Chapter 714: : Difficult condition!

Time spent with Qin Xiao licking will always be so fast and always so sweet!
I don't know if it's her lipstick or that sweetness is love.
Maybe two people are together.
The love of some professions in life may be really difficult when you meet each other.
Chen Cang and Qin Yue met in a department every day, which was pretty good.
Many family members of doctors come together all year round and spend less than three days a week.
These rounds basically took up a lot of time.
This does not include further education, going to the countryside, studying, attending conferences, etc. Basically, it is really gathering together and leaving less.
There are also other service positions such as military families, police, and so on.
Maybe when the profession gives a special mission, the family must sacrifice it.
On Sunday, Chen Cang took Qin Yue to eat the hot Xiaolongkan at noon, and happily took two cups of milk tea to the movie theater. Qin Yue, who was not addicted, slept in the second game.
Chen Cang put the down jacket on her and looked at her long eyelashes, couldn't help laughing.
After waking up, Qin Yue was refreshed and full of energy again, pulling Chen Cang to go shopping, eating snacks at night, and visiting the night market.
At this time, Chen Cang discovered that she had not been with her for more than a month after going abroad for consecutive matches.
Chen Cang just sent Qin Yue home. Before he had time to rest, a phone call came in!
"Director Chen, come quickly, there is a special patient in the emergency department!"
When Chen Cang heard Lele's voice, he suddenly hesitated: "Okay, wait for me, and go immediately!"
Chen Cang hung up the phone and ran towards the hospital.
I saw many people standing in front of the hospital. After Chen Cang squeezed in hastily, I saw where Lele was waiting, holding Chen Cang's white coat in his hands.
Seeing Chen Cang coming in, he quickly handed over the clothes, and said carefully in his ear: "Doctor Chen, a little star!"
After Chen Cang heard it, he suddenly hesitated.
No wonder the people outside are not dressed properly.
After arriving at the rescue room, several middle-aged men stood outside the door and hesitated when they saw Chen Cang coming in.
Lele quickly said, "This is our Deputy Director of Emergency Department, Director Chen."
The man was relieved: "Director Chen, forgive me, the situation is special, and we don't want to cause too much attention and trouble."
Chen Cang didn't know why, but Lele said: "Director Chen, Dean Qin and Director Li have all gone to the meeting. Today is Dr. Shi on duty."
Chen Cang nodded directly into the rescue room. At this time, let's see what happened to the patient before talking about it!
After entering, a man was found lying on the bed with a monitor on his face, pale, and shortness of breath.
Chen Cang asked quickly: "Mister Shi, what's the matter?"
When Shi Na saw Chen Cang coming, somehow she was relieved.
"Because of the hemoptysis sent to the hospital, syncope began to appear after admission, accompanied by dyspnea, two episodes of epilepsy occurred within ten minutes, and he recovered spontaneously. Now his temperature is 39.2 degrees Celsius.
Chen Cang looked at the man, how he looked and knew ...
Suddenly, he seemed to be a little star singing hip-hop, what was his name ... Yu Yi!
A wild-looking person, a program of "Chinese with Hip Hop" in the past few years has come to the fore and has gradually started to catch fire.
With crazy screams and growls, it attracted a lot of people's attention.
Chen Cang took the medical record and looked up.
Then asked: "Are there any past and family history?"
Shi Na shook her head: "I don't know. I suddenly passed out before asking."
Chen Cang calmed himself, lifted off the man's clothes, picked up his stethoscope, and was about to auscultate.
Suddenly saw a significant expansion of the rib cage!
Suddenly hesitated!
Dilated thorax accompanied by syncope and loss of consciousness, hemoptysis!
These are several important factors. When they are tangled together, they suddenly seem very cumbersome.
What is syncope?
He is a symptom!
Refers to a brief, self-limiting loss of consciousness that often leads to a fall.
Syncope occurs quite quickly, and then spontaneously, completely, and quickly recovers.
The mechanism is a transient hypoperfusion of the brain, which means that the brain suddenly becomes ischemic.
But when coughing up blood and syncope are mixed, this is more complicated.
Coughing blood is usually coughing up from the lungs and respiratory tracts of the throat and below.
Now the patient's vital signs are short of breath, 40 times per minute!
Heartbeat was 95 beats per minute, blood pressure was normal, body temperature was 39 degrees.
Chen Cang asked quickly: "How much hemoptysis?"
Shi Na shook her head: "Not much, less than 20ml, but the reason is yet to be investigated."
After Chen Cang groaned for a moment, he lowered his head and picked up his stethoscope, listening carefully.
In addition to the accelerated heart rate, Chen Cang found a typical arrhythmia!
Pre-phase contractions and supraventricular tachycardia occurred within one minute.
At this time, Chen Cang found systolic pulsations in the second and third intercostal space of the left margin of the sternum!
this is……
This is the closing vibration that touches the pulmonary valve!
...
Just then, suddenly the monitor alarm sounded.
Chen Cang suddenly froze!
Is blood pressure starting to drop?
Why is there a drop in blood pressure?
When he was auscultated carefully, he found that his heart sound was weakened!
The whole process was very tedious, and even Chen Cang was a little clueless.
The patient has too many signs now!
A lot of tedious manifestations in Chen Cang's mind, can not be overwhelmed.
Sometimes the diagnosis is like solving a case.
When the clue is unknown, it feels like a fog, and it is impossible to catch any accurate clue, because any performance may be a clue.
Just when everyone was panicking, blood pressure stabilized!
Chen Cang suddenly hesitated.
Stable?
Although the blood pressure is low, at least it has stabilized!
Suddenly he looked down at the apex of his heart.
The heart rate went directly to 110 per minute?
Chen Cang suddenly checked carefully!
"Pericardial fricatives!"
Chen Cang immediately realized that there was a small amount of pericardial effusion, which blocked the heart's beating and caused blood pressure to drop.
But why do patients have pericardial effusion?
Now there is one more clue.
"Did you have a chest radiograph and ct?"
Shi Na shook her head: "No, just delivered, I just let blood draw."
Chen Cang nodded and looked at Lele: "Let the family come in."
Lele quickly got up and went out, just now the middle-aged man came in.
"I'm his agent."
Chen Cang nodded and asked, "Well, hello, I have a few questions to ask, and I hope you can cooperate."
The man hesitated for a moment and then nodded: "Well ~ EbookFREE.me ~ Director Chen said."
Chen Cang frowned: "Can you sign? The patient's symptoms are unknown, and he may need to be critically ill."
The man took a deep breath: "I am also his father!"
Chen Cang nodded: "Well, Lele brought the notice of illness and the notice of danger."
...
...
ps: Thanks for the 20,000 rewards from "Huahua Linglangzi", and two friends, "Penshushu Danqing" and hushengayi, for 10,000 rewards.
This story is more complicated to write. It has been revised several times. The chapter break is a little embarrassing. Let ’s read it tomorrow.
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