Chapter 704 Clear Clues

Lao Yang has driven an ambulance all his life. From Jinbei Grace to Mercedes-Benz 416, the changes in the car have also witnessed the development of EMSS in Aoyang City over the years.

This time, Lao Yang Kai's Mercedes-Benz 214 has enough power, a top speed of 200 kilometers per hour, and also considerable fuel consumption.

This kind of car is not cheap at all. A set of Mercedes-Benz series original ambulances cost more than 1.4 million yuan, which is still standard!

Of course, it is definitely not just the price of the car, but also oxygen supply equipment, air disinfection and circulation support, ECG monitoring, ventilator, defibrillator... these professional equipment.

Generally speaking, those who can make ambulances are not necessarily luxury manufacturers, but they are basically reliable. The domestic Jinbei is also an old brand.

However... the defects of the Mercedes-Benz 214 are also obvious, the shock absorption is average, and the rescue in the city is very slippery!

But taking this kind of mountain road gave Chen Cang the feeling that he was a little floating...

The performance of Mercedes-Benz is completely unplayable, and even the steering and flexibility are not as good as the domestic Jinbei.

The rescue of walking on the mountain road is actually a very powerful test for the ambulance driver!

It's okay for Xiao Lin to sit in the co-pilot, while Chen Cang sits in the trunk.

The director of the Nanqiao Township Health Center was already waiting at the door. Seeing Chen Cang and the others coming down, he immediately looked happy and hurried up to greet him!

"Hello, expert!" The dean was very enthusiastic, and Chen Cang was a little uncomfortable with each expert.

After chatting for a while, he walked directly inside.

The development of the township health centers here is not bad, and the four-story inpatient building looks like that.

Chen Cang followed the dean upstairs, while Lao Yang turned the car around and prepared to carry it.

Generally, if he and Chen Cang are both on a visit, he will follow behind to help. In a situation like this, where there is no shortage of manpower, Lao Yang doesn't like to intervene.

Xiao Lin obediently carried the rescue kit and followed closely behind Chen Cang.

After several years of work in the emergency department, Xiaolin's ability is not only a nurse. To be honest, Xiaolin's rescue ability may be even higher than that of the dean in front of him.

The second floor is the Cardiology Department, after the group entered the ward.

Chen Cang also finally saw the patient, a seventy-one-year-old old lady. At this time, she was lying on the bed, the bed was shaken up, and she was short of breath and gasping for breath!

The sleepy eyes have been closed, and the slightly rough and rapid breathing sound is not known whether it is snoring or what is going on.

With an oxygen tube in his nostrils, his face is pale and painful!

At first glance, Chen Cang felt that things were not as simple as he imagined!

Thinking of this, Chen Cang first thought of the possibility of heart failure.

Elderly patients with acute myocardial infarction may develop acute heart failure during the attack.

The doctor in charge of the bed is a young man who is not as good as Chen Cang, but depending on how greasy he is, his working hours should not be short.

However, Chen Cang naturally doesn't need to make too many demands on others. After all, to be honest, there are not many young people who can come to the hospital now, so what else can they ask for?

Chen Cang originally wanted to ask about the situation, but after thinking about it, he walked to the old man's bed first, lifted the quilt, and looked at his legs and feet.

The family member is a rural woman, who should be a daughter-in-law, but she is very considerate by the side.

Generally speaking, patients with right heart failure will have edema, but the elderly have no signs at all, no leg swelling, and there is not much swelling on the face.

When Chen Cang saw the old man sitting upright and breathing, he actually didn't feel like a patient with right heart failure at first.

It's like a typical left heart failure, after all, typical breathing difficulties, orthopnea.

Chen Cang did not continue to check. At this time, the old man opened his eyes and saw Chen Cang smiling.

This is a kind-hearted old lady with a kind smile.

Looking at the old man, Chen Cang couldn't help but ask a few simple questions first, such as how old he was and whether he was sleeping well.

The old man's answer was clear.

Chen Cang also nodded secretly, his consciousness was clear, his thinking was normal, and his mind was clear, which was a lot of relief.

Only then did Chen Cang continue to ask about his medical history.

Seven days ago, I had a sudden myocardial infarction, and I was sent to the hospital in time. Yesterday morning, I started to have difficulty breathing. I was able to lie down on my back, but it was comfortable to lie down. The whole person seems restless, a little anxious!

Chen Cang first comforted the old man, and then asked his family to greet the old man to lie down.

Chen Cang picked up the stethoscope and started auscultation!

A typical systolic murmur can be heard at the apex of the heart, and there are moist rales at the base of both lungs!

Chen Cang frowned suddenly!

its not right?

Isn't that a sign of heart failure?

At first, according to the description of the old man and the expression of his family, all the signs were developing towards left heart failure.

But after Chen Cang heard it, although he couldn't rule it out, but... this shouldn't be the main reason!

Thinking of this, Chen Cang asked Xiao Lin to measure his blood pressure and blood oxygen.

"Blood pressure 120/80mmHg!"

"Heart rate 100 beats per minute!"

"Blood oxygen 95!"

Chen Cang looked at the old man: "Have you ever had a heart attack before? Or high blood pressure..."

The old man shook his head.

The daughter-in-law on the side also said: "The old man's body has always been very tough, and he gave birth to five sons and two girls!"

Chen Cang was stunned. Although the seven brothers and sisters could not prove anything, but...the body should be in good shape!

Thinking of this, Chen Cang turned to look at the doctor in charge: "Give me the medical records."

The doctor in charge was also very cooperative: "Okay, okay, wait a moment!"

Not long after, he came over with the medical record folder.

Chen Cang saw seven or eight electrocardiograms like this, and he did them every day. When he was admitted to the hospital, two of them were typical ST segment arched dorsal elevation, typical of acute myocardial infarction waveform.

But... In the next few days, I took an electrocardiogram every day. Although the chest pain was relieved, the patient's ST segment did not fall back.

What is the situation?

Now if you can't make a clear diagnosis, you can't go on the road!

At this time, the old man's children also came. Five men came in. Chen Cang turned around and looked at the tall men. He suddenly felt that this was also the pride of a mother.

"Doctor, hurry up and send Ammonium Yang." The older man said.

Chen Cang shook his head: "Wait a minute, now the old man's condition is unstable and the journey is far away. I'm worried that something will go wrong. We must stabilize the symptoms and at least make a clear diagnosis!"

When the family heard Chen Cang's words, they stopped talking.

In the eyes of the villagers, the experts from the provincial capital said that they were definitely right, but they still did not want to be smart.

On the contrary, the kind of ignorant person who takes up Baidu's weapon to attack the doctor is even more troublesome!

At this time, Chen Cang put his hand on the apex of the heart where the pulsation was strongest, and continued to feel it. Is there a tremor? !

This signal suddenly made Chen Cang a little overjoyed!