When a doctor opened a plug-in

The woman was only in her twenties, and started crying when she came in!

"Save the child, I beg you."

At this moment, looking at the child's appearance is really terrifying, his face is pale, there is no trace of blood, his lips are cyanotic, his breathing is rapid, and most importantly, he has passed out in a coma!

The woman was terrified. She took her child to the playground to play well, but she became like this when she came back.

Thinking of this, Qin Fang was terrified!

Qin Fang is not from the capital, but works with men in the capital. Qin Fang does housekeeping for people, and men drive taxis.

After three or five years of hard work, I finally saved a sum of money and built a house in my hometown.

The child has been left in his rural home in Bac He Province to be taken care of by his grandparents.

There are many such families all over the country, which is not a rare thing, but parents and children have not seen each other for a long time, causing the children to be strange to their parents.

This made Qin Fang and her husband very frustrated.

Neither of them have much literacy. They want to make more money and give their children a better future.

But after returning to his hometown during the Chinese New Year this year, Qin Fang found that the child even began to evasive after seeing the two of them, a little more strange and distant.

This is undoubtedly a heavy blow to Qin Fang as a mother.

During that time, Qin Fang and his wife reflected on it for a long time.

After thinking about it, it is because there is too little time to spend with the children and they don’t know enough about the children, so the couple decided to try to keep the children by their side and rent a slightly larger house. It doesn’t matter if you spend more money. Big deal, work hard, don't let your children be left-behind children!

To put it bluntly, as a parent, I hope that the child will be well!

After being in the capital for half a month, the two of them couldn't help but become happy as the smiling faces of the children increased.

Fortunately, the hard work is not wasted.

And the five-year-old child is full of shock and curiosity from a small village to an cosmopolitan city. Today the couple took a day to take the child to the playground to see what the playground on the TV looks like. Look like!

You can also take a look at the Ferris wheel, take a roller coaster...

However, what was originally happy, after the child got off the jumping machine, Qin Fang suddenly found that the child was breathing more and more quickly, touching his chest and said: "Mom, I am uncomfortable, so uncomfortable!"

All of a sudden, Qin Fang and his wife were shocked!

Wherever they were still in the mood to play, they hurriedly took the child to the hospital.

Along the way, the child's face became paler, and Qin Fang was worried to death. Seeing that he was about to arrive at the hospital, the child suddenly fainted!

All of a sudden, Qin Fang cried!

What happened to a woman in her twenties?

He was in a hurry and worried.

I have been complaining about myself along the way, and I usually don't pay attention to my children.

At this moment, a man in his thirties rushed in.

"Doctor! Please, save the child!"

"How much money must be saved!"

Chen Cang nodded, and said to Qin Fang: "Don't worry, we will definitely try our best to treat it, this... come in, let me ask some questions!"

After that, Qin Fang followed Chen Cang into the rescue room with anxiety.

After finishing the procedures, the man outside waited restlessly.

Looking at the boy's situation at this time, Chen Cang was clearly caused by ischemia and hypoxia!

The symptoms are nothing more than several diseases, but... how old is the child?

Is it congenital?

"Sister Yang, help the child get an ECG!" Chen Cang said to the nurse.

Then Qin Fang asked, "How did the child get sick? What are the triggers?"

With tears on her face, Qin Fang said in a crying voice: "I took him to the playground and did roller coaster rides. After I got down, I suddenly told me that I had chest pain and was uncomfortable, and then I started sitting on the stool and gasped for breath. ..."

Hearing Qin Fang's words, Chen Cang keenly caught a few key words.

Chest pain, sitting breathing, difficulty breathing.

Is it heart failure?

At this time, the ECG hadn't come out yet, and Chen Cang hurriedly looked at the child's hands, feet and eyes, and there were no signs of swelling.

Then Chen Cang placed his hand at the strongest point of the apex, and suddenly felt that the beating had increased significantly!

And, is this... Lifting pulsation?

This clue made Chen Cang's eyes suddenly bright!

After that, I quickly put my hand on it gently, and as expected, I felt a tremor in the heart during the systole!

Suddenly, Chen Cang thought of a disease: "Mitral regurgitation!"

But the child is so old, the possibility of rheumatic heart disease is extremely small, it is likely to be congenital heart disease.

Then Chen Cang took out his stethoscope and heard it in the precordial area!

Sure enough, Chen Cang heard a loud, rough, high-pitched, and long-lasting total systolic murmur accompanied by an aggressive S3 sound in the apex area!

This is a characteristic sign of mitral regurgitation!

Since it is mitral regurgitation, the meaning of electrocardiogram may be of little use.

But at this time, the ECG came out at this time. Chen Cang took it and took a look. In fact, he felt that it should be a basically normal ECG.

