Chapter 313

Department of Cardiology, First Hospital of Dongda.

At 9:12 p.m.

Through the window, you can see the prosperity of the city.

Chen Cang has just returned to the doctor's office from the operating room with Ge Huai and Meng Xigang. From more than 6 p.m. to now, Ge Huai has performed two operations with Meng Xi. To be precise, Ge Huai helped Meng Xi perform two operations. As for Chen Cang... Chen Cang's assistance is not enough. It is at most an eye assist.

Chen Cang found that the higher the participation in surgery, the more likely he is to "learn" the skills of the surgeon.

It's not stealing, it's learning.

The probability of 5% seems very high, but Chen Cang estimated that this proportion will change after a long time.

If you have a high degree of participation and make great efforts for this operation, you will have a high probability of obtaining the operation, such as the original phalangeal fracture operation.

But such eye assists are really annoying, and the proportion of people who want to acquire skills is too low.

In fact, it's not that Chen Cang doesn't want to do it. Chen Cang also wants to

But in the final analysis, it is mainly because of the mistrust of Meng Xi and Ge Huai.

After all, as a student, you want to get started just a few days ago, which is unlikely. Everything needs a gradual process.

This makes Chen Cang feel helpless. After all, if he doesn't get started, he can't learn surgery. Look... I can learn a fart.

Surgery, do not start, how to learn technology!

And there's no way to improve your popularity!

Favorability now stays at 20 and cannot be improved.

Chen Cang is a little confused. This skill depends on his liking. What's his 20 points liking enough?

As a highly professional department, cardiac surgery has started level II surgery. Basically, it is level III surgery, level I surgery... This is not a calf!

Chen Cang feels more and more that life is deceiving him.

……

……

The three sat in the doctor's office. Ge Huai spoke excitedly to Meng Xi about the operation just now, while Meng Xi listened, rarely spoke, and occasionally nodded or commented.

And... Chen Cang's participation is very low and his sense of existence is weak

The so-called don't understand BB, Chen Cang implemented this theory very essence.

Seeing that the operation was finished and it was getting late, Chen Cang got up and left.

Just as Chen Cang was about to leave, the doctor's office phone rang. Before Ge Huai could answer the phone, the voice of the call had stopped. It should be that the nurse station had picked it up.

The doctor's office telephone is connected to the nurse's station telephone.

A minute later, the nurse came in, looked around the office, saw Meng Xi and others, and said curiously, "director Meng, who is on duty today?"

Meng Xi shook his head and looked at GE Huai: "doctor Ge, who is on duty today?"

Ge Huai hurried to the front of the watch and looked: "today is doctor Yao. I see if I went to change my dressing."

Meng Xi shook his head: "No."

After that, Meng Xi looked at the nurse: "what's the matter, Xiao Li."

Nurse Xiaoli said, "just now, a patient in the emergency department had chest pain. It is suspected that it is a heart problem. Let the doctor of our department consult."

Meng Xi got up and went straight out: "I'll go."

Chen Cang nodded and hurriedly followed Meng Xi to the outside.

Ge Huai also followed Chen Cang down.

In the emergency department, the nurse saw Meng Xi and said, "director Meng, you're here. The patients are in the emergency room now."

Meng Xi nodded and walked inside.

When the doctor on duty saw Meng Xilai, her eyes suddenly lit up. The female doctor is now a man of the moment in the first hospital of Dongda.

Not to mention the halo blessing of a world-famous school.

After Meng Xi came to the hospital, his vigorous work style, strict self-interest work attitude, accurate diagnosis and master surgery have convinced most people.

He is not only talented and beautiful, but also works so hard and has strong ability.

How can such a person be unpopular.

Wu Peng, a doctor in the emergency department, said directly, "director Meng, you haven't finished work yet!"

For these nonsense, Meng Xi did not answer, but said bluntly: "what's the situation with the patient?"

Wu Peng was stunned and hurriedly said, "the patient is a 51 year old male. He had a sudden crushing pain in the anterior chest three days ago! There are typical drag pain and radiation pain behind the sternum, which radiates to the neck and back. Sharp pain is mainly ignored. It gets worse today... It's a bit like myocardial infarction!"

These symptoms obviously bring people to the direction of acute myocardial ischemia, like angina pectoris and myocardial infarction in coronary atherosclerotic heart disease.

Meng Xi went directly to the patient and looked at ECG monitoring. Then he went to the man and saw that the man was conscious.

"Did you do the ECG?"

Wu Peng hurriedly took the ECG in his hand: "it doesn't look like myocardial infarction here."

"Before coming, the patient had taken nitroglycerin orally, but the effect was general, and the chest pain was not relieved."

Wu Peng is not a cardiologist. He can recognize and distinguish some emergencies of ECG, but he can't accurately distinguish those special abnormal ECG or ordinary ECG.

Meng Xi took the ECG and frowned slightly. Nothing is typical, but... No!

Meng Xi suddenly noticed a detail, the offset of P-R segment.

This is a typical difference from myocardial infarction and early repolarization syndrome!

Is it... Acute myocarditis?

After a closer look, there is no abnormal Q wave, and the ratio of st to t is about a quarter.

The onset time is several days

All the clues point to one answer!

It could be acute pericarditis.

Thinking of this, Meng Xi took off the stethoscope around his neck, put it on the patient's precordial area and listened.

Pericardial friction sound

Sure enough!

With the ups and downs of breathing and the continuous progress of heartbeat, Meng Xi heard the slow pericardial friction sound.

Nine times out of ten it's pericarditis.

Thinking of this, Meng Xi looked at Wu Peng: "I suspect it is pericarditis, but I can't rule out myocardial infarction. Did the patient check myocardial enzymes?"

As soon as Wu Peng heard that it was myocarditis, he immediately reacted: "when the myocardial enzyme came to the hospital, it was checked. Nothing happened."

At this time, the patient suddenly said, "doctor, I have some chest tightness and it's hard to exhale."

Meng Xi frowned slightly: "let the B-ultrasound beside the bed come and see if there is exudate."

Wu Peng nodded and hurriedly arranged for a consultation.

At this time, Meng Xi suddenly turned and stared at Chen Cang: "haven't you been in the emergency room? Can you judge acute myocarditis?"

Chen Cang was stunned: who do you despise!

[Ding! Trigger Meng Xi's test, the first ring, analyze the condition!]