Chen Cang hurriedly said, "pull an ECG?"


    The doctor was very cooperative and did it soon.


    Chen Cang looked at the ECG and compared it with that of the previous few days. He gradually understood everything in his heart!


    However, Chen Cang did not directly say that it is necessary to further determine the diagnosis in his heart.


    Thinking of this, Chen Cang quickly asked, "when the old lady was just hospitalized, did she have a heart auscultation?"


    When the doctor heard this, he blushed.


    Because the admission records have been written on the medical records, but... They are basically pasted with templates, which makes no sense.


    Chen Cang read the medical record and asked himself again. Naturally, he knew what was going on, but he didn''t point it out.


    Otherwise, it would be embarrassing in front of the dean and his family!


    The young doctor looked at Chen Cang gratefully and nodded, "of course I''ve heard of it."


    Chen Cang has no doubt, because this is a routine operation for cardiologists. Maybe they don''t bother to write in the medical record book, but they still have to do the routine operation after admission!


    He continued, "Oh, did you hear any noise?"


    When the doctor heard Chen Cang''s question, his eyebrows were locked. After thinking for a moment, he shook his head: "no, it''s always good when he came."


    Chen Cang: "what about yesterday? Did you auscultate? Was there any noise?"


    The doctor didn''t hide the truth: "no, I didn''t see the old lady yesterday. I was thinking about acute left heart failure and used cardiotonic diuresis, but... It seems that the improvement of symptoms is not obvious."


    "When I called the county hospital, the other party didn''t know and didn''t dare to take the old man away."


    At this point, the doctor is also very helpless.


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


    If something goes wrong, these five sons and two girls will be enough for them to eat a pot!


    When Chen Cang heard what the doctor in charge said, the clue in his heart became clear.


    At this time, the Dean couldn''t help asking, "Comrade expert, what do you think is the situation?"


    After pondering for a moment, Chen Cang said: "according to the old lady''s ECG, the ST segment continues to rise. According to the drugs you use, there is no downward trend. I consider that the patient has developed ventricular wall swelling tumor at this time!"


    As soon as Chen Cang''s words came out, several doctors immediately looked at each other.


    A little confused?


    What is ventricular wall swelling tumor?


    This term is a rare term for them in grass-roots hospitals. They have never heard of it at all.


    Thinking of this, I blushed and sighed helplessly.


    Chen Cang didn''t worry about this problem because they can''t be blamed. He took them out of the ward and went to the doctor''s office "During auscultation, I found systolic murmur at the apex of the heart and tremor to varying degrees. As you said, there was no murmur before. The source of the murmur is very clear. It is caused by ventricular septal rupture after myocardial infarction."


    "When the ventricular septum ruptures, the left to right shunt begins, changing the normal hemodynamics!"


    The doctor in charge asked curiously, "so... The patient has no heart failure?"


    Chen Cang shook his head: "it''s not without it. After the hemodynamic changes, the cardiac output is insufficient and the blood flow changes, resulting in a performance similar to acute heart failure."


    After that, Chen Cang also concluded with a serious look:


    "At present, the patient is critically ill and may die at any time!"


    Chen Cang''s words suddenly made the people around him silly.


    The doctor in charge is a little hoodwinked. Although he has not heard of this condition, he heard Chen Cang''s last sentence clearly!


    He is critically ill and may die at any time!


    This sentence startled all the sons who came in an emergency!


    "Doctor, you have to save my mother!"


    "Yes! Doctor, don''t worry about money. Our brothers come and save my mother!"


    The Dean was stunned at this time. He knew that the patient must not be so simple, but he didn''t expect to be so dangerous.


    Thinking of this, he hurriedly asked, "Comrade expert, what should we do?"


    Chen Cang heard it and thought!


    At this time, he is the backbone.


    Grass roots hospitals may not have encountered this situation at all, and they have been at a loss.


    Acute myocardial infarction induced ventricular septal rupture, both of which are fatal diseases, Chen Cang must make effective suggestions.


    If you stay, you don''t have the conditions for rescue at all. Apart from anything else, township hospitals don''t even have a ventilator, let alone an extracorporeal circulation machine for surgery.


    Therefore, it is not feasible to dispose here!


    There is no cardiac surgery operating room in the local county hospital, and there is unlikely to be an cardiopulmonary bypass machine.


    Now the only two options are in front of us!


    Stay and wait for a miracle until the old lady''s physical signs are stable, but in this case, the heart has undergone organic lesions, and the effect of symptomatic treatment in internal medicine is limited.


    However, if you transfer to another hospital, how do you transfer?


    The patient is critically ill. The mountain is high and the road is far away. It may disappear in the car at any time!


    At this time, both the dean and the doctor in charge heard what Chen Cang meant.


    But the family members hurriedly said, "doctor, can we transfer to another hospital? Please?"


    "Yes, doctor, please help my mother!"


    "Looking at her suffering, we are powerless when we are sons. It really hurts!"


    "Yes..."


    Listening to the men''s prayers in his ears, Chen Cang sighed. In fact, the choice is not in himself, but in them.


    Thinking of this, Chen Cang said, "saving is sure to be saved, but we have to think about how to save!"


    "Now the situation is like this. The elderly are in poor physical condition, old and have limited tolerance, but now they must be sent to the province for surgical treatment, but I have to tell you in advance that the success rate of elderly surgery is limited!"


    "Moreover, the mountain is high and the road is long. In the process of transportation, life may be in danger at any time, because the disease itself is unstable. 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 call director Li Baoshan.


    Director Li''s meaning is also very clear and respects the opinions of his family members.


    Chen Cang is not so tangled at this time.


    The old lady is too old, in her seventies, with myocardial infarction and ventricular septal rupture. In this case, she can go to the operating table... To tell the truth, she may not be able to come down.


    In case of transshipment, the risk is also great.


    After Chen Cang called out his five sons, he told the truth.


    Hearing Chen Cang''s words, the five brothers were a little depressed. The boss even had tears in his eyes.


    Finally!


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


    "Turn! You must turn!"


    The boss looked at Chen Cang: "doctor, we must transfer to another hospital. Even if there is an accident on the road, it''s better than waiting for death here!"


    "Not only the transfer, but also the operation! Even if the operation fails, we have to strive for it!"


    Finally, the boss''s voice was obviously choked: "when a son, at this time, we all hope to do our best and leave no regrets in the future!"


    Chen Cang took a breath and nodded: "OK! I respect your opinions. You... Come with us later."


    Without any hesitation, the boss nodded. He is the boss. He has to bear the family. His old father is gone. He is the eldest brother.


    Not if he has no idea!


    In fact, in some rural areas, the concept of elder brother and sister-in-law is still very important. Chen canggang learned that after the old lady was ill, the eldest''s daughter-in-law has been taking care of her.


    Looking at this scene, Chen Cang couldn''t help but sigh that what the family, the boss and daughter-in-law did is really very different, which makes people speechless.


    When she made a decision and was ready to transfer, her daughter-in-law said a word, which embarrassed everyone!


    "The old lady often gets carsick by car. Is she all right?"


    Chen Cang frowned. How could he be all right!


    ……


    ……


    PS: Thank you for the 10000 reward of "Buddha is afraid of you". Thank you.