Chapter 314

With the system prompt sound, Chen Cang was hungry and thirsty, but he quietly received the task and looked at Meng Xi faintly.

"OK."

Meng Xi picked his eyes and handed over the ECG: "come on, you can analyze the patient's condition."

The First Affiliated Hospital of Dongyang Medical University and the Second Affiliated Hospital of Guangdong Province are not at the same level. There are many students here. After all, it is the First Affiliated Hospital of Dongyang Medical University. There are a lot of interns and postgraduates!

The emergency department is a special department that must be transferred, so at this time, several people around looked at Chen Cang curiously.

Chen Cang took the ECG and took a look at it. Well, just one look, he went straight to the patient, looked at the stethoscope on his neck and listened to it in front of the patient's chest for a while, then looked at the patient and asked, "uncle, how long have you felt chest tightness?"

The man was also very cooperative. He was relieved to hear that it was not myocardial infarction.

"It's been three days. I feel inexplicable. I attended the wedding of a colleague's son a few days ago. When I came back, I caught a cold, had a fever, took some medicine, and the next day I felt a faint discomfort in my chest and chest pain. I also had a fever. I thought it was a tired cold, so I didn't care."

"But... I feel terrible suddenly today. I'm afraid it's myocardial infarction. I came here. It's chest pain and chest tightness. Now I even feel a little hard to breathe."

After listening and playing, Chen Cang said, "lie down and I'll knock for you."

The man was very cooperative. Lying in bed, Chen Cang began to percussion.

Ask if it hurts while buttoning.

After two minutes, Chen Cang knocked the precordial area and said, "take a deep breath, breathe in... Breathe out..."

The man suddenly said, "ouch, ouch, ouch!"

After a little delay, he said slowly, "no, no, it hurts when you breathe in!"

Chen Cang looked at the intern: "where is the test sheet, blood routine, myocardial enzyme."

GUI Peisheng paused and looked at Chen Cang as if he were a teacher. He was very respectful and quickly handed it over.

"Here you are, teacher!"

Chen Cang didn't care about these details. After opening it, he looked carefully.

Picked up the chest film and looked again. Everything was clear to the chest.

As a doctor, the most important thing is diagnosis. Chen Cang now has perfect chest image interpretation, ECG, physiological and biochemical test indicators and clinical interpretation!

At this moment, Chen Cang estimates that no one knows the patient's condition better than him.

Chen Cang directly said: "the patient has an acute onset, accompanied by fever, chills, chest pain, dyspnea and other symptoms. The pericardial friction sound is obvious, the blood routine leukocyte increases, and the nucleus moves to the left. The ECG shows that the ST segment and T wave change obviously. I saw the chest film and the X-ray results show that the patient's heart contour disappears and the pulse is weak!"

"Therefore, I am now 90% sure that the patient is acute bacterial pericarditis, and there may be suppurative fluid in the heart. Just now I felt that the voiced area has changed."

"Rapid heartbeat and dyspnea are the manifestations of cardiac tamponade!"

A few words stunned everyone!

rational!

Every sentence makes sense!

And most importantly, every student here can understand, Chen Cang's words are easy to understand, and every conclusion is based on.

It makes people feel that diagnosis is like investigating a case. Each clue points to a cause and what kind of result it leads to.

Looking at a group of medical students around me, I couldn't help but want to applaud!

That's awesome!

Big man 666!

A group of medical students are really excited and their blood is boiling.

Is Meng Xi a cow?

Absolute cow!

Three or two times, it can be seen that it is an acute pericarditis.

But people will only think it's awesome.

But Chen Cang is different. People explain things thoroughly. For students, this can learn something.

Clinical knowledge is like this.

In fact, what these students don't know is that Meng Xi intended to do it.

After Chen Cang finished, Ge Huai was also slightly stunned. He could also see pericarditis, but... It may not be as clear as Chen Cang's diagnosis.

But!

Ge Huai thinks that Chen Cangzhi can do this because he Meng Xi has said that it is pericarditis, and Chen Cang is a student. He remembers the book knowledge firmly. This is the same reason as the original sewing. He sews faster than himself, but... He doesn't sew tightly.

Meng Xi looked at Chen Cang's performance and was very satisfied. Basically, Chen Cang used all the diagnostic methods of acute pericarditis!

Even bacterial acute pericarditis may have pericardial tamponade.

The eyes of a group of students around Chen Cang are full of worship!

However, Meng Xi suddenly asked, "how do you think the patient should be treated now?"

Chen Cang made up his foundation during this period of time and was in place for theoretical knowledge.

"First, the first step is to relieve the cardiac tamponade. The patient now has more effusion in the cardiac cavity. The first step should be pericardial puncture and fluid extraction."

"At the same time, test the nature of pericardial effusion and blood culture, look for pathogenic bacteria, and use sensitive antibiotics according to the pathogenic bacteria."

"Finally, if it cannot be relieved, use pericardiotomy!"

Meng Xi did not praise Chen Cang too much, but asked faintly, "can you succeed if you puncture?"

[Ding! After passing the test of mentor Meng Xi, you gain a liking degree of + 3. Ding! Trigger the second ring of the test task to puncture the patient's pericardium.]

As soon as Chen Cang's eyes lit up, he was still a serial task. What would be the last link?

"Yes!"

At this time, emergency department doctor Wu Peng came back and came in with the doctor in the ultrasound room pushing the car.

"Director Meng, come!" Wu Peng said in a hurry.

The doctor in the color Doppler ultrasound room has a good relationship with Meng Xi and knows Meng Xi's character because he often deals with cardiology.

So after seeing Meng Xi, he didn't say nonsense. He nodded directly and asked, "director Meng, what's the situation with the patient?"

Meng Xi said: "I suspect it is bacterial acute pericarditis. The patient is still a precursor of cardiac tamponade."

When doctor B-ultrasound heard this, his face changed slightly and his heart was stuffed?

This disease is no joke!

Thinking of this, I quickly began to operate.

Color Doppler ultrasound is very good for this inspection.

Before long, the results came out!

There is a lot of pericardial effusion, which has oppressed the lungs and bronchus, which has a certain impact on respiration and some compression on the heart.

Under the echocardiography of the heart, the ejection fraction of the heart has begun to decline.

The B-ultrasound doctor frowned: "director Meng, I have to puncture as soon as possible!"

Meng Xi nodded: "Xiao Chen, come on!"