Wang Xiaoming babbled a lot of things that seemed to have nothing to do with the patient's condition.

In fact, his intentions are also obvious.

That is, I want to fight for a little more impression points for Jing Xinghai in front of Director Tian and Cao Xiangwen.

This patient, with his abilities, is difficult to deal with.

He hoped that Director Tian and Cao Xiangwen would take over.

With the level of Director Tian and Cao Xiangwen, they may be able to help him.

Wang Xiaoming and Jing Xinghai don't know each other, and the two are not related.

But so young, and a medical student.

Wang Xiaoming has a very good impression of him, or pity him.

Wang Xiaoming wanted to help him.

Director Cao Xiangwen and Director Tian listened silently, and did not interrupt Wang Xiaoming because he said some topics unrelated to his condition.

To be honest, from Wang Xiaoming's simple words, they also felt sympathy for this unfortunate young man.

But after being a doctor for a long time, the two of them are obviously more rational than Wang Xiaoming.

Wang Xiaoming continued to speak.

"About half a year ago, the patient had frequent symptoms of fever, and I didn't pay much attention to it at the time, thinking it was just a common cold. Later, he had symptoms of anemia and a sharp loss of weight, which attracted his attention, and he went to the local county hospital for a blood test and X-ray, but the cause was not detected. Thinking that the one-year volunteer teaching will end soon, he is going to wait until he returns to Qinzhong to do a comprehensive examination, but recently he has symptoms of chest pain, so he ended the teaching in advance and came to our hospital for examination......

Half is a description of the condition, half is a story.

Cao Xiangwen sighed after hearing this.

The young man was as old as his nephew.

Director Tian said in a deep voice: "Have you taken the ECG?"

Wang Xiaoming immediately took out an electrocardiogram report and handed it to Director Tian, "I did it in the emergency department." Here outside the heart, we did it again. ”

"Emergency?!"

Director Tian couldn't help but ask questions while taking the report.

Immediately, he figured out that the patient's condition was very hidden.

It is impossible for him to directly find someone who is outside the heart to see a doctor.

I must have gone to the emergency department first, then went through the triage of the emergency department to the cardiothoracic department, and finally got here.

Extracardiac patients, except for patients with definite heart disease.

The others are basically emergency triages.

If in the past, when he heard the word emergency, Director Tian would not have raised any questions.

Because of the "trouble" on Monday in the past few days, he is now quite sensitive to the word "emergency".

As soon as I heard that this patient had been to the emergency room.

He couldn't help but speak out immediately.

On Monday, I had two heart surgeries in the emergency department, and that only went viral in the emergency center.

This patient who came to the heart to amputate his beard.

It happened recently, and it is also clear to a few people such as Director Arita , Cao Xiangwen and Fang Jianzhang.

So Wang Xiaoming didn't know.

Director Jiantian is so sensitive to the word "emergency".

He was a question mark in his head, "yes, this patient was originally triaged in the emergency department." ”

Director Tian knew that he was a little out of shape, he adjusted his emotions and said remedyly: "Well, this condition is still relatively hidden, I didn't expect that the level of those people in the emergency center is still okay." ”

Director Tian said this.

But there is a question in his heart, has this patient passed Zhou Sheng's hand, if Zhou Zhou has seen this patient, will he cut off his beard?

Director Tian glanced at the ECG report a few times.

Although I can't figure out if Monday has seen this patient on Monday.

But he knew that the people in the emergency center must have triaged the patient to the cardiothoracic department based on the electrocardiogram.

After reading the ECG report, he handed the report into Cao Xiangwen's hands, and Cao Xiangwen looked at it.

I only saw that the electrocardiogram showed sinus bradycardia, frequent premature ventricular contractions, accompanied by short-bursts of ventricular tachycardia, and significant changes in ST-T.

Cao Xiangwen's face had a solemn expression.

Director Tian already knew it in his heart, but he asked Cao Xiangwen: "Xiao Cao, what do you think of the situation?"

Cao Xiangwen was brought up by Director Tian.

At this moment, it is like a student accepting a teacher's question, but Cao Xiangwen is obviously a student with excellent character and learning, "ECG combined with CT image, it can basically be concluded that it is a heart tumor, and the possibility of benign tumor is relatively large, but the tumor is very ......."

Speaking of this, Cao Xiangwen paused for a moment, and then said: "From the CT scan, this tumor is not small, it is a huge heart tumor, and if it is operated, it will be extremely difficult......! There is no good way to treat it. ”

Director Tian was very satisfied with Cao Xiangwen's answer, he nodded, and added: "Such a large volume of tumors is indeed rare, if it is found earlier, the size is smaller, it is easy to do, after such a long delay, I estimate that the