When a doctor opened a plug-in

Around ten in the morning, a patient arrived in 120. A 30-year-old "child" pushed the old man in, shouting: "Doctor, my dad has a heart attack!"

Chen Cang hurriedly ran out, followed the 120 little doctor in the car and walked up, saying: "It shouldn't be a heart attack. The electrocardiogram is normal."

The man was obviously unhappy: "My dad is uncomfortable here, flustered, and there is pain in the back around him, for a while. What is it that is not a heart disease? And I Baidu, sometimes the heart disease ECG is normal. Only when it happens..."

The man Barabara said a lot, I am very educated, don't lie to me.

Chen Cang stepped forward: "Don't worry, then, Xiaolin will push the patient to the rescue room first and bring the monitor."

120 came over with the car doctor, handed over the procedures to the nurse station, gave Chen Cang a wink and left.

Chen Cang understands that the look in his eyes is to make him be careful of the patient's family, which is difficult.

A man in his 30s, dressed modestly, wearing glasses, saw Chen Cang: "Doctor, you must carefully consider my suggestion. Myocardial infarction is very dangerous. You can't diagnose and treat the wrong thing."

Chen Cang nodded: "Don't worry, leave it to us, you can rest at the door."

After speaking, Chen Cang pushed the door to enter, while the man was pacing at the door, walking up and down, very worried.

Kobayashi: "Doctor Chen, the electrocardiogram and blood pressure are normal, and the heart rate is a bit fast."

Chen Cang pondered for a moment: "Check a blood routine urgently, call the ultrasound room, and check the abdominal ultrasound by the bedside.

During the waiting period, Chen Cang took this opportunity to chat with his family about the current medical history and learned that the father of the other party did have a history of heart disease and high blood pressure. It is true that the heart problem cannot be ruled out and ignored. Not a heart disease, but more like a cholecystitis.

The speed in the color Doppler ultrasound room is very fast.

When the patient’s family saw the color Doppler ultrasound coming, they followed in quietly. When they saw that the color Doppler ultrasound was about to be done, they were taken aback for a moment and waved their hands quickly: “What are you doing? My dad’s heart is uncomfortable. What do you check on your stomach? It's also a heart! Isn't this messy? How expensive is an examination! If you can do one less, do one less!"

Chen Cang turned and looked at the man: "Don't bother to rescue the patient. You can't enter the emergency room casually. Also... Your father may not have a heart problem, I suspect it is cholecystitis."

When the man heard Chen Cang's words, he didn't say a word. He went out and picked up the phone and didn't know what he was doing. It seemed to be Baidu.

With this opportunity, the results of color Doppler ultrasound have been revealed!

The long and wide diameters of the gallbladder are slightly larger, elliptical, the gallbladder wall is thickened, the outline is fuzzy, and the gallbladder is double-ring, and its thickness is greater than 3mm;

The sound permeability of the contents of the gallbladder is reduced, and misty scattered echo light spots appear; the enhancement effect of the lower edge of the gallbladder is weakened or disappeared.

proved!

However, there was acute cholecystitis, and the blood routine of the urgent examination came back. About 80% of patients with white blood cell count and neutrophil count increased.

There is no problem with qualitative cholecystitis now. If you wait for bilirubin and transaminase to come out, it will be more intuitive.

At this time, the man opened the door again and came in: "Doctor, you are good! It's cholecystitis... Baidu said, cholecystitis does have radiating pain."

The man was a little embarrassed and apologized to Chen Cang.

Chen Cang smiled and said nothing. It is normal for the family members to worry about it. After all, care is chaotic.

But Baidu cannot see a doctor, because many of Baidu's information is not comprehensive. A few days ago, a patient came with blood in the stool and said he was bowel cancer.

Such examples abound.

Moreover, gallbladder disease is a common disease in emergency department, frequently-occurring, and it is common in clinic, and many diseases are very uncomfortable when they attack, such as acute cholecystitis, delayed cholecystitis, cholelithiasis and so on.

Moreover, when the key to the onset of this kind of disease is done, it is easy to confuse it with myocardial infarction. The textbooks clearly say what upper abdominal pain, nausea, vomiting and fever are spreading to the shoulders and back, and the paroxysmal intensification.

But the sickness is a stubborn nature, and I never listen to textbooks every time I get sick, I always do whatever I want every time I get sick, and often get confused with myocardial infarction!

There are many such patients, and Chen Cang has long been used to it.

In the past few days, 120 has sent more patients. It may be that the hospital greeted the 120 emergency center.

After the emergency operating room was opened, surgery arrangements became much more convenient.

The patient is also bolder.

...

...

There are a lot of patients in the emergency department these days, and there is no need to go to the operating room for the operation, and you can arrange it yourself. In this way, many patients will not be sent to general outings.

With its own operating room, the income of the emergency department can also increase a lot. For the emergency department, it seems as if the severe winter has passed and spring is coming.

Comrade Zhang Youfu, the director of General Surgery, was a little depressed. According to previous years, the surgeon was overcrowded in August and September. You must know that this is the season for cholecystitis, appendicitis, and cholelithiasis. In summer, people’s diet is uneven, which can easily cause this. Digestive system diseases.

And this year, the surgery was all at once deserted!

After all, these acute diseases were sent to the surgery department through the emergency department. After the emergency department was opened, the number of general surgery patients suddenly decreased.

The Second Provincial Hospital is not a top-level hospital, and it can't reach the point where there is no shortage of patients. The patients who do more in general surgery are still those minor diseases.

But Li Baoshan put one directly on Zhang Youfu all at once.

Zhang Youfu's teeth are also itchy, there is no way, the operation of the department depends on him, what should be done?

No patient can't do it!

After thinking about it, Zhang Youfu picked up the phone and dialed Tan Liguo's phone. He had to react to the situation.

After Tan Liguo finished listening, he frowned slightly: "So serious?"

Zhang Youfu shook his head: "It's not very serious, but... if this continues, the department will definitely lose a lot of patients, and the effectiveness of the department will be much worse. After all, there are still more mainstream patients."

Tan Liguo thought about it slightly: "Let’s take it easy. I’ll be on Monday. I will call the health section of Dongyang TV Station and do a science popularization activity on the disease. Then you will advertise your department... you are ready. Prepare, don't waste this opportunity."

Zhang Youfu immediately became happy when he heard it, which is a good thing!

The health column is a good way of publicity. Although it is a health promotion, when it comes time to promote general surgery, patients will naturally come to the door.

"Then trouble Secretary Tan!"

After hanging up the phone, Zhang Youfu directly called Duan Bo in the department: "Well, Xiao Duan, you come to my house and talk to you about something."

Duan Bo is Zhang Youfu's confidant, and Zhang Youfu is not thin to him.

After receiving the phone call, Duan Bo didn't ask why, he just got up and went to Zhang Youfu's house.

After the two of them sat down, Zhang Youfu said lightly: "Small, I may be going to the Dongyang TV Health Channel recently. You recently sorted out my resume and honors. All my information is at yours."

When Duan Bo heard it, a flattery came over: "The director is amazing! It's about to be on TV, Dongyang Satellite TV's ratings are not low!"

Zhang Youfu smiled inscrutablely, calmly and calmly, as if he didn't care about being on TV at all: "By the way, I'm not going to talk about it. What do you think we promote this time?"

After thinking about it, Duan Bo seriously said: "Naturally, it is the most common disease this season, the disease of the gallbladder system!"