When a doctor opened a plug-in

Chen Cang said quickly: "Take an electrocardiogram?"

The doctor was very cooperative and did it soon.

Chen Cang looked at the electrocardiogram and compared it with the previous few days, and gradually understood everything in his heart!

But Chen Cang did not directly say that he still needs to further confirm his diagnosis.

Thinking of this, Chen Cang hurriedly asked: "Did the old lady ever have a heart auscultation when she was hospitalized?"

After the doctor heard it, he blushed.

Because the admission record has been written on the medical record, but... basically it is pasted in a template, which makes no sense.

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

How embarrassing it would be in front of the dean and family members!

The young doctor glanced at Chen Cang gratefully, then nodded: "Of course I have heard of it."

Chen Cang has no doubt, because this is a routine operation for cardiologists, and maybe I don't bother to write it in the medical record, but I still have to do the routine operation of admission!

He continued to ask: "Oh, did you hear the noise then?"

Hearing Chen Cang's question, the doctor frowned, and after thinking for a moment, he shook his head: "No, it was fine when I came."

Chen Cang: "What about yesterday? Did you auscultate? Are there any noises?"

The doctor did not conceal the truth and told the truth: "No yesterday. I saw the old lady's situation. I was thinking about acute left heart failure. I used a cardiotonic diuresis, but... it seems that the symptoms have not improved significantly."

"When I called the county hospital, the other party couldn't figure it out and didn't dare to take the elderly away."

Speaking of this, the doctor is also very helpless.

However, this is also a common occurrence. In many cases, primary 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 a pot!

After Chen Cang heard what the doctor in charge said, the clues in his mind suddenly became clear.

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

After Chen Cang pondered for a moment, he said: "According to the old lady's electrocardiogram, the ST segment continues to rise. According to the medicine you use, there is no downward trend. I think the patient has a ventricular wall swelling tumor at this time!"

As soon as Chen Cang's words came out, several doctors immediately looked at each other.

Somewhat at a loss?

What is a ventricular wall expansion tumor?

This term is simply a rare term for them in the primary hospital, and they have never heard of it.

Thinking of this, he blushed a bit, and sighed helplessly.

Chen Cang didn’t bother with this problem, because they can’t be blamed. They took them out of the ward and arrived at the doctor’s office. According to what you said, there was no murmur before, and the source of this murmur is very clear, considering it is caused by the rupture of the ventricular septum after myocardial infarction."

"When the ventricular septum ruptures, the left to right shunt begins, changing the normal hemodynamics!"

The doctor in charge asked curiously: "Then... the patient has no heart failure?"

Chen Cang shook his head: "It's not nothing. When the hemodynamics changes, the cardiac output is insufficient, and the blood flow changes, resulting in a manifestation similar to acute heart failure."

After speaking, Chen Cang also solemnly concluded:

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

With Chen Cang's words, everyone around him was dumbfounded.

The doctor in charge is even more confused. Although he has not heard of this condition, he heard Chen Cang's last sentence clearly and clearly!

Critically ill and may die at any time!

This sentence shocked the sons who came in an emergency!

"Doctor, you must save my mother!"

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

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

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

After Chen Cang heard it, he thought about it!

At this time, he is the backbone.

The primary hospital may not have encountered such a situation at all, and after encountering it, it has been a little at a loss.

Ventricular septal rupture induced by acute myocardial infarction, both of which are fatal diseases, Chen Cang must make effective suggestions.

If you stay, you won’t have the conditions for rescue at all. If nothing else, the township hospital doesn’t even have a ventilator, let alone an extracorporeal circulation machine for surgery.

So it is not feasible to dispose of here!

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

Now the only two options are in front of you!

Stay and wait for a miracle, and wait until the old lady's physical signs have stabilized. However, in this case, the heart has undergone organic disease, and the effect of medical symptomatic treatment is limited.

But how do you transfer if you are transferred?

The condition is critical, the mountain is high and the road is far away, and it may be gone in the car at any time!

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

But the family members quickly said, "Doctor! Let's transfer to the hospital, shall we? Please?"

"Yes, doctor, please help my mother!"

"Looking at her suffering, we are incompetent and powerless when we are sons. It really hurts!"

"Yes……"

Listening to the prayers of the men in his ear, Chen Cang sighed, the choice is not in him, but in them.

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

"The current situation is like this. The elderly are in very poor physical condition, they are older, and have limited tolerance, but now they must be sent to the province for surgical treatment. But there is a word I have to tell you in advance, the success rate of the elderly surgery limited!"

"Furthermore, the mountain is high and the road is far away. During the transfer process, there may be life-threatening at any time, because the disease itself is unstable, and its development process is like this..."

After Chen Cang explained clearly, the five sons were silent.

Also began to discuss.

And Chen Cang took this opportunity to call Director Li Baoshan.

Director Li's meaning is also very clear, respecting the opinions of family members.

At this time, Chen Cang was actually not so entangled.

The old lady is too old, in her seventies, has a myocardial infarction, and a ventricular septum rupture. In this case, going to the operating table...to be honest, she may not be able to come down.

The risks are also great for transshipment.

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

When the five brothers heard Chen Cang's words, they were a little depressed. The boss even had tears in his eyes.

at last!

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

"Turn! Must turn!"

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

"Not only transfer, but also surgery! Even if the surgery fails, we have to fight hard!"

At the end of the speech, the boss's voice was obviously a little choked: "Being a son, at this time, we all hope to do our best and not regret it in the future!"

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

The boss didn't hesitate and nodded. He is the boss and he has to take care of the family. If the old father is gone, he is the eldest brother.

If he has no idea, he can't do it!

In fact, in some rural areas, the eldest brother and sister-in-law still have a very important concept. Chen Cang just learned that after the old lady fell ill, it was the elder's wife who had been taking care of her.

Looking at this scene, Chen Cang couldn't help but sigh with emotion. The family, the eldest and the daughter-in-law did something very different, which makes people unable to tell.

After making a decision and preparing to transfer, the daughter-in-law said a word, which made everyone stumped!

"The old lady often gets motion sickness in the car, is it all right?"

Chen Cang frowned, how could it be okay!

...

...

ps: Thank you for the 10,000 reward of "the Buddha is afraid of you in my heart", thank you.