When a doctor opened a plug-in

When Liu Quan left, Chen Cang sat down beside Ma Yuehui.

Sigh again!

When Ma Yuehui saw this, she was suddenly out of breath, and said sourly: "Does the "Annual Book of Thoracic Surgery" have to know you? Why sigh again!"

Chen Cang shook his head: "Yes, you can't be too greedy. The Yearbook of Thoracic Surgery is also okay. Actually... I want "The Lancet" to make an appointment with me."

Chen Cang made an understatement.

When the old horse cut his nails, he cut the meat.

Let the people who write the medical records click on the blanks.

Let Qiao Chengan, who wanted to come in and chat with Chen Cang, leave with anger.

Let those who are jealous and look at Chen Cang's unhappy fists clenched!

"Listen, is this human?"

Is this something someone changed???

What is the "Annual Book of Thoracic Surgery" not bad?

Is that industry TOP3 OK?

That is an authoritative journal in the field of cardiothoracic surgery, you say it's okay?

"The Lancet"!

Why don’t you look for "cell", "nature"...

Everyone was angry, and even the old Ma was rubbing his chest, feeling sluggish. He felt a little hyperplasia, and if he did not vent, he would even develop in the direction of nodules.

pissed off!

This Chen Cang is getting worse and worse.

Pooh!

Lao Ma's face was violent, filled with righteous indignation!

However, one of the biggest advantages of Lao Ma is that he has no brains. When he saw Chen Cang reading the paper, he suddenly changed his mind.

"Xiao Chen, look... can I add a name?" Ma Yuehui looked at Chen Cang expectantly.

After Chen Cang heard this, he was taken aback: "Can the patient's real name appear in the paper?"

The people around almost laughed!

Ma Yuehui kept admonishing herself not to be angry or angry, and there is no good food to be angry.

Just when Ma Yuehui's mind was in a state of wit, 120 sent a patient.

Lao Ma didn't care about joking either, put his smile away and quickly got up to greet him, and Chen Cang followed him out.

"Patient, male, 51 years old, with acute abdominal pain accompanied by severe chest discomfort for one week and worsening for one day..."

The doctor who followed the ambulance quickly recounted the medical history.

Upon seeing this, Lao Ma quickly greeted the nurse to push the bed and began to transfer.

Although the patient is conscious at this time, but... his eyes are obviously dull and even a little sluggish.

Following the man was an old man in his seventies and an old lady of the same age.

The two helped each other to get out of the ambulance, and it took a lot of effort.

After entering the emergency room, the old lady looked at Ma Yuehui with a worried look: "Doctor, save my son! He... is a poor man..."

Ma Yuehui nodded quickly: "Okay, don't worry!"

Afterwards, Ma Yuehui winked at an older nurse at the nurse station, and said, "A Liu, take care of the elderly."

The nurse nodded and quickly got up and came out to comfort the old man.

Some wrong things often happen in the emergency department.

For example, if a mother comes to send her child to see a doctor, the child's condition does not matter, but the mother is scared to get sick.

Ma Yuehui has a wealth of experience in emergency care. Although she is usually careless and even a little so-so, she is actually careful and can even think of things that others can't think of.

When Yu Yong took the sharp knife team to participate in the International First Aid Competition, Lao Ma really made the contribution!

When Chen Cang saw this scene, he naturally learned it.

After Ma Yuehui pushed the man into the rescue room, he quickly asked: "Where are you feeling uncomfortable now?"

The man's eyes were a little dull: "I... feel a stomachache, here... I'm not feeling well!"

The man gestured to his stomach and lower sternum.

Faced with this situation, Ma Yuehui's first reaction was not abdominal pain, but an electrocardiogram. Moreover, the patient was 51 years old, and the first consideration was to rule out myocardial infarction.

Many patients often come to the emergency department. It looks like a stomachache, but it is actually a heart problem.

Therefore, Ma Yuehui quickly said to Xiao Ke: "Xiao Ke, ECG, quickly pull one."

After speaking, he brought oxygen to the patient by himself.

Afterwards, wait patiently.

At this time, the nurse A Liu also completed the procedures for helping the elderly and brought in the man's medical notebook.

After reading it, Lao Ma frowned and thought, then handed the medical record book to Chen Cang.

After Chen Cang opened the medical record book, he reacted exactly like Ma Yuehui!

The man was 51 years old. He was divorced after his wife cheated fifteen years ago. The child died in a car accident in the same year. After that, the man developed post-traumatic stress disorder, borderline personality disorder, and previous schizoaffective disorder.

Seeing this, Chen Cang looked at the unshaven middle-aged man, recalling the words of the old man just now, and couldn't help sighing. He was also a poor man.

Abdominal surgery for swallowing a foreign body 10 years ago: exploratory laparotomy + duodenectomy.

In the next three years, because of postoperative adhesions, intestinal adhesions and small bowel obstruction occurred one after another.

He had no history of cardiovascular disease, no history of infectious diseases, parental physical examination, and no family genetic diseases were found.

The oral flupentixol and melitroxine tablets (Dailixin)...

Chen Cang probably finished reading the medical history, but before he had time to think, the electrocardiogram came out.

After seeing the old Ma, his face suddenly changed!

Originally, he had now denied cardiovascular disease and suspected it was an obstructive lesion of the gastrointestinal tract. After all, men had a history of this disease before, and these should be considered.

but!

See the electrocardiogram results show: acute myocardial infarction!

Although the old horse does not have the habit of looking at machine diagnosis, at this time, the ECG shows that the ST-segment arch is raised, the ST-segment of the lower wall of the heart is too high, and two-way T waves can be seen in V2V3...

It can even be seen that this is a typical ECG of myocardial infarction.

Thinking of this, Lao Ma instinctively prepared a series of medical orders such as anticoagulation and thrombolysis.

After seeing the film at this time, Chen Cang was also stunned.

Is it really a heart attack?

but……

If it is a myocardial infarction, it can't be delayed completely, and anticoagulation and thrombolysis must be performed as soon as possible, or even interventional therapy.

Because patients with myocardial infarction can endanger their lives at any time.

but……

Seeing men have no symptoms of acute myocardial infarction at all.

Could it be...

Lao Ma was also a little puzzled.

There are too many strange diseases in the emergency department.

Lao Ma and Chen Cang looked at each other and saw a lot of puzzlement in each other's eyes.

Chen Cang picked up the electrocardiogram again. This time, he looked at it carefully. It seemed... something abnormal?

Chen Cang found something different!

Afterwards, the physical examination began. No heart murmur was heard, the lower abdomen was soft and without penglong, and the left upper abdomen was slightly tender...

"Let’s check the heart markers, and then do a plain abdominal radiograph. This is also fast, and it won’t take much time."

After all, sometimes the ECG will lie.

Lao Ma nodded and agreed.

If this is in a small hospital, it will definitely be treated for heart disease. However, this is the Capital Emergency Center Hospital. Ma Yuehui has a lot of knowledge and he also has doubts.

Soon, the two of them personally pushed to do a plain abdominal film.

The result is out!

There are multiple scattered foreign objects in the upper left abdomen.

...