Doctor Started a Plug-in

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Looking at Zhang Peiyi and Hou Liang and the others who hurriedly arrived.

Chen Cang knows all.

Nodded one after another: “Director Zhang, Director Hou!”

Zhang Peiyi quickly said, “Professor Chen, what’s going on?”

Chen Cang took a deep breath, and his face was a little dignified, but he didn’t say the diagnosis directly, but asked: “Did Patient eat aspirin recently?”

“That’s right!” Hou Liang was nodded directly. He looked at the medical record and it read!

After Chen Cang heard it, he was directly nodded: “That’s right!”

“What do you mean?” everyone asked, staring at Chen Cang.

Where do they know the impact of eating aspirin!

Even the Patient is a little ignorant!

I… what’s wrong with me?

Chen Cang directly took out the Patient’s inspection slip.

“When the patient was admitted to the hospital, the diagnosis was mainly platelets as high as 723, which was scary, and the flu, infectious diseases, liver and kidney function are normal, but these simply cannot explain the tenderness of the liver area of ​​the patient.”

“I saw Patient B ultrasound, fatty liver is not enough to cause these abnormalities, there must be acute liver injury.”

“And what’s the reason? I analyzed Patient’s condition, he had obvious lymphadenopathy, and had acute fever and mild macules before admission. Although these are insignificant, they are indeed the key factors!”

After finishing, Chen Cang stared at the man and said, “Go to bed and lie down!”

Patient was unconscious and had to go to bed.

Chen Cang started a physical examination: “Look, the bilateral conjunctiva is somewhat congested, there is no exudate, the lymph nodes in the neck are large, and there are spots on the body!

“According to the Japanese diagnostic criteria for Kawasaki disease, fever with the above symptoms can already be diagnosed as Kawasaki disease!”

Chen Cang’s words directly cool everyone’s back!

Zhang Peiyi and Hou Liang glanced at each other, and saw anxiety and fear in each other’s eyes!

Bean big sweat beads keep seeping out!

Even expression is a bit panic.

“The most important thing is that Patient’s elevated platelets are both the cause of angina pectoris and the result of Kawasaki disease!”

“However, it is still not the case that firmed my mind!”

“It’s aspirin you give to the patient by mouth!”

This sentence froze everyone’s words!

Chen Cang is a Perfection Level for the clinical analysis of emergency medicine and medicine poisoning!

He directly said: “There is a clinical analysis of Clinicalandenperimenal that clearly pointed out that aspirin is easy to cause serious liver damage during the treatment of Kawasaki disease!”

“So, you need to check the function now!”

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

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

During the waiting period, they also quickly performed a physical examination on the Patient.

During this inspection, they found that… things might really be moving closer to Chen Cang!

And the Patient is also blinded!

In fact, all this cannot blame the medical staff.

It’s the Patient who conceals the relevant condition because of some details.

It is not important to avoid talking about fever.

In fact, the diagnosis process is often based on a lot of trivial details.

Patient is really a little scared at this time: “Professor Chen …… Then why did you just say I need surgery!”

The directors around also stared at Chen Cang, I don’t know why!

Does Kawasaki disease need surgery?

Chen Cang unable to bear said: “Look at this picture!”

While speaking, Chen Cang picked up the chest radiograph and CT.

“Look, although the Patient hasn’t perfected the inspection to do CTAblood vessels imaging, but! You look at these 2 films.”

“Actually, it seems that there is not much difference, but join you to see the basic disease of Kawasaki disease, you see here!”

While speaking, Chen Cang pointed to Patient’s big blood vessels, and disabled to bear asked: “Don’t you think there is a slight change in size?”

“And here…”

While speaking, Chen Cang started to point out every slight change.

As Chen Cang pointed out, everyone looked dull.

Because… this is a bit scary, right?

“Professor Chen … what do you mean?” Xu Aiming asked directly!

Chen Cang nodded: “Aura dissection aura performance!”

After Chen Cang made the answer clear, everyone was silent!

Aortic dissection…

Chen Cang explained: “Well, Kawasaki disease causes the most damage to coronary arteries, followed by the aorta, abdominal aorta, carotid artery, and pulmonary artery!”

“We can see some shadows through CT of the lungs, we can judge that there may be nodular arteritis in the Patient, thickening of the intima of blood vessels, here… and here…”

“I judge that Patient is still very dangerous at this time!”

“Slightly leads to coronary thrombosis, leading to myocardial infarction!”

“The intima ruptures and the aorta ruptures directly, causing the patient to die!”

“I now judge that the condition of Patient’s scraping endocardium is very bad, it is better to have surgery as soon as possible!”

After Chen Cang finished speaking, he frowned!

After the patient heard Chen Cang’s words, the whole face was scared green!

Is it so scary?

Thinking of this, Patient looked at Chen Cang: “You scared me, are you? Professor Chen?”

Chen Cang took a deep breath: “I hope my judgment is wrong!”

Patient quickly nodded: “Well, I hope…”

Ignoring the silent phrase: “I wish…”

However, the voice did not fall, this time the laboratory called.

“Patient this Wang now has alanine aminotransferase up to 941, and aspartate aminotransferase 819!”

With the emergence of 2 indicators, all complexion suddenly changed!

This evidence may prove that Chen Cang’s reasoning is correct!

Chen Cang’s face was low and he said, “Hurry up to be a CTA!”

Afterwards, he said to the Patient: “Hurry up with your family and tell them that you need to prepare for surgery as soon as possible!”

Hearing this, Patient forced himself to calm down.

It’s really not a time for panic, but…

It is fake to not panic!

Soon, the CTAblood vessels of the Patient came out, and at this moment, there were damages to the inner wall of many blood vessels of the Patient’s aorta and pulmonary artery, and it is likely to form a dissection of blood vessels, and because of the presence of Kawasaki disease, the Patient may directly skip the dissection. , Causing blood vessels to burst!

For a while!

Tensions of busy and deployment work began throughout the office.

No one dares to relax.

Hou Liang frowned at this moment and said: “Professor Chen, we don’t have the ability to perform aortic replacement surgery! And there are so many arteries…”

In a word, say what Zhang Peiyi and the others are saying!

At this time, Chen Cang nodded said: “I’m coming!”

The crowd immediately turned to stare at Chen Cang.

Full of excitement!

Professor Chen can bring hope in despair!

……

ps: sorry, late update.

The meeting ends on the 12th, and I will probably resume normal updates on the 13th.