It can only be to reduce oneās own stress, to minimize the resistance, for this reason, in terms of physiological structure, the pulmonary circulation is characterized by short pulmonary vessels, thin vessel walls, and large expansion capacity. This allows the blood flow velocity to increase, quickly expanding to accommodate the huge cardiac output volume.
In contrast to normal physiology, in pulmonary hypertension, the pulmonary artery pressure increases, resistance increases, and the heart cannot receive the blood ejected, leading to blood accumulation in the right ventricle. Over time, the right ventricle is forced to expand, inevitably becoming right heart failure.
Du Mengen, having proudly finished expressing his opinion, waited for a moment, seeing that Xie Wanying did not express agreement, and questioned, "Do you think the patient doesnāt have pulmonary hypertension?"
Pulmonary hypertension is divided into primary pulmonary hypertension and secondary pulmonary hypertension. Simply put, itās either pulmonary hypertension resulting from issues within the pulmonary artery itself, or pulmonary hypertension caused by other diseases including heart disease or systemic diseases. Primary pulmonary hypertension clinically is a rare disease, whose etiology in modern medical research is still uncertain and unclear.
Clinically, secondary pulmonary hypertension is more common, and at this time, pulmonary hypertension may be a complication, comorbidity, or syndrome.
"You think the patient is secondary, not primary, whatās the reason?" Du Mengen asked, not believing she could determine anything based on the patientās clinical symptoms mentioned earlier.
Without having the patientās medical record and test reports as evidence basis in hand, Xie Wanying dared not guarantee, but there was something she could attempt to discuss with her classmates, saying: "The patientās attending physician is in cardiothoracic surgery, not general thoracic surgery."
Having heard this insightful remark from her, Du Mengen felt as if his lungs were about to hemorrhage, pointing a finger at her for a long time, not knowing what to say: You fellow, arenāt you the legendary academic die-hard? How did you learn to take shortcuts?
As it is said, the patientās attending team is cardiovascular surgery, not general thoracic. If it were a lung-dominated problem, it should be referred to the general thoracic team. Guo Zhi Hospital is not like other hospitals; itās a specialized hospital where the distinctions in this aspect are more precise, with separate cardiovascular and general thoracic departments.
Regardless, Du Yeqing and Du Haiwei, who were walking in front, clearly heard the group of students discussing behind them and burst into laughter. To make two stern teachers laugh out loud was enough to confirm how clever Student Xieās answer was.
Du Mengen discontentedly yanked the collar of his white coat and said to her, "You know, for patients like this, whether secondary or primary, pretty much certain to die after giving birth."
Regarding Duās classmateās confident statement, Xie Wanying could not deny it. Pulmonary hypertension patients during pregnancy are a key focus group for obstetrics and cardiovascular doctors. Such patients are most afraid of sudden death. For this reason, clinical doctors often advise these patients to terminate the pregnancy early, treat the primary disease if there is one, and then consider whether itās feasible to become pregnant again. After all, one only has one life and shouldnāt gamble for a child.
Unfortunately, some women disregard everything to have a child. This moth-to-flame-like maternal love is both admirable and somewhat places doctors and family members on a pyre.
Perhaps some patients always think that clinical practice can mimic TV dramas where daring efforts can stage miracles, disregarding some scientific facts. The fact is, this disease has a very high mortality rate.