Doctor Started a Plug-in

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On the night of 4th week, Chen Cang’s night shift.

An old man walked in slantingly: “Doctor, I want to buy a medicine.”

Chen Cang suddenly stunned and quickly got up: “What medicine?”

The old man breathed a little, and his breathing was short.

“Ah…Ah… Aspirin enteric-coated tablets!”

The old man thought for a long time before he said this.

After he finished speaking, the old man continued: “Right, I still want to make an electrocardiogram, but I’m not flustered recently.”

Chen Cang looked at the old man’s face, and he was surprised!

The old man is tall, but he is also relatively obese. He walks on the road and is not stable. Step by step is more troublesome to move.

However, this is not the most critical. The most important thing is that the old man has yellow and puffy complexion and dark red cheeks!

This may seem to others what typical symptoms are.

But Chen Cang looked at the old man’s breathlessness, frowning at the thought that he wanted to do an electrocardiogram!

Look at his lips blue and purple, his tongue dull…

A name is coming!

Wind heart disease!

That is rheumatic heart disease. The face of the elderly is a typical 2-cusp valve face, also called rheumatic heart disease face.

Chen Cang quickly greeted Little Lin: “Little Lin, join me to help the old man in.”

Little Lin put her hands down and nodded quickly, and helped the old man into the rescue room.

The old man was lying on the bed and it was relaxed.

Chen Cang unable to bear asked: “Old man, have you had any illness before?”

The old man gasped for breath, and Little Lin was so energetic that he quickly brought oxygen.

Only then said: “I… I have heart disease, rheumatic heart disease, for many years.”

Chen Cang heard that, and it was true.

Later, Chen Cang quickly picked up the stethoscope and placed it on the apex of the old man to listen to the heart beat.

I saw that the heartbeat fluctuated fast, and the heart sounds were strong or weak.

Suddenly Chen Cang frowned, and the elderly may have atrial fibrillation.

Not only is there atrial fibrillation, but Chen Cang can hear a gradually increasing rumbling-like murmur at the end of diastole, which is a typical auscultation manifestation of 2 mitral stenosis.

Later, at this time, Little Lin also pushed the ECG machine over.

An electrocardiogram was pulled out.

Chen Cang looked at the electrocardiogram and frowned immediately.

This situation is not very good, let’s not talk about the problem of rheumatic heart disease, this atrial fibrillation may be serious at any time, and induce complications.

Thinking of this, Chen Cang quickly said to the old man: “Are there any diseases such as high blood pressure and high blood fat…”

The old man was nodded: “Yes, everything… But I have been taking medicine, and I can control it. I was hospitalized in the fall and had a cerebral infarction. After discharge, I have been taking medicine for maintenance. What aspirin…”

The old man’s consciousness is very clear. Although he speaks slowly, he is organized.

This is a good thing!

The blood pressure was normal, but Chen Cang felt that he should still remind the elderly.

But after the old man bought the medicine, he had decided to go, and went home staggeringly.

Chen Cang looked at the old man and was worried.

And Little Lin even said with a worried expression: “Doctor Chen … will he have an accident?”

Chen Cang frowned: “Not good said.”

At about 9 o’clock, the emergency phone rang suddenly.

“An elderly man in Anju Community 9012 has a sudden speech that is unfavorable and inconvenient to move, and needs timely rescue.

Chen Cang was nodded, and Little Lin didn’t pause at all. He got up quickly and went out.

2 The line attendant also hurried up to watch for Chen Cang.

Combined with the Patient situation, Chen Cang’s diagnosis should be cerebral infarction, but hemorrhage cannot be ruled out. As long as the cerebral infarction is not a large blood vessel obstruction in the brainstem, it is generally not life-threatening, but bleeding is not necessarily the case.

After the car arrived, Chen Cang went upstairs with Little Lin and the driver Old Yang.

After seeing the old man, Chen Cang and Little Lin froze!

Isn’t this… the old man who just came to the emergency department to buy medicine?

Lost one’s head out of fear, Chen Cang pacified and hurried back to Hospital.

Just sent to Hospital, Chen Cang suddenly heard the system sound.

[Ding! Serial Mission-The truth is triggered!

The final link: save the elderly, find the cause, and after completing the Mission, you can get rich rewards! 】

Chen Cang froze for a moment after hearing it.

Is this the last Mission?

By now, Chen Cang has considered not only a rich copy reward, but also what the truth is!

Is VOLB cough water the key cause?

The clues of this time have been very straightforward. Patient’s cerebral infarction has a probability-eighty of 100, and hypertension, rheumatic heart disease… so many primitive diseases, the probability is too great.

Because of this, it is even more difficult to judge, because even if the cough is not stopped, the elderly are also very likely to get sick.

However, this is not the time to struggle with this, after Chen Cang hurriedly sent the old man in.

Send directly to shoot NMRI.

The results showed that there were multiple ischemic foci in Patient’s skull, but these all are old, but there is a new acute cerebral infarction in the right frontal lobe!

Generally speaking, brain MRI (NMRI) is the first to be suspected of cerebral infarction, and skull CT is the first choice for hemorrhage. These tests are more targeted for diagnosis.

Chen Cang called Doctor An of the Department of Neurology for consultation. At the same time of treatment, he must also find the cause of the disease.

Doctor An also frowned when he learned that the elderly had rheumatic heart disease 2 mitral stenosis.

Directly tell Patient’s wife: “The blood flow in the normal heart is smooth and unobstructed, and when the 2 mitral valve is narrowed, the blood cannot flow into the left ventricle from the left atrium at a normal rate, and the blood accumulates and rotates in the enlarged left atrium. When the flow rate is slowed, small blood clots may form, thereby burying the hidden danger of stroke.”

“And at the same time, 2 mitral valve stenosis for a long time can lead to changes in the structure of the heart, such as the enlargement of the left atrium, which is closely related to atrial fibrillation, which is the most common cardiac embolism s reason.”

The truth seems to be clear now.

Patient itself has these reactions of sticky blood. When the 2 mitral stenosis is narrow, a thrombus is easy to form, and the onset of atrial fibrillation directly makes the embolus go.

Everything is a very reasonable explanation!

At this time, Doctor An suddenly looked at Chen Cang and said: “Director Chen, now the consideration should not be acute cerebral infarction. As long as the cerebral infarction improves blood circulation in the ischemic area as soon as possible, anticoagulation and thrombolysis can be performed at the same time. .”

“But… the most critical issue is the 2 mitral valve.”

“Patient 2 is not treated with mitral stenosis, and the original disease is not controlled. This cerebral infarction will still occur, and it is not one or two times.”

Chen Cang heard, nodded, indeed, according to the old man’s words, has been cerebral infarction twice since autumn.