When a doctor opened a plug-in

Looking at Zhang Peiyi and Hou Liang who hurriedly arrived.

Chen Cang knew each other.

They nodded one after another: "Director Zhang, Director Hou!"

Zhang Peiyi quickly said, "Professor Chen, what's the matter?"

Chen Cang took a deep breath, his complexion a little dignified, but instead of directly mentioning the diagnosis, he asked: "Did the patient take aspirin recently?"

"That's right!" Hou Liang nodded directly, he looked at the medical record, it was written on it!

After Chen Cang heard it, he nodded directly: "That's right!"

"What do you mean?" everyone stared at Chen Cang and asked.

Where do they know the effects of taking aspirin!

Even the patient is a little confused!

I... what happened to me?

Chen Cang directly took out the patient's test sheet.

"When the patient was admitted to the hospital, the diagnosis was mainly that the platelet was as high as 723, which was scary. The flu, infectious diseases, and liver and kidney function were normal, but these did not explain the patient's tenderness in the liver.

"I saw the patient's B-ultrasound. Fatty liver is not enough to cause these abnormalities. It must be acute liver injury.

"And what is the reason? I analyzed the patient's condition. He has obvious lymphadenopathy, and had acute fever and mild macula before admission. Although these are trivial, they are indeed key factors!"

After speaking, Chen Cang stared at the man and said: "Go to bed, lie down!"

The patient felt bad and had to go to bed and lie down.

Chen Cang began a physical examination: "Look, there is some congestion in the conjunctiva on both sides, no exudate, large lymph nodes in the neck, and a macula on his body!"

"According to Japan's diagnostic criteria for Kawasaki disease, fever accompanied by the above symptoms can already be diagnosed as Kawasaki disease!"

Chen Cang's words directly chilled everyone's back!

Zhang Peiyi and Hou Liang looked at each other, and saw anxiety and fear in each other's eyes!

The big beads of sweat are constantly oozing out!

Even the look was a little flustered.

"The most important thing is that the patient's elevated platelets are not only the cause of angina pectoris, but also the result of Kawasaki disease!"

"However, it is still not the case that confirms my idea!"

"It's the aspirin you give the patient orally!"

This sentence just stunned everyone!

Chen Cang is perfect for clinical analysis of emergency drugs and drug poisoning!

He directly said: "A clinicalandenperimenal meta-analysis clearly pointed out that aspirin can easily cause severe liver damage during the treatment of Kawasaki disease!"

"So, now we need to check the function urgently!"

After hearing Chen Cang's analysis, everyone was stunned!

Fortunately, Zhang Peiyi reacted quickly, so he quickly called the head nurse and came to draw blood!

During the waiting period, they hurriedly performed physical examinations on the patients.

After this inspection, they found... Maybe things are really getting closer to Chen Cang!

And the patient is also blinded!

The medical staff cannot be blamed for all this.

It is that the patient concealed the relevant condition because of some details.

Avoid talking about fever and these things, thinking that it is not enough.

In fact, the diagnosis process is often based on many trivial details.

The patient was really scared at this time: "Professor Chen... Then why did you just say that I need surgery!"

The directors around also stared at Chen Cang, wondering why!

Does Kawasaki disease need surgery?

Chen Cang couldn't help but said, "Look at this photo!"

While talking, Chen Cang picked up the chest radiograph and CT.

"Look, although the patient did not have a complete examination for CTA angiography, but! Look at these two films."

"Actually, it doesn't seem to be much different, but if you join you with the basic Kawasaki disease, look here!"

While talking, Chen Cang pointed to the patient's chest blood vessels and couldn't help asking, "Don't you think there are some slight changes in the size?"

"And here..."

While speaking, Chen Cang began to point out every subtle change.

As Chen Cang pointed out, everyone's expressions were low.

Because... This is a bit too scary, right?

"Professor Chen... what do you mean?" Xu Aiming asked directly!

Chen Cang nodded: "Aura of aortic dissection!"

After Chen Cang picked out the answer, everyone was silent!

Aortic dissection...

Chen Cang explained: "Well, Kawasaki disease has the most damage to the coronary arteries, followed by the aorta, abdominal aorta, carotid artery, and pulmonary artery!"

"We can see some shadows through lung CT, and we can judge that the patient may have nodular arteritis, thickening of the vascular intima, here...and here..."

"I judge that the patient's condition is still very dangerous at this time!"

"It can lead to coronary thrombosis and myocardial infarction!"

"The intima ruptures and the aorta ruptures directly, causing the patient to die!"

"I now judge that the patient's endometrial shaving is not good, and it is best to have surgery as soon as possible!"

After Chen Cang finished speaking, he frowned!

When the patient heard Chen Cang's words, his entire face turned green!

Is it so scary?

Thinking of this, the patient looked at Chen Cang: "You scared me, didn't you? Professor Chen?"

Chen Cang took a deep breath: "I hope my judgment is wrong!"

The patient nodded quickly: "Well, I hope..."

Pay attention to the calmly echoed sentence: "I hope..."

However, the voice did not fall, this time the laboratory called.

"Patient Wang now has alanine aminotransferase as high as 941 and aspartate aminotransferase 819!"

With the appearance of two indicators, everyone's expressions changed suddenly!

This evidence may prove that Chen Cang's reasoning is correct!

Chen Cang's face was low and he said, "Hurry up and do CTA!"

Then, he said to the patient: "Contact your family members and tell them that you need to prepare for the operation as soon as possible!"

Upon hearing this sentence, the patient forced himself to calm down.

It's really not the time to panic, but...

Don't panic is fake!

Soon, the patient’s CTA angiogram came out. At this moment, the patient’s aorta and pulmonary arteries have internal wall damage, which is likely to form vascular dissection, and the patient is likely to skip the dissection directly due to the existence of Kawasaki disease. Blood vessel rupture!

For a time!

The whole office began to be busy and intensive deployment work.

No one dare to relax.

Hou Liang frowned at this time and said: "Professor Chen, we don't have the ability to perform aortic replacement surgery! And there are so many arteries..."

In a word, tell the aspirations of Zhang Peiyi and others!

At this time, Chen Cang nodded and said, "I'm coming!"

Everyone turned around and stared at Chen Cang.

Excited!

Professor Chen really can bring hope in despair!

...

ps: sorry, late update.

The meeting ends on the 12th, I will probably resume normal updates on the 13th, six chapters a day...