Wait, Liu Quan leaves. Chen Cang sits down next to Ma Yuehui.
Sighed again!
Seeing this, Ma Yuehui was very angry. He said sour, "don''t you want to know you in the Yearbook of thoracic surgery? Why sigh!"
Chen Cang shook his head: "yes, you can''t be too greedy. The Yearbook of thoracic surgery is OK. In fact... I want the lancet to make an appointment with me."
Chen Cang''s understatement.
When the old horse cut his nails, he cut the meat.
Let the people who write medical records press the blank space crackling.
Let Qiao Chengan, who wants to enter the door to chat with Chen Cang, leave angrily.
Let those who are already jealous and unhappy about Chen Cang clench their fists more and more!
"Listen, is this human talk?"
Is this what a person changed to say???
What is the Yearbook of thoracic surgery?
That''s the top 3 in the industry, okay?
That''s an authoritative journal in the field of cardiothoracic surgery. Do you think it''s ok?
The lancet!
Why don''t you look for cell, nature
Everyone was angry. Even the old horse rubbed his chest and felt that the Qi machine was not smooth. He felt that he had some hyperplasia. If he didn''t vent, he would even develop in the direction of nodules.
Angry!
Chen Cang is getting worse and worse.
Pooh!
The old horse''s face was green and angry!
However, the biggest advantage of Lao Ma is that he has no brain. When he saw Chen Cang looking at the paper, he suddenly thought about it.
"Xiao Chen, you see... Can I add a name?" Ma Yuehui looked forward to Chen Cang.
After hearing this, Chen Cang was stunned: "can the patient''s real name appear in the paper?"
The people around almost laughed!
Ma Yuehui constantly warned himself that if he is not angry, he is not angry, and there is no good food to eat when he is angry.
When Ma Yuehui was in a hurry, 120 sent a patient.
Old ma didn''t care to joke, so he put away his smiling face and hurriedly got up to welcome him out, while Chen Cang followed him out.
"The patient, male, 51 years old, had acute abdominal pain with severe chest discomfort for one week and aggravated for one day..."
The doctor who followed the ambulance quickly repeated the medical history.
Seeing this, the old horse quickly asked the nurse to push the bed and began to move.
Although the patient is conscious at this time, it is obvious that his eyes are dull and even dull.
Following the man came an old man in his seventies and an old woman of the same age.
They helped each other out of the ambulance and made great efforts.
After entering the emergency room, the old lady looked at Ma Yuehui with a worried face: "doctor, save my son! He... Is a poor man..."
Ma Yuehui nodded hurriedly, "OK, don''t worry!"
Then, Ma Yuehui winked at an elderly nurse at the nurse station and told him, "ah Liu, take care of the old man."
The nurse nodded and quickly got up to appease the old man.
Emergency department often happens some wrong things.
For example, when a mother came to send her child to see a doctor, the child''s situation didn''t matter, and the mother was scared to get sick.
Ma Yuehui has rich experience in emergency. Although he is usually careless or even careless, he is actually careful and can even think of things that others can''t think of.
When Yu Yonggang took the sharp knife group to the international first aid competition, Ma really made a contribution!
Seeing this scene, Chen Cang naturally learned.
Here, after Ma Yuehui pushed the man into the emergency room, he hurriedly asked, "where do you feel uncomfortable now?"
The man''s eyes were dull: "I... feel stomachache, and I''m... Uncomfortable here!"
The man gestured at the lower part of his stomach and sternum.
In the face of this situation, Ma Yuehui''s first reaction is not abdominal pain, but an ECG. Moreover, the patient is 51 years old. The first consideration is to rule out the possibility of myocardial infarction.
Many patients often come to the emergency department. It looks like stomach pain, but it''s actually a heart problem.
Therefore, Ma Yuehui quickly said to Xiao Ke, "Xiao Ke, hurry up and pull one."
After that, he brought oxygen to the patient himself.
Then he waited patiently.
At this time, nurse ah Liu also helped the old man finish the formalities and brought in the man''s medical book.
After reading it, the old horse frowned and thought, and then handed the medical record book to Chen Cang.
After Chen Cang opened the medical record book, his reaction was the same as that of Ma Yuehui!
A 51 year old man divorced after his wife cheated 15 years ago, and his child died in a car accident in the same year. After that, the man developed post-traumatic stress disorder, borderline personality disorder and schizoaffective disorder in the past.
Seeing this, Chen Cang looked at the bearded middle-aged man and thought of the old man''s words just now. He couldn''t help sighing. He was also a poor man.
10 years ago, abdominal surgery was performed for swallowing foreign bodies: exploratory laparotomy + duodenectomy.
In the next three years, intestinal adhesion and small intestinal obstruction occurred continuously because of postoperative adhesion.
There was no previous history of cardiovascular disease, no history of infection, physical examination of parents, and no family genetic disease.
Now oral Flupentixol ton melitracen tablets (Deanxit)
Chen Cang probably finished reading the medical history. Before he could think, the ECG came out.
When the old horse saw it, his face suddenly changed!
Originally, he has now denied cardiovascular disease and suspected that it is an obstructive lesion of the gastrointestinal tract. After all, men have a history of this disease before, so they should be considered.
But!
See the ECG results show: acute myocardial infarction!
Although the old horse is not used to seeing machine diagnosis, the ECG indicates that the ST segment is arched and raised, the ST segment of the lower wall of the heart is too high, and two-way T wave can be seen in v2v3
You can even see that this is a typical myocardial infarction ECG.
Thinking of this, the old horse instinctively prepared a series of medical orders such as anticoagulation and thrombolysis.
Chen Cang was stunned when he saw the film at this time.
Is it really a myocardial infarction?
But
If it is myocardial infarction and can''t afford to delay completely, anticoagulation and thrombolysis or even interventional therapy must be carried out as soon as possible.
Because patients with myocardial infarction can endanger their lives at any time.
But
Look, the man has no symptoms of acute myocardial infarction at all.
Is it
Old Ma also wondered.
Emergency, there are too many strange diseases.
Old ma and Chen Cang looked at each other and saw a lot of confusion from each other''s eyes.
Chen Cang picked up the ECG again. This time, he looked at it carefully. It seems... This is a little abnormal?
Chen Cang found some differences!
Then began the physical examination, no heart murmur was heard, the lower abdomen was flat and soft without Peng long, and the left upper abdomen was slightly tender
"Check the heart markers urgently, and then go to make an abdominal plain film. This is also fast. It won''t take much time."
After all, sometimes electrocardiograms lie.
The old horse nodded and agreed.
If it were in a small hospital, it would certainly treat heart disease. However, this is the capital emergency center hospital. Ma Yuehui is well-informed and questioned.
Soon, they pushed themselves to do abdominal plain film.
The result came out!
There are multiple scattered foreign body shadows in the left upper abdomen.
……