When a doctor opened a plug-in

The time with Qin Xiaoqi always flies so fast and always so sweet!

I don't know if it is the smell of her lipstick or the sweetness is love.

Maybe it's like this when two people are together?

There are some professional loves in life, maybe it is really difficult to meet each other.

Chen Cang and Qin Yue were in the same department, meeting every day, which was pretty good.

Many family members of doctors meet for less than three days a week throughout the year. They have shifts and night shifts.

These rounds basically took up a lot of time.

This does not include further studies, going to the countryside, studying, attending meetings, etc. Basically, it really means gathering less and leaving more.

There are other service positions such as military family, police, etc.

Perhaps when the profession gives a special mission, the family must sacrifice for it.

On Sunday, Chen Cang took Qin Yue to eat the steaming Xiaolongkan at noon, and went to the cinema with two cups of milk tea with satisfaction. Qin Yue went to sleep in the second scene which was not enough.

Chen Cang put the down jacket on her body, looked at her long eyelashes, couldn't help but smile.

After waking up, Qin Yue was refreshed and full of energy again, and took Chen Cang to go shopping, eat snacks in the evening, and visit the night market.

At this time, Chen Cang discovered that he had not been with her for more than a month when he went abroad for consecutive competitions.

Chen Cang had just sent Qin Yue home, and before he had time to rest, he called in!

"Director Chen, come here, there is a special patient in the emergency room!"

When Chen Cang heard Lele's voice, he was taken aback for a moment: "Okay, wait for me, go right away!"

Chen Cang hung up the phone and ran towards the hospital.

I saw many people standing in front of the hospital. After Chen Cang squeezed in anxiously, he suddenly saw Lele waiting, holding Chen Cang's white coat in his hand.

Seeing Chen Cang coming in, he hurriedly passed the clothes over, and said carefully in his ear: "Dr. Chen, is a little star!"

After Chen Cang heard this, he was stunned.

No wonder the people outside are not dressed up properly.

When we got to the rescue room, there were a few middle-aged men standing outside the door. They hesitated when they saw Chen Cang coming in.

Lele said quickly: "This is our deputy director of the emergency department, Director Chen."

The man breathed a sigh of relief: "Director Chen, forgive me, the situation is special, and we don't want to cause too much attention and trouble."

Chen Cang didn't know why, and Lele said, "Director Chen, Dean Qin, and Director Li have all gone to the meeting. Today is Doctor Shi on duty."

Chen Cang directly nodded and entered the rescue room. At this time, let's see what the patient is doing first!

After entering, a man was found lying on the bed with a monitor on him, his face was pale, and his breathing was difficult.

Chen Cang quickly asked, "Teacher Shi, what's the matter?"

Shi Na was relieved to see Chen Cang coming, for some reason.

"I was sent to the hospital because of hemoptysis. After admission, he began to have fainting, accompanied by breathing difficulties. He had two seizures within ten minutes and recovered on his own. The body temperature is now 39.2 degrees Celsius."

Chen Cang looked at the man, how familiar he looked...

Suddenly, it seemed to be a little star singing hip-hop music, what's his name...Yu Yi!

Very wild-looking people, a few years ago, a "China Has Rip Hop" program emerged and started to become popular.

With crazy shouts and screams, it attracted the attention of many people.

Chen Cang took the medical record and looked at it.

Then he asked: "Is there any past history or family history?"

Shi Na shook her head: "I don't know, I suddenly fainted without asking."

Chen Cang calmed himself down, opened the man's clothes, picked up the stethoscope, and was about to auscultate.

Suddenly saw a significant expansion of the rib cage!

Suddenly stunned!

Dilation of the rib cage, accompanied by fainting and loss of consciousness, hemoptysis!

These are several important factors, and when they are tangled together, they suddenly appear very cumbersome.

What is syncope?

He is a symptom!

Refers to a brief, self-limiting loss of consciousness, often leading to falls.

Syncope occurred fairly quickly, and then recovered spontaneously, completely, and quickly.

The mechanism is short-term cerebral hypoperfusion, which means that the brain is suddenly ischemic.

But when hemoptysis and syncope are mixed together, this is more complicated.

Coughing up blood is usually coughed up from the mouth by blood from the throat and the lungs and respiratory tracts below it.

Now the patient’s vital signs are short of breath, 40 times per minute!

The heartbeat is 95 beats per minute, the blood pressure is normal, and the body temperature is 39 degrees.

Chen Cang quickly asked: "How much hemoptysis?"

Shi Na shook her head: "Not much, only less than 20ml, but the reason is yet to be investigated."

After Chen Cang pondered for a moment, he lowered his head and picked up the stethoscope, and listened carefully.

In addition to the increased heart rate, Chen Cang found a typical arrhythmia!

Within one minute, there was premature contraction and supraventricular tachycardia.

At this time, Chen Cang found a systolic pulsation in the second and third intercostal spaces on the left edge of the sternum!

this is……

This is a vibration that touches the pulmonary valve closure!

...

At this moment, the alarm sound of the monitor suddenly remembered.

Chen Cang was taken aback!

Blood pressure started to drop?

Why does blood pressure drop?

Upon careful auscultation, the heart sound weakened!

The whole process was very cumbersome, and even Chen Cang had no idea.

There are too many patient signs now!

A lot of tedious performance appeared in Chen Cang's mind, and he couldn't handle it at all.

Sometimes, diagnosis is like solving a case.

When the clues are not clear, I feel at a loss, and I can't grasp any accurate clues, because any performance may be a clue.

When everyone was in a hurry, blood pressure stabilized!

Chen Cang was taken aback.

Stabilized?

Although the blood pressure is low, at least it stabilizes!

He suddenly looked down at the apex of his heart, can't see the apex beating?

The heart rate has directly reached 110 per minute?

Chen Cang suddenly checked carefully!

"Pericardial fricative!"

Chen Cang suddenly understood that there was a little pericardial effusion, which hindered the beating of the heart and caused a drop in blood pressure.

But why does the patient have pericardial effusion?

Now there is one more clue.

"Have you done a chest radiograph and CT?"

Shi Na shook her head: "No, just sent it, I just let the blood draw."

Chen Cang nodded and looked at Lele: "Let the family in."

Lele quickly got up and walked out. The middle-aged man walked in just now.

"I am his agent."

Chen Cang nodded and asked, "Well, hello, I have a few questions to consult, and I hope you can cooperate."

The man hesitated for a moment and then nodded: "Well, Director Chen, you said."

Chen Cang frowned: "Can you sign? The patient has unclear symptoms and may need to be critically ill."

The man took a deep breath: "I am his father too!"

Chen Cang nodded: "Okay, Lele brought the medical condition notice and critical illness notice."

...

...

ps: Thank you for your 2000 rewards from "Huahua Prodigal Son", and thank you two friends, "Ben Ink Shu Danqing" and Hushengayi for your 1,000 rewards.

This story is more complicated to write. It has been revised several times, and it is a little embarrassing to be out of chapter. Let's read it tomorrow.