Chapter 962 Ru Wen, Do You Say It? (Add More for Lighter than a Feather!)

When Liu Quan left, Chen Cang sat down beside Ma Yuehui.

Sigh again!

Seeing this, Ma Yuehui was instantly angry, and said sourly: "Isn't the Yearbook of Thoracic Surgery going to know you? Why do you sigh again!"

Chen Cang shook his head: "Yes, you can't be too greedy, and the Yearbook of Thoracic Surgery is also okay. In fact... I want to ask me for a draft of The Lancet."

Chen Cang's understatement.

Let the old horse cut the meat when cutting his nails.

Let everyone who writes the medical record click the blank space.

Qiao Chengan, who wanted to go in and chat with Chen Cang, left in anger.

Let the fists of those who are already jealous and unhappy looking at Chen Cang tighten even more!

"Listen, is this human?"

Is this what someone else said? ? ?

What is "Annual Book of Thoracic Surgery" not bad?

Is that the industry TOP3?

That is an authoritative journal in the field of cardiothoracic surgery, you say it's okay?

The Lancet!

Why don't you look for "cell", "nature"...

There was anger in everyone's chest, and even Lao Ma was rubbing his chest, feeling that his qi was not smooth. He felt that he had grown a little, and if he didn't vent, he would even develop in the direction of nodules.

angry!

This Chen Cang is getting more and more outrageous.

Pooh!

The old horse's face was full of blue veins, and he was filled with righteous indignation!

However, one of the biggest advantages of Lao Ma is that he has no brains. When he saw Chen Cang looking at the paper, he suddenly thought about it.

"Xiao Chen, look... can I add a name?" Ma Yuehui looked at Chen Cang expectantly.

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

The people around almost burst out laughing!

Ma Yuehui kept telling himself not to be angry, not to be angry, and not to have a good meal if he was angry.

Just when Ma Yuehui was in a hurry, 120 sent a patient.

Lao Ma didn't care about joking, put away his smile and quickly got up to greet him, while Chen Cang followed and walked out.

"Patient, male, 51 years old, acute abdominal pain accompanied by severe chest discomfort for one week, aggravating for one day..."

The doctor who followed the ambulance quickly repeated the medical history.

Seeing this, the old horse hurriedly called the nurse to push the bed and began to move.

Although the patient is conscious at this time, but... it is obvious that his eyes are dull, and even a little sluggish.

Following the man was an old man in his seventies and an old lady of the same age.

The two helped each other out of the ambulance, and it took a lot of effort.

After entering the emergency room, the old lady looked at Ma Yuehui worriedly: "Doctor, save my son! He...is a poor person..."

Ma Yuehui nodded quickly: "Okay, don't worry!"

Afterwards, Ma Yuehui winked at an elderly nurse at the nurse station and urged, "Aliu, take care of the old man."

The nurse nodded and quickly got up and came out to comfort the old man.

In the emergency room, some mishaps often happen.

For example, a mother came to send her child to see a doctor, and the child's condition did not matter, but the mother was frightened to get sick.

Ma Yuehui has a lot of experience in emergency department. Although he is usually careless and even a little careless on the surface, he is actually very careful and can even think of some things that others can't think of.

When Yu Yong just took the sharp knife group to participate in the international first aid competition, the old horse really made a contribution!

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

Here, after Ma Yuehui pushed the man into the emergency room, he quickly asked, "Where do you feel now?"

The man's eyes were a little dull: "I... feel a stomachache, and this place... is also uncomfortable!"

The man gestured at his stomach and the lower end of his sternum.

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

There are often many patients who come to the emergency department. It looks like a stomachache, but it is actually a heart problem.

So, Ma Yuehui hurriedly said to Xiao Ke, "Xiao Ke, get an electrocardiogram, quickly."

After finishing speaking, it is to bring oxygen to the patient by himself.

Then, wait patiently.

At this time, nurse Aliu also completed the formalities for helping the old man and brought in the man's medical book.

After Lao Ma read it once, he frowned and thought, and then handed the medical record book in his hand to Chen Cang.

After Chen Cang opened the medical record book, he had the same reaction as Ma Yuehui!

The 51-year-old man was divorced fifteen years ago after his wife cheated on him. In the same year, his child died in a car accident. After that, the man developed post-traumatic stress disorder, borderline personality disorder, and schizoaffective disorder in the past.

Seeing this, Chen Cang looked at this unshaven middle-aged man, remembering the old man's words just now, he couldn't help sighing, he was also a poor man.

Abdominal surgery for ingested foreign body 10 years ago: exploratory laparotomy + duodenectomy.

In the next three years, because of postoperative adhesions, intestinal adhesions and small intestinal obstruction occurred one after another.

No history of cardiovascular disease, no history of infectious diseases, parental physical examination, no family genetic disease was found.

Now oral flupentixol and melitracen tablets (Delixin)...

Chen Cang roughly read the medical history, and before he could think about it, the electrocardiogram came out.

After the old horse saw it, his face changed suddenly!

Originally, he has now denied cardiovascular disease and suspected an obstructive lesion of the gastrointestinal tract. After all, the man had a history of this disease before, so these should be considered.

But!

See the ECG results show: acute myocardial infarction!

Although the old horse did not have the habit of looking at machine diagnosis, but at this time, the ECG showed that the ST segment was arched, the ST segment of the lower wall of the heart was too high, and two-way T waves were visible in V2/V3...

It can even be seen that this is a typical myocardial infarction ECG.

Thinking of this, the old horse instinctively prepared a series of doctor's orders such as anticoagulation and thrombolysis.

And when Chen Cang saw the film at this time, he was stunned.

Is it really a heart attack?

But……

If it is a myocardial infarction, it cannot be delayed at all, and anticoagulation and thrombolysis must be performed as soon as possible, or even interventional treatment.

Because heart attack patients can be life-threatening at any time.

But……

The man had no symptoms of acute myocardial infarction at all.

Is it...

The old man was also a little puzzled.

Emergency, too many strange diseases.

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

Chen Cang picked up the electrocardiogram again. This time, he took a serious look at it. It seems... this is a little abnormal?

Chen Cang found something different!

Then began a physical examination, no heart murmur was heard, the lower abdomen was soft without Penglong, and the left upper quadrant was slightly tender...

"Check the cardiac markers urgently, and then do an abdominal plain film. This is also fast, and it won't delay too much time."

After all, sometimes the EKG can lie.

The old horse nodded and agreed.

If this was in a small hospital, it would definitely be treated for heart disease. However, this is the Capital Emergency Center Hospital. Ma Yuehui has a lot of knowledge, and he also has doubts.

Soon, the two personally pushed to do abdominal plain film.

The result is out!

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

...