Since then, Tan Zhonglin successfully joined Chen Cang's team and became Chen Cang's second auxiliary, referred to as the second bedroom!

The addition of the second house has given Chen Cang's auxiliary team a little more competition.

An Yanjun, who was in the main room, finally walked out of the comfortable environment and began to compete for favor with Tan Zhonglin.

However, this kind of competition is obviously beneficial. Both sides rely on their abilities to compete for favor and love, and their enthusiasm for learning has become much bigger.

But after all, An Yanjun, who is the main wife, has a great advantage. After all, there are three young nurses and maids who are in charge of the pump.

After all, only by keeping Chen Cang can they compete fairly.

If it is stolen by Tan Zhonglin, it will be boring to fight.

At this time, Chen Cang suddenly realized that the blessings of Qi people were not good, and the two of them were annoyed... Chen Cang suddenly felt a little nostalgic about Qin Yue.

Don't speak or say anything.

It's okay to shout occasionally.

Blink your big eyes.

The surgery is also in a good mood.

The most important thing is that it is still pleasing to the eye.

Chen Cang looked really upset at these two jealous old men...

...

...

October 1st finally arrived, Chen Cang first-line class,

Although the emergency room duty is as busy as a war, at least... it is not that annoying.

He finally understood why so many ancient officials died young and were so tired!

I have to pay tremendous amounts of time during the day, and at night I have to pay tremendous amounts of time...

Why……

There are many fewer patients in hospitals during the National Day holiday, and the number of outpatient clinics is less than half of the weekdays.

However, the emergency department is not easy. In addition to Chen Cang, there is also Wang Yong, the first-line class in the surgery department. The two of them were busy all morning.

Dr. Yao, who is in the internal medicine department, is as busy as a dog, because today is Dr. Yan Mingyan on duty with him.

Dr. Yan is a famous hand-off manager in the emergency department. He is more stylish than Li Baoshan. He sways with a thermos every day. When patients come, they ask for consultation.

In short, someone’s emergency department is a nursing department.

The hospital is unwilling to care about such people, and I can only think of retiring for two years. After all, there will be no big problem with him.

Although Yan Ming is not very responsible, he is very good at protecting himself. This is also a skill in the current context.

Now, when any doctor is on duty, the first lesson that the teacher teaches them is how to protect themselves.

Yao Zhiwen and Chen Cang were among the graduate students of the Department of Cardiology at Dongyang Medical University. They are the same as Wang Qian and Qin Yue, and they are the editors.

Yao Zhiwen is a relatively introverted person and doesn't like talking. He always smiles with you when he meets people. He looks like your shy girl and is also honest. He is unlucky when he meets Yan Ming.

I was so busy that I didn't even take a break.

At about eleven o'clock, Yao Zhiwen hurriedly found Chen Cang and said with some concern: "Doctor Chen, help me see a patient!"

Chen Cang nodded and followed Yao Zhiwen to the rescue room.

Yao Zhiwen said as he walked: "The patient is a middle-aged man, 41 years old, and was sent by 120 with chest pain. He fell into a coma shortly after he arrived. He was in a serious condition."

When Chen Cang heard Yao Zhiwen's words, he keenly captured several clues.

"Chest pain!"

"coma!"

Is it a heart attack?

This is Chen Cang’s first feeling.

Yao Zhiwen continued: "The patient began to feel confused and confused just after he arrived at the emergency department. The 120 was sent to Dr. Che and told me that the patient was still awake when he was on the road. He just said that the chest tightness and the chest pain was too good. It was like a needle. It was not relieved after giving nitroglycerin. It was normal to have an electrocardiogram."

Chen Cang was stunned and asked quickly: "Did you get an electrocardiogram when you arrive at the emergency department?"

Yao Zhiwen nodded: "I've made up for it, and I've urgently checked for troponin."

"I didn't see any signs of acute myocardial infarction, and I saw that troponin was increased after blood was drawn."

When Chen Cang heard this, he frowned. After arriving in the room, Yao Zhiwen quickly took the electrocardiogram and handed it to Chen Cang: "Look."

Chen Cang took the electrocardiogram and found that the electrocardiogram did not have typical myocardial infarction, and s-t was basically normal...

This is strange!

Yao Zhiwen: "I am still worried about heart problems. I just called the Department of Cardiology for urgent consultation. Before I got off, Dr. Yan... went up and invited me!"

