Chapter 553: : Too evil!

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Bai Jianming's words are not wrong. For these temporary diagnosis is not clear, but patients with minor problems, it is more appropriate to transfer.
After all, if the patient's condition is stable, free up emergency resources as soon as possible to make room for those who need to be rescued.
And after arriving at the specialist, they can receive better diagnosis and treatment. Doctors are also specialist doctors, and they spend less money, and the proportion of reimbursement is different.
The cost of emergency department is still relatively large.
However, at this time, Chen Cang frowned while watching the film.
"I ... can I watch the movie?"
Bai Jianming glanced at Chen Cang, and immediately hesitated for a moment, "Little Chen?"
Chen Cang smiled. "Director Bai is good."
Bai Jianming nodded, and handed the film to Chen Cang "Well, here you are."
Chen Cang took the film and watched it carefully. What he just saw behind him was not very clear, but now he is getting closer, but he can see it more clearly.
Indeed, the mediastinal shadows on the chest radiograph were normal, and no significant bleeding was seen.
But ... he found the difference in a subtle place!
After seeing it, Chen Cang couldn't help but say, "Director Bai, I think ... or I'll take a CT and retrograde aortic angiography first, and I'm worried that the patient has a laceration of an anonymous artery."
Hearing Chen Cang's words, Bai Jianming picked up the film and looked up carefully.
But ... not too many distinctive features were found.
Then he looked at Xiao Chen, but he didn't look down, but said faintly, "If the innominate artery is damaged, the x-ray of the mediastinum on the ipsilateral side can be seen widening.
Moreover, the ipsilateral radial and / or carotid arterial pulsations disappeared or weakened, and symptoms such as severe internal bleeding, cardiac tamponade, or tracheal compression could appear immediately. "
While talking, he took Chen to the rescue room, and after checking it, he found that his pulse was normal, not to mention the performance of cardiac tamponade and tracheal compression.
Chen Cang hesitated, was he thinking wrong?
But his chest imaging was perfect!
He vaguely remembers that this film is possible with an innominate arterial rupture.
Thinking of this, Chen Cang decided to remind it.
"Director Bai, in fact, not all unnamed arterial injuries will have significant x-ray manifestations, such as distal injuries. In fact, the pulse can be normal, and the x-ray examination is not characteristic, and the diagnosis is very troublesome, so I still I think we should at least take the ct before we say ... "
Bai Jianming frowned slightly, seemingly not satisfied with Chen Cang's question.
But he didn't speak, just smiled slightly. "Well, I know."
Chen Cang saw that all aspects of blood pressure on the patient monitor were normal, conscious, and said nothing.
Thinking of this, Chen Cang didn't say much, and the reminder was also reminded, but if he had been checked in the emergency department in advance, he would have found early and prepared.
If it is delayed because of transfer procedures, etc., it will inevitably be delayed.
But ... it won't have much effect.
So Chen Cang turned and left, and walked directly to the heart surgery.
Seeing this, Wu Peng gave an awkward glance at Bai Jianming and said, "Director Bai, or ... let's make a ct before talking?"
"Going forward with retrograde aortic angiography?"
Seeing Wu Peng like this, Bai Jianming looked at the patient, considered it, and then shook his head, "It's all right ..."
Just when Bai Jianming was about to speak, Wang Xiangjun came in.
"director!"
"Director Wang!"
Both nodded.
Wang Xiangjun said, "What happened to the patient?"
Wu Peng explained it and then took out the film.
After looking at the film, Wang Xiangjun didn't find anything, but watching Chen Cang left, he asked, "I just saw Xiao Chen coming over. What song did he recommend?"
Wu Peng said, "Doctor Chen means that he should be examined as soon as possible before he can be transferred to another department. He is worried about the injury to the distal side of the innominate artery, saying that the film can't see anything ..."
Bai Jianming smiled. "It's okay, director, I know."
After hearing Wang Xiangjun, he suddenly hesitated.
Although he knows clearly that there is still a big gap between Chen Cang and Bai Jianming's qualifications, knowledge, and comprehensive level, but for some reason, Wang Xiangjun still tends to believe in Chen Cang's choice.
Thinking of this, Wang Xiangjun said, "Xiao Wu, take the patient to do a ct, quickly, to be assured, what really happened is out, and the film comes out to hurry up to the doctor."
As soon as Wu Peng nodded, he quickly turned around and placed a doctor's order, and took the patient for an examination.
The emergency examination is relatively fast, which is equivalent to the meaning of the green channel, and basically does not need to wait in line.
And if you send it to the inpatient department, even if you write "emergency investigation"!
But it is much worse than the emergency department.
When Bai Jianming saw Wang Xiangjun speak in person, he was embarrassed to say more, and waited.
Ten minutes later ~ EbookFREE.me ~ Wu Peng ran over in panting, holding the film in his hand.
After seeing Wang Xiangjun and Bai Jianming, he said anxiously, "There is really a problem!"
When they heard that, their faces suddenly changed!
I hurriedly took out the film and saw that it really saw a difference!
After seeing Bai Jianming, he was a little dumbfounded. This ... the department was guessed by Chen Cang!
wrong!
This should not be guessed, Chen Cang must have seen something strange on the X film.
But ... this x-ray is basically normal!
Is there any detail I haven't found?
Thinking of this, Bai Jianming couldn't help but feel a little scared. Fortunately, he had to do an examination in time. If the patient is transferred, the patient may not be in danger of life, but ... there will be too much frustration and confusion.
Well now, you can take it easy!
Organize surgery in time!
Thinking of this, although Bai Jianming was unwilling to admit it, his heart was full of curiosity and admiration for Chen Cang!
This little Chen is really ... something.
In fact, the reason why Chen Cang did not name is because it is not statistically significant. X films are normal, but there are some subtle differences that can be used for reference. After all, Chen Cang is countless. After watching too many x films, ct, A thorough understanding of these details!
And Wang Xiangjun took a deep breath!
Xiao Chen is too wicked, right?
Can this be found?
Wu Peng saw the appearance of the two, and his heart was full of turbulence. Chen Cang was not too many years old. He was not as good as Director Bai in his forties.
But the iron evidence is in front of me, which makes people regretful.
Doctor Chen is too good, right?
The three looked at each other and saw the emotion and happiness in each other's eyes.
Wang Xiangjun said immediately "Check the blood and prepare for surgery in time."