Liu Yunxiang is the deputy director in his heart. Today Qi Rui has a scientific research task. Several other deputy seniors from the department went out for a meeting again. He was the only one left in the department, so he was the one who took the overall situation.

Because his daughter was going to hold a parent-teacher meeting in the evening, he had already agreed to go. Seeing that there was nothing big about the department, he started packing up his things and preparing to go home at less than three o'clock. Unexpectedly, Wang Chengdong, the main player under his command, called him at this time: a 53-year-old man with chest pain for three hours, and the reason is to be investigated.

He asked several key indicators. Compared with the degree of pain, the elevation of the ST segment of the electrocardiogram is not obvious, and the myocardial enzyme spectrum is not particularly exaggerated, so there is indeed room for discussion.

The most important thing is that the patient is in very good condition.

When I came, my body temperature, heart rate, breathing, and blood signs were normal. The only high blood pressure was solved within a quarter of an hour of treatment because of the most common antihypertensive drug.

Now, the only thing that bothers everyone is the persistent sharp pain in the left chest.

The differential diagnosis test indicators rule out diseases in other areas, and everything points to the heart.

Strange, really weird.

Seeing that there was still time, Liu Yunxiang had no choice but to take a group of young people to the angiography room to see what was going on.

He Wenyuan opened a green channel and was directly pushed into the operating room. The person next to him was Wang Chengdong, the chief attendant who had just called, was a business backbone of the department and had enough technical experience.

Through the huge glass curtain panel, the viewing room inside was filled with people. They were all doctors in their hearts and would take turns to intervene in the future. They came here to study.

Of course, Ji Qing, as the first doctor, was also among them.

"I'm late, haven't started yet?"

Although Qi Jing doesn't like dealing with strangers, it's limited to no "interest" dealings.

Once a key case was involved, he would lose his mouth.

The most important examination for a patient now is angiography, so when he comes here, he brings a few words to get close to him. But at the beginning, he was a diagnostic master who everyone would admire when he saw him, but now he is just a young doctor who has just graduated.

When several doctors saw that they were a new face, they asked, "Who are you? Which department?"

"My surname is Qi, I am from the emergency department."

Qi Jing glanced in through a large piece of glass. Fortunately, the angiography had not been performed yet and had just started to puncture, and finally caught up.

"Subject Qi?"

These people used sieves in the hospital over and over again in their minds. It seemed that no one in this hospital had a surname of Qi except for the director's surname Qi.

At this time, Ji Qing added: "He is the son of Dean Qi, and his name is Qi Jing."

Originally, if it were a young doctor who had come over there, it would be done if he drove it away. Anyway, it was not from the same department, so you can't come in at random in the same radiology room.

But now the other party has a name added to his head, and his identity has been greatly increased.

Everyone thought of the little ancestor who was famous in medical universities. It is impossible to drive it away, just don’t make trouble.

"I'm here to study."

After he said this, these doctors were relieved. If you like to study, then learn, learn how you like to study.

After Qi Jing finished speaking, he pulled a chair and sat next to Ji Qing.

Although Ji Qing was the first doctor, he was not a cardiology department and was squeezed behind by those doctors, very far away from the screen. He didn't care. He was not interested in interventional surgery. As for reading the film, he could wait until the report and screenshots came out before reading it slowly.

"Why, do you still think it's a heart attack?"

Ji Qing nodded, thought for a while and asked: "Myristoral enzymes are nearly 2,000, and isoenzymes are also very high, I think it's 90%.

"There is no q wave and t wave change."

“A lot of myocardial ischemia is like this.”

"Has Chen Xing passed the message to you?"

"It's spread." Ji Qing turned his face and looked at him, "Has he provoked you?"

"That's not, it's just a bit hard to study and needs to be taught slowly." As he said that, Qi Jing led the topic back to He Wenyuan, "Is the aspirin and clopidogrel you gave effective?"

Ji Qing shook his head and then clarified: "That was given by Wang Chengdong, it has nothing to do with me."

"Ha, I'll say..."

"What's wrong?"

"This guy has a flexible hand and is a good player in intervention, but it's just that for diagnosis and treatment."

Ji Qing looked disbelief. At least he had been in charge of the treatment for several years in his heart, and he couldn't count the number of patients he had seen, so he had to be better than ordinary resident doctors.

But he didn't say much, and it would be meaningless to discuss whether it was a myocardial infarction now. Everything will be revealed after the imaging.

At this time, Wang Chengdong's voice came from the speakers in the corner of the wall: "The anesthesia and puncture have been completed, will it begin?"

"Old Wang, let's start."

After hearing his order, Wang Chengdong moved his hands together and started work.

Following the opening of the radial artery, he penetrated into a slender catheter and then stabbed the guidewire from it. The guidewire extends all the way to the subclavian artery and then puts it in the catheter to fix it. He then repeated it again, first going forward with the guidewire, and then the catheter is fixed immediately afterward.

The patient was lucky, Wang Chengdong was in good condition, his hands were hot, and he entered the bottom of the muzzle at one time: "I entered the left crown, Xiao Zhang was preparing to measure the pressure."

Opposite him was a resident doctor, and the two were brothers and brothers. The second group of interventional backbone in their hearts, so they cooperated very well.

"Everything is OK."

Wang Chengdong pulled out the guidewire and connected the triple and three-way tube. All preparations were made, and a contrast image appeared on the screen inside. Liu Yunxiang and the young doctors stood by, and as the contrast agent was poured in, one after another, one after another.

"Teacher Liu, look, it's narrow, it should be a heart attack."

Although the narrowness was found, the situation displayed on the image took a sharp turn, which was much beyond everyone's expectations

"Yes...ah? Wait, there's another narrowness."

"Two places!"

"No, this is not right. Why did the second diagonal branch block two places?"

"It's out, the third place is narrow, the fourth place..."

"This patient is so strange, the blood vessels are blocked five parts!"

Liu Yunxiang quickly looked up at the electrocardiogram monitoring in the operating room. His heart rate and blood pressure were all fine, and the patient seemed to be lying on the side without much discomfort.

Too weird!

He Wenyuan's blood vessels were injected with contrast agent and showed a very strange appearance of coronary artery on the screen.

The caliber and flow of several coronary arteries are normal, but an abnormal acute angle suddenly appears in the middle of the blood vessel, just like a rubber tube being tied with a dead knot with a surgical line. Although this is also considered to be coronary stenosis, it is different from the usual myocardial infarction.

In ordinary patients with myocardial infarction, there will be a whole segment of the coronary artery stenosis, which should be the same as a rusted water pipe. If rust, it is a large tube cavity, and there is no thin cross-section rust.

Moreover, if there are multiple narrows, the length of the narrow segments will be different, and there will never be a dot-like distribution.
Chapter completed!