Zhang Peiyi was obviously silent for a moment.
He would like to know how Chen Cang completed the patient's diagnosis in ten minutes!
In fact, this is also the embodiment of a doctor's real clinical thinking.
That is, how to deduce the disease and deduce the diagnosis!
Thinking of this, Zhang Peiyi looked at Hou Liang, Xu aiming and others.
Everyone was curious, but embarrassed to ask.
After all... Sometimes this clinical thinking is not easy for everyone to form Chengdu, and many people are unwilling to tell these secrets.
To be honest, this is the technology of pressing the bottom of the box.
Everyone is an adult.
Naturally, it won't be boring. If Chen Cang doesn't want to answer, it will be very embarrassing.
Zhang Peiyi couldn't help praising: "Professor Chen's diagnosis of the disease is really powerful. He found out all the patients' conditions in 10 minutes. I really admire him!"
Hearing Zhang Peiyi's words, Chen Cang smiled: "director Zhang, you're too polite."
To tell the truth, Chen Cang still respects Zhang Peiyi.
Zhang Peiyi, director of the emergency department of the provincial people's government, is also known as one of the four famous doctors of ammonium Yang emergency department, and the development of the emergency department is also very good.
Actually
Chen Cang's diagnosis didn't take ten minutes at all. The reason why it took ten minutes was that Chen Cang spent a lot of time trying to figure out the examiner's mind and the examiner's induction process.
Chen Cang didn't explain.
But smiled: "in fact, it's not what"
But when his eyes lit up, he said, "this is a key clue derivation diagnosis process!"
As soon as he said this, everyone around him frowned slightly.
"Key clue derivation diagnosis?"
Everyone couldn't help repeating it, and then they stopped talking.
Not because I think Chen Cang is perfunctory.
But each one is pondering Chen Cang's sentence.
Time passed slowly in silence.
The more they ponder, the more they feel the significance!
There is even a feeling that makes them suddenly enlightened.
Even, this sentence is like a new bridge, directly erecting a new road of clinical thinking!
find everything fresh and new?
no
This is not enough to express their inner excitement.
This is a new idea and method!
It is enough to make up for their lack of means and methods for diagnosis and treatment.
Know how to start when you encounter special patients and conditions!
For a time, all the chief experts present gradually came out of chaos and doubt, with golden eyes.
Chen Cang's words directly awakened the people and made everyone feel suddenly bright and bright!
After you bring today's case into it, you continue to taste it carefully. The more you taste, the more magical this state is.
The crowd took a deep breath and looked at Chen Cang. They couldn't help laughing gratefully.
"Thank you, Professor Chen!"
"Yes! It has benefited a lot!"
"Be enlightened, suddenly!"
What you said is very sincere, and your heart is really grateful.
When you are young, it is easy to follow teachers. Most old professors are willing to take young people to study and ask them to help.
But!
No one wants to take these experts and professors.
Because of what?
Because people themselves already have their own system, come to learn your things, it is easy to learn your essence, go to the rough, get ahead of you!
So generally, most people are relatively conservative.
But!
We found that Professor Chen never seemed to care about these, and even pointed out the core elements unreservedly, to the point!
Chen Cang smiled: "communicate with each other!"
Chen Cang is actually very happy. He seems to have thought of telling the internal medicine students of Xiehe!
Today's case is a good lecture!
However, this is not perfect!
Chen Cang wants to talk about diagnostics!
There are diagnostics textbooks, including traditional Chinese medicine diagnostics, Western Medicine Diagnostics... And so on.
However, in any case, if you want to make an accurate diagnosis of patients, you must grasp some core key elements for discussion.
And the more special cases, the more we need to grasp the main contradiction!
In the process of disease diagnosis, there will be various inspection reports, which are objective indicators and human evidence.
So, how to accurately get the patient's diagnosis and treatment through these evidences?
This will test the level!
Of course, diagnostics is an entry-level classic book to help cultivate clinical diagnostic thinking.
But!
If you want to advance, you need more thinking. These thinking needs to be studied and found through case by case.
This is why many powerful cattle can always point out the cause of the disease!
Medical treatment is not easy. At this moment, Chen Cang suddenly found that the road ahead is too long.
There are still many places to learn and improve!
The morning assessment was soon over.
Because of Chen Cang's reason, the whole thing is noisy, and more and more people know what's going on today.
With the reasonable efforts of Li Hui and Dongyang Provincial Health Commission, this matter has also been a satisfactory solution.
Wei Zhuhua, director of Dongyang Provincial Health Committee, personally came to the provincial people's hospital to comfort the patients and told them to make every effort to treat them.
Patients are naturally excited!
After all, I've never been so proud in my life.
Wang is really happy!
After he was hospitalized, it seems that his luck has changed. The leaders' careful condolences!
However, the patient is also hearty and does not seem to be afraid.
But the family members were frightened.
Just when the leaders of the Health Commission expressed their condolences, suddenly the patient felt a burst of discomfort in the precordial area, severe pain suddenly came, and the whole person contractured directly on the hospital bed.
No one expected the patient to get sick so quickly!
Even the leader was stunned at this moment. He looked at the busy medical staff around him. Wei Zhuhua was really at a loss.
He just shook hands with the patient... How could this happen?
At this time, Chen Cang in the last row suddenly said, "aortic dissection is formed. Hurry to take a chest and abdominal X-ray!"
Zhang Peiyi nodded quickly, pushed the patient directly and ran out, while Hou Liang followed!
They understand the patient's situation!
If something really goes wrong, it's a big problem.
But
They have only one question in their heart!
"Professor Chen, can chest film and abdominal plain film work?" Zhang Peiyi asked directly, "do you want to do another radiography as soon as possible to see where the dissection appears!"
Chen Cang shook his head directly: "no, it's too late."
Indeed, patients may induce the aggravation of the disease anytime and anywhere!
Taking CTA angiography at this time must be looking for death.
But you can't see the X-ray clearly?
Everyone was about to hesitate, Chen Cang added: "x film is enough!"
Looking at everyone in a daze, Chen Cang was helpless: "I have the opportunity to teach you to watch movies."
Suddenly everyone was happy!
……
PS: the last day's meeting is over. I'm so tired. I'll return tomorrow!
I've wronged you all this time. Thank you for your patience. I'm really sleepy today.
Go to bed. I'm afraid I can't get up for the car at 5 o'clock tomorrow morning. Let's have a rest early.