a decrease in white blood cells, a dry cough, anorexia. ”
When Zhao Qidong heard the word chemotherapy, he understood why Chen Tianlin said this time, and he needed his uncle to have strong willpower, because he had received chemotherapy and knew very well how painful this process was, so he asked Chen Tianlin with a worried face: "Professor Chen! Besides this method, is there no other way to treat my uncle's illness?"
When Chen Tianlin heard Zhao Qidong's inquiry, he thought of the patient's condition, and replied with a stern face: "Mr. Zhao! Primary pulmonary hypertension can occur at any age, and further development of the disease can cause chest pain and post-exertional syncope, sometimes the dilated pulmonary artery can compress the left recurrent laryngeal nerve and cause hoarseness, and finally right heart failure can occur, and in severe cases, sudden death. ”
"Whether this disease is foreign or domestic, there has never been a successful cure case so far, if you don't come to me today, even if your local hospital diagnoses Uncle Zhao's illness, the hospital can only treat Uncle Zhao with some conservative treatment that treats the symptoms but not the root cause. ”
"I have done research on this kind of disease, although I can't guarantee you at present, but the treatment method I use is the only way to treat this disease, I suggest that you take Uncle Zhao back and discuss with Uncle Zhao's children before making a decision!"
Zhao Qidong heard Chen Tianlin's suggestion, thought carefully for a while, and replied: "Professor Chen! Then I'll take my uncle back first, and then make a decision after I discuss it with my cousins!"