Because the ECG of patients with mitral regurgitation is generally normal!

However, when Chen Cang received the ECG, his face suddenly changed!

This is not only not a normal, but also a serious abnormal ECG!

What Chen Cang saw at this time was a sign of left atrial hypertrophy and left ventricular hypertrophy!

Chen Cang couldn't help frowning!

This means that severe mitral regurgitation is already severe, and combined with the current situation of the child, it is already extremely poorly tolerated, and surgery may need to be completed as soon as possible.

but……

Chen Cang has a problem. With such a thickened left atrium and ventricle, the child must have a seizure once or twice, right?

Don’t those who are family members even know?

Thinking of this, Chen Cang said to Yang Jie: "Go call Dr. Xin and let him do a 4D UCG (Echocardiogram) for the child!"

At this time, compared with other examinations, the four-dimensional echocardiogram can be seen most clearly, and even the classification can be judged!

Yang Jie nodded and quickly got up.

Looking at Qin Fang, Chen Cang couldn't help but said: "The child's condition is more serious, it belongs to mitral regurgitation, and according to the current situation, it may be accompanied by heart failure."

"But! It's definitely not the first time this happens to a child, and it will even get sick frequently. Have you ever paid attention?"

After Qin Fang heard Chen Cang's words, he stood there without moving, a little dumbfounded!

"I...I don't know..." Qin Fang was full of guilt.

Chen Cang couldn't help but shook his head: "The child has not been traumatized or otherwise? Has he had any disease before?"

Qin Fang was stunned!

Suddenly, she realized that she knew nothing about the child, and it was difficult to answer even such a basic question.

As a mother, she knows nothing about the child’s illness, whether the child has been injured, and what happened to the child...

Tears of self-blame kept streaming down from my eyes, and regret and regret filled my heart.

Is he a qualified mother?

Seeing Qin Fang cry like this, Chen Cang couldn't help but sigh...

Simply wait patiently for Dr. Xin to come for the check.

Four-dimensional echocardiography can observe the structure and activity of the mitral valve leaflets in three dimensions, and can more intuitively observe the starting position, direction and shape of the regurgitant beam, which is of great help to the diagnosis!

After the contrast agent is successfully injected, the examination begins.

But the more you do, the more Dr. Xin frowns, cold sweat oozes!

"Doctor Chen, the situation is a little bit optimistic!"

Hearing what Doctor Xin said, Chen Cang was taken aback: "What's the situation?"

Xin Rong is a female doctor in her thirties. Looking at the results at this time, she is a little nervous and uneasy!

"Look, the contrast agent of the first systolic reflux has reached the entire left atrium, and contrast agent can be seen in the pulmonary vein... This is already 44 degree reflux, no wonder it caused a coma!"

After Chen Cang heard this, his expression changed!

Four degrees of reflux?

so serious!

Need to organize surgery as soon as possible!

At this time, Xin Rong had already typed out the report: "I'm sure, it is congenital mitral regurgitation."

"Moreover, or mitral regurgitation is accompanied by stenosis, but the overall movement of the valve is good, the anterior leaflets are uniform, and the flexibility is good!"

After seeing the report, Chen Cang was overjoyed. It seemed that artificial valve replacement was not needed.

For such an old child, it is very troublesome to use artificial valve replacement.

Chen Cang looked at Qin Fang and said, "The child is in critical condition and needs immediate surgery. Please sign as soon as possible."

After Qin Fang heard it, he nodded quickly: "Okay, okay, sign, doctor, I'll listen to you, you can do anything you say, please save the child."

Qin Fang was almost desperate at this time.

The child has such a serious illness, as a mother, he knows nothing about it. This is too dereliction of duty!

Thinking of this, Qin Fang took a deep breath, full of regret.

And Chen Cang quickly said to the nurse:

"A blood test,"

"Inject digoxin to strengthen the heart!"

"Inject enalapril to reduce reflux!"

...

"Notify the operating room to get ready!"

Here, preparations began in a hurry, and Chen Cang couldn't help but fall into thought as he watched the report of the four-dimensional echocardiogram.

This little patient...

Maybe the situation is special.

At such a young age, there is such a serious heart failure, ventricular hypertrophy, and enlarged atria. If cardiopulmonary bypass is used, it may not be good for future development.

How about... Use nonstop mitral valvuloplasty?

Thinking of this, Chen Cangyue was eager to try!

At this time, Ma Yuehui, who was participating in the rescue of the patient, suddenly felt a cold wind coming from his back, and couldn't help but shiver.

Ma Yuehui shook her head suddenly, what happened?

"Fucking, it's so fake recently?"

...

...

ps: There is only one chapter tonight, and I can't finish the second chapter, so I have a headache.