The attending doctor outside the chest came quickly, but Liu Banxia was stunned for a moment after seeing it. Because it was none other than Chen Xuehai, the grandson of Dean Chen Zhenxing.

Seeing the patient lying on the hospital bed, Chen Xuehai was also stunned, as if it was not as serious as it was said on the phone.

"The patient presented with an unexplained fever in the morning, congestion in the posterior laryngeal wall, a history of hypertension and diabetes. Liu Banxia hurriedly introduced.

"At that time, acute laryngitis was diagnosed, and antipyretics and antibiotics were prescribed. I just came to the clinic again and had a high fever of 38.7 degrees, accompanied by fatigue and chest pain. ”

"The results of the blood test are not yet out, and an electrocardiogram was done. Low blood pressure 100, high blood pressure 140, heart rate 88 at presentation. I have taken nitroglycerin and betalux, and there is no abnormality in the heart and lungs on auscultation, and the heart is ultranormal. ”

Chen Zhenxing picked up the electrocardiogram and looked at it, "Give the laboratory a call to urge." Do you have a history of heart disease?"

"Doctor, no heart disease. My chest also hurt the year before, and then I had a stent, and I haven't had pain in the past two years. It hurts again today, and I'm scared. The patient spoke.

"Have you ever made a stent, is it a coronary stent?" Liu Banxia was anxious.

The patient shook his head, "It's a stent with aortic dissection." ”

Chen Xuehai glanced at Liu Banxia, "Let's do a chest enhanced CT scan for the patient first, and be more serious next time." Can't the patient ask carefully if they don't understand?"

This is a very polite remark, which is tantamount to saying that they are too casual and not serious at the time of their first consultation. But Liu Banxia didn't have any reason to refute, he was present at the time, and the patient really didn't mention it.

"I'll wait here for a while, and call me when the results come out. What about Liang Xiaolin?" Chen Xuehai asked again.

"I'm here, what are you doing?" Liang Xiaolin's voice sounded from behind everyone, with a hint of nervousness on her face.

"If you make a fuss in the emergency department, you will call for a consultation, and you will have to wait for the results of the examination for a while. How's the work?

Liang Xiaolin glanced over here, and then dragged Chen Xuehai to the side.

"Don't think about it, we should be cautious, who would have thought that patients wouldn't even say anything about stents. Wei Yuan said.

"Hey...... It was also a mistake on my part with Dr. Xu. Don't have a heart attack or a broken dissection or anything, then I'll regret it for the rest of my life. Liu Banxia said.

"Brother Wei, you help me figure out what this fever is all about. Now it doesn't look like acute laryngitis, otherwise the antibiotics prescribed would have worked. ”

"Don't think about it, wait for the results to come out. Wei Yuan comforted.

There's really no way to say who's right and who's wrong.

From Chen Xuehai's standpoint, Liu Banxia was indeed missed and did not ask about his medical history.

But Liu Banxia also asks normally, and will not ask the patient if he has had a stent. Generally, when the medical history is asked, the patient will talk about the surgery.

Originally, Liu Banxia still had a sense of accomplishment today, and the two first aids were successful. And now that this case has hit him hard, where do you still have the heart to wait here, and go directly to the laboratory.

After the list came out, he looked at it directly.

The results of blood routine, cardiac enzymes, and troponin were all normal, and he was relieved to see these.

Cardiac enzymes and troponin, which are important auxiliary markers in the diagnosis of myocardial infarction, contain a variety of enzymes and troponin, which are released when myocardial necrosis occurs.

If the results of the examination are significantly increased, then there is no need to be suspicious, and you should go to the operating room after the CT scan. Now that the most dangerous hurdle has been passed, the next step is to see if there is a new arterial dissection.

Back in the emergency department, Liu Banxia handed the examination report to Chen Xuehai.

"How long will it take for the CT results to come out?" asked Chen Xuehai after reading it.

"The official report was a little later, but I got in touch with the radiology department and they would call me after the imaging. Liu Banxia said.

Chen Xuehai glanced at him, "Then continue to wait." If there is nothing wrong with the chest, you can consult with another department. ”

Hearing this, Liu Banxia's blood rushed to his brain. Liang Xiaolin on the side also stabbed Chen Xuehai, which was indeed a bit excessive.

At this time, Liu Banxia's phone rang.

"Brother Wang, the results are out?" After answering the phone, Liu Banxia hurriedly asked.

"From the current results, only one aortic dissection has changed after surgery, and the stent in the blood vessel can be seen, and no new arterial dissection or rupture has been found. Radiologist Wang Jianwei said.

"Morita, the patient's body temperature is still a little high, you have to pay attention to this area. I'll get the film out as soon as possible, and then you'll see it again. ”

"Thank you, Brother Wang, this is already a blessing, I'll look for what caused the fever. Liu Banxia hurriedly said.

"Then it's none of my business, I can go to whoever I need to consult. Chen Xuehai said casually, and then looked at Liang Xiaolin again, "If you're too tired, squint for a while, and go home early after work tomorrow." ”

"Oh, I see, you're not bothered. Liang Xiaolin's face was full of unhappiness.

"Annoyance, annoyance, I have to take care of you. Chen Xuehai said and pinched Liang Xiaolin's nose.

"Don't forget to wash your hands when you go back, otherwise you will be irresponsible to the patient. Liu Banxia added.

Chen Xuehai frowned, "Liu Banxia, I've heard it many times, it's very capable." ”

"Oh, you hurry up. Liang Xiaolin pushed Chen Xuehai aside as she spoke.

Liu Banxia really has no choice, it's not a myocardial infarction, it's not an arterial dissection, and it's not rupture. The blood test is also normal, what is going on?

It can only be called ear, nose and throat. After all, congestion in the posterior laryngeal wall is also a disease, and it is most appropriate to find an otolaryngology.

In order to be safe, Liu Banxia personally accompanied the patient to do laryngoscopy.

"Dr. Liu, I also think it's acute laryngitis. Not only is there inflammation, but the left vocal cord of the patient is also paralyzed, which may be caused by inflammation. Du Fancheng, the attending doctor of the Department of Otolaryngology, said.

"Is that also antibiotics? Is this the fever caused?" asked Liu Banxia.

Du Fancheng shook his head, "It may be related to the patient's physique, so the white blood cell count has not changed significantly." ”

"Otherwise, I don't feel at ease when you go home like this. We stayed in the emergency department for a night, and if there was any situation, we would be able to deal with it in time. Liu Banxia looked at the patient.

"Okay, then listen to the doctor. I just tossed it up, and now my chest doesn't hurt anymore. Hurry up and get rid of the fever, and I can feel better. The patient laughs.

Liu Banxia nodded, but this fever symptom has also been bothering him.