Chapter 963： : Ruwen, are people saying no?

I waited for Liu Quan to leave, Chen Cang sat down next to Ma Yuehui.

I sighed again!

When Ma Yuehui saw the situation, she was suddenly out of breath, and said sourly: "Is this the Yearbook of Thoracic Surgery all about you? Why sigh again!"

Chen Cang shook his head: "Also, you ca n’t be too greedy. The Yearbook of Thoracic Surgery is also okay. Actually ... I want the Lancet to agree with me."

Chen Cang understates a sentence.

When the old horse cut his nails, he cut the meat.

Let the people who write the medical records click crackly.

I let Qiao Cheng'an, who wanted to enter Chen Cang to chat, walk away in anger.

Let the fists of those who are jealous and unhappy with Chen Cang become even tighter!

"Listen, is this human?"

Is this what someone says? ? ?

叫 What is the "Yearbook of Thoracic Surgery" not bad?

That's the industry TOP3, OK?

That is an authoritative journal in the field of cardiothoracic surgery. Do you think it is okay?

The Lancet!

怎么 Why don't you find "cell", "nature" ...

There was anger in everyone's chest, and even the old horse rubbed his chest and felt that the Qi was not smooth. He felt that he had some hyperplasia, and if he did not vent, he would even develop towards the nodule.

**** off!

This Cang Cang is becoming more and more ridiculous.

Huh!

Old horse's complexion is blue, and he is filled with indignation!

However, one of the biggest advantages of Lao Ma is his lack of mind. When he saw Chen Cang looking at the thesis, he suddenly thought about it.

"Xiao Chen, look ... Can I add a name?" Ma Yuehui looked at Chen Cang with anticipation.

After Chen Cang heard it, he suddenly said: "Can the patient's real name appear in the paper?"

The people around me almost sprayed laughs!

Ma Yuehui constantly told himself not to be angry, not angry, and to have no good food.

马 Just when Ma Yuehui was in the middle of his brain, 120 sent a patient.

Lao Ma could not care about joking, put away his smile and quickly got up to welcome out, and Chen Cang followed closely and went out.

患者 "Patient, male, 51 years old, acute abdominal pain with severe chest area discomfort for one week, aggravated by one day ..."

Follow the doctor in the ambulance to quickly review the medical history.

When the old horse saw this, he hurriedly asked the nurse to push the bed and started to move.

Although the patient was conscious at this time, it was obvious that his eyes were dull and even dull.

He followed the man with an old man in his seventies and an old lady of the same age.

The two helped each other to get out of the ambulance with great effort.

After I entered the emergency room, the old lady looked at Ma Yuehui with a worried expression: "Doctor, save my son! He ... is a poor man ..."

Ma Yuehui nodded quickly: "Okay, rest assured!"

Then, Ma Yuehui winked at an elderly nurse at the nurse station, and exclaimed, "Aliu, take care of the elderly."

The nurse nodded and quickly got up to appease the old man.

阴 In the emergency department, there are often some things that go wrong.

For example, if a mother comes to send her child to see a doctor, the condition of the child does not matter, and the mother is scared of the disease.

Ma Yuehui has rich experience in emergency department. Although she is usually careless and even careless, she is actually very attentive and can even think of things that others cannot think of.

余 When Yu Yong first took the sharp knife group to participate in the international first aid competition, the old horse really contributed!

When Chen Cang saw this scene, he naturally learned it.

马 After Ma Yuehui pushed the man into the rescue room, he quickly asked, "Where do you feel uncomfortable now?"

The man's eyes were dull: "I ... feel stomachache, and here ... I'm not comfortable!"

The man made a sketch of the stomach and the lower end of the sternum.

In the face of this situation, Ma Yuehui's first reaction was not abdominal pain, but an electrocardiogram. Moreover, the patient was 51 years old. The first consideration was to rule out the possibility of myocardial infarction.

There are often many patients coming to the emergency department. It seems that the stomachache is actually a heart problem.

So, Ma Yuehui quickly said to Xiao Ke: "Xiao Ke, electrocardiogram, hurry up."

After speaking, he gave the patient oxygen by himself.

Then wait patiently.

At this time, the nurse Aliu also helped the elderly to complete the formalities and brought in the men's medical books.

After seeing it again, Lao Ma frowned, then handed Chen Cang the medical record in his hand.

打开 After Chen Cang opened the medical records, he reacted exactly the same as Ma Yuehui!

The man is 51 years old. He divorced after his wife derailed 15 years ago. In the same year, the child died in a car accident. After that, the man developed post-traumatic stress disorder, borderline personality disorder, and previously had a split emotional disorder.

When I saw this, Chen Cang looked at this bearded middle-aged man, thinking of the words of the old man just now, and could not help but sigh, and he was also a poor man.

腹部 Abdominal surgery was performed 10 years ago for swallowing a foreign body: laparotomy + duodenum resection.

In the next three years, due to postoperative adhesions, intestinal adhesions and small bowel obstruction occurred one after another.

往 Have no previous history of cardiovascular disease, no history of infectious diseases, physical examination of parents, no family genetic disease was found.

的 Now oral flupentixol and melitrazine tablets (Delixin) ...

Chen Cang probably read the medical history, but before he had time to think, the electrocardiogram came out.

After seeing the old horse, his face suddenly changed!

Originally, he has now denied cardiovascular disease and suspected that it was an obstructive disease of the gastrointestinal tract. After all, men have a history of this disease before, and they should still be considered.

But!

See ECG results: Acute myocardial infarction!

Although the old horse does not have the habit of looking at the machine for diagnosis, at this time the electrocardiogram indicates that the ST segment arch is elevated, the ST segment of the lower wall of the heart is too high, and two-way T waves can be seen in V2 / V3 ...

You can even see that this is a typical myocardial infarction ECG ~ www.novelhall.com ~ Thinking of this, the old horse instinctively prepared a series of medical orders such as anticoagulation thrombolysis.

When Chen Cang saw the film at this time, he suddenly stopped.

Is it really a myocardial infarction?

But ...

If it is a myocardial infarction, it can't be completely delayed, and anticoagulation and thrombolysis must be performed as soon as possible, and even interventional treatment must be performed.

Because myocardial infarction patients can be life-threatening at any time.

But ...

Look at men who have no symptoms of acute myocardial infarction at all.

I wonder ...

Old horse is also a little wonder.

Emergency, there are too many diseases.

Lao Ma and Chen Cang looked at each other and saw a lot of puzzlement from each other's eyes.

Cang Cang picked up the electrocardiogram again. This time, he took it seriously, and it seemed that ... this was abnormal?

Cang Cang found something different!

Subsequent physical examination began, no heart murmur was heard, the lower abdomen was soft and free of Peng Long, and the left upper abdomen was tenderness ...

"Check the heart markers urgently, and then do a plain film, this is also fast, it can not delay too much time."

After all, ECGs sometimes lie.

The old horse nodded and agreed.

If it is in a small hospital, heart disease treatment will definitely be performed. However, this is the Capital Emergency Center Hospital. Ma Yuehui is well-informed and he also has doubts.

Soon, the two personally pushed to make a plain film.

It turned out!

There are multiple scattered foreign body shadows in the left upper abdomen.

Uh ...