Doctor Started a Plug-in

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Old Yang drove an ambulance for a lifetime, from Gold Cup Grace to Mercedes-Benz 416. The changes in the car also witnessed the development of Anyang City EMSS in these years.

The Mercedes-Benz 214, which was driven by Old Yang this time, has sufficient power and a maximum speed of 200 kilometers per hour. It also has considerable fuel consumption.

This kind of car is not cheap at all. A set of original ambulances from the Mercedes series has more than 140 and 10000, which is still standard!

Of course, not only the price of the car, but also the oxygen supply equipment, air disinfection cycle support, electrocardiogram monitoring, ventilator, defibrillator… these professional equipment.

Generally speaking, those who can make ambulances are not necessarily luxury manufacturers, but they are basically reliable, and the domestically produced Jinbei is considered an old brand.

However… the shortcomings of Mercedes-Benz 216 are also very obvious. The shock absorption is general.

But taking this kind of mountain road, Chen Cang feels like he is a bit floating…

Mercedes-Benz’s performance can not be fully exerted, and even the steering and flexibility are not as good as the domestically produced Jinbei.

This kind of rescue on the mountain road is actually very difficult to deal with the test of the ambulance driver!

Little Lin was okay sitting in the co-pilot, and Chen Cang was sitting in the back compartment. After coming down, I felt that my steps were a bit vain.

The director of Nanqiao Township Health Center has already waited at the door, seeing Chen Cang and the others come down.

“Expert is good!” The Dean was very enthusiastic, and one expert at a time made Chen Cang a little uncomfortable.

After a chat, he moved directly towards the inside.

The township hospitals here are fairly okay. The 4-Layer inpatient building looks quite the same.

Chen Cang went upstairs with the dean. Old Yang turned his car around and prepared for transportation.

Generally, if he and Chen Cang visit 2 people, he will follow behind to help. Like this situation of lack of manpower, Old Yang does not like to intervene.

Little Lin cleverly carried the rescue box and followed closely behind Chen Cang.

After several years of work in the emergency department, Little Lin’s ability is more than just a nurse. To be honest, Little Lin’s ability to rescue may be higher than the dean in front of him.

On the second floor is the Department of Cardiology. After the entire group entered the ward.

Chen Cang finally saw Patient, a 70-year-old lady. At this time, she was lying on the bed, the bed was shaken, her breath was short, and she was panting!

The sleepy eyes were always closed, and the slightly rough and rapid breath sounds did not know whether it was snoring or what was going on.

With an oxygen tube in the nostril, the complexion is painful!

At first glance, Chen Cang felt that things were not as simple as imagined!

Thinking of this, Chen Cang first thought of the possibility of heart failure.

In elderly patients with acute myocardial infarction, acute heart failure may occur during the attack.

The tube doctor is a young man who is not as good as Chen Cang, but depending on the greasy degree, the working hours should not be short.

However, Chen Cang naturally does not need to have too many demands on others. After all, to be honest, there are not many youngsters who can come to the hospital. What are the requirements?

Chen Cang originally wanted to ask about the situation. After thinking about it, he walked to the old man’s bed, opened the quilt, and looked at his legs and feet.

The family member is a rural woman, who should be the daughter-in-law, but she is very considerate.

Generally speaking, the right heart failure patient will have edema, but the old man has no signs, no leg swelling, and there are not many signs of puffiness on his face.

Chen Cang saw the old man sitting and breathing, but at first it didn’t feel like a patient with right heart failure.

It looks like a typical left heart failure. After all, the typical breathing difficulty is sitting and breathing.

Chen Cang did not continue to check. At this time the old man opened his eyes and saw Chen Cang laughed.

This is an old lady who smiles kindly, kind-hearted.

Chen Cang looked at the old man, and disabled to bear first asked a few simple questions, such as how old he is, and whether he sleeps well.

The old man’s answer is very clear.

Chen Cang is also secretly nodded, with clear consciousness, normal thinking, and clear mind, which is a lot of relief.

Chen Cang just started to ask about the medical history.

7 days ago, a sudden myocardial infarction occurred and was delivered to Hospital in time. Yesterday morning, I began to have difficulty breathing and was able to lie down. It was only comfortable to lie down like this for half a night. The old man seemed restless and a little anxious!

Chen Cang first comforted the elderly, and then asked his family to greet the elderly to lie down.

Chen Cang picked up the stethoscope and began auscultation!

A typical systolic murmur can be heard at the apex of the heart, and moist rales are also present at the base of both lungs!

Chen Cang frowned immediately!

its not right?

This is not a sign of heart failure?

at first According to the description of the old man and the expression of his family, all signs are moving towards the development of left heart failure.

But after listening to Chen Cang, although it cannot be ruled out, but… this should not be the main reason!

Thinking of this, Chen Cang asked Little Lin to measure blood pressure and blood oxygen.

“Blood pressure 12080mmHg!”

“Heart rate 100 beats per minute!”

“Blood Oxygen 95!”

Chen Cang looked at the old man: “Have you ever had heart disease before? Or high blood pressure…”

The old man shook his head.

The daughter-in-law on the side also said: “The old man has been very tough before, having 5 sons and 2 girls!”

Chen Cang froze, 7 brothers, although they can’t prove anything, but… this body should also be good!

Thinking of this, Chen Cang turned to look at the doctor in charge of the bed: “Give me the medical record.”

The doctor in charge is also very cooperative: “Okay, please wait!”

It didn’t take long for me to come over with a medical record folder.

Chen Cang saw that 7 or 8 ECGs looked like this. Every day was done. Two at the time of admission were all typical ST segment arcuate elevation and typical acute myocardial infarction waveform.

But… in the next few days, an electrocardiogram every day, although the chest pain eased, but the patient’s st segment not at all fell back to the rhythm.

What is the situation?

Now if you can’t make a definite diagnosis, you can’t go on the road!

At this time, the child of the old man also came, and five men came in. Chen Cang turned around and looked at each and everyone’s tall man, and suddenly felt that this was also a mother’s pride.

“Doctor, hurry to Anyang,” the older man said.

Chen Cang shook the head: “Wait a moment, now the elderly are in a unstable situation and the road is far away. I am worried that something will go wrong. I have to stabilize the symptoms. At least the diagnosis must be clear!”

The family heard Chen Cang’s words and no longer spoke.

In the eyes of the villagers, the experts of other provinces are definitely right, but they are not willing to be smart.

On the contrary, the kind of half-knowledge that picks up a 100-degree weapon to fight the Doctor is even more headache!

At this time, Chen Cang put his hand on the position of the strongest point of the apex of the heart, and continued to feel some tremors? !

This signal suddenly made Chen Cang overjoyed!