Chapter 1197 Fighting the Fire Chen

Looking at Zhang Peiyi, Hou Liang and the others who came in a hurry.

Chen Cang knew it.

They nodded, "Director Zhang, Director Hou!"

Zhang Peiyi said quickly, "Professor Chen, what's going on?"

Chen Cang took a deep breath and looked a little dignified, but he did not directly say the diagnosis, but asked, "Has the patient taken aspirin recently?"

"That's right!" Hou Liang nodded directly. He looked at the medical record and it said!

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

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

How do they know the effect of taking aspirin!

Even the patients are a little confused!

I... what's wrong with me?

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

"When the patient was admitted to the hospital, the diagnosis was mainly that the platelet count was as high as 723, which was frighteningly high, and the flu, infectious diseases, and liver and kidney function were all normal, but these could not explain the tenderness of the patient's liver area at all."

"I saw the patient's B-ultrasound. Fatty liver is not enough to cause these abnormalities, and there must be acute liver damage."

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

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

The patient was unaware and had to go to bed.

Chen Cang started the physical examination: "Look, the bilateral conjunctiva is slightly congested, there is no exudate, the lymph nodes in the neck are heavy, and there is a rash on the 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 remarks directly sent chills down everyone's back!

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

Bean-sized beads of sweat kept oozing out!

Even looks a little flustered.

"Most critically, the patient's elevated platelets are both a cause of angina and a consequence of Kawasaki disease!"

"However, it's still not the case that holds my mind firmly!"

"It's the aspirin you give your patients orally!"

This sentence made everyone stunned by what they said!

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

He said directly: "A meta-analysis of Clinical and enperimengtal clearly pointed out that aspirin can easily cause serious liver damage in the process of treating Kawasaki disease!"

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

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

Fortunately, Zhang Peiyi responded very quickly, and hurriedly called the head nurse to draw blood!

While waiting, they also rushed to perform physical examinations on patients.

After some inspection, they found that... things may really be moving closer to Chen Cang!

And the patient is also blinded!

It's not all about the medical staff.

But the patient concealed the relevant condition because of some details.

He avoided talking about such things as fever, thinking that it was not a serious matter.

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 surrounding directors also stared at Chen Cang, not knowing why!

Does Kawasaki disease require surgery?

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

While speaking, Chen Cang picked up the chest X-ray and CT.

"Look, although the patient has not completed the examination for CTA angiography, but! Look at these two films."

"Actually, it doesn't seem to make much difference, but, join you to go to see the basic disease of Kawasaki disease, you look here!"

While speaking, Chen Cang pointed to the patient's large blood vessels in his chest and couldn't help but ask, "Don't you think the size has changed slightly?"

"And here..."

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

As Chen Cang pointed it out, everyone's face was gloomy.

Because...it's a little scary, isn't it?

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

Chen Cang nodded: "Three signs of aortic dissection!"

After Chen Cang revealed 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 on the CT of the lungs, and we can judge that the patient may have nodular arteritis, thickening of the intima of the blood vessels, here...and here..."

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

"It can lead to coronary thrombosis, leading to myocardial infarction!"

"The intima is ruptured, and the aorta is directly ruptured, resulting in the death of the patient!"

"I now judge that the patient's vascular intima is in a very bad condition, and it is best to operate as soon as possible!"

After Chen Cang finished speaking, he frowned!

After the patient heard Chen Cang's words, his whole face turned green with fright!

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..."

Li Hui calmly echoed: "I hope..."

However, before the voice fell, the laboratory department called at this time.

"Patient Wang is now 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 gloomy and he said, "Hurry up and do CTA!"

Then, he said to the patient, "Hurry up and contact your family members and tell them that you need to prepare for surgery as soon as possible now!"

Hearing this, the patient forced himself to calm down.

Now is not the time to panic, but...

Don't panic is fake!

Soon, the patient's CTA angiography came out. At this moment, the patient's aorta and pulmonary artery have inner wall damage in many blood vessels, which is likely to form vascular dissection, and the patient may directly skip the dissection because of the existence of Kawasaki disease, resulting in Broken blood vessel!

For a while!

The entire office began to be busy and deployed.

No one dared to relax.

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

In a word, speak the heart of Zhang Peiyi and others!

At this time, Chen Cang nodded and said, "I'll come!"

Everyone immediately turned around and stared at Chen Cang.

Full of excitement!

Professor Chen really can bring hope in the midst of despair!

...

ps: sorry for the late update.

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