I Have Unlimited Magic Skills

Dr. Yang saw the critical condition of the patient and acted decisively.

"I'll give you an application for an electrocardiogram first to clarify the cause!"

"Okay, okay! Please hurry up, doctor!"

The patient's son stamped his feet anxiously. Saving people is like putting out a fire, every minute and every second is extremely precious.

Li Quan has been staring at the patient. His inspection technique has now reached the level of Xiaocheng, even if it can't compare with the high-tech electrocardiogram, it is not too far behind.

Through observation, he did not find that the patient had the facial features of myocardial infarction.

If it is a patient with myocardial infarction, blood oxygen exchange will definitely be extremely poor, or even blocked. You should be able to see a dark purple from lack of oxygen, or a slightly darker red on your face.

There are also other physical characteristics of the patient that are not consistent with myocardial infarction.

However, his inspection technique diagnosed that the patient's general lesion was within the cardiothoracic area.

What is the reason that can cause the pain in the patient's chest like a knife?

Li Quan thought hard.

Although the possibility of myocardial infarction has been ruled out, Yang Yu, the attending physician, was on the scene making a diagnosis, so naturally it was not his turn to intervene.

Due to the urgency of the condition, the patient's family members took the examination application form immediately and took the patient to take an electrocardiogram.

After hesitating for a while, Li Quan decided to ask Dr. Yang for advice.

After all, Dr. Yang has far more experience in diagnosis and treatment than him, and has encountered more cases.

"Doctor Yang, if the patient just now didn't have a myocardial infarction, what disease do you think could cause the patient to have severe chest pain?"

"Not a heart attack?"

Dr. Yang Yu handed over the medical records to him to write.

Writing medical records and prescribing medical orders is time-consuming, and superior physicians usually entrust such matters to trusted interns or regular trainees.

"If it is not a myocardial infarction, pneumonia, bronchitis, pulmonary embolism, gastric ulcer... can all cause chest pain. In addition, there are very few nerve tingling in the chest area, chest muscle spasm, etc., which can also cause chest pain. However, this patient's situation, the possibility of myocardial infarction is very high.

After a while, when the electrocardiogram comes out, we will know. "

As expected, Dr. Yang Yu has rich experience and has mentioned a lot of diseases that may cause chest pain.

Not long after, the patient came back after taking the electrocardiogram.

Critically ill patients like this must be checked first.

"Uh...how, how is this possible? It's not a myocardial infarction, nor is there myocardial necrosis. There's not even myocardial ischemia." Dr. Yang Yu broke out in a cold sweat after receiving the checklist.

The more confusing and unknown the disease is, the more dangerous it is.

What kind of disease will it be?

Seeing that the patient was in so much pain that he was almost in shock, Dr. Yang Yu was anxious.

The work in the emergency department is not easy to do, and all kinds of difficult patients can be encountered. If you are not careful, you may miss the best time for rescue due to wrong judgment, and the patient will die.

He suddenly remembered the question Li Quan asked him just now.

"If it's not myocardial infarction, what other diseases can cause chest pain?"

Could it be that this kid has already discovered that the patient is not a heart attack?

Doctor Yang Yu suddenly turned his head to look at Li Quan.

But unexpectedly, Li Quan was staring intently at the patient lying on the emergency bed.

"Doctor Li, have you discovered anything?" Yang Yu didn't care about the face of the attending physician at this time, so he hurriedly asked Li Quan for his opinion.

"I..." Li Quan hesitated.

"Although you can speak freely, even if you are wrong, it's okay. Because the final diagnosis will definitely require further examination. If you find out, you can help me diagnose the patient's illness in advance and buy time for rescue."

Doctor Yang Yu spoke earnestly and took the initiative to dispel Li Quan's concerns.

"May I check the patient's pulse first?" Li Quan asked. "No more than two minutes at most."

He added another sentence.

This is also for family members to agree.

