"Brush!" A row of nurses immediately stood up, their hands in front of them, and greeted Wu Mian in the ceremonial posture on the standard poster.

"There are patients, ready to be rescued. Wu Mian was not verbose, and said directly, "The first doctor suspected that it was aortic dissection. ”

As soon as this diagnosis was announced, the atmosphere in the room immediately became tense.

The people who can come to Jianxie Hospital are at least nurses who have worked for more than 3 years, and even if they have never received treatment, they have heard of this dangerous disease. Looking at the patient's good position, maybe a body position change person is gone, and the aortic dissection is so powerful.

The books were not packed up, and they were neatly placed on the table. Wu Mian looked at the scene in front of him and was slightly satisfied.

This is just the beginning, the rest has to be done slowly.

Soon, the 120 ambulance drove to the Jianxie Hospital, and Wei Dabao hurriedly jumped off the 120 car.

"Section Chief Wu!" he shouted as if he had seen a relative, "the patient is still ...... Alive. ”

"......" Wu Mian glanced at the patient and frowned at Wei Dabao, "What nonsense, what kind of medicine did you give?"

"Nitropusside. Wei Dabao said breathlessly.

Cai Lili was pushed out of the ambulance, Wu Mian stepped forward, first let her lie still, then touched her forehead, and opened her eyes to take a look. Then Cai Lili asked a few questions, and listened to a few positions with a stethoscope in the emergency room.

The nurses have been suffocated, firstly, they have not worked for several days, and secondly, they just want to make a good impression on Wu Mian.

After all, there are not many hospitals that are as face-saving and human-minded as Jianxie Hospital these years, and if you miss this village, it will be difficult to find a similar hospital in the future.

"Get ready to be hospitalized and make an etct. Wu Mian said.

"......" Wei Dabao was stunned.

Several nurses began to carry out Dr. Wu's instructions, pushing the patient directly to the cardiology department for hospitalization.

"Section Chief Wu, does she have a tumor?" Although Wei Dabao had never seen ETLT, he always knew what ETT was for.

In Wei Dabao's consciousness, etct is the last resort to examine tumors. In the provincial capital, etct checked 9600 once, and it is said that the medical insurance only reimburses half of it, and the old nose is expensive.

This thing is too expensive, and people in Yaiko rarely do similar inspections. Wei Dabao has only heard of it, and he has never seen the inspection report of etct.

"Let's take a look. Wu Mian said, glanced at Wei Dabao, and asked, "Are you okay today?" ”

"......" Wei Dabao was stunned for a moment, but the opportunity should not be missed, he immediately bowed down and said, "Section Chief Wu, I'll find someone to do it for me, don't delay my normal work, it's a big deal that I will return to work more." ”

Wu Mian nodded, didn't explain too much to Wei Dabao, and followed the flat car to the Department of Circulatory Medicine.

"Director Gao, the patient is considering Takayasu's arteritis and is ready to do etct. Wu Mian explained to Gao Baixiang after meeting.

"Good. Gao Baixiang responded directly. Although Takayasu's arteritis is not considered a disease of cardiovascular medicine, more hospitals treat Takayasu's arteritis in the rheumatology and immunology department.

However, the Sword Association Hospital has just been established, and Mr. Wu does not have many resources at hand, so it is understandable to put it here for himself.

"Dr. Wei. Wu Mian sat down in the office, looked at Wei Dabao with a smile, and asked, "Aortic dissection, how did you diagnose it?"

"The blood pressure measurements on both sides are inconsistent, and the numbers are too different. Wei Dabao said without hesitation.

"Go ahead and talk about it. Wu Mian looked at Wei Dabao with interest.

Wei Dabao raised his anus and concentrated, straightened his chest and abdomen, stood straight and straight, and said, "The difference between the blood vessels of the left and right upper limbs of normal people is less than 10 mm Hg, and it may be between 10 and 20 mm Hg, but most patients will not exceed 20 mm Hg. ”

"If the gap is too large, it may be that the subclavian artery in the corresponding part of the subclavian artery is severely narrowed or occluded in the elderly patients due to long-term arteriosclerosis or arteritis. If severe stenosis is present, blood pressure in the upper extremity on this side may be low......"

"Well, the back is good, in addition to the tenth edition of diagnostics, have you checked other information?" Wu Mian asked.

"Section Chief Wu, some of the diagnostics are too general, I really can't understand it. Wei Dabao said with a bitter face, "I can only look up information little by little, and for more than a month, my eyes have been dazzled." ”

"That's the part of clinical experience, laying a good foundation, and in clinical practice for ten years, with dim sum, he is naturally an old doctor. Wu Mian said with a smile, ignoring Wei Dabao's statement that he had taken his eyes to the occasion.

Decade...... He didn't have ten years, Wei Dabao was a little frustrated.

"It's not bad, let's put it this way, have you noticed, what did I do just now?" Wu Mian asked.

"You ......" Wei Dabao was slightly stunned, and immediately remembered the disinfection incident in the emergency department of Bajingzi Traditional Chinese Medicine Hospital not long ago. That time, Mr. Wu glanced at the patient's teeth...... And this time......

Wei Dabao tried hard to recall Wu Mian's actions just now, as if there was nothing special, just a simple check, it was not professional at all. At least in Wei Dabao's opinion, Section Chief Wu's actions just now were too sloppy and a little careless.

"You first look at the patient's eyes. Wei Dabao recalled, "Then I did auscultation. ”

"Why do I look at my eyes?"

"......" Wei Dabao looked sad.

"My first action was touching the patient's forehead. Wu Mian said, "The vast majority of patients with aortic dissection will be accompanied by unbearable tear-like pain, and the patients who are sent do not have it, and it is not the main consideration of the disease." But it's nice that you can think about it and know to call me. ”

Listening to Section Chief Wu praising himself, Wei Dabao was in good spirits.

"Section Chief Wu, why did you touch her forehead?"

"You happened to bring in a patient who had just become ill, and there was no misdiagnosis and no treatment for depression. Wu Mian said, "Generally speaking, the blood pressure on the left and right sides without any symptoms is inconsistent, and it is considered multiple Takayasu's arteritis, arterial occlusion, and aortic dissection." However, the patient's self-reported symptoms ......"

Wu Mian said this, smiling slightly, Wei Dabao felt that Section Chief Wu had bad intentions.

"That's all for the rest, and you can go back and read the rest. Wu Mian said.

"Oh. ”

"In general, patients with Takayasu's arteritis are misdiagnosed with fever of unknown origin and depression. You can happen to see the problem, and the progress is great. Wu Mian said with relief, "Doctor Wei, continue to work hard." ”

Wei Dabao took a deep breath and felt himself glow all over.

"If you are not in a hurry to go back, follow Director Gao to see the patient's diagnosis and treatment process, and remember it in the future. ”

With that, Wu Mian stood up and turned to walk out.

"Section Chief Wu, why are you going?" Wei Dabao asked.

"There's something else going on over there. Wu Mian said, "The inspection will take a long time, you follow, and when all the inspection results come out, you can see how to report the situation to me." ”

After speaking, Wu Mian strode out of the circulation department.

Wei Dabao was a little confused in his heart, what kind of statement did he say? Leave himself in the Jianxie Hospital? Or ......

：。 ：m.x