Chapter 714: Difficult Diseases!
The time I spent with Qin Xiaoli will always pass so quickly and will always be so sweet!
I don’t know if it’s her lipstick flavor or the sweetness of love.
Maybe it's like this when two people are together?
Some professional love in life may be difficult to get along when we meet.
Chen Cang and Qin Yue are in the same department and meet every day, which is pretty good.
Many doctors' families gather together every year for less than three days a week, and they are hospitalized for shifts and night shifts...
These rounds basically took up a lot of time.
This does not include further study, going to the countryside, studying, attending meetings, etc. It is basically a matter of being together.
There are also some other service positions such as military families, police, etc.
Perhaps when a profession has given him a special mission, the family must sacrifice for it.
On Sunday, Chen Cang took Qin Yue to the cinema with a hot little dragon at noon and satisfactorily held two cups of milk tea. Qin Yue fell asleep directly after the second one, which was not satisfied with.
Chen Cang put the down jacket on her body, looked at her long eyelashes and couldn't help but smile.
After waking up, Qin Yue was refreshed and full of energy. He took Chen Cang to go shopping, eat snacks at night, and go to the night market.
At this time, Chen Cang realized that he had not been with her for more than a month after going abroad for consecutive games.
Chen Cang had just sent Qin Yue home, but before he could have time to rest, he called in!
"Director Chen, come here quickly, a special patient has arrived in the emergency room!"
When Chen Cang heard Lele's voice, he was stunned for a moment: "Okay, wait for me and go immediately!"
Chen Cang hung up the phone and ran towards the hospital.
There were many people standing at the entrance of the hospital. After Chen Cang rushed in, he immediately saw Lele waiting, holding Chen Cang's white coat in his hand.
Seeing Chen Cang coming in, he quickly handed over his clothes and said carefully in his ear: "Doctor Chen, he is a little star!"
After hearing this, Chen Cang was stunned for a moment.
No wonder I saw that the people outside were dressing something wrong.
When we arrived outside the rescue room, several middle-aged men were standing outside the door. When they saw Chen Cang coming in, they hesitated for a moment.
Lele quickly said, "This is our deputy director of the emergency department and Director Chen."
The man then breathed a sigh of relief: "Director Chen, please forgive me. The situation is special and we don't want to attract too much attention or trouble."
Chen Cang didn't understand why, and Lele said: "Director Chen, President Qin and Director Li and others went to the meeting. Dr. Shi was on duty today."
Chen Cang nodded directly and entered the emergency room. At this time, let’s first see what the patient is doing!
After coming in, I found a man lying on the bed with a monitor on his body, pale face and shortness of breathing.
Chen Cang hurriedly asked, "Teacher Shi, what's going on?"
When Shi Na saw Chen Cang coming, she breathed some relief for some reason.
"I was sent to the hospital because of coughing up blood, and I started to faint after being admitted to the hospital. I had difficulty breathing. I had epilepsy twice in ten minutes and recovered on my own. My body temperature is now 39.2 degrees Celsius."
Chen Cang looked at the man, how he knew it...
Suddenly, I realized that I was a little star singing hip-hop music, whose name was... Yu Yi!
A wild-looking person, a program called "Chinese Hip-Hop" came to prominence a few years ago and began to become popular.
With the crazy shouting and roaring, it attracted a lot of attention.
Chen Cang took the medical record and started reading it.
Then he asked: "Is there any past history and family history?"
Shi Na shook her head: "I don't know, I suddenly fainted before I asked."
Chen Cang calmed himself down, lifted the man's clothes, picked up the stethoscope, and was about to auscultate.
Suddenly I saw that my chest was obviously expanded!
I was stunned for a moment!
Thoracic dilation, accompanied by fainting and loss of consciousness, hemoptysis!
These are several important factors, and when they are entangled together, they suddenly seem very complicated.
What is the situation of fainting?
He is a symptom!
It refers to short-term, self-limiting loss of consciousness, which often leads to fall.
Syncose occurs quite rapidly, and then it is spontaneous, complete, and rapid recovery.
The mechanism is short-term brain hypoperfusion, which means that the brain suddenly becomes ischemia.
But when coughing up blood and fainting are mixed together, this is more complicated.
Coughing blood is usually coughed out of the oral cavity of the lungs and respiratory tracts below the throat and the oral cavity.
The patient's vital signs are short of breath, 40 times per minute!
Heartbeat 95 times per minute, blood pressure is normal, body temperature is 39 degrees.
Chen Cang hurriedly asked, "How much does hemoptysis cost?"
Shi Na shook her head: "Not much, less than 20ml, but the reason is to be found."
After pondering for a while, Chen Cang lowered his head and picked up the stethoscope and listened carefully.
In addition to the accelerated heart rate, Chen Cang found a typical arrhythmia!
Pre-term contraction occurs within one minute and supraventricular tachycardia.
At this time, Chen Cang found a systolic pulsation between the second and third sternum left margins!
This is……
This is touching the pulmonary valve closure vibration!
...
At this moment, the monitor suddenly called the alarm and remembered.
Chen Cang was stunned!
Blood pressure begins to drop?
Why does blood pressure drop?
When I was careful auscultation, I found that my heart sound was weakened!
The whole process was very tedious, and even Chen Cang had no idea.
The patient has too many signs now!
A lot of tedious manifestations were overwhelmed in Chen Cang's mind.
Sometimes, diagnosis is like solving a case.
When the clue is unknown, I feel confused and can't grasp any accurate clues at all, because any performance may be a clue.
Just when everyone was in a hurry, their blood pressure stabilized!
Chen Cang was stunned.
Stabilized?
Although the blood pressure is low, it is at least stable!
He suddenly looked down at the tip of his heart, and the pulsation of his heart was invisible?
The heartbeat speed is directly up to 110 per minute?
Chen Cang suddenly checked carefully!
"Pericardial friction sound!"
Chen Cang immediately understood that there was a little pericardial effusion, which hindered the heart's beating and caused blood pressure to drop.
However, why do patients have pericardial effusion?
Now there is another clue.
"Have you done chest X-ray and CT?"
Shi Na shook her head: "No, I just sent it, I just got blood drawn."
Chen Cang nodded and looked at Lele: "Let the family come in."
Lele quickly got up and walked out. The middle-aged man just now walked in.
"I'm his agent."
Chen Cang nodded and asked, "Well, hello, I have a few questions to ask, and I hope you can cooperate."
The man hesitated for a moment and nodded: "Well, Director Chen, you said."
Chen Cang frowned: "Can you sign? The patient's symptoms are unknown now and may need to be critically ill."
The man took a deep breath: "I am also his father!"
Chen Cang nodded: "Okay, Lele brings the notice of illness and critical illness."
...
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ps: Thank you for the 20,000 reward for "Huahua and Prodigal Son", thank you for "Brush and Ink and Books", and 10,000 reward for the two friends of Hushengayi.
Chapter completed!