Dr. Yang saw that the patient's condition was very critical and made a decision immediately.

"I'll give you an ECG application first to determine the cause!"

"Okay, okay, please doctor!"

The patient's son was so anxious that he stomped his feet. Saving people is like fighting fire, and every minute and second is extraordinarily precious.

Li Quan has been staring at the patient, and his vision and diagnosis skills have now risen to the realm of Xiaocheng, even if it is not as good as the electrocardiogram of the high-tech instrument, it is not too far behind.

Through observation, he did not find the facial characteristics of the patient with a myocardial infarction.

If it is a patient with a myocardial infarction, the blood oxygen exchange will definitely be extremely poor or even blocked. You should be able to see a deep purple color of hypoxia on your face, or a slightly more subtle dark red.

There are also other physical features of the patient that do not match the myocardial infarction.

However, his vision technique diagnosed that the patient's approximate lesion was within the cardiothoracic range.

What is the cause of the knife-like pain in the patient's chest?

Li Quan pondered hard.

Although the possibility of a myocardial infarction has been ruled out, there is Yang Yu, the attending physician, at the scene diagnosing, so naturally it is not his turn to intervene.

Due to the urgency of the condition, the patient's family has taken the examination application form as soon as possible and took the patient to have an electrocardiogram taken.

After a moment's hesitation, 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 was not suffering from a heart attack, what other diseases did you say would cause the patient to have severe chest pain?"

"Not a heart attack?"

Dr. Yang Yu shook his hand and handed him the medical record book to write.

Writing medical records and prescribing medical orders is time-consuming, and senior physicians will usually leave this kind of work to trusted interns or trainee physicians.

"If it's not a myocardial infarction, pneumonia, bronchitis, pulmonary embolism, gastric ulcers...... can cause chest pain. In addition, in a very small number of cases, nerve tingling and pectoral muscle spasm in the thoracic area can also cause chest pain. However, in this patient's case, the possibility of a heart attack is very high. After a while, the ECG will come out, and you will know. ”

Dr. Yang Yu is really experienced and has a lot of names for diseases that can cause chest pain.

It didn't take long for the patient to come back after having an ECG.

For a critically ill patient like this, it must be a priority for examination.

"Uh...... It's, how is this possible? It's not a heart attack, and there's no myocardial necrosis. Not even myocardial ischemia. After Dr. Yang Yu got the checklist, a cold sweat broke out.

The more inexplicable this unknown disease is, the more dangerous it is.

What exactly is the disease?

Seeing that the patient was in pain to the point of almost shock, Dr. Yang Yu was anxious.

The work of 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 to rescue and the patient dies due to errors in judgment.

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

"If it's not a heart attack, what other disease can cause chest pain?"

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

Doctor Yang Yu looked back at Li Quan sharply.

Unexpectedly, he found that Li Quan was staring intently at the patient lying on the emergency bed.

"Doctor Li, did you make any discoveries?" Yang Yu couldn't care about the face of the attending physician at this time, and hurriedly asked Li Quan's opinion.

"I ......" Li Quan hesitated.

"Even if you say it wrong, it's fine. Because in order to confirm the diagnosis, further tests will definitely be required. If you find something, it can help me diagnose the patient's condition in advance and buy time for rescue. ”

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

"Let me check the patient's pulse first?" Li Quan pleaded. "It won't take more than two minutes at most. ”

He added.

This is also to get the consent of the family.

"Yes!"

Dr. Yang Yu nodded in agreement.

"TCM pulse diagnosis of this disease is very advantageous, if you can really find the location of the lesion, you can buy a lot of precious time for rescuing patients. ”

The latter words are obviously for the family.

Communicating with patients is also a deep science.

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

The two family members all looked at Li Quan with eager eyes.

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

couldn't help but increase their trust in Li Quan a little.

"The pulse is like a cry, intermittent, urgent and fierce. I recommend that the patient's blood pressure be measured immediately. The lesion is initially locked to the proximal position of the anterior chest. ”

Li Quan's observation surgery had already locked the general area of the lesion.

Now supplemented by pulse diagnosis and pulse examination, he found that the pulse at the proximal end was obviously abnormal. It seems that the embankment of the great river has opened an opening, and the river water is pouring out.

There is a great tendency to burst the embankment.

As a result, he was also more sure that the lesion was at the mouth of the heart.

Dr. Yang has taken the patient's blood pressure as soon as possible.

The patient's blood pressure is 200/120 mmHg.

Significantly on the high side.

Considering that the patient has a history of high blood pressure, high blood pressure is expected. If high blood pressure is simple, it is unlikely to cause anterior chest colic.

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

Dr. Yang Yu didn't understand Li Quan's intentions at first, but instinctively did so.

The blood pressure in this arm is 120/80mmHg.

Normal blood pressure.

"Oh, no, the patient is probably an extremely rare aortic dissection!"

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

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

When the patient's wife heard this, she asked sadly, "Doctor, how much does it cost to prepare?"

"At least 250,000 or more, it is likely to reach 300,000. In addition, the mortality rate of this disease is very high, and our hospital will definitely do its best to save it, because the risk of surgery is extremely high, it may not be able to save it. Your family members should think it through as soon as possible. ”

Doctor Yang Yu said with a serious expression.

"So much money...... How can our family afford so much money...... Oh my God......"

The patient's wife collapsed and squatted on the ground crying bitterly.

In this case, the doctor is helpless.

Money is not everything, but it is impossible to do without money.

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

Li Quan took the patient to do chest CT quickly.

The results are in.

It's really a ruptured aortic dissection and massive bleeding.

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

The patient was taken directly to the emergency room.

Various monitoring instruments have been given to the patient, and the anesthesiologist has also rushed over to prepare for it.

At this moment, the patient's heartbeat showed heart failure, and the life monitor sounded a "didi" alarm.

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

Doctor Yang Yu shouted.

The family is still undecided. Let's rescue, it is possible that both people and money are empty, and if you don't rescue it, there will be no chance at all.

I can only watch my loved ones pass away.

This scene is brutal, but it plays out every day in the hospital.

"Your family members must make a decision immediately, whether to save or not to save them? If you do surgery immediately, there is still hope, but if you don't, there is no hope. ”

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