Chapter 715 Difficult Disease!

The time with Qin Xiaolick will always pass so fast, and it will always be so sweet!

I don't know if it's her lipstick smell, or the sweetness is love.

Maybe two people are together, that's how it is?

There are some professional love in life, maybe it is really difficult to see each other.

Chen Cang and Qin Yue are in the same department and see each other every day, which is not bad.

Many family members of doctors spend less than three days a week together throughout the year.

These few rounds basically took up a lot of time.

This does not include further studies, going to the countryside, studying, attending conferences, etc. Basically, it is really a matter of gathering less and leaving more.

There are also other service positions such as military families, police, etc.

Perhaps when the profession has given a special mission, the family must make sacrifices for it.

On Sunday, Chen Cang took Qin Yue to eat hot Xiaolongkan at noon, and went to the cinema with two cups of milk tea with satisfaction. Qin Yue, who was not satisfied with the second game, fell asleep directly.

Chen Cang put the down jacket on her body, looking at her long eyelashes, he couldn't help laughing.

After waking up, Qin Yue was refreshed and full of energy again, and took Chen Cang to go shopping, eat snacks in the evening, and visit the night market.

At this time, Chen Cang discovered that he had not been with her for more than a month after going abroad for consecutive competitions.

Chen Cang just sent Qin Yue home, and before he had time to rest, a call came in!

"Director Chen, come here quickly, there is a special patient in the emergency room!"

When Chen Cang heard Lele's voice, he was stunned for a while: "Okay, just wait for me and go right away!"

Chen Cang hung up the phone and ran towards the hospital.

I saw a lot of people standing at the entrance of the hospital. After Chen Cang rushed in anxiously, he immediately saw Lele waiting, holding Chen Cang's white coat in his hand.

Seeing Chen Cang coming in, he quickly handed over his clothes, and said carefully in his ear, "Doctor Chen, he's a little star!"

After Chen Cang heard it, he was stunned for a moment.

No wonder those people outside were not dressed properly.

When they arrived outside the rescue room, there were several middle-aged men standing outside the door. When they saw Chen Cang coming in, they hesitated for a while.

Lele said quickly, "This is the deputy director of our emergency department, Director Chen."

The man was relieved: "Director Chen, please forgive me, the situation is special, and we don't want to cause too much attention and trouble."

Chen Cang didn't know why, but Lele said, "Director Chen, Director Qin and Director Li have all gone to the meeting. Today is Doctor Shi."

Chen Cang nodded directly and entered the emergency room. At this time, let's see what the patient's situation is!

After entering, he found a man lying on the bed with a monitor on his body, pale and short of breath.

Chen Cang quickly asked, "Mr. Shi, what's going on?"

Seeing Chen Cang coming, Shi Na breathed a sigh of relief for some reason.

"I was sent to the hospital because of hemoptysis. After admission, I began to experience syncope, accompanied by difficulty in breathing. I had two seizures within ten minutes and recovered on its own. Now my body temperature is 39.2 degrees Celsius."

Chen Cang looked at the man, how he looked familiar...

Suddenly reacted, it seemed to be a little star singing hip-hop music, what's his name... Yu Yi!

A very wild person. A few years ago, a show called "The Rap of China" came to prominence and gradually became popular.

With crazy shouts and roars, it attracted the attention of many people.

Chen Cang took the medical record and looked at it.

Then he asked, "Is there any past history and family history?"

Shi Na shook her head: "I don't know, I suddenly fainted before I asked."

Chen Cang calmed himself down, took off the man's clothes, picked up the stethoscope, and was about to auscultate.

Suddenly I saw the chest expand significantly!

Suddenly stunned!

Thoracic dilatation with fainting and loss of consciousness, hemoptysis!

These are several important factors, and when they are tangled together, it suddenly becomes very cumbersome.

What is syncope?

He is a symptom!

Refers to a brief, self-limited loss of consciousness, often resulting in a fall.

Syncope occurs fairly rapidly, followed by spontaneous, complete, rapid recovery.

The mechanism is short-term cerebral hypoperfusion, which means that the brain is ischemia all at once.

But it's more complicated when coughing up blood and syncope are mixed.

Coughing up blood is usually coughing up blood from the larynx and below the lungs and respiratory tract through the mouth.

Now the patient's vital signs are short of breath, 40 times per minute!

The heart rate is 95 beats per minute, the blood pressure is normal, and the body temperature is 39 degrees.

Chen Cang hurriedly asked, "How much is the amount of hemoptysis?"

Shi Na shook her head: "Not much, only less than 20ml, but the reason remains to be investigated."

After Chen Cang pondered for a moment, he lowered his head and picked up the stethoscope, and listened carefully.

In addition to the rapid heart rate, Chen Cang found a typical arrhythmia!

Presystolic, supraventricular tachycardia developed within one minute.

At this time, Chen Cang found a systolic pulsation in the second and third intercostal spaces on the left sternum!

This is……

This is the closing vibration that touches the pulmonary valve!

...

At this moment, the alarm sound of the monitor suddenly remembered.

Chen Cang was stunned for a moment!

Blood pressure started to drop?

Why does blood pressure drop?

On careful auscultation, it was found that the heart sounds were weakened!

The whole process is very cumbersome, and even Chen Cang has no clue.

Now the patient has too many signs!

A lot of tedious expressions appeared in Chen Cang's mind, and he was simply overwhelmed.

Sometimes a diagnosis is like solving a case.

When the clues are unclear, I feel at a loss, and I can't grasp any accurate clues at all, because any performance may be a clue.

Just when everyone was in a panic, the blood pressure stabilized!

Chen Cang was stunned for a moment.

stabilized?

Although the blood pressure is low, at least it is stable!

He suddenly looked down at the apex of his heart, couldn't see the heartbeat?

Heart rate directly to 110 per minute?

Chen Cang suddenly checked carefully!

"Pericardial fricative!"

Chen Cang suddenly understood that there was a little pericardial effusion, which hindered the beating of the heart and caused the blood pressure to drop.

But why do patients have pericardial effusion?

Now there is one more clue.

"Have you had a chest X-ray and CT?"

Shi Na shook her head: "No, it was just delivered, and I just had blood drawn."

Chen Cang nodded and looked at Lele: "Let the family come in."

Lele got up quickly and walked out. The middle-aged man just walked in.

"I'm his agent."

Chen Cang nodded and asked, "Well, hello, I have a few questions to ask, and I hope you can cooperate."

The man hesitated for a moment and then nodded: "Well, Director Chen, you said."

Chen Cang frowned: "Can you sign? The patient's symptoms are unknown now, and he may need to be in critical condition."

The man took a deep breath: "I'm his father too!"

Chen Cang nodded: "Okay, Lele will bring the notice of illness and the notice of critical illness."

...

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ps: Thanks for the 20,000 reward from "Hua Hua Prodigal Son", and the 10,000 reward from two friends, "Pen and Ink Book Danqing" and hushengayi.

This story is rather complicated to write, and it has been revised several times.