Chen Cang couldn't help but sneer...

Both of them know that even though the electrocardiogram does not have a typical waveform chart, the patient still cannot rule out the possibility of acute myocardial infarction.

When encountering a typical myocardial infarction, the electrocardiogram does have characteristic patterns of waveforms such as s-t, which is easy to understand, because normal cardiomyocytes have electrical activity, and necrotic cardiomyocytes have no electrical activity. The mechanism of the electrocardiogram is to display the waveform by catching such an abnormality.

However, when myocardial infarction is early, the myocardium may not be completely necrotic, and the electrocardiogram still exists, which means that the electrocardiogram may not necessarily have typical symptoms.

In addition, troponin is mainly in cardiomyocytes. Its increase often indicates that cardiomyocytes are damaged.

Chen Cang asked, "What is the medical history?"

Yao Zhiwen said: "The medical history oral told by the family is basically reliable. He has had a history of hypertension, hyperlipidemia, and fatty liver disease. Therefore... the possibility of acute myocardial infarction cannot be ruled out."

Chen Cang said oh, "Do you suspect it is cardiogenic shock?"

Yao Zhiwen nodded!

While they were talking, the two had already arrived in the rescue room, and the patient was currently on electrocardiogram monitoring.

When Chen Cang first saw the patient, he did not see any special face on his face, and he was already unconscious and lay on the hospital bed without any movement.

Electrocardiogram monitoring: Heart rate 120 beats/min, a little fast, blood pressure is 80/50mmhg, low... The blood pressure of normal people should be 90-140/60-90mmhg,

A blood pressure of 80/50 is low in any case. If the blood pressure is low, it means the patient is in shock.

All clues are still unknown.

There is so much danger!

The patient has a history of hypertension, but at this time he only has a blood pressure of 80/50. In this case, the blood pressure cannot satisfy the blood supply to the brain. To put it simply, the heart is like a water pump, and it is necessary to hit the blood all over the body. At this time, the pressure provided by the water pump is not enough, and it is impossible to hit the water on the head.

The brain is very sensitive to ischemia and hypoxia. Once the blood supply decreases, it will become coma!

In order to quickly rule out myocardial infarction, Chen Cang gave the patient an electrocardiogram again.

Chen Cang hesitated: "I'll go and ask the family what's going on."

The patient's family is his wife, with an accent from other places.

Chen Cang asked: "When did you experience chest pain?"

His wife was obviously frightened and her words were a little illogical: "He is usually pretty good, but he likes to drink, but...I...I can't remember how many times he felt uncomfortable. It should be yesterday, and I didn't care, but today I can't walk if I'm serious. I quickly called 120 and fell into a coma shortly after I came to the emergency room."

As she spoke, she cried while talking, very scared.

Chen Cang sighed and understood that after all, a good person suddenly fell into a coma like this, and anyone else would be nervous.

Chen Cang understood her, but now is not the time to comfort her.

Because myocardial infarction is deadly

If the diagnosis is confirmed, you must race against time and then send it to you for interventional treatment in time.

What is myocardial infarction?

The blood vessels of the heart are blocked by the emboli formed and the blood flow is blocked. The heart is actually a muscle tissue, and its movements all depend on the blood supply from the coronary artery.

If the heart ischemia ischemia lasts for too long, the cardiomyocytes will gradually necrotize. When there are enough necrotic cardiomyocytes, the heart will lose strength. At this time, heart failure will occur, then shock and eventually death.

This process may be as fast as a few minutes!

Therefore, once it is confirmed that it is myocardial infarction, the most effective treatment method is to open the blood vessels immediately, immediately and decisively as soon as possible. Whether it is drug thrombolysis or interventional stent, the purpose is to open up blocked blood vessels and restore blood flow in the heart.

So, everything is imminent!

Chen Cang habitually put his hand on the patient, looked at his pupils, and checked his reflexes.

This is the operation that is used by a surgeon.

When Chen Cang touched the patient's belly with his other hand, Chen Cang was stunned!

Thinking of this, Chen Cang hurriedly said to Yao Zhiwen: "Have you had a physical examination?"

Yao Zhiwen shook his head: "It's not too late!"

Chen Cang shook his head and quickly lifted the patient's clothes.

Press with your hand!
To be continued...