"Can!"

Doctor Yang Yu nodded in agreement.

"Traditional Chinese medicine has great advantages in diagnosis of this disease by checking the pulse. If the focus of the disease can be found, it can buy a lot of precious time for rescuing patients."

The latter words were obviously meant for family members.

Communication between doctors and patients is also a very deep knowledge.

As long as the communication is in place, the understanding and support of family members can be obtained, and many unnecessary doctor-patient disputes can be reduced.

Both family members looked at Li Quan earnestly.

They found that the young doctor had a serious face, a focused expression, and a calm posture in holding the pulse. Faintly revealed a kind of everyone's demeanor.

Involuntarily, their trust in Li Quan increased a little.

"The pulse is like a weeping sound, intermittent, rapid and fierce. I suggest that the patient's blood pressure be measured immediately. The lesion is initially locked in the proximal end of the front chest."

Li Quan's inspection technique had locked the approximate area of ​​the lesion.

Now supplemented by pulse diagnosis, he found that the pulse near the heart was obviously abnormal. It seems that the embankment of the great river has opened a mouth, and the river water is pouring out.

There is a tendency to burst the embankment.

Therefore, he was even more sure that the lesion was at the heart.

Dr. Yang has already measured the patient's blood pressure for the first time.

The patient's blood pressure was significantly elevated.

Considering that the patient has a history of hypertension, it is expected that the blood pressure will be high. If it is purely high blood pressure, it is impossible to cause chest cramps like a knife cut.

"Doctor Yang, try another arm to measure blood pressure." Li Quan suggested.

Doctor Yang Yu didn't understand Li Quan's intention at first, but he did it instinctively.

Blood pressure in this arm is normal.

"Oh, no, the patient is likely to have aortic dissection, which is extremely rare!"

Dr. Yang Yu could no longer maintain the composure of an attending physician, because the disease was extremely dangerous.

"Li Quan, take the patient for a chest CT as soon as possible, and I will notify Director Zhang to come for consultation and prepare for rescue." Doctor Yang Yu quickly opened the examination application form. He looked at the patient's family members again, "If the patient is diagnosed with aortic dissection, he needs immediate surgery. The cost will be very high, and your family members should make preparations immediately."

Hearing this, the patient's wife asked sadly, "Doctor, how much should I prepare?"

"At least it will cost more than 250,000 yuan, and it may reach 300,000 yuan. In addition, the mortality rate of this disease is very high, and our hospital will definitely try its best to rescue it. Due to the high risk of surgery, it may not be possible to save it. Your family members should think about it as soon as possible. .”

Doctor Yang Yu said with a serious expression.

"It takes so much money... how can our family afford so much money... oh my god..."

The patient's wife collapsed directly, covering her face and squatting on the ground crying bitterly.

In this case, doctors are helpless.

Money is not everything, but without money absolutely nothing.

Sometimes, the cost of rescuing a patient is very high, and it may not be possible to save them. This can only be chosen by the family members, save or give up.

Li Quan took the patient to do a chest CT.

The result came out.

It was really a ruptured aortic dissection with massive bleeding.

At this moment, Director Zhang has rushed over to participate in the consultation.

The patient was sent directly to the emergency room.

Various monitoring instruments have been installed on the patient, and the anesthesiologist has rushed over to get ready.

At this moment, the patient's heartbeat showed heart failure, and the life monitor issued a "beep" alarm sound.

"Tell the family that you are critically ill, tell your family that you are critically ill!"

Physician Yang Yu shouted.

The family is still undecided at the moment. Rescue it, it is possible that people and money will be empty. If you don't rescue it, you will have no chance.

You can only watch your loved ones die.

This scene is cruel, but it happens every day in the hospital.

"Your family members must make a decision immediately, whether to save or not? If you perform an operation immediately, there is still hope. If you don't save, there is no hope at all."

The patient's wife collapsed on the ground and cried loudly.