Chapter 1666

In fact, participating in Doctors Without Borders dares to go to those dangerous places.

It's not just courage that tests a doctor!

And confidence!

A doctor who is not confident in his professional level cannot have the courage to face these dangerous situations.

Without three-thirds, how dare you go to Liangshan!

Deng Ming felt very guilty when he heard Chen Cang's words!

He knew that Chen Cang was right.

I have a pride similar to "ignorance" in my heart.

Think you're well-informed.

Think you can even face that kind of life and death and can't be an ordinary emergency surgeon?

Reality, the arrangement is clear.

you 're right!

You just can't.

At this moment, Deng Ming held his heart and finally fell into the dust.

At the same time, when he calmed down, he began to seriously think about Chen Cang's words.

After all, Deng Ming is an outstanding graduate of Harvard Medical School and a doctor of clinical medicine.

After hearing Chen Cang's words

A possibility suddenly occurred to him.

It was a rare pulmonary hypoplasia syndrome that was pioneered by him in 1960!

It's just that he only saw this disease in rare medical records! two

I didn't expect to see it in my life.

Moreover, the name is still a doctor with military experience!

Thinking of this, Deng Ming said excitedly, "you mean... Saber syndrome?"

Chen Cang heard that Deng Ming quickly adjusted his state and then entered the state.

Chen Cang nodded: "yes, I just checked that the old lady's main performance is still the reaction caused by ischemia and hypoxia, but there is no possibility of lung infection and pneumonia during lung auscultation."

"If COPD... You need obvious signs to reach this point. Now there is no barrel chest. The most important thing is that oxygen does not alleviate the symptoms, but aggravate the situation."

"Just now, after cardiopulmonary resuscitation, I found that the position of the strongest point of apical pulsation seemed to be wrong. Percussion found that the heart shifted to the right, similar to the right heart."

"Later, combined with the patient's long-term history of chronic cough and easy to catch a cold, I guess it should be military knife syndrome!"

Listening to Chen Cang's careful logical thinking and the collection of details, medical history and patient disease information, Deng Ming's heart is tumbling!

This is the emergency doctor!

In the face of patients, with limited conditions, limited information, no visible wound and no condition, we can make effective use of all resources and give diagnosis!

Deng Ming suddenly felt that returning home this time might be the most correct choice.

However, after hearing this, the families of the two patients immediately changed their faces.

"Professor Chen... What do you mean by saber syndrome?" the old lady's daughter asked curiously and worried, "what about... Saber syndrome?"

The old lady's son also stared at Chen Cang and was very worried.

It's true that busy makes chaos.

It's hard to be sure about the old lady now.

Chen Cang said faintly: "saber syndrome has nothing to do with trauma, mainly because of abnormal development of pulmonary veins and blood vessels, which is a very rare manifestation of heart and lung malformation."

"The flow direction of the right pulmonary vein of the old lady is different from that of ordinary people. Its path is not into the left ventricle, but down through the diaphragm into the inferior vena cava, then back to the right atrium, and finally into the pulmonary circulation rather than the systemic circulation. This is equivalent to entering a 'dead end'"

"Because of the abnormal vein, X-ray examination found that there was a machete like shadow along the right cardiac margin, so it was named military knife syndrome."

"But... The old man is certainly not a simple saber syndrome, but a combination of cardiopulmonary failure and abnormalities. I can't guess."

Hearing Chen Cang's words, the man's face was dusty!

Some guilt!

"Mom is easy to catch a cold for so many years... I really should take her to the hospital more!"

"It's always okay... Drag... Drag until today!" the man was very sad. His mother was 83 this year and his father had been gone for 20 years.

Over the years, the old man lived alone in the old community.

Today is the old man's 83rd birthday. He is 83 years old.

The whole family came to celebrate, and this happened.

The old lady who always talks about "nothing, little things" now looks blue and blue, and her lips are cyan, just like... Leaving.

The man's voice choked, squatted on the ground, touched his mother's hand, and tears unconsciously flowed down.

"Doctor, please help my mother, please!" the man in his fifties, who was nearly 200 kilograms, still couldn't help it at this moment. Looking at Chen Cang, he looked like the last straw!

Women also touched their tears and nodded to pray.

In this small elevator, sultry, crying, struggling and fear are spreading.

Deng Ming couldn't help sighing when he saw this scene.

In such an elevator.

There is no ECG monitor, no ECG machine, and the devices on hand are limited... What can I do to save it!

Do you think Professor Chen is an immortal?

Now, it's the staff outside who can save people. Open the elevator and take it to the hospital!

Indeed, in the face of this lack of detection and inspection equipment.

These basic operations of visual touch and percussion are particularly important.

But what is an emergency?

This is the emergency!

Is the need to face all kinds of emergencies.

At this time, Chen Cang suddenly heard a crisp system prompt sound.

[Ding! Trigger the special scene of pre hospital first aid, entering...]

Chen Cang was stunned!

This... Is the reward you just got!

[scene simulator!]

It can be collected and simulated according to the on-site situation of patients.

Chen Cang's eyes lit up immediately!

Scene simulation?

[being included... 1%, 2%...]

At this time, Chen Cang suddenly found that the old lady's situation was getting worse and worse. He opened his mouth, raised his shoulders and nose wings to incite, and even his hands began to move in the air. It seemed that he was groping for something!

It's getting worse!

No!

At this time, treatment must be made. Obviously, the patient is not aggravated by infection.

But because the burden on the heart and lungs gradually increases, leading to the accumulation of the disease over time.

Because most patients with saber syndrome usually don't have the old lady except that their cardiopulmonary function is not very good.

At this time, the telephone ring suddenly remembered.

The man quickly answered the phone.

"Brother, how's mom?" a voice came over the phone.

"Mom, the situation is getting worse and worse. You must open the elevator quickly and go to the hospital as soon as possible!"

Hearing the man's words, the other party was also worried and hurried these people.

"Brother, in half an hour, the elevator maintenance personnel will arrive soon. Hold on!"