Xu Qiu reminded lightly: "The wings of your nose are inflamed." Tu Yanyan's pupils shrank suddenly, and she looked at Niuniu again, and sure enough she found that the other person's small nostrils were rapidly expanding and contracting, and she touched her nose from time to time. This is a flaring of the nose, which means poor breathing in the lungs! After discovering this problem, Tu Yanyan looked at Niuniu again and immediately discovered a bunch of problems. first-- Face! Before, she thought that Niuniu's face and skin might be gray due to poor hygiene. But when I thought about it again, something was wrong! In addition to her face, Niu Niu's lips are also a little dark red. The key is,
She paused every few steps. At first Tu Yanyan thought Niu Niu was greedy. But now I realize that the other party cannot keep up with her breathing, and a normal school-age child should not be so weak. Her physical strength has obviously dropped significantly! “Mitral face?!” Tu Yanyan's eyes sharpened, and she quickly looked at Xu Qiu for an answer. Xu Qiu nodded calmly. Tu Yanyan's eyes were full of incomprehension, "How come she has a mitral valve face... Does she have congenital heart disease?" The so-called mitral face refers to mild cyanosis of the lips and dark and red cheeks. The clinical manifestations are lack of physical strength and feeling dizzy and short of breath when doing even the slightest exercise. This condition usually occurs in patients with rheumatic heart disease. The pathogenesis is that rheumatic mitral valve combined with right heart failure leads to systemic circulation congestion. Long-term congestion will cause the blood flow rate of the face to slow down, increase the content of reduced hemoglobin, and cause tissue hypoxia - thus the face will appear dark red. But how could a young girl progress to such a serious level? Xu Qiu walked in front slowly, He didn't think it was rheumatic heart disease. This is more likely to be caused by other causes of mitral regurgitation. "I didn't bring a stethoscope -" Xu Qiu said casually. If you have a stethoscope and auscultate the heart valve area, Xu Qiu can also make a rough judgment. Tu Yanyan thought for a while, took out her cell phone and made a call. Within ten minutes, a big Ben drove to the outskirts of the park and found people sitting on benches to rest.
At this time, Tu Yanyan had already communicated with Niuniu's mother. Niu Niu's mother looked pale, "Niu Niu, is she okay... She always said she was tired before, and I said she was squeamish. But she has been fine since then, and she has never complained about whether she is tired or not..." When Xu Qiu heard this, she understood most of it. Niu Niu was too sensible and hid her feelings in order not to worry her mother. However, this childish face and dark red complexion could not cover up her physical discomfort. "Sister, don't be nervous. These two are very powerful doctors. Don't worry and let them check you!" Bai Xi held Niu Niu's mother's hand, and Niu Niu's mother felt a force from her warm hand. "Okay...thank you, thank you..." Here, Xu Qiu and others watched the man in the white coat open the box. There is a stethoscope, a simple oxygen inhalation machine, and even a compact 24-hour dynamic electrocardiogram device. "Doctor Xu, come here." Tu Yanyan said. Xu Qiu nodded, rubbed the stethoscope, waited for the cold stethoscope to warm up, and then pressed it on the apex of Niuniu's heart. Huhu—— Click! The sound was clear and high-pitched, like a door being locked. Typical click sound! Xu Qiu frowned slightly. There is a non-ejective clicking sound in the mid-late systole in the apical area of the heart... This performance is the sound of the chordae tendineae being suddenly tightened, or the prolapse suddenly terminating! Xu Qiu took another electrocardiogram. The results showed that the T wave was slightly inverted in the inferior wall and left chest leads, and there was slight S-T segment depression. Premature atrial contraction! Tu Yanyan also came over for auscultation. When she heard the obvious clicking sound, she exhaled softly: "Is it mitral valve prolapse?" Xu Qiu nodded lightly. Mitral valve prolapse is a disease in which the mitral valve between the left atrium and the left ventricle protrudes into the left atrium during systole, causing mitral regurgitation. It can be simply understood as hemorrhoids. Hemorrhoids can prolapse and fall out when strained. The same is true for mitral valve prolapse, except that it falls into the left atrium during systole.
This disease is relatively serious. It directly affects the blood supply of the heart. If not treated in time, it may cause damage to the heart function, malignant ventricular arrhythmia, and even sudden cardiac death. Xu Qiu put away the ECG leads and said, "Go to the hospital as soon as possible." Tu Yanyan explained to Niuniu’s mother what mitral valve prolapse was. She continued: “Most simple mitral valve prolapses, with no symptoms and no complications, can be considered benign and require no treatment. However, Niuniu's condition was already serious and she had to be admitted to the hospital for surgery as soon as possible. " "Hand... surgery?" Niuniu's mother suddenly felt helpless and said: "How much does it cost..." Tu Yanyan shook her head: "In this case, it depends on the specific situation. There are currently two mainstream surgeries, mitral valve replacement and mitral valve repair. If it is the latter, it will be cheaper." At this time, Bai Xi picked up Niuniu and let her sit in the back seat of Daben. He said, "Sister, go to the hospital for a checkup first. Don't worry about the money. I can help you with it." Niuniu's mother was still in a daze, and she followed him into the car blankly. "You sit in the passenger seat and I'll drive." Tu Yanyan said to Xu Qiu. After getting in the car, she thought about something and pressed the window. Next to the bench in the park, a doctor in a white coat stood stunned, holding a medical kit in his hand... Tu Yanyan took a look and said, "Take a taxi back and report to the finance department for reimbursement." The doctor quickly straightened up and said, "Yes, boss!" Tu Yanyan retracted her gaze, stepped on the accelerator, and drove away. … Linhai Hospital. Niuniu quickly completed various inspections. Chest X-ray showed: weak body shape and narrow heart shadow. Echocardiogram: Two-dimensional ultrasound clearly showed that the mitral valve leaflets crossed the mitral valve annulus and prolapsed into the left atrium. A prolapsed leaflet resembles an inverted question mark. Doppler showed moderate reflux. The diagnosis couldn't be more obvious, it was mitral valve prolapse! In the emergency department, Wang Fan, Yun Mei, Chen Jia and others heard about this and rushed over to join in the fun. Wang Fan: "Damn it, Brother Xu, you pretended to be a patient and brought back a patient!" Yunmei looked at Niuniu.
She was very shocked! The symptoms of Niu Niu's mitral valve prolapse are not obvious. If it were another doctor, even if he looked carefully, he might not notice a problem. As a result, Xu Qiu noticed something was wrong after just a few glances—— What a keen clinical intuition! boom-- Suddenly, the door was pushed open. Seeing the person standing at the door, everyone's hearts suddenly tightened.