Doctor Started a Plug-in

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When Liu Quan left, Chen Cang sat down next to Ma Yuehui.

Sighed again!

Seeing this, Ma Yuehui was suddenly out of luck, and said sourly: “Doesn’t this “Department of Thoracic Surgery Yearbook” have to know you? Why sigh again!”

Chen Cang shook the head: “Also, being a person can’t be too greedy, “Department of Thoracic Surgery Yearbook” is also ok, in fact…I want “The Lancet” to make an appointment with me.”

A sentence by Chen Cang casually.

The meat was cut when Old Ma cut her nails.

Let everyone write a medical record to press the blank box.

Let Qiao Chengan, who wants to enter the door to chat with Chen Cang, go angrily.

Let those who are jealous and uncomfortable to see Chen Cang clench their fists more and more!

“You hear, is this a human word?”

Is this something that someone changed to say? ? ?

What is the “Department of Thoracic Surgery Yearbook”?

Is that industry TOP1?

That is the authoritative journal in the field of Department of Thoracic Surgery, you said it is okay?

“The Lancet”!

Why didn’t you find “cell”, “nature”…

Everyone had anger in their chests, even Old Ma rubbed his chest, feeling that his vitality was not good. He felt that he had some hyperplasia. If he did not vent, he might even move towards the direction of the nodule.

pissed off!

This Chen Cang is getting less and less ridiculous.

Pooh!

Old Ma’s complexion flared up, filled with indignation!

However, one of the biggest advantages of Old Ma is that he has no brains. When he saw Chen Cang looking at the paper, he suddenly thought about it.

“Little Chen, look…Can I add a name?” Ma Yuehui looked at Chen Cang expectantly.

After Chen Cang heard it, he was surprised for a moment: “Can the real name appear in the Patient in the paper?”

Everyone around almost spurted laugh!

Ma Yuehui continuously admonishes himself that he is not angry but not angry, and is angry and has no good meal.

Just when Ma Yuehui was quick witted in an emergency, 120 sent a Patient.

Old Ma couldn’t take a joke, put away his smiley face and quickly got up to welcome him, and Chen Cang followed closely from behind.

“Patient, male, 51 years old, with acute abdominal pain and severe chest area discomfort for a week, aggravating one day…”

The doctor who followed the ambulance hurried to repeat the medical history.

Seeing this, Old Ma hurriedly greeted the nurse to push the bed and began to transfer.

Patient is conscious at this time, but… it is obvious that his eyes are apathetic, and even a little dull.

Following the man came an old man in his 70s and an old woman of the same age.

The two helped each other to get down from the ambulance, which took a lot of effort.

After coming in the emergency room, the old lady looked at Ma Yuehui with a worried expression: “Doctor, save my son! He… is a pitiful person…”

Ma Yuehui quickly nodded: “Okay, rest assured!”

Later, Ma Yuehui made a wink at an elderly nurse at the nurse station, warned repeatedly: “Aliu, take care of the elderly.”

The nurse was nodded and quickly got up to appease the elderly.

In the emergency department, something wrong happens often.

For example, if a mother comes to send a child to see a doctor, the child’s situation does not matter, and the mother is scared.

Ma Yuehui has a lot of experience in emergency department. Although carefree or even careless on the surface, it is actually careful and can even think of things that others can’t think of.

When Yu Yonggang took the sharp knife group to participate in the international emergency rescue competition, Old Ma really made a credit!

Chen Cang saw this scene and naturally learned it.

After Ma Yuehui pushed the man into the rescue room, he quickly asked, “Where do you feel uncomfortable now?”

The man’s eyes were dull: “I…feel stomachache, here…not comfortable!”

The man gestured his stomach and lower sternum.

Faced with this situation, Ma Yuehui’s first reaction was not abdominal pain, but an electrocardiogram. Moreover, when the Patient was 51 years old, the first consideration was to rule out the possibility of myocardial infarction.

There are often a lot of patients coming to the emergency department. It seems to be a stomachache, but it is actually a heart problem.

Therefore, Ma Yuehui quickly said to Xiao Ke: “Xiao Ke, electrocardiogram, quickly pull one.”

After speaking, it is to bring oxygen to the patient.

Then wait patiently.

At this time, nurse Aliu also went through the procedures to help the elderly and took the men’s medical books.

Old Ma looked at it, frowned and thought about it, and then handed the medical record book to Chen Cang.

After Chen Cang opened the medical record book, the response was exactly the same as Ma Yuehui!

The man was 51 years old and divorced after his wife was derailed 5 years ago. The child died in a car accident that same year. Later, the man developed post-traumatic stress disorder, borderline personality disorder, and schizophrenic emotional disorder.

Seeing this, Chen Cang looked at the unshaven middle-aged man, recalling the old man’s words, unable to bear sighed, also a pitiful person.

Ten years ago, abdominal surgery was performed due to foreign body swallowing: exploratory laparotomy + ten 10 finger resection.

In the next 3 years, because of postoperative adhesions, intestinal adhesions and small intestinal obstruction occurred one after another.

No previous history of Cardiovascular, no history of infectious disease, physical examination of parents, no family genetic disease was found.

Oral droperidol melitricine tablets (Delixin)…

Chen Cang probably finished reading the medical history, and had no time to think about it. The electrocardiogram came out.

Old Ma saw the complexion changed suddenly!

Originally, he has now denied Cardiovascular disease, suspected to be a obstructive lesion of the gastrointestinal tract. After all, men have a history of this disease before, and they should still be considered.

but!

See ECG results show: Acute Myocardial Infarction!

Although Old Ma does not have the habit of looking at machine diagnosis, at this time, the electrocardiogram prompts the ST segment arch to be raised, the ST segment of the lower wall of the heart is too high, and the two-way T wave can be seen in V2V3…

You can even see that this is a typical electrocardiogram of myocardial infarction.

Thinking of this, Old Ma instinctively prepared a series of medical orders such as anticoagulant thrombolysis.

And when Chen Cang saw the film at this time, he was stunned.

Is it really a heart attack?

but……

If it is a myocardial infarction, it can’t be delayed at all, and anticoagulation and thrombolysis must be performed as soon as possible, or even interventional treatment.

Because myocardial infarction can always be a life threatening.

but……

See that men have no symptoms of acute Myocardial Infarction.

Is it…

Old Ma is also a little puzzled.

In the emergency department, there are too many strange diseases.

Old Ma and Chen Cang glanced at each other and saw a lot of puzzlements in each other’s eyes.

Chen Cang picked up the electrocardiogram again. At this time, he looked at it carefully. It seems… this is a bit abnormal?

Chen Cang found some differences!

Subsequently, the physical examination began, no heart murmur was heard, the lower abdomen was soft and there was no Penglong, and the left upper abdomen was slightly tender…

“Just check the heart markers, and then go for a flat abdomen. This is fast, and it won’t delay much time.”

After all, sometimes the ECG will lie.

Old Ma nodded, agreed.

If it is in the small Hospital, it will definitely be treated for heart disease, but here is the Beijing emergency center Hospital, Ma Yuehui experienced and knowledgeable, he also raised doubts.

Soon, 2 people personally pushed to make abdominal plain film.

The result is coming out!

There are multiple shadows of scattered foreign objects in the left upper abdomen.

……