Chapter 703

Lao Yang has driven an ambulance all his life, from Jinbei grace to Mercedes Benz 416. The changes of the car have also witnessed the development of EMSS in ammonium Yang City in recent years.

This time, Lao Yang's Mercedes Benz 214 has sufficient power, a maximum speed of 200 kilometers per hour and considerable fuel consumption.

This kind of car is not cheap at all. A Mercedes Benz series original ambulance costs more than 1.4 million. It's still standard!

Of course, it's definitely not just the price of the car, but also professional equipment such as oxygen supply equipment, air disinfection and circulation support, ECG monitoring, ventilator and defibrillator.

Generally speaking, those who can make emergency vehicles are not necessarily luxury manufacturers, but they are basically very reliable. Domestic golden cup is also an old brand.

However... The defects of Mercedes Benz 216 are also obvious. The shock absorption is general. It's easy to rescue in the city!

However, taking this mountain road gives Chen Cang the feeling that he is a little floating

Mercedes Benz can't give full play to its performance, and even its steering and flexibility are not as good as the domestic golden cup.

In fact, the rescue by taking the mountain road is still a great test for the ambulance driver!

It's OK for Kobayashi to sit in the co pilot, while Chen Cang sits in the rear compartment. After getting down, he feels that his steps are a little vain.

The president of Nanqiao township health center had been waiting at the door. When he saw Chen Cang and others coming down, he looked happy and hurried to meet them!

"Good expert!" the Dean was very enthusiastic. One expert at a time made Chen Cang a little uncomfortable.

After some greetings, go straight inside.

The development of township health centers here is OK. The four storey inpatient building looks like that.

Chen Cang went upstairs with the Dean, while Lao Yang turned the car around and prepared for handling.

Generally, if he and Chen Cang go out for a visit, he will follow behind to help. Lao Yang doesn't like to intervene in such a situation where there is no shortage of staff.

Kobayashi skillfully carried the rescue box and closely followed Chen Cang.

After several years of emergency work, in fact, Kobayashi's ability is not just a nurse. To tell the truth, Kobayashi's rescue ability may be above the dean in front of him.

The second floor is the Department of Cardiology. After they entered the ward.

Chen Cang finally saw the patient, a 71 year old woman. At this time, she was lying in bed. The bed was shaken up, shorting of breath and panting!

And sleepy eyes have been closed, slightly rough and rapid breathing sound. I don't know whether it's snoring or what's going on.

With an oxygen tube in his nostrils, he looks pale and painful!

At the first glance, Chen Cang felt that things didn't seem as simple as he thought!

Thinking of this, Chen Cang first thought of the possibility of heart failure.

Elderly patients with acute myocardial infarction may have acute heart failure during the attack.

The bed doctor is a young man whose grade is not as good as Chen Cang, but according to his greasy degree, his working hours should not be short.

However, Chen Cang naturally doesn't need to have too many requirements for others. After all, to tell the truth, there are not many young people who can come to the health center now. What else can he ask for?

Chen Cang originally wanted to ask about the situation. After thinking about it, he took the lead in walking to the old man's bed, opened the quilt and looked at his legs and feet.

The family member is a rural woman. She should be a daughter-in-law, but she is very considerate.

Generally speaking, patients with right heart failure will have edema, but the old man has no sign, no leg swelling, and there are not too many signs of edema on his face.

Chen Cang saw the old man sitting and breathing. In fact, at the beginning, he didn't feel like a patient with right heart failure.

It's like a typical left heart failure. After all, it's typical dyspnea. Sit upright and breathe.

Chen Cang did not continue to check. At this time, the old man opened his eyes and saw Chen Cang smile.

This is an old lady who laughs very kind and kind.

Looking at the old man, Chen Cang couldn't help asking some simple questions, such as how old he was and whether he slept well.

The old man's answer was clear.

Chen Cang also nodded secretly, with clear consciousness, normal thinking and clear mind, which relieved him a lot.

Chen Cang began to ask about the medical history.

Seven days ago, he had a sudden attack of myocardial infarction and was sent to the hospital in time. He began to have difficulty breathing last morning. He was able to lie flat, but he was half comfortable lying down. However, he felt chest tightness, shortness of breath and difficulty breathing all night. He couldn't sleep at all, so the old man looked irritable and anxious!

Chen Cang first comforted the old man, and then asked his family to greet the old man to lie down.

Chen Cang picked up the stethoscope and began auscultation!

Typical systolic murmurs can be heard at the apex of the heart, and wet rales can also be heard at the bottom of both lungs!

Chen Cang immediately frowned!

Isn't that right?

Isn't this a sign of heart failure?

At first, according to the description of the elderly and the expression of their families, all signs were developing towards left heart failure.

But after listening to Chen Cang, although it can't be ruled out, but... This should not be the main reason!

Thinking of this, Chen Cang asked Xiao Lin to measure his blood pressure and blood oxygen.

"Blood pressure 12080mmhg!"

"Heart rate 100 beats per minute!"

"Blood oxygen 95!"

Chen Cang looked at the old man: "have you ever had heart disease before? Or high blood pressure..."

The old man shook his head.

The daughter-in-law on the side also said: "the old man's body has always been very strong and strong. He gave birth to five sons and two girls!"

Chen Cang was stunned. There are seven brothers and sisters. Although they can't prove anything, they... Should be in good health!

Thinking of this, Chen Cang turned and looked at the bed doctor: "give me the medical record."

The doctor in charge also cooperated very well: "OK, OK, wait a minute!"

Before long, he came over with the medical record folder.

Chen Cang saw that there were seven or eight electrocardiograms. He did them every day. When he was admitted to the hospital, two of them were typical ST segment arched back elevation and typical acute myocardial infarction waveform.

But... In the next few days, an ECG was taken every day. Although the chest pain was relieved, the patient's ST segment did not fall back.

What the hell is going on?

Now if you can't make a clear diagnosis, you can't go on the road!

At this time, the old man's children also came in. Five men came in. Chen Cang turned around and looked at the tall men. He suddenly felt that this was also the pride of a mother.

"Doctor, hurry to send ammonium Yang," said the old man.

Chen Cang shook his head: "wait a minute. Now the old man is unstable and has a long way to go. I'm worried about something. I must stabilize the symptoms. At least, I have to make a clear diagnosis!"

The family heard Chen Cang's words and no longer spoke.

In the view of the villagers, the experts in the provincial capital are certainly right, but they still don't want to be smart.

On the contrary, it's even more troublesome to pick up Baidu's weapon against the doctor!

At this time, Chen Cang put his hand on the position of the strongest point of apical pulsation and continued to feel it. Is there a tremor?!

This signal suddenly made Chen Cang a little overjoyed!