Chapter 704: : 2 difficult choices

Cang Cang said quickly: "Put an ECG?"
Doctor Wu was very cooperative and did it soon.
Cang Cang looked at the electrocardiogram. After comparing with the previous days, he gradually understood everything!
But Chen Cang did not directly say that further diagnosis is needed.
Thinking of this, Chen Cang quickly asked, "Did the old lady have undergone auscultation of the heart when she was just hospitalized?"
After Doctor Xi heard that, she blushed for a while.
Because the hospital records have been written on the admission record, but ... they are basically pasted by template, which has no meaning.
沧 Cang Cang looked at the medical record and asked himself, naturally he knew what was going on, but didn't order it.
How embarrassing it is to be in front of the dean and family members!
The young doctor gave a grateful look at Chen Cang and nodded: "Of course I heard it."
Cang Chen has no doubts, because this is a routine operation for the doctors of the cardiology department, maybe he is too lazy to write in the medical records, but the routine operation of admission must still be done!
He continued to ask, "Oh, did you hear any noise then?"
Doctor Wu heard Chen Cang's question and frowned. After thinking for a moment, he shook his head: "No, it was always good when I came."
Chen Cang: "How about yesterday? Did you auscultate? Are there any noises?"
Doctor Yun did not hide the truth and said: "No yesterday. I saw the situation of the old lady at that time. I was thinking of acute left heart failure and diuresis with strong heart, but ... the symptoms did not seem to improve obviously."
"Called the county hospital, and the other party couldn't figure it out and was afraid to take the old man away."
Speaking of which, the doctor was helpless.
However, this is also a common occurrence. Many times, primary hospitals are unwilling to take risks when the diagnosis is not clear, let alone an emergency patient with acute myocardial infarction + unknown complications.
If something goes wrong, these five sons and two girls will be enough for them to eat a pot!
After Chen Cang heard the doctor's words, the clues in his heart became clear.
At this time, the Dean couldn't help asking: "Comrade Expert, what do you think is the situation?"
After a moment of groaning by Chen Cang, he said, "According to the old woman's electrocardiogram, the ST segment continues to rise. According to the medicine you use, there is no downward trend. I consider that the patient has already developed a ventricular wall tumour at this time!"
As soon as Chen Cang's words came out, several doctors stared at each other.
A little dazed?
What is a ventricular wall tumour?
The term

is a rare term for them at the grass-roots level and has never heard of it.
I thought of this, could not help but blush a little, sighed helplessly.
Chen Cang didn't tangled this problem, because they couldn't blame them, took them out of the ward, and when they arrived at the doctor's office, he said, "I auscultated and found that there was a systolic murmur in the apex and tremors of varying degrees, According to what you said, there was no murmur before, and the source of this murmur is very clear, considering the ventricular septal rupture after myocardial infarction. "
"When the ventricular septum ruptures, left-to-right shunting begins, changing normal hemodynamics!"
The doctor in charge asked curiously, "So ... the patient has no heart failure?"
沧 Cang Cang shook his head: "It is not without, when the hemodynamics change, the amount of cardiac output is insufficient, and the blood flow is changed, resulting in performance similar to acute heart failure."
After I finished speaking, Chen Cang also concluded with a serious expression:
"At present, it seems that the patient is critically ill and may die at any time!"
A word from Chen Cang, the people around him were dumbfounded.
The doctor in charge is a little confused. Although he has not heard of the condition, he can clearly hear the last sentence of Chen Cang!
Severely ill and may die at any time!
This sentence frightened the sons who rushed in!
"Doctor, you must rescue my mother!"
"Yes! Doctor, don't worry about the money, our brothers come together and save my mother!"
Dean Kuang also froze at this time. He knew that the patient was definitely not that simple, but he did not expect it to be so dangerous.
Thinking of this, he hurriedly asked, "Comrade Expert, what should we do?"
After Chen Cang heard it, think about it!
At this time, he is the backbone.
Grassroots hospitals may not have encountered such a situation at all, and they have become somewhat at a loss after that.
Ventricular septal rupture induced by acute myocardial infarction, both of which are fatal diseases, Chen Cang must make effective recommendations.
If you stay, there is no condition for rescue, let alone anything else, the township hospitals don't even have ventilator, let alone extracorporeal circulation machine for surgery.
So disposal here is not feasible at all!
心 There are no cardiac surgery operating rooms in the local county hospital, and extracorporeal circulation machines are unlikely.
The only two options are now in front of you!
Stay, wait for a miracle, and wait for the old lady's signs to stabilize, but in this case, the heart has already undergone an organic disease, and the symptomatic treatment of medical treatment is limited.
But how do you transfer if you are transferred?
The condition is critical, the mountain is high and the road is long. It may be gone in the car at any time!
At this time, both the dean and the doctor in charge heard Chen Cang's meaning.
But the family members quickly said, "Doctor! Can we transfer to the hospital, shall we? Please?"
"Yes, doctor, please save my mother!"
"Looking at her suffering, we feel incompetent when we are sons!"
"Yes……"
Listening to the prayers of the men in his ears, Chen Cang sighed, and the choice was not in themselves, but in them.
When thinking of this, Chen Cang said, "Saving is definitely saved, but we have to think about how to save!"
"This is the situation now. The elderly are in poor physical condition, they are older, and have limited tolerance. But now they have to be sent to the province for surgery. But I have to tell you in advance that the elderly have a successful operation rate. limited!"
"Also, the mountain is high and the road is long. During the process of transportation, there may be danger to life at any time, because the disease itself is unstable, and his development process is like this ..."
After Chen Cang explained clearly, the five sons were silent.
I also started talking.
Chen Cang took this opportunity to make a call to Director Li Baoshan.
主任 Director Li's meaning is also very clear, respecting the opinions of family members.
Chen Cang is not so entangled at this time.
The old lady is too old, in her seventies, has a myocardial infarction, and the ventricular septum is ruptured. In this case, going to the operating table ... To be honest, it may not come down.
Transit, the risk is also great.
After Chen Cang called out his five sons, he told the truth.
The five brothers were frustrated when they heard Chen Cang's words. The boss even had tears in his eyes.
at last!
After a few minutes, after five people discussed it, they made a decision!
"Turn! Be sure to turn!"
Boss Chen looked at Chen Cang: "Doctor, we must be transferred to the hospital. Even if something happens on the road, it is better than waiting for death here!"
"Not only transferred to the hospital ~ EbookFREE.me ~ but also surgery! Even if the surgery fails, we have to work hard for it!"
I said at the end, the boss' voice was obviously a little choked: "As a son, at this time, we all want to do our best, no regrets in the future!"
沧 Cang Cang took a breath and nodded: "Okay! I respect your opinion, you ... go with us for a while."
Boss no hesitation, nodded, he is the boss, he has to take up the family, the old father is gone, he is the elder brother.
If he doesn't have an idea!
In fact, some of the elder brothers and sisters in the countryside still have a very serious idea. Chen Cang also just realized that after the old lady became ill, the eldest daughter-in-law has been taking care of it.
Chen Cang looked at this scene and couldn't help but sigh with emotion. The family, the boss and the daughter-in-law did really different things, making people speechless.
My grandmother made a decision and when she was ready to transfer, her daughter-in-law and his wife said a word, which made everyone stumped!
"The old lady often gets motion sick in the car, is it okay?"
Chen Cang frowned, how could it be fine!
Uh ...
Uh ...
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