Doctor Started a Plug-in

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The woman is only in her 20s and starts crying when she comes in!

“Save the child, I beg you.”

At this moment, looking at this child’s appearance, it is really terrifying, look pale, no trace of blood, lips cyanosis, shortness of breath, and the most important thing is to have passed out!

The woman was terrified. She had taken the child to the playground for a while, and it became like this when she returned.

Thinking of this, Qin Fang panicked 10000 points!

Qin Fang is not a Beijing person, but working in Beijing with a man. Qin Fang does housekeeping for men and men drive taxis.

After 3-5 years of hard work, I finally saved a sum of money and repaired the house in my hometown.

The child has been staying in the rural hometown of Beihe Province and is taken care of by grandfather.

There are many such families in the country, which is not a rare thing, but parents and children do not meet for a long time, causing children to be a little strange to their parents.

This frustrated Qin Fang and her husband.

Both of them have no culture and want to earn more money to give children a slightly better future.

However, after returning home from the Chinese New Year this year, Qin Fang discovered that after seeing the two of them, the child even started to dodge, a little more rusty and distant.

This is undoubtedly a heavy blow to mother Qin Fang.

During that time, Qin Fang and his wife reflected for a long time.

Thinking about it, it’s too little time to accompany the child, and I don’t know enough about the child. So the couple decided to try to stay with the child and rent a slightly bigger house. It doesn’t matter if they spend more money. It’s a big deal, don’t let child be left behind!

To put it bluntly, as a parent, I hope the child is good!

When I came to Beijing half a month, 2 people looked at child’s smiling faces more and more, and they were also unable to bear to be happy.

Fortunately, there is no waste in vain.

The 5-year-old child was shocked and curious from the small village to the international metropolis. Today the couple took a day to take the child to the playground to see how long the playground on TV is. What does it look like!

You can also look at the ferris wheel and take a roller coaster ride…

However, the original happy thing, after the child came down from the jumping machine, Qin Fang suddenly found that the child’s breathing was more and more rapid, touching the chest and said: “Mother, I am uncomfortable, so uncomfortable!”

This time, two people, Qin Fang and his wife, were taken aback!

Where 2 people still have a mood to play, this quickly took the child to Hospital.

Along the way, child’s face became paler, and Qin Fang was worried, and he was about to arrive at Hospital. The child suddenly fainted!

This time Qin Fang was crying!

A woman in her 20s, where did this happen!

I was in a hurry and worried.

I have been complaining about myself along the way, and I have not paid attention to the child.

At this time, a man about 30 years old also hurried in.

“Doctor! Please, save the child!”

“Some money must be saved!”

Chen Cang nodded said to Qin Fang: “You can rest assured that we will definitely try our best to cure this, this… you come in, I will ask a few questions!”

After finishing, Qin Fang restless followed Chen Cang into the rescue room.

The man outside waited anxiously after finishing the formalities.

Chen Cang looked at the situation of the male child at this time, and it was clearly caused by ischemia and hypoxia!

And these symptoms are nothing more than a few diseases, but… how old is the child?

Is it congenital?

“Sister Yang, help the child draw an electrocardiogram!” Chen Cang said to the nurse.

Then asked Qin Fang: “How did the child get sick? What are the incentives?”

With tears on his face, Qin Fang said with tears: “I took him to the amusement park and made roller coasters. When I came down, I suddenly told me that my chest hurts and I was uncomfortable. Then I sat on the stool and gasped. …”

Hearing Qin Fang’s words, Chen Cang sharply captured a few key words.

Chest pain, sitting breathing, difficulty breathing.

Is it heart failure?

At this time, the electrocardiogram had not yet come out, and Chen Cang hurriedly looked at the child’s hands, feet and eyes, and there was no sign of puffiness.

Then Chen Cang put his hand on the position of the strongest point of the apex beat, and suddenly felt the pulse strengthen significantly!

And, this is…lifting pulse?

This clue made Chen Cang’s eyes shined suddenly!

Afterwards, he quickly put his hands gently up, and really felt a tremor of the heart during systole!

Suddenly, Chen Cang thought of a disease: “2 mitral regurgitation!”

But the child is so big, the probability of rheumatic heart disease is extremely small, it may be congenital heart disease.

Then Chen Cang took out his stethoscope and listened in the heart area!

As expected, Chen Cang heard a loud, coarse, high-pitched, long duration systolic blow-like murmur accompanied by a hyperactive S3 sound in the apex area!

This is a characteristic sign of 2 mitral regurgitation!

Since it is 2 mitral regurgitation, the significance of the electrocardiogram may not be significant.

But at this time, the electrocardiogram also came out at this time, Chen Cang took a look, in fact, he felt that it should be a basically normal electrocardiogram.

Because the patient’s ECG of 2 patients with incomplete mitral regurgitation is normal!

However, when Chen Cang received the ECG, the complexion suddenly changed!

This is not only a normal, but also a serious abnormal ECG!

What Chen Cang saw at this time was a sign of left atrial hypertrophy and left ventricular hypertrophy!

Chen Cang unable to bear frown!

This means that the 2 mitral valve insufficiency is already severe, and combined with the current child situation, it is already very poorly tolerated and may need to be completed as soon as possible.

but……

Chen Cang has a problem. With such a thickened left atrium and ventricle, the child’s attack is definitely not one or two times, right?

Don’t even the family members know?

Thinking of this, Chen Cang said to Yang Jie: “Go call Dr. Xin and let him do a 4D UCG (Echocardiography) for the child!”

At this time, compared with other examinations, 4D echocardiography can be seen most clearly, and even the grade can be judged!

Yang Jie was nodded and got up quickly.

While Chen Cang looked at Qin Fang, unable to bear said: “The child’s condition is more serious, belonging to 2 mitral insufficiency, and according to the current situation, it may also be accompanied by heart failure.”

“But! It’s definitely not the first time this has happened to child. It will even happen frequently. Haven’t you paid attention?”

After hearing Chen Cang’s words, Qin Fang stood there directly and was a little dumbfounded!

“I…I don’t know…” Qin Fang was filled with guilt.

Chen Cang unable to bear shook the head: “The child has not been traumatized or otherwise? Have you had any illness before?”

Qin Fang was stunned!

Suddenly, she found that she knew nothing about child, and even such a basic question was difficult to answer.

Child’s disease, child has not been injured, what exactly has child encountered, as a mother, she knows nothing about…

Tears of self-blame flowed continuously from the eyes, regret and regret filled the heart.

Are you a qualified mother?

Seeing Qin Fang cry like this, Chen Cang is also unable to bear sighed…

Just wait patiently for Dr. Xin to check.

4D echocardiography can observe the structure and activity of the 3 cusp valve leaflets in the 2D direction, and can more intuitively observe the starting position, direction and shape of the reflux beam, which is of great help to the diagnosis!

After a successful injection of contrast medium, the examination begins.

But the more he did it, the more Dr. Xin’s eyebrows were locked, and cold sweat oozed out!

“Dr. Chen, the situation is not so optimistic!”

Hearing Doctor Xin’s words, Chen Cang suddenly froze: “What’s the situation?”

Xin Rong is a female doctor in her 30s. She looked at the results at this time and was a little uneasy and uneasy!

“You see, the contrast agent of the first systolic regurgitation has reached the entire left atrium, and the contrast agent can be seen in the pulmonary veins… this is already a 44 degree reflux, no wonder it causes coma!”

After Chen Cang heard it, it was also a complexion changed!

4 degree reflux?

so serious!

Need to organize surgery as soon as possible!

By this time, Xin Rong had typed out the report: “Yes, it is congenital mitral regurgitation.”

“And, or 2 mitral regurgitation with stenosis, but the overall valve movement is still good, the anterior leaf is uniform, and the flexibility is good!”

After seeing the report, Chen Cang was very happy, and it seemed that no artificial valve replacement was needed.

For such a large child, using artificial valve replacement is a very troublesome thing.

Chen Cang looked at Qin Fang and said: “The child is in a critical situation and needs immediate surgery. Please sign as soon as possible.”

After Qin Fang heard it, he quickly nodded: “Okay, sign, Doctor, I listen to you. You can do anything you want, please beg your child.”

Qin Fang was almost desperate at this time.

Child has such a serious disease that he knew nothing about himself as a mother, which is too negligent!

Thinking of this, Qin Fang took a deep breath, full of regret.

And Chen Cang quickly said to the nurse:

“Blood test,”

“Inject digoxin to strengthen your heart!”

“Inject enalapril to reduce reflux!”

……

“Notify Operation Theatre to be ready!”

Here hurriedly started to prepare, and Chen Cang looked at the report of the 4D echocardiogram, unable to bear was lost in contemplation.

This little Patient…

The situation may be special.

At such a young age, there is such severe heart failure, ventricular hypertrophy, and atrium enlargement. If extracorporeal circulation is used, it may not be good for future development.

Or… use 2 mitral valvuloplasty without stopping the heart?

Thinking of this, Chen Cang be eager to have a try!

At this time, Ma Yuehui, who was participating in the rescue of the Patient outside, suddenly felt that a cold wind came from the back and could not bear to tremble.

Ma Yuehui shook his head suddenly, what happened?

“His mother, has he been so imaginary lately?”

……

……

ps: There is only one chapter tonight. I can’t finish Chapter 2 and I have a headache.