Chapter 313: : The Test of Meng Xi

Department of Cardiac Surgery, First Hospital of Dongda University.
At 9:12 in the evening.
Through the window, you can see the prosperity of the city.
Chen Cang followed Ge Huai and Meng Xi just returned to the doctor's office from the operating room. From 6 pm to the present, Ge Huai followed Meng Xi to perform two operations. To be precise, it was Ge Huai who helped Meng Xi to do Taiwan surgery, as far as Chen Cang ... Chen Cang's assistants are not counted, at most count as eye assists.
Chen Cang found that the higher the degree of participation in surgery, the more likely he was to
learn
the skills of the surgeon.
Not to steal, but to learn.
The probability of five percent seems very high, but during this time Chen Cang estimated for a long time, this proportion will change.
If you have a high degree of participation, and you have worked hard for this operation, and have made a lot of efforts, you will have a high probability of the operation, such as the original phalanx fracture operation.
But this kind of eye assist is really annoying, and the percentage of people who want to acquire skills is too low.
In fact, it is not Chen Cang who does not want to do anything, Chen Cang also wants to ...
But in the final analysis, it is mainly because of the mistrust between Meng Xi and Ge Huai.
After all, you, a student, want to get started in the first few days. This is very unlikely. Everything requires a gradual process.
This makes Chen Cang feel very helpless. After all, if he doesn't get started, there is no way to learn surgery. See ... I can learn a fart.
Surgery, hands-free, how to learn technology!
And there is no way to increase favorability!
Favorability is now stuck at 20 and cannot be improved.
Chen Cang is a little confused. This skill is all obtained by favorability. What does his 20-point favorability do?
Cardiac surgery, as a more specialized department, is basically a third-level operation, and a first-level operation ... This is not a bullshit!
Chen Cang felt more and more that he was deceiving him.
...
...
The three were sitting in the doctor's office, and Ge Huai excitedly told Meng Xi about the operation, while Meng Xi listened, said little, and occasionally nodded or commented.
And ... Cang Cang's participation is extremely low, and the sense of existence is meager ...
The so-called don't understand bb, Chen Cang implemented this theory very well.
Seeing that the operation was over, and it was not too late, Chen Cang estimated to get up and leave.
Just as Chen Cang was about to leave, the doctor's office phone rang, and Ge Huai hadn't had time to answer the call. The call sound had stopped, it should be that the nurse's station had picked it up.
The doctor's office phone and the nurse's station phone are connected.
A minute later, the nurse came in, looked around the office, saw Meng Xi and others, and said curiously, "Director Meng, who is on duty today?"
Meng Xi shook his head and looked at Ge Huai: "Doctor Ge, who is on duty today?"
Ge Huai quickly walked to the surface of the watch and looked at it, "Today is Doctor Yao. I see if I have to change the medicine."
Meng Xi shook her head: "No need."
After speaking, Meng Xi looked at the nurse: "What's wrong? Xiaoli."
The nurse Xiaoli said: "A patient was sent to the emergency department just now, and the chest pain is suspected to be a heart problem. Let our doctor go for a consultation."
Meng Xi got up and walked directly outside: "Let's go."
Chen Cang nodded, and quickly followed Meng Xi toward the outside.
Ge Huai followed Chen Cang and walked down.
At the emergency department, after the nurse saw Meng Xi, he quickly said, "Director Meng, you are here. The patients are now in the rescue room."
Meng Xi nodded and walked inside.
The doctor on duty saw Meng Xi coming, and her eyes lighted up immediately. The female doctor is now a man of great character in the First Hospital of Dongda University.
Not to mention the aura of blessings from world famous schools.
After Meng Xi came to the hospital, most people were convinced by his vigorous style of work, his strict self-interested attitude, accurate diagnosis, and masterful surgery.
Not only are they talented, they look so beautiful, but they work so hard and have strong abilities.
How can such people not be welcome.
Doctor Wu Peng of the emergency department said directly, "Director Meng, you haven't finished work yet!"
For these nonsense, Meng Xi did not answer, but directly said: "What is the situation of the patient."
Wu Peng hesitated and said quickly: "The patient was a 51-year-old man who had a sudden thoracic compression pain three days ago! It was obvious behind the sternum, with typical drag and radiation pain. Pain is the main cause and I didn't take it seriously. Today it gets worse ... a bit like a heart attack! "
When these symptoms are said, it is obvious that they are to be taken in the direction of acute myocardial ischemia, like angina pectoris and myocardial infarction in coronary atherosclerotic heart disease.
Meng Xi walked directly to the patient, looked at the ECG monitoring, and then walked to the man, seeing that the man was clearly aware.
"Have you done the electrocardiogram?"
Wu Peng hurriedly took the electrocardiogram in his hand: "Here, it doesn't look like a heart attack."
"Before coming, the patient had taken nitroglycerin orally, but the effect was average, and the chest pain was not relieved."
Wu Peng is not a major in heart disease. He can recognize and distinguish some of the emergency cases of ECG, but can't accurately distinguish those special abnormal ECGs or the ordinary ECGs.
Meng Xi took the electrocardiogram and frowned slightly, it was not typical, but ... no!
Meng Xi suddenly noticed a detail, the shift of the p-r segment.
This is a typical difference from myocardial infarction and early repolarization syndrome!
Is it ... acute myocarditis?
After a closer look, there are no abnormal q waves, and the ratio of st to t is about a quarter.
The onset time is several days ...
All clues point to an answer!
It may be memory pericarditis.
Thinking of this, Meng Xi took off the stethoscope around her neck, put it on, and listened to the patient's heart.
Pericardial fricative ...
Sure enough, there is!
With the ups and downs of breathing and the continuous heartbeat, Meng Xi heard a slow pericardial friction sound.
Ji Youji is pericarditis ~ EbookFREE.me ~ Thinking of this, Meng Xi looked at Wu Peng: "I suspect pericarditis now, but my infarction cannot be ruled out. Has the patient checked myocardial enzymes?"
As soon as Wu Peng heard that it was myocarditis, he immediately responded: "Myocardial enzymes came to the hospital and they were checked. Nothing happened."
At this time, the patient suddenly said, "Doctor, I have some chest tightness, and my breath is a bit hard."
Meng Xi frowned slightly: "Let b over come by the bed to see if there is any exudate."
As soon as Wu Peng heard this, he nodded quickly, and hurriedly arranged for a consultation.
At this time, Meng Xi suddenly turned and stared at Chen Cang: "Are you not in the emergency department? Can you judge acute myocarditis?"
Chen Cang stunned: Who looked down on!
【Ding! Trigger Meng Xi's test, the first ring, analyze the condition! 】