Chapter 744 The Last Link!

On Thursday night, Chen Cang's night shift.

An old man walked in crookedly: "Doctor, I want to buy some medicine."

Chen Cang was stunned for a moment, and quickly got up: "What medicine?"

The old man was a little out of breath when talking, and his breathing was a little short.

"Ah...aah...spirin enteric-coated tablets!"

The old man thought for a long time before saying this sentence.

After finishing speaking, the old man continued: "By the way, I still want to do an electrocardiogram, but I've been flustered recently."

Chen Cang looked at the old man's face and was stunned!

The old man is tall, but he is also relatively fat. He walks unsteadily, and it is troublesome to move step by step.

However, this is not the most important thing. The most important thing is that the old man's complexion is yellow and swollen, and his cheeks are dark red!

This may not seem like a typical symptom to others.

However, Chen Cang frowned when he saw the old man talking out of breath, thinking that he wanted to do an electrocardiogram!

Look at his blue lips and dark tongue...

A name is about to come out!

Heart disease!

That is, rheumatic heart disease, the face of the elderly, is a typical mitral valve face, also known as rheumatic heart disease face.

Chen Cang quickly greeted Xiao Lin: "Xiao Lin, help the old man in with me."

Xiaolin put down his work, nodded quickly, and helped the old man into the emergency room.

The old man lay on the bed, relieved.

Chen Cang couldn't help but ask, "Old man, have you ever had any disease before?"

The old man took a few breaths, and Xiao Lin was very discerning, so he quickly brought oxygen.

Then he said: "I... I have heart disease, rheumatic heart disease, for many years."

When Chen Cang heard it, it was indeed the case.

Afterwards, Chen Cang quickly picked up the stethoscope and placed it on the apex of the old man's heart to listen to the heartbeat.

I saw that the heartbeat was fast and slow, and the strength of the heart sound varied.

Suddenly Chen Cang frowned, the old man may have atrial fibrillation.

Not only was there atrial fibrillation, but Chen Cang could hear a gradually increasing rumbling-like murmur in the late diastole at the apex, which is a typical auscultation manifestation of mitral valve stenosis.

Then, at this time, Kobayashi also pushed the electrocardiogram machine over.

An electrocardiogram was pulled.

Chen Cang frowned when he looked at the electrocardiogram.

This situation is not very good. Let's not talk about the problem of rheumatic heart disease. This atrial fibrillation may be a serious condition at any time and induce complications.

Thinking of this, Chen Cang hurriedly said to the old man, "Is there any diseases such as hypertension and hyperlipidemia..."

The old man nodded: "Yes, there are... But I have been taking medicine, and I can control it. I was hospitalized in the fall, and it was a cerebral infarction. After I was discharged from the hospital, I have been taking medicine to maintain it, what aspirin..."

The old man's consciousness is very clear. When he said it, although it was slow, it was orderly.

This is a good thing!

The blood pressure was normal, but Chen Cang felt that he should remind the old man.

But after the old man bought the medicine, he decided to go home and staggered home.

Chen Cang looked at the old man, worried.

And Xiaolin said with a worried look: "Doctor Chen... Will something happen to him?"

Chen Cang frowned: "It's hard to say."

At about 9 o'clock, suddenly the emergency phone rang.

"An old man in Anju Community 9012 suddenly had trouble speaking and was inconvenient to move. He needed immediate rescue."

Chen Cang nodded quickly, and Xiao Lin didn't pause at all, got up quickly, and went out.

The second-line staff on duty also quickly got up to watch the shift for Chen Cang.

Based on the patient's condition, Chen Cang's diagnosis should be cerebral infarction, but hemorrhage cannot be ruled out. As long as the cerebral infarction is not a large vessel obstruction in the brainstem, it is generally not life-threatening, but bleeding is not necessarily.

After the car arrived, Chen Cang, Xiao Lin and the driver Lao Yang went upstairs together.

Chen Cang and Xiao Lin were stunned when they saw the old man!

Isn't this... the old man who just came to the emergency room to buy medicine?

His wife panicked, and after Chen Cang comforted him, he hurried back to the hospital with him.

Just after being sent to the hospital, Chen Cang suddenly heard the system prompt.

【Ding! Chain Quests - The Truth Triggers!

The last part: save the old man, find out the cause, after the task is completed, you can get rich rewards! 】

Chen Cang was stunned when he heard it.

Is this the final mission?

Up to now, Chen Cang has not only considered the rich dungeon rewards, but also what the truth is!

Is VOLB cough water the key cause?

The clues this time have been very straightforward. The possibility of cerebral infarction is 70 to 80 percent, and high blood pressure, rheumatic heart disease... There are so many primitive diseases, the possibility is too great.

It is precisely because of this that it is even more difficult to judge, because even if there is no cough medicine, the elderly are still very likely to get sick.

However, now is not the time to struggle with this, after Chen Cang hurriedly sent the old man over.

Send it directly to the MRI.

The results showed that the patient has multiple ischemic foci in the brain, but these are old, but there is a new acute cerebral infarction in the right frontal lobe!

Generally speaking, brain MRI (magnetic resonance imaging) is the first choice for suspected cerebral infarction, and brain CT is the first choice for suspected hemorrhage. These examinations are more targeted for diagnosis.

Chen Cang called Dr. An from the neurology department for consultation. At the same time as the treatment, the cause of the disease must be found.

When he learned that the old man had rheumatic heart disease mitral valve stenosis, Dr. An also frowned.

Directly told the patient's wife of the old man: "The blood flow in the normal heart is smooth and unobstructed, but when the mitral valve is stenotic, the blood cannot flow from the left atrium to the left ventricle at a normal speed, and the blood accumulates and rotates in the enlarged left atrium. When the flow rate is slowed down, tiny blood clots can form, burying the risk of a stroke."

"At the same time, prolonged mitral stenosis can lead to structural changes in the heart, such as enlargement of the left atrium, which is closely related to atrial fibrillation, the most common form of cardioembolism. s reason."

Now it seems the truth is out.

The patient itself has the reaction of blood viscosity. When the mitral valve is stenotic, thrombosis is easy to form, and the onset of atrial fibrillation directly allows the embolus to have a place to go.

Everything is very reasonable explanation!

At this time, Dr. An suddenly looked at Chen Cang and said, "Director Chen, the acute cerebral infarction should not be considered, as long as the cerebral infarction can improve the blood circulation in the ischemic area as soon as possible, anticoagulation and thrombolysis can be performed at the same time. ."

"But... the most critical issue is the mitral valve."

"The patient's mitral valve stenosis is not treated and the primary disease is not controlled. This cerebral infarction will still occur, and it is not a one or two attack."

When Chen Cang heard it, he nodded. Indeed, according to the old man's words, the autumn has already had two cerebral infarctions.