Chapter 4085 【174】Test you again
"This is obvious lung bleeding." This time, Dr. Lu said his professional judgment directly.
First of all, we need to talk about the lung injury caused by chest trauma.
Medicine emphasizes that the finer the accuracy, the better. It does not mean that the condition will be the same after the lungs are traumatized.
Regarding the lung, we have roughly talked about its anatomy before and knew that it is a complex organ and contains many contents, such as lung tissues divided into lung parenchyma and lung interstitial. We have also talked about the simplest trauma classification method, which is also suitable for lung injury of chest trauma, which is closed injury or open injury.
It is precisely because of closed injuries that do not see obvious wounds outside the body, which can easily fool people, including fooling the doctor in the case of the person involved, thinking that his injury is not serious for the time being, and he can go to the hospital to deal with it. If there is a problem halfway through the way.
This once again shows that there is some reason why a doctor does not treat himself.
Dr. Yang thought at first that he was just in a state of affairs that he needed to go to the hospital. It can be said that she mistakenly thought that her injury was not serious at all, or that she might think that she was a lung contusion inside the lung trauma.
The word contusion has been seen in the past when we talked about heart contusion. Similarly, lung contusion is equivalent to heart contusion, and the manifestations of severe injuries will be delayed.
The main symptoms of lung contusion are chest pain, cough, rapid breathing, and may cause hemoptysis. The proportion of lung trauma is not low.
Not to mention that Dr. Yang misjudged his injury, the intern medical student who studied with Dr. Lu in the CT room asked: "Teacher Lu, the lungs here are manifested as bronchitis?"
The student rolled his eyelids hard, racking all his brains to think about what was going on.
People generally understand lung bleeding, such as the student in front of me who did not learn enough, thinking that it was bleeding from the lung parenchyma. From this we can know that lung parenchyma is the most obvious tissues of the lung, alveolar bronchials, etc.
The interstitial lung is responsible for filling the main tissues of the lung, including vascular lymphatic nerve fibers, etc. This part is abnormal, and it is not easy to be obvious if you think about it. Unless there is a problem on a large scale, if there is a problem on a large scale, the lung parenchyma will inevitably have problems.
Students refer to the left lung. The left lung image can see increased lung texture, small spots, walking along the bronchial and blurred, which is like bronchitis.
The difference between teachers and students is that, like Teacher Xie Qinzeng Lu, he is good at changing concepts and hammering students' heads to death.
Therefore, Dr. Lu means: lung frustration can lead to interstitial bleeding of lungs, and a small range of bleeding plasma oozing out of pulmonary blood vessels, gathering in the alveoli to cause imaging manifestations such as bronchitis.
Looking back, do Dr. Lu’s first sentence mean lung bleeding refers to lung contusion? It is definitely not.
The doctor who has been on duty must be speaking straightforwardly and openly in the general direction without delaying any trouble.
Dr. Lu, the newly appointed teacher, imitated the envoy Xie Qinzhang tonight, and trained the students and said: "Who told you that bleeding cannot be a manifestation of bronchitis?"
Dr. Lu refers to the patient's right lung bleeding.
This patient has left lung contusion and right lung bleeding.
Why did the patient think that his injury was not serious and worsened on the road? It might be that his right lung was bleeding again on the road.
Now I think about what Dr. Fu had just said to his mother-in-law before, don’t wait for the ambulance to pull you onto the stretcher lathe.
Chapter completed!