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【2114】The answer of ghost spirit

It can only reduce the pressure and put the resistance to a small amount. Therefore, the pulmonary circulation is reflected in the physiological structure of the lung blood vessels, thin tube walls, and large dilation. This can speed up the blood flow and quickly expand the volume to receive huge heart beats.

In pulmonary hypertension, which is opposite to normal physiology, the pulmonary artery pressure is greater and the resistance is greater, and the blood is not received from the heart, causing the blood in the heart to accumulate in the right ventricle. Over time, the right ventricle is forced to dilate and has to become right heart failure.

Du Mengen, who had expressed his opinions proudly, waited for a while, and saw that Xie Wanying did not agree, and asked: "Do you think the patient does not have pulmonary hypertension?"

Pulmonary artery hypertension is divided into primary pulmonary artery hypertension and secondary pulmonary artery hypertension. Simply put, pulmonary artery hypertension with problems with the pulmonary artery itself or other diseases, including heart disease or systemic diseases. Primary pulmonary artery hypertension is a rare disease in clinical practice, and the cause is temporarily unclear in modern medical research, that is, it is unclear.

Clinically, secondary pulmonary hypertension is frequent. At this time, pulmonary hypertension may be a complication, comorbidity or syndrome.

"What do you think the patient is secondary or not primary?" Du Mengen asked, not thinking that she could see anything based on the patient's clinical symptoms just now.

Xie Wanying didn't have the patient's medical record and examination report as evidence base, so she didn't dare to make a statement, but she could try to discuss it with her classmates, saying: "The patient's attending doctor is not a thoracic surgery department."

After hearing her finishing words, Du Mengen's lungs were bleeding like a mouthful of puffs. He held her finger for a long time and didn't know what to say: Isn't you a legendary academic stubborn? How did you learn to take shortcuts?

It is said that the patient's attending team is outside the heart and not outside the chest. If it is a lung-dominated problem, you should find an outside the chest team. Guozhi is not another hospital, but a specialized hospital. This aspect is divided into more detail, including a separate outside the heart and a separate outside the chest.

In any case, Ye Qing and Du Haiwei, who were walking in front, obviously heard the discussions of their students in the future and laughed. The ability to make the two serious teachers laugh out loud is enough to confirm how genius the answer of Xie is.

Du Mengen pulled the collar of the white coat unconvincedly and said to her: "Do you know? Patients like this, whether secondary or primary, will basically die after giving birth."

Xie Wanying is undeniable to her confidence in classmate Du. Patients with pulmonary hypertension during pregnancy are the key patient groups that obstetricians and gynecologists and cardiovascular doctors are watching. Patients like this are most afraid of sudden death. For this reason, clinicians often give advice to such patients to terminate their pregnancy early. If there is a primary disease to treat the primary disease, it depends on whether the situation can be used to pregnancy again. After all, they only have one life and there is no need to fight for a child.

Helplessly, some women can do whatever they want to have a child. This kind of maternal love, which is like a moth to a flame, is admired on the one hand, and some people put doctors and family members on stolen racks and roast them.
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