Chapter 705 The Choice of a Dilemma

Chen Cang said quickly, "Will you take an electrocardiogram?"

The doctor was very cooperative, and it didn't take long to do it.

Chen Cang looked at the electrocardiogram, and after comparing the previous days, he gradually understood everything in his heart!

However, Chen Cang did not directly say that he still needs to further confirm the diagnosis in his heart.

Thinking of this, Chen Cang hurriedly asked, "Did the old lady have a heart auscultation when she was just hospitalized?"

When the doctor heard this, his face immediately flushed.

Because the admission record has been written on the medical record, but... basically it is pasted on a template, which is meaningless.

Chen Cang looked at the medical records and asked himself again. Naturally, he knew what was going on, but he didn't point it out.

Otherwise, it would be embarrassing to be in front of the dean and his family!

The young doctor glanced at Chen Cang gratefully, and nodded: "Of course I have heard it."

Chen Cang has no doubts, because this is a routine operation for a cardiologist, and maybe he is too lazy to write it in the medical record, but the routine operation for admission still has to be done!

He continued to ask, "Oh, did you hear the noise then?"

Hearing Chen Cang's question, the doctor frowned. After thinking for a while, he shook his head: "No, it has been fine since I came here."

Chen Cang: "How about yesterday? Did you auscultate? Is there any murmur?"

The doctor didn't hide the truth and said: "I didn't say it yesterday. I saw the old lady's condition at that time. I was thinking of acute left heart failure and used a cardiotonic diuretic, but it seems that the symptoms have not improved significantly."

"Calling the county hospital, the other party can't figure it out, and dare not take the old man away."

Speaking of which, the doctor was also quite helpless.

However, this is also a common thing. Many times, primary hospitals are unwilling to take risks when the diagnosis is unclear, let alone an emergency patient with acute myocardial infarction + unknown complications.

If this goes wrong, these five sons and two girls will be enough for them to eat a pot!

After Chen Cang heard the doctor in charge, the clues in his heart became clear.

At this time, the dean couldn't help but ask: "Comrade expert, what do you think is the situation?"

After pondering for a while, Chen Cang said, "According to the old lady's electrocardiogram, the ST segment continues to rise. According to the drugs you use, there is no downward trend. I think that the patient has already developed a ventricular wall expansion tumor at this time!"

As soon as Chen Cang's words came out, several doctors suddenly looked at each other.

Bewildered?

What is a ventricular wall dilatation tumor?

This term is a rare term for them in primary hospitals, and they have never heard of it.

Thinking of this, I couldn't help but blush a little, and sighed helplessly.

Chen Cang did not struggle with this issue, because it was not their fault, he took them out of the ward, and after arriving at the doctor's office, he said, "When I was auscultating, I found that there was a systolic murmur at the apex of the heart, and there were different degrees of tremor, and According to what you said, there was no murmur before, and the source of the murmur is very clear, considering that it was caused by the rupture of the ventricular septum after myocardial infarction."

"When the interventricular septum ruptures, a left-to-right shunt begins, altering normal hemodynamics!"

The doctor in charge asked curiously: "Then...the patient does not have heart failure?"

Chen Cang shook his head: "It's not without. When the hemodynamics changes, the cardiac output is insufficient and the blood flow changes, resulting in a performance similar to acute heart failure."

After finishing speaking, Chen Cang also concluded with a serious expression:

"At present, it seems that the patient is in critical condition and may die at any time!"

Chen Cang said a word, and the people around were dumbfounded.

The doctor in charge was even more confused. Although he had never heard of this condition, he could hear Chen Cang's last sentence clearly and clearly!

Critically ill and could die at any time!

This sentence shocked the sons who came in a hurry!

"Doctor, you have to save my mother!"

"That's right! Doctor, don't worry about the money, let us brothers come together and save my mother!"

The dean was also stunned at this time. He knew that the patient must not be so simple, but he did not expect it to be so dangerous.

Thinking of this, he hurriedly asked, "Comrade expert, what should we do?"

After Chen Cang heard it, he thought about it!

At this time, he is the backbone.

The grassroots hospitals may have never encountered such a situation at all, and they are already at a loss when they encounter it.

Interventricular septal rupture induced by acute myocardial infarction, these two are fatal diseases, Chen Cang must make effective suggestions.

If they stay, they will not have the conditions for rescue at all. If nothing else, the township hospital does not even have a ventilator, let alone an extracorporeal circulation machine for surgery.

So it is simply not feasible to dispose of it here!

The local county hospital does not have a cardiac surgery room, and it is unlikely that an extracorporeal circulation machine is available.

Now the only two options are in front of you!

Stay, wait for a miracle, wait for the old lady's physical signs to stabilize, but in this case, the heart has already undergone organic lesions, and the symptomatic treatment effect of internal medicine is limited.

However, if you transfer to another hospital, how will you transfer?

The condition is critical, the mountains are high and the road is far away, and it may disappear in the car at any time!

At this time, the dean and the doctor in charge both heard what Chen Cang meant.

But the family members hurriedly said: "Doctor! Let's transfer to the hospital, okay? Please?"

"Yes, doctor, please save my mother!"

"Looking at the way she suffered, it really hurts us to be incompetent as a son!"

"yes……"

Listening to the prayers of the men in his ears, Chen Cang sighed, the choice was not actually his own, but theirs.

Thinking of this, Chen Cang said: "Salvation is definitely saved, but you have to think about how to save it!"

"The current situation is like this. The old man's physical condition is very poor, he is old, and his tolerance is limited, but now he must be sent to the province for surgical treatment, but there is one thing I have to tell you in advance, the success rate of the old man's surgery. limited!"

"Moreover, the mountain is high and the road is far away. During the process of transportation, life may be in danger at any time, because the disease itself is unstable, and his development process is like this..."

After Chen Cang explained it clearly, the five sons fell silent.

also began to discuss.

And Chen Cang took this opportunity to call Director Li Baoshan.

Director Li's meaning is also very clear, respecting the opinions of the family members.

At this time, Chen Cang was actually not so entangled.

The old lady is too old, in her 70s, has a myocardial infarction and a ruptured ventricular septum. In this case, going to the operating table... To be honest, she may not be able to come down.

Transshipment is equally risky.

After Chen Cang called out his five sons, he told the truth.

The five brothers were a little frustrated when they heard Chen Cang's words, and the boss even had tears in his eyes.

finally!

After a few minutes, after the five people discussed it, a decision was made!

"Turn! You must turn!"

The boss looked at Chen Cang and said, "Doctor, we must transfer to another hospital. Even if something happens on the road, it is better than waiting here to die!"

"Not only transfer, but also surgery! Even if the surgery fails, we have to work hard for it!"

At the end of the speech, the boss's voice was obviously a little choked: "When the son, at this time, we all hope to do our best, and have no regrets in the future!"

Chen Cang took a breath and nodded: "Okay! I respect your opinion, you... come with us in the car later."

The eldest nodded without any hesitation. He is the eldest. He has to take care of the family. When the old father is gone, he is the eldest brother.

Not if he has no idea!

In fact, in some rural areas, the concept of elder brother and elder sister-in-law is still very heavy. Chen Cang just realized that after the old lady fell ill, it was the eldest daughter-in-law who was taking care of her.

Seeing this scene, Chen Cang couldn't help but sigh with emotion, what this family, the eldest and daughter-in-law did, was really impressive, and it was hard to say.

When the decision was made and the transfer was ready, the daughter-in-law said something, which made everyone stumped!

"The old lady often gets motion sickness in the car, is it okay?"

Chen Cang frowned, how could it be okay!

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ps: Thank you for the 10,000 reward of "Buddha in my heart is afraid of you", thank you.