Looking at Zhang Peiyi, Hou Liang and others who hurried here.
Chen Cang knows everyone.
One after another nodded: "director Zhang, director Hou!"
Zhang Peiyi hurriedly said, "Professor Chen, what''s going on?"
Chen Cang took a deep breath and looked a little dignified, but did not directly say the diagnosis, but asked: "has the patient taken aspirin recently?"
"That''s right!" Hou Liang nodded directly. He looked at the medical record, which said!
After hearing this, Chen Cang nodded directly, "that''s right!"
"What do you mean?" everyone stared at Chen Cang and asked.
Where do they know the impact of taking aspirin!
Even the patients are a little confused!
I... what''s wrong with me?
Chen Cang took out the patient''s test sheet directly.
"When the patient was admitted to the hospital, the diagnosis was mainly that platelets were as high as 723, which was frightening, while influenza, infectious diseases and liver and kidney function were normal, but these could not explain the tenderness in the patient''s liver area."
"I saw the patient''s B-ultrasound. Fatty liver is not enough to cause these abnormalities. There must be acute liver injury."
"And what is the reason? I analyzed the patient''s condition. He had obvious lymphadenopathy, and had acute fever and mild rash before admission. Although these are insignificant, they are indeed the key factors!"
With that, Chen Cang stared at the man and said, "go to bed and lie down!"
The patient was unconscious and had to go to bed.
Chen Cang began his physical examination: "you see, there is some congestion in bilateral conjunctiva, there is no exudate, there are major lymph nodes in the neck, and there are spots on the body!"
"According to Japan''s diagnostic criteria for Kawasaki disease, fever with the above symptoms can be diagnosed as Kawasaki disease!"
Chen Cang''s words directly cooled everyone''s back!
Zhang Peiyi and Hou Liang looked at each other and saw uneasiness and fear in each other''s eyes!
The sweat beads of bean are constantly seeping out!
Even looked a little flustered.
"The most important thing is that the increase of platelets in patients is not only the cause of angina pectoris, but also the result of Kawasaki disease!"
"However, it is still not the case that I firmly believe in it!"
"It''s the aspirin you give the patient orally!"
This sentence stunned the people!
Chen Cang is perfect for clinical analysis of emergency drugs and drug poisoning!
He said directly: "a meta-analysis of clinical and environmental clearly pointed out that aspirin is easy to cause serious liver injury in the treatment of Kawasaki disease!"
"Therefore, we need to check the function urgently!"
After hearing Chen Cang''s analysis, everyone was stunned!
Fortunately, Zhang Peiyi responded quickly and called the head nurse to draw blood quickly!
While waiting, they also hurried to have a physical examination of the patient.
After this inspection, they found that... Things may really be moving closer to Chen Cang!
And the patient was blindfolded!
In fact, the medical staff are not to blame for all this.
But the patient concealed the relevant condition because of some details.
He avoided talking about these things and thought they were insignificant.
In fact, the diagnosis process is often based on many tiny details.
The patient was really afraid at this time: "Professor Chen... Why did you just say I need surgery!"
The directors around also stared at Chen Cang one after another. I don''t know why!
Kawasaki disease doesn''t need surgery, does it?
Chen Cang couldn''t help saying, "look at this picture!"
While talking, Chen Cang picked up the chest film and CT.
"You see, although the patient didn''t have a perfect examination for CTA angiography, but look at these two films."
"In fact, it doesn''t seem to make much difference, but join you to see it with the basic disease of Kawasaki disease. Look here!"
While talking, Chen Cang pointed to the patient''s chest large blood vessels and couldn''t help asking, "don''t you think there are some slight changes in size?"
"And here..."
While talking, Chen Cang began to point out every subtle change.
With Chen Cang''s pointing out, everyone''s face was low.
Because... It''s a little scary, isn''t it?
"Professor Chen... What do you mean?" Xu aiming asked directly!
Chen Cang nodded: "omen of aortic dissection!"
After Chen Cang pointed out the answer, everyone was silent!
Aortic dissection
Chen Cang explained: "well, Kawasaki disease has the most damage to the coronary artery, followed by the aorta, abdominal aorta, carotid artery and pulmonary artery!"
"We can see some shadow parts through lung CT, and we can judge that the patient may have nodular arteritis and intimal thickening. Here... And here..."
"I judge that the patient''s situation is still very dangerous!"
"If it is light, it will lead to coronary artery thrombosis and myocardial infarction!"
"Intimal rupture, aortic rupture directly, resulting in the death of the patient!"
"I now judge that the patient''s internal Kwai is not very good. It is better to have an operation as soon as possible."
Chen Cang frowned when he finished saying these words!
After the patient heard Chen Cang''s words, the whole face was scared green!
Is it so scary?
Thinking of this, the patient looked at Chen Cang: "you scared me, didn''t you? Professor Chen?"
Chen Cang took a deep breath: "I hope my judgment is wrong!"
The patient quickly nodded: "well, I hope..."
Pay attention to the silent echo: "I hope..."
However, the voice didn''t fall. At this time, the laboratory department called.
"Patient Wang now has glutamic pyruvic transaminase as high as 941 and glutamic oxalic transaminase 819!"
With the emergence of the two indicators, suddenly, everyone''s face changed!
This evidence may prove that Chen Cang''s reasoning is correct!
Chen Cang''s face was low and said, "hurry to be CTA!"
Then, he said to the patient, "quickly contact your family and tell them that you need to prepare for the operation as soon as possible!"
Hearing this, the patient forced himself to calm down.
Now is really not the time to panic, but
Don''t panic is false!
Soon, the patient''s CTA angiography came out. At this moment, there was damage to the inner wall of many blood vessels of the patient''s aorta and pulmonary artery, which was likely to form vascular dissection. Moreover, the patient was likely to skip the dissection directly due to the existence of Kawasaki disease, resulting in vascular rupture!
One time!
The whole office began to be busy and deployed.
No one dared to relax.
Hou Liang frowned at this time and said, "Professor Chen, we don''t have the ability to perform aortic replacement, and there are so many arteries..."
In a word, speak out the voice of Zhang Peiyi and others!
At this time, Chen Cang nodded and said, "I''ll come!"
They immediately turned and stared at Chen Cang.
Full of excitement!
Professor Chen can indeed bring hope in despair!
……
PS: sorry, late update.
When the meeting ends on the 12th, I will probably resume normal updates on the 13th, six chapters a day