Chapter 1120: Fire Fighting Chen
Looking at Zhang Peiyi, Hou Liang and others who were rushing to come.
Chen Cang knew him.
They nodded one after another: "Director Zhang, Director Hou!"
Zhang Peiyi hurriedly said, "Professor Chen, what's going on?"
Chen Cang took a deep breath, his face a little solemn, but he did not directly say the diagnosis, but asked: "Has the patient taken aspirin recently?"
"That's right!" Hou Liang nodded directly. He looked at the medical record and it was written on it!
After hearing this, Chen Cang nodded directly: "That's right!"
"What does it mean?" Everyone stared at Chen Cang and asked.
How could they know what the effects of taking aspirin?
Even the patient was a little confused!
Me...what happened to me?
Chen Cang directly took out the patient's test form.
"When the patient was admitted to the hospital, the diagnosis was mainly due to platelets as high as 723, which was scary. Influenza, infectious diseases, and liver and kidney function were normal, but these could not explain the patient's liver tenderness at all."
"I saw the patient's B-ultrasound. The fatty liver is not enough to cause these abnormalities. It must be acute liver damage."
"And what is the reason? I analyzed the patient's condition. He had obvious lymph node enlargement, and had acute fever and mild rashes before admission. Although these were insignificant, they were indeed key factors!"
After saying that, Chen Cang stared at the man and said, "Go to bed and lie down!"
The patient was unaware of the harshness and had to go to bed and lie down.
Chen Cang started a physical examination: "You see, the conjunctiva on both sides is congested and has no exudates. The lymph nodes on the neck are serious and there are rashes on the body!"
"According to Japan's diagnostic criteria for Kawasaki disease, fever with the above symptoms can be diagnosed as Kawasaki disease!"
Chen Cang's words made everyone's spine chill!
Zhang Peiyi and Hou Liang looked at each other, and saw uneasiness and fear in each other's eyes!
Beads of sweat the size of beans are constantly seeping out!
Even his expression was a little panicked.
"The most important thing is that the patient's platelet elevation is both the cause of angina pectoris and the result of Kawasaki disease!"
"But, it's still not the case that firmly thinks!"
"It's the aspirin you gave to the patient orally!"
This sentence stunned everyone!
Chen Cang is perfect for clinical analysis of emergency drugs and drug poisoning!
He said directly: "There is a meta-analysis of clinicalland enperimengtal that aspirin can easily cause serious liver damage in the treatment of Kawasaki disease!"
"So, now you need to check the function urgently!"
After hearing Chen Cang's analysis, everyone was stunned!
Fortunately, Zhang Peiyi reacted quickly and quickly called the head nurse and came to draw blood!
While waiting, they also quickly conducted physical examinations on the patient.
After this inspection, they found that... things might be really moving closer to Chen Cang!
And the patient was also confused!
All of this cannot be blamed entirely on medical staff.
It is because the patient concealed the relevant condition because of some details.
Avoid talking about fever and think it is not important.
In fact, during the diagnosis process, it is often based on many tiny details.
The patient was really scared at this time: "Professor Chen... Then why did you say I needed surgery just now!"
The directors around also stared at Chen Cang, not knowing why!
Kawasaki disease does not require surgery, right?
Chen Cang couldn't help but say, "You can take a look at this photo!"
While speaking, Chen Cang picked up the chest x-ray and CT.
"You see, although the patient has not done a complete examination for CTA vascular imaging, you can watch these two films."
"Actually, there doesn't seem to be much difference, but if you join us, take Kawasaki's underlying disease and you can see here!"
While speaking, Chen Cang pointed at the patient's large blood vessels on the chest and couldn't help asking: "Don't you think there are some slight changes in the size?"
“And here…”
While speaking, Chen Cang began to point out every subtle change.
With Chen Cang's pointing out, everyone's faces were low.
Because... this is a bit scary, right?
"Professor Chen... do you mean?" Xu Aiming asked directly!
Chen Cang nodded: "The signs of aortic dissection!"
After Chen Cang pointed out the answer, everyone was silent!
Aortic dissection...
Chen Cang explained: "Well, Kawasaki disease damages the most coronary artery, followed by the aorta, abdominal aorta, carotid artery, and pulmonary artery!"
"We can see some shaded parts through the lung CT, and we can tell that the patient may have nodular arteritis, thickening of the endometrium, here...and here..."
"I judge that the patient's condition is still very dangerous at this time!"
"In mild cases, it can lead to coronary thrombosis and myocardial infarction!"
"The endometrium ruptures and the aorta breaks directly, causing the patient to die!"
"I now judge that the patient's condition of cutting the endometrium is very bad, so it's better to have surgery as soon as possible!"
After Chen Cang finished speaking, he frowned!
After hearing Chen Cang's words, the patient's face turned green!
Is it so scary?
Thinking of this, the patient looked at Chen Cang: "You scared me, are you? Professor Chen?"
Chen Cang took a deep breath: "I hope my judgment is wrong!"
The patient nodded quickly: "Yes, I hope..."
Pay attention to the calm expression of an echo: "I hope..."
However, before the speech was finished, the laboratory department called.
"Patient Wang now has a high alanine aminotransferase of 941, while alanine aminotransferase of 819!"
With the emergence of two indicators, everyone's face changed suddenly!
This evidence may prove that Chen Cang’s reasoning is correct!
Chen Cang's face was low and he said, "Hurry up and do cta!"
Then, he said to the patient: "Contact your family quickly and tell them that you need to prepare for the operation as soon as possible now!"
Hearing this sentence, the patient forced himself to calm down.
Now isn't the time to panic, but...
It’s fake not to panic!
Soon, the patient's CTA angiography came out. At this moment, the patient's aorta and pulmonary artery had damage to the inner wall of the inner wall, which was likely to form a vascular dissection. Moreover, due to the existence of Kawasaki disease, the patient may skip the dissection directly, causing blood vessel rupture!
For a moment!
The whole office began to be busy and deployed.
No one dares to relax.
Hou Liang frowned at this time and said, "Professor Chen, we do not have the ability to perform aortic replacement surgery! And there are so many arteries..."
In one sentence, express the voices of Zhang Peiyi and others!
At this time, Chen Cang nodded and said, "I'll do it!"
Everyone turned around and stared at Chen Cang.
Full of excitement!
Professor Chen can indeed bring hope in despair!
...
ps: Sorry, late update.
Chapter completed!