"It's not vasospasm caused by contrast agents, right?" Liu Yunxiang said to the microphone, "Old Wang, give me some medicine."

Wang Chengdong nodded and injected a lot of nitroglycerin into the catheter. If it was a common myocardial infarction, a large amount of nitroglycerin injected into these blood vessels would definitely react, and at least it should be expanded.

But this time, the five stenosis after the drug entered the end was still the same, and the blood vessels did not react at all.

"Ji Qing, it turns out that the patient's heart is fine, right?"

"No, it's always been pretty good."

Wang Chengdong was the backbone of the intervention and was confused when he saw this situation on the screen. After giving the medication, he asked the patient according to the routine: "How do you feel? Is the chest pain better?"

He Wenyuan shook his head.

"Xiao Zhang, take another electrocardiogram and take a look."

I heard a drip and the electrocardiogram began to flow.

"The st segment is still elevated." Zhang Bing compared the electrocardiogram he had when he was admitted to the hospital and said, "It's even higher than before."

Liu Yunxiang no longer hesitated. He couldn't guess what these narrow situations were, so he could only try it directly.

"Old Wang, stop waiting, put on the stand."

Wang Chengdong turned sideways and made an OK gesture, and then started his homework: "I did the two most obvious places, the second diagonal branch and the second blunt edge branch, and the narrowness was 75%, and there were signs of a bracket."

He pointed out two narrow spots with his hands. Liu Yunxiang nodded after looking at it: "Okay, you can do it."

Wang Chengdong's hand speed was very fast, and a stent was sent into the narrow place in a short while. Although the stretching was incomplete, it was considered to have expanded the blood vessels. Then there was the second one, which was also incomplete, but compared with the previous stenosis, it was considered successful.

"Put the electrocardiogram again and compare it."

The patient's infarction is not serious, and reperfusion after blood vessels can immediately restore myocardial vitality. However, the result shocked all the doctors present. The ST segment of the electrocardiogram is still elevated and there is no tendency to decline.

"Teacher Liu, what's going on?"

Liu Yunxiang was also unsure. Although he did not do an angiography, he had seen many cases of his eyes, and such a thing had never happened.

"Why call Director Qi?"

"So many of us can't handle a heart attack, and I think he will be angry."

"But it's better than letting the patient wait like this."

"Call Lao Qi and ask him to come."

After being hospitalized, he received Liu Yunxiang's permission, he picked up the phone and prepared to call the cardiology department and invited the senior director who was still studying the subject.

"Hey, where can I transfer?"

“2107, Cardiology.”

“Doudu…”

"Hello?"

“What’s the situation?”

When I was hospitalized, I just said I was transferred to the inside number, and a blind voice appeared on the other end of the phone. Everyone present looked at the landline phone, and saw Qi Jing standing by the table, pressing the phone with one hand: "I just said why Uncle Qi has grown old recently? It turns out that he was always angry with you."

This sentence offended all the doctors in the room.

But who made him Qi Sen's son? In a sense, he does have the capital to be arrogant, and what he said is the fact.

A patient with myocardial infarction actually asked the department director to come for consultation. It would be fine if it was reported. I am afraid that the sign of Dancheng's No. 1 Cardiology Department will be smashed by them.

Qi Jing is actually a good person, at least he can give advice and teach.

He was actually puzzled when he saw the five narrows before, but then He Wenyuan's firm ECG st segment made him wake up immediately. It turned out that everyone present had found the wrong location of the disease, and the reason was not inside the blood vessels at all.

Seeing these people staring at the screen for a long time without any progress, he asked: "Is stenosis of blood vessels necessarily a vascular problem?"

At this time, I don’t know which newborn calf was hospitalized and bitten back: “Tsk, isn’t it?”

Qi Jing sighed loudly, separated the crowd, came to the hospital who was talking back, and asked again: "Are you sure that vascular stenosis must be a vascular problem?"

"Absolutely, otherwise?"

Faced with the same problem, he repeatedly emphasized that he was still unrestless and unwilling to think further, Qi Jing felt that there was no need to communicate. He raised his hand and slapped the man on the shoulder, using a lot of strength.

"Oh!"

"Does it hurt?"

"You...what do you mean?"

"According to your logic just now, your shoulder pain must be an internal problem of your shoulders. What does it have to do with me?"

"you!......"

"Okay, OK." Liu Yunxiang seemed to hear the point in Qi Jing's words. At this time, he stood up and separated the two, and then started to smooth things over. "Xiao Qi just wanted to tell you the reason, both of them calmed down."

"Yes, forget it, the patient is still lying on the operating table."

Liu Yunxiang obviously prefers Qi Jing, not only because of his identity, but more importantly, even if he figures out the key points, he cannot fully explain the reasons for the five narrownesses.

He pulled Qi Jing to the screen and asked with a smile: "Xiao Qi, are you talking about where the problem is? You can't let He Wenyuan lie down like this, right?"

Qi Jing turned around and came to the screen, and drew an ellipse along the five narrow places: "Don't you think these narrow positions are strange?"

"Strange? What's wrong?"

At this time, Ji Qing was quick-witted and happened to take over the hospitalized station where he had been slapped and had already squeezed into the crowd. After seeing his gesture, he immediately said, "There is indeed a problem."

Seeing that the others hadn't discovered the key point, Qi Jing buried his head and flipped over the drawer next to the office desk, and soon found a marker.

He pulled out the pen cap and the tip of the pen fell on the five narrow places on the screen. After pointing out the five black dots, he connected them together in an arc: "Did you see it? If you can't see it anymore, don't be a doctor."

Ji Qing followed his thoughts, poured out all the atomic pens in the pen holder in front of him, and placed them on the table at different angles.

Finally, he covered it with a small notebook in his pocket.

The situation was already obvious in the hands of both of them: the atomic pen is the coronary blood vessel, and the traces left after being pressed by the edge of the notebook are the five stenosis. The problem of He Wenyuan's vascular stenosis is not in the vascular lumen, but outside the blood vessels.

This also explains why the second diagonal branch has two narrow places in front and back.

Because this blood vessel just passed through that oppressive zone.

"Does there be growths in the heart, caused by the attachment point? It's impossible!"

"It's really hard to imagine that I've never seen such a large growth species, and the area is almost covering the entire left ventricle."

"It doesn't make sense for us to discuss it here." Qi Jing took the microphone from Liu Yunxiang's hand and said to the operating room, "Teacher Wang, can you hear it?"

Wang Chengdong turned his back to the glass window. He couldn't turn around because he wanted to pinch the tube with both hands, and could not see who was talking: "Who is? Who is calling me?"
Chapter completed!