Chapter 4085: 【174】Test you again

   "This is obviously pulmonary hemorrhage." This time, instead of cooperating with Dr. Xie in the examination, Dr. Lu directly expressed his professional judgment.

  First of all, it should be said that lung injury caused by thoracic trauma is divided into several categories.

  In medicine, the more accurate the better, it does not mean that the condition of the lungs will be the same after trauma.

  For the lung, we have roughly talked about its anatomical structure before, knowing that it is a complex organ that contains many contents. For example, lung tissue is divided into lung parenchyma and lung interstitium. We have also talked about the simplest classification of trauma before, which is also suitable for lung injuries of thoracic trauma, that is, it belongs to closed injury or open injury.

  It is the closed injury that does not see any obvious wound outside the human body, so it is very easy to deceive people, including the doctor of the person involved, thinking that the injury is not serious for the time being and can go to the hospital for treatment by himself, and something goes wrong halfway.

   Once again, it shows that it is reasonable for doctors not to heal themselves.

  Dr. Yang just thought that he could go to the hospital because of his condition? 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 in a pulmonary trauma.

   The word contusion, we have seen it before when we talked about heart contusion. By analogy, a pulmonary contusion is equivalent to a cardiac contusion, with delayed manifestations of serious injury.

  The main symptoms of lung contusion are chest pain, cough, shortness of breath, and maybe a little hemoptysis. The proportion of lung trauma accounts for about 20%, which is not low.

  Don’t say that Dr. Yang misjudged his injury, the intern medical student who studied with Dr. Lu in the CT room asked, “Mr. Lu, the lungs here look like bronchitis?”

  The student refers to the left lung. The image of the left lung shows increased lung markings, scattered small spots, walking along the bronchi and blurred, which is similar to bronchitis.

  Dr. Lu, the newly appointed teacher, followed the example of Xie Qinchai tonight, and trained the students, saying: "Who told you that bleeding can't be a manifestation of bronchitis?"

  The student rolled his eyelids vigorously, racking his brains to figure out what was going on.

  The difference between teachers and students is that, like Mr. Xie Qinchalu, he is good at changing concepts and smashing students' heads.

  Pulmonary hemorrhage that most people understand, if the student in front of him is not good enough, he thinks it is pulmonary parenchymal hemorrhage. From here, we can know that the lung parenchyma is the most obvious tissue of the lung, such as alveoli, bronchi, etc.

Pulmonary interstitium is responsible for filling among the main tissues of the lung, such as blood vessels, lymphatic vessels, nerve fibers, etc. It is not easy to see the abnormality of this part, unless there is a large-scale problem, and once a large-scale problem occurs, the lung parenchyma will inevitably follow. something went wrong.

  So, what Dr. Lu said means: pulmonary setbacks can lead to pulmonary interstitial hemorrhage, and small areas such as pulmonary blood vessels seep out of bleeding plasma, which accumulates in the alveoli and causes imaging manifestations similar to bronchitis.

  Looking back at Dr. Lu's first sentence, does the pulmonary hemorrhage mean lung contusion? Certainly not.

  The doctor who has taken up his post must speak in a straightforward and general direction at this time, so as not to delay the matter.

  Dr. Lu refers to the patient's right lung hemorrhage.

  This patient has left lung contusion and right lung hemorrhage.

  Why did the patient think that his injury was not serious before, but it got worse on the road, maybe the right lung rebleeded on the road.

   Now think about what Dr. Fu just said to the prospective mother-in-law, don’t wait for the ambulance to pull you onto the stretcher lathe.

  The road was bumpy, and Dr. Yang didn't know that his rib was in a precarious state. The rib broke on the road and stabbed his right lung.