21st Century Necromancer

Chapter 363 Acute Pulmonary Embolism (Request for monthly tickets/subscription, 4/7)

Hearing the nurse's words, Yu Chen and Hiromi Jounouchi hurried to the ward together, only to see Mr. Hamada lying on the bed clutching his chest. Hiromi Jounouchi quickly picked up a stethoscope and placed it on his chest to examine him, while Yu Chen asked a nearby nurse, "Have you checked his blood oxygen level?"

"I'm getting the oximeter now!" the nurse replied to Yu Chen, while also trying to calm Mr. Hamada's nerves, hoping to ease his tension and alleviate his pain.

"There's wheezing in the lungs with vascular murmurs, it must be pulmonary embolism!" Hiromi Jounouchi made a rapid judgment after listening to Mr. Hamada's chest with a stethoscope, "We need to proceed with treatment immediately!"

"Don't rush! Wait for the oximeter to come so we can confirm the diagnosis with the oxygen saturation results before making a decision." However, Yu Chen stopped her, "Physical signs aren't absolute, a blood oxygen level test is a bit safer."

Stopped by Yu Chen like this, although Hiromi Jounouchi still felt anxious, she had no choice but to suppress her eagerness and wait for the oximeter to arrive.

Fortunately, nowadays medical oximeters are very compact, just a small device similar to a clothespin. It's clipped on the finger to measure the oxygen saturation, so even if the nurse had to fetch it from the nurse's station, it wouldn't take much time.

It didn't take long for the nurse to bring over the oximeter, and she immediately clipped it onto Mr. Hamada's finger.

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Yu Chen glanced at the reading and then confirmed, "Blood oxygen saturation is below 90%, it's likely pulmonary embolism. Send him for a pulmonary artery CT and pulmonary angiography to confirm the diagnosis! Prepare oxygen!"

"Yes!" The nurse, upon hearing Yu Chen's words, immediately complied and hurriedly prepared to take Mr. Hamada for the examination.

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"Prepare for the surgery," said Hiromi Jounouchi, looking at Mr. Hamada's pulmonary angiogram once more, instructing a nearby nurse.

"Understood!" The nurse nodded and hurried off to prepare for the surgery.

Seeing the nurse off to make surgical preparations, Yu Chen and Hiromi Jounouchi were not in too much of a hurry. Although acute pulmonary embolism is very dangerous and does require prompt treatment, there was no need to rush for these few seconds.

"Hiromi, what do you think caused the pulmonary embolism?" Yu Chen, looking at Mr. Hamada's pulmonary angiography, suddenly took an interest in the formation of the clot.

Hearing Yu Chen's concern about this, Hiromi Jounouchi glanced at him before explaining, "It's most likely due to a dislodged venous thrombus from the lower extremities, carried by the circulatory system back to the heart, and then into the pulmonary artery. This is common in the elderly and those who sit for long periods."

"Hmm, the thrombus isn't large, and there are no signs of thrombosis in the surrounding vessels. It is probably what you mentioned," Yu Chen carefully examined Mr. Hamada's pulmonary angiogram and nodded in understanding.

For people who sit for long periods or are elderly, blood clots are more likely to form due to slow blood flow resulting from a lack of movement in the lower limbs. However, venous thrombi in the lower extremities have a characteristic: they can dislodge with bodily movement. Sudden, forceful movements or quickly standing up can cause these thrombi to detach.

And the detachment of a thrombus is not necessarily a good thing because, if these thrombi do not dissolve promptly but are instead carried back to the heart and enter the lungs via the pulmonary artery, they are very likely to cause pulmonary embolism.

Clearly, this was indeed the cause of Mr. Hamada's pulmonary embolism this time.

"Do you need my assistance with the surgery?" Yu Chen proactively offered to help Hiromi Jounouchi now that the diagnosis was confirmed.

However, Hiromi Jounouchi shook her head and said, "No need, I can handle this minor surgery myself. We don't need the assistance of a big professor like you. Instead, you should hurry up and think about how to treat that young girl. Treating her quickly so she can be discharged is how you'll soon escape the crisis of being entangled by her."@@@@