Doctor Started a Plug-in

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Chen Cang hurriedly said, “Pull an ECG?”

The Doctor was very cooperative and did it in a short time.

Chen Cang looked at the electrocardiogram and compared with the previous few days, he gradually understood everything in his heart!

But Chen Cang did not directly say that further diagnosis is needed.

Thinking of this, Chen Cang quickly asked: “Did the old lady have a heart auscultation when she was just hospitalized?”

The Doctor blushed suddenly after hearing it.

Because the admission record has been written on the medical record, but… basically all are pasted from the template, and have no meaning.

Chen Cang looked at the medical record and asked himself, naturally he knew what was going on, but he didn’t point out that’s all.

Otherwise, how embarrassing it is to be the dean and family members!

The young Doctor took a grateful glance at Chen Cang, nodded: “Of course I have.”

Chen Cang has no doubt, because this is a routine operation for the doctors of the Department of Cardiology. Perhaps it is too lazy to write in the medical record book, but it is still necessary to do the routine operation in the hospital!

He continued to ask: “Oh, did you hear murmur then?”

The Doctor heard Chen Cang’s question, closed his eyebrows, and after thinking for a moment, hook the head: “No, it was always good when I came.”

Chen Cang: “Yesterday? Did you auscultate? Is there any murmur?”

The Doctor did not conceal speak frankly: “No yesterday, when I saw the situation of the old lady, I considered acute left heart failure and the use of cardiac diuresis, but… it seems that the symptoms did not improve significantly.”

“Calling County Hospital, the other party was not sure, and they dared not take the old man away.”

Speaking of which, Doctor is quite helpless.

However, this is also a common occurrence. Primary hospitals are often reluctant to take risks when the diagnosis is unclear, let alone an acute myocardial infarction + emergency patient with unknown complications.

If something goes wrong, these 5 sons and 2 girls are enough for them to eat a pot!

After Chen Cang heard what the supervisor Doctor said, the clues in his heart became clear.

At this time, Dean Unable to Bear asked: “Comrade Expert, what do you think is the case?”

Chen Cang said after a while, “According to the old lady’s electrocardiogram, the ST segment continues to rise. According to the medicine you use, the trend of not at all declines. I consider Patient. At this time, a ventricular wall swelling tumor has appeared! “

As soon as Chen Cang’s words came out, several Doctors looked at each other suddenly.

A little dazed?

What is dilatation of ventricular wall?

This noun is a rare noun for them at the basic level Hospital, and I have never heard of it.

Thinking of this, I could not help blushing, but sighed helplessly.

Chen Cang didn’t struggle with this issue because he couldn’t blame them. He took them out of the ward and went to the doctor’s office, saying, “When I was auscultating, I found that there was systolic murmur at the apex of the heart and different degrees of tremor, and According to what you said, there was no murmur before, and the source of this murmur is very clear, considering that the ventricular septum is ruptured after myocardial infarction.”

“When the ventricular septum ruptures, the left-to-right shunt begins, changing the normal hemodynamics!”

Director Doctor curiously asked: “Then…Patient has no heart failure?”

Chen Cang shook his head: “It’s not without it. When the hemodynamics change, the amount of evacuation is insufficient and the blood flow changes, resulting in a performance similar to acute heart failure.”

After speaking, Chen Cang summed up seriously:

“At present, Patient is in critical condition and may die at any time!”

Chen Cang said, the people around him were dumbfounded.

The doctor in charge is even more circumspect. Although he has never heard of this condition, Chen Cang’s last sentence he heard clearly and clearly!

The condition is critical and may die at any time!

This sentence shocked the several sons who came in an emergency!

“Doctor, you must save my mother!”

“Yes! Doctor, don’t worry about the money, let’s brothers come together and save my mother!”

The dean was also stunned at this time. He knew that Patient was definitely not that simple, but didn’t expect it would be so dangerous.

Thinking of this, he hurriedly asked: “Comrade expert, what should I do?”

After Chen Cang heard it, think about it!

At this time, he is the backbone.

Grassroots Hospital may not have encountered this situation at all, and it has been somewhat at a loss after encountering it.

Ventricular septal rupture induced by acute myocardial infarction, these two are terrible diseases, Chen Cang must make effective recommendations.

If you stay, you don’t have the conditions for rescue. If you don’t say anything, the township hospital does not even have a ventilator, let alone an extracorporeal circulation machine for surgery.

So it is not feasible to deal with it here!

There is no hospital department of Cardiothoracic Surgery Operation Theatre in the local county, and an extracorporeal circulation machine is unlikely.

Now the only 2 choices are in front!

Stay, wait for a miracle, and wait for the old lady’s signs to stabilize, but in this case, the heart has undergone organic lesions, and the medical symptomatic treatment has limited effect.

However, how do you transfer when you transfer?

The condition is critical and the mountains are high and the road is far away.

At this time, the dean and director Doctor heard Chen Cang’s meaning.

The family quickly said, “Doctor! Let’s transfer to the hospital, shall we? Please?”

“Yes, Doctor, please help my mother!”

“Looking at her suffering, we as sons are powerless and really distressed!”

“Yes……”

Listening to the prayers of the men in the ear, Chen Cang sighed, the choice is not actually in themselves, but in them.

Thinking of this, Chen Cang said: “Saving is sure to be saved, but you have to think about how to save!”

“The situation is now like this. The elderly are in poor health, they are getting older, and their tolerance is limited, but now they have to be sent to the province for surgery, but there is one sentence I have to tell you in advance, the success rate of surgery for the elderly limited!”

“Moreover, Shan Gaolu is far away. During the transit process, there may be mortal danger at any time, because the disease itself is unstable, and his development process is like this…”

After Chen Cang explained clearly, the five sons were silent.

Also began to discuss.

Chen Cang took this opportunity to make a call to Director Li Baoshan.

The meaning of Director Li is also very clear and respects the opinions of family members.

Chen Cang at this time, actually not so tangled.

The old lady is too old, more than 70 years old, has a myocardial infarction, and the ventricular septum is broken. In this case, going to the operating table… to be honest, it may not necessarily come down.

With transhipment, the risks are equally great.

After Chen Cang called out his five sons, he spoke frankly.

The five brothers heard Chen Cang’s words and were a little frustrated. The boss and his eyes were already full of tears.

at last!

After a few minutes, after five people discussed it, they made a decision!

“Turn! Must turn!”

The boss looked at Chen Cang: “Doctor, we transferred to the hospital, must transfer to the hospital, even if something happened on the road, it is better than waiting here to die!”

“Not only the transfer, but also the operation! Even if the operation fails, we have to work hard!”

At the end, the boss’s voice was clearly sobbing: “When my son, at this time, we all hope to do our best, and we will not regret it in the future!”

Chen Cang took a breath and nodded: “Okay! I respect your opinion. You… go with us in a while.”

The boss has no hesitation, nodded, he is the boss, he has to take this home, old father passed away, he is the elder brother.

If he had no idea, would he?

In fact, in some rural areas, the concept of elder brother and sister-in-law is still very heavy. Chen Cang just learned that after the old lady is sick, the wife of the boss has been taking care of it.

Chen Cang looked at this scene, and the “unable to bear” also sighed with emotion. This family, the boss and the wife did it, it was really very kind, and it was unattractive.

After making a decision and preparing for transshipment, the wife said a word, so that everyone was stumped!

“The old lady often suffers from motion sickness by car, is it all right?”

Chen Cang frowned, how could it be okay!

……

……

ps: Thank you for the reward of 10000 who “have Buddha in your heart”, thank you.