Chapter 553

Bai Jianming's words are also true. It is more appropriate to transfer to other departments for those patients who have no clear diagnosis but have little problem.

After all, if the patient's condition is stable, free up the emergency resources as soon as possible and make room for those who need rescue.

And after the specialist, you can better accept diagnosis and treatment. Doctors are also specialist doctors, and they spend less money. The proportion of reimbursement is different.

The cost of emergency is still relatively large.

However, at this time, Chen Cang suddenly frowned at the film.

"I... can I see the film?"

Bai Jianming glanced at Chen Cang and was stunned: "Xiao Chen?"

Chen Cang smiled: "director Bai is good."

Bai Jianming nodded and handed the film to Chen Cang: "well, here you are."

Chen Cang took the film and looked at it carefully. He didn't see it very clearly behind him, but now he is closer, but he can see it more clearly.

Indeed, the mediastinal shadow on the chest film was normal, and no significant bleeding was seen.

But... He found a difference in a subtle place!

After Chen Cang saw it, he couldn't help saying, "director Bai, I think... Maybe we should do a CT and retrograde aortography first. I'm worried that the patient has a tear of the innominate artery."

Hearing Chen Cang's words, Bai Jianming picked up the film and looked at it carefully.

But... Did not find too many significant features.

Then he looked at Xiao Chen, but did not look down on him, but said faintly: "if it is the injury of the innominate artery, the shadow of the mediastinum on the same side can be seen on X-ray,

Moreover, the pulsation of ipsilateral radial artery and / or carotid artery disappears or weakens, and signs such as severe internal bleeding, cardiac tamponade or tracheal compression can appear immediately. "

While talking, he took Chen to the rescue room. After checking, he found that his pulse was all normal, not to mention the performance of cardiac tamponade and tracheal compression.

Chen Cang hesitated. Did he think wrong?

But his chest imaging is perfect!

He vaguely remembered that there was a possibility of rupture of the innominate artery in this film.

Thinking of this, Chen Cang decided to remind him.

"Director Bai, in fact, not all innominate artery injuries will have significant X-ray manifestations, such as distal injury. In fact, the pulse can be normal, and the X-ray examination is not obvious, and the diagnosis is very troublesome, so I think we should at least take CT first..."

Bai Jianming frowned slightly and seemed dissatisfied with Chen Cang's query.

But he didn't speak, just smiled faintly: "well, I know."

Chen Cang saw that all aspects of blood pressure on the patient monitor were normal. He was conscious and didn't say anything.

At the thought of this, Chen Cang didn't say much, and what should be reminded was also reminded, but if he had checked in the emergency department in advance, he would have found it early and prepared early.

If the transfer procedures are delayed, it will inevitably delay the time.

But... Will not have much impact.

So Chen Cang turned around and left and went directly to cardiac surgery.

Wu Peng looked at Bai Jianming awkwardly and said, "director Bai, why don't we... Let's do a CT first?"

"Do it again on retrograde aortography?"

Seeing Wu Peng like this, Bai Jianming looked at the patient, considered it, and then shook his head: "it's all right..."

Just as Bai Jianming was about to speak, Wang Xiangjun came in.

"Director!"

"Director Wang!"

They nodded one after another.

Wang Xiangjun said, "what about the patient?"

Wu Peng gave an account and then took out the film.

After watching the film, Wang Xiangjun didn't find anything, but after watching Chen canggang leave, he asked, "I saw Xiao Chen coming just now. What did he suggest?"

Wu Peng said, "Dr. Chen means to have an examination as soon as possible and then transfer to another department. He is worried about the injury to the distal side of the innominate artery and says that the film can't see anything..."

Bai Jianming smiled: "it's all right, director, I know."

When Wang Xiangjun heard this, he was stunned.

Although clearly aware that there is still a big gap between Chen Cang and Bai Jianming in terms of qualifications, knowledge and comprehensive level, somehow, Wang Xiangjun still tends to believe in Chen Cang's choice.

Thinking of this, Wang Xiangjun said, "Xiao Wu, you take the patient to have a CT quickly. To be safe, something really happened. When the film comes out, quickly show it to Dr. Bai."

Wu Peng nodded hurriedly, hurriedly turned around and gave a doctor's order, so he took the patient for examination.

Emergency check-up is relatively fast, which is equivalent to the meaning of green channel. Basically, there is no need to queue up.

And if you send it to the inpatient department, even if you write "urgent investigation"!

But it's much worse than emergency.

Seeing that Wang Xiangjun spoke in person, Bai Jianming was embarrassed to say more, so he waited.

After more than ten minutes, Wu Peng came panting, holding the film in his hand.

Seeing Wang Xiangjun and Bai Jianming, he said anxiously, "there's really a problem!"

When they heard the speech, their faces suddenly changed!

Hurriedly took out the film and saw the difference!

When Bai Jianming saw it, he was a little silly. Chen Cang guessed it all!

incorrect!

This should not have been guessed. Chen Cang must have seen something strange on the X-ray film.

But... This X-ray film is basically normal!

Are there any details you haven't found?

At the thought of this, Bai Jianming couldn't help but be afraid. Fortunately, he did the examination in time. If he had waited until the transfer, the patient's life might not be in danger, but... There would be too much tossing and panic.

Now, you can take it easy!

Organize the operation in time!

Thinking of this, although Bai Jianming is unwilling to admit it, his heart is full of curious admiration for Chen Cang!

This Xiao Chen is really... Something.

In fact, Chen Cangzhi didn't mention it because it didn't have statistical significance. X-films are normal, but there are some subtle differences that can be used for reference. After all, Chen Cang is about countless films. After watching too many x-films and CT, he has a thorough understanding of these details!

And Wang Xiangjun took a deep breath!

Is this guy Xiao Chen too evil?

Can you find it?

Wu Peng saw the two people's appearance, and there were thousands of waves in his heart. Chen Cang was not old. He was much worse than director Bai in his forties.

However, the irrefutable evidence is put in front of us, which makes people feel some emotion.

Is Dr. Chen too good?

The three looked at each other and saw emotion and happiness in each other's eyes.

Wang Xiangjun immediately said, "check the blood and prepare for the operation in time."