Chen Cang hurriedly said, "Can you get an electrocardiogram?"

The doctor cooperated very well and did it soon.

Chen Cang looked at the electrocardiogram and compared it a few days ago, he gradually understood everything in his heart!

But Chen Cang did not say it directly, and he still needed to further confirm the diagnosis in his mind.

Thinking of this, Chen Cang hurriedly asked, "Have you ever had a heart auscultation when the old lady was hospitalized?"

After hearing this, the doctor blushed.

Because the admission record has been written on the medical record, but... it is basically pasted on the template and has no meaning.

After Chen Cang looked at the medical record and asked himself again, he naturally knew what was going on, but he didn't click it out.

Otherwise, it would be so embarrassing to be in front of the dean and his family!

The young doctor looked at Chen Cang gratefully and nodded: "Of course I've heard of it."

Chen Cang did not doubt it because for cardiology doctors, this was a routine operation. Maybe they were too lazy to write it in the medical record book, but they still had to do routine operation when admitted to the hospital!

He continued, "Oh, have you heard the noise at that time?"

When the doctor heard Chen Cang’s question, his eyebrows were frowned. After thinking for a while, he shook his head: “No, it was always good when he came.”

Chen Cang: "What about yesterday? Did you auscultally? Is there any noise?"

The doctor did not hide the truth and said: "I didn't yesterday. When I saw the old lady's condition, I was considering acute left heart failure and used cardiovascular and diuretics, but... it seems that the symptoms did not improve significantly."

"I can't figure it out even if I call the county hospital and dare not take the old man away."

Speaking of this, the doctor was quite helpless.

However, this is also common. In many cases, grassroots hospitals are unwilling to take risks when the diagnosis is unclear, let alone an emergency patient with acute myocardial infarction + unknown complications.

If something goes wrong, these five sons and two girls will be enough for them to eat!

After hearing what the doctor in charge said, Chen Cang suddenly became clear in his heart.

At this time, the dean couldn't help asking: "Comrade Expert, what do you think is the situation?"

Chen Cang pondered for a moment and said, "According to the old lady's electrocardiogram, the st segment continues to rise. According to the drugs you used, there is no downward trend. I consider that the patient has already developed a ventricular wall expansion tumor at this time!"

As soon as Chen Cang said, several doctors immediately looked at each other.

A little confused?

What is a ventricular wall swelling tumor?

This term is a rare noun for grassroots hospitals and has never heard of it.

Thinking of this, I couldn't help but blush and sigh helplessly.

Chen Cang was not confused about this problem because they couldn't blame them. He took them out of the ward and arrived at the doctor's office and said: "When I was auscultation, I found that there were systolic murmurs at the apical part of the heart and there were different degrees of tremor. According to what you said, there was no murmur before, so the source of this murmur is very clear, considering that it was caused by ruptured ventricular septal after myocardial infarction."

"When the ventricular septal ruptures, left-to-right shunts begin, changing normal hemodynamics!"

The supervisor asked curiously: "Well... the patient does not have heart failure?"

Chen Cang shook his head: "It's not that there is no. When the hemodynamics change, the heart rate is insufficient and the blood flow changes, resulting in a manifestation similar to acute heart failure."

After saying that, Chen Cang also summarized with a serious expression:

"At present, the patient is in critical condition and may die at any time!"

Chen Cang said something and the people around him were stunned.

The doctor in charge was even more confused. Although he had never heard of this condition, he could hear Chen Cang's last words clearly and clearly!

He is in critical condition and may die at any time!

These words scared the sons who rushed over!

"Doctor, you have to save my mother!"

"Yes! Doctor, don't worry about the money. We brothers come and save my mother!"

The dean was also stunned at this time. He knew that the patient must be not that simple, but he did not expect that it would be so dangerous.

Thinking of this, he hurriedly asked, "Comrade Expert, what should I do?"

After hearing this, Chen Cang started to think!

At this time, he is the backbone.

Grassroots hospitals may not have encountered such a situation at all, and they are already at a loss after encountering it.

Both of these are fatal diseases, and Chen Cang must make effective suggestions.

If you stay, you will not have the conditions for rescue. Not to mention anything else, township hospitals do not even have ventilators, let alone the extracorporeal circulation machine provided for surgery.

So it is not feasible to deal with it here!

There is no cardiac surgery operating room in the local county hospital, and it is unlikely that there will be an extracorporeal circulation machine.

Now the only two choices are in front of you!

Stay behind, wait for the miracle, and wait until the old lady's signs stabilize. However, in this case, the heart has undergone organic lesions and the symptomatic treatment effect of internal medicine is limited.

But, if you transfer to a hospital, how to transfer?

The condition is critical, the mountains are high and the road is far away, and you may disappear in the car at any time!

At this time, the dean and the doctor in charge both heard what Chen Cang meant.

But the family members quickly said, "Doctor! We will transfer to the hospital, can we do it? Please?"

"Yes, doctor, please save my mother!"

"Looking at her suffering, we feel sorry for our son's powerlessness!"

"yes……"

Listening to the men's prayers in front of him, Chen Cang sighed. The choice was not in him, but in them.

Thinking of this, Chen Cang said: "Save is definitely saved, but you have to think about how to save it!"

"The situation is now. The elderly are in poor physical condition, are old and have limited tolerance. However, they must be sent to the province for surgical treatment. But there is one thing I have to tell you in advance that the success rate of the elderly's surgery is limited!"

"Also, the mountains are high and the road is far away, and life may be in danger at any time during the transfer process, because the disease itself is unstable, and its development process is like this..."

After Chen Cang explained clearly, his five sons fell silent.

Discussion began to begin.

Chen Cang took this opportunity to call Director Li Baoshan.

Director Li’s meaning is also very clear, and he respects the opinions of his family.

Chen Cang was actually not that confused at this time.

The old lady is too old, in her seventies, has a heart attack and a ruptured ventricular septal. In this case, she goes to the operating table... To be honest, she may not be able to get off.

If you transfer luck, the risk is also very high.

After Chen Cang called out his five sons, he told the truth.

The five brothers were a little depressed when they heard Chen Cang's words, and the boss's eyes were even filled with tears.

finally!

After a few minutes, the five people discussed and made a decision!

"Turn! Must turn!"

The boss looked at Chen Cang: "Doctor, we must transfer the hospital. Even if something happens on the road, it is better than waiting here to die!"

"Not only is it transferred to the hospital, but the surgery is also there! Even if the surgery fails, we have to work hard to get it!"

At the end of his speech, the boss's voice was obviously choked: "As son, at this time, we all hope to do our best and leave no regrets in the future!"

Chen Cang took a breath and nodded: "Okay! I respect your opinions, you... go with the car and go with us later."

The boss nodded without hesitation. He was the boss and he had to take on this family. The old father was gone and he was the elder brother.

It wouldn't work if he had no idea!

In fact, some rural elder brothers and sisters-in-law still have a strong sense of concept. Chen Cang just learned just now that after the old lady got sick, the eldest daughter-in-law was taking care of her.

Chen Cang looked at this scene and couldn't help but sigh. The family, the boss and his wife, were really good, and it was hard to speak for themselves.

When I made a decision and was about to transfer my fortune, my daughter-in-law said something, which made everyone stumped!

"The old lady often gets motion sickness when riding in a car. Is it okay?"

Chen Cang frowned, how could it be fine!

...

...
Chapter completed!