Chapter 703: : The clue is clear

Lao Yang drove a life-saving ambulance from Jinbei Grace to Mercedes-Benz 416. The changes in the car have also witnessed the development of EMSS in Ammonium City in recent years.
This time out of the old Mercedes-Benz 214, the power is sufficient, the top speed is 200 kilometers per hour, and the same fuel consumption is considerable.
This car is not cheap at all. A set of original Mercedes-Benz series ambulances cost more than 1.4 million. This is still standard!
Of course, it is definitely not only the price of the car, but also professional equipment such as oxygen supply equipment, air disinfection cycle support, ECG monitoring, ventilator, defibrillator ...
Generally speaking, those who can make ambulances are not necessarily luxury manufacturers, but they are basically reliable. The domestic gold cup is also considered an old brand.
But ... the defects of the Mercedes-Benz 216 are also obvious, the shock absorption is general, the rescue in the city, very slippery!
But following this mountain road, Chen Cang feels that he is a little bit floating ...
Mercedes-Benz's performance cannot be fully exerted, and even the degree of steering and flexibility is not as good as the domestic Jinbei.
The rescue on the mountain road is actually a great test for the ambulance driver!
Xiao Xiaolin sat in the co-pilot, and Chen Cang sat in the back of the car.
The dean of Tongnanqiao Township Health Center had waited at the door and saw Chen Cang and others coming down. He immediately looked happy, and hurriedly greeted him!
"Good expert!" The Dean was very enthusiastic, and one expert at a time made Chen Cang a bit uncomfortable.
After a cold greeting, he walked directly into it.
发展 The development of the township hospitals here is not bad. The four-story hospital building looks quite like that.
Chen Cang went upstairs with the dean, while Lao Yang turned his car around and prepared for transportation.
Generally, if he and Chen Cang go to the clinic, he will follow up to help. Like this situation where there is no shortage of manpower, Lao Yang does not like to intervene.
Xiao Xiaolin cleverly carried the rescue box and followed Chen Cang closely.
几年 For several years of emergency department work, in fact, Kobayashi's ability is no longer just a nurse. To be honest, Kobayashi's rescue ability may be above the current dean.
The second floor is the Department of Cardiology, after the group entered the ward.
Chen Cang also finally saw the patient. The 71-year-old lady was lying on the bed at this time, the bed was shaken, her breathing was short, and her breathing was constant!
The stunned and sleepy eyes remained closed, and the slightly rough and short breathing sound did not know whether it was a snoring sound or something.
带着 With an oxygen tube on the nostril, pale and painful!
At the first glance of Chen Cang, I felt that things didn't seem as simple as imagined!
I thought of this, Chen Cang first thought of the possibility of heart failure.
Elderly patients with acute myocardial infarction may have acute heart failure during an attack.
The doctor on the tube bed is a young man who is not as good as Chen Cang in the first grade, but depending on his greasiness, the working time should not be short.
But Chen Cang naturally doesn't need to have too many demands on others. After all, to be honest, there are not many young people who can come to the hospital now. What more requirements can there be?
Cang Cang originally wanted to ask about the situation. After thinking about it, he walked to the old man's bed first, opened the quilt, and looked at his legs and feet.
She's family is a rural woman. She should be a daughter-in-law, but she is very considerate.
Generally speaking, patients with right heart failure will have edema, but the old man has no signs, no leg swelling, and there are not many signs of edema on his face.
沧 Cang Cang saw the old man sitting and breathing, but in the beginning it didn't feel like a patient with right heart failure.
I feel like a more typical left heart failure, after all, typical breathing difficulties, sitting and breathing.
Cang Cang didn't continue to check, at this time the old man opened his eyes and saw Chen Cang smiled.
This is an old lady who laughs very kindly and kindly.
沧 Cang Cang looked at the old man and couldn't help but asked a few simple questions first, such as how old he was, and how well he slept.
The old man answered clearly.
沧 Cang Cang nodded secretly, with clear consciousness, normal thinking, and clear mind. This is a lot of relief.
Chen Cang started to continue to inquire about the medical history.
I had a sudden myocardial infarction seven days ago and was taken to the hospital in time. I started to have difficulty breathing yesterday morning and was able to lie flat. It was just half-lying and comfortable. The whole person seemed restless and a little restless!
Chen Cang comforted the old man first, and then asked his family members to lie down.
Cang Cang picked up a stethoscope and started auscultation!
典型 The typical systolic murmur can be heard at the apex of the heart, and there is a wet murmur at the bottom of both lungs!
Cang Cang frowned suddenly!
its not right?
This is not a sign of heart failure?
At the beginning, according to the description of the old man and the expressions of his family, all signs were developing towards left heart failure.
But after listening to Chen Cang, although it can't be ruled out, this should not be the main reason!
I thought of this, Chen Cang asked Xiaolin to take a blood pressure and blood oxygen.
"Blood pressure 120 / 80mmHg!"
"Heart rate 100 times per minute!"
"Blood oxygen 95!"
Chen Cang looked at the old man: "Have you ever had a heart attack before? Or high blood pressure ..."
The old man shook his head.
His daughter-in-law also said, "The old man's body had been tough before, and he had five sons and two girls!"
Cang Cang has stopped, seven brothers and sisters, although they can't prove anything, but this body should be good too!
When thinking of this, Chen Cang turned to look at the doctor on the bed, "Give me the medical records."
The doctor in charge is also very cooperative: "Okay, wait a minute!"
Not long after, he came over with the medical record folder.
沧 Cang Cang saw seven or eight ECGs like this ~ EbookFREE.me ~ Every day, both of them were typical ST-segment arch elevation and typical acute MI waveform when admitted to hospital.
But ... in the next few days, an electrocardiogram was taken every day. Although the chest pain was relieved, the patient's st segment did not fall back.
What the is going on?
If you cannot make a clear diagnosis now, you will definitely not be on the road!
At this time, the children of the old man also came. Five men came in. Chen Cang turned around and looked at the tall men, and suddenly felt that this was also the pride of a mother.
"Doctor, send ammonium quickly," said the older man.
沧 Cang Cang shook his head: "Wait a moment, now the elderly are unstable and have a long way to go. I am worried about the problem. I must stabilize the symptoms, and at least I must make a clear diagnosis!"
When the Clan's family heard Chen Cang's words, they stopped speaking.
In the eyes of the villagers, the experts from other provinces and cities are definitely right, but they are still unwilling to be smart.
Conversely, the kind of doctor who takes Baidu's weapon to confuse doctors is even more headache!
At this time, Chen Cang put his hand on the strongest pulsating point of his heart, and continued to feel some tremors? !!
信号 This signal suddenly made Chen Cang overjoyed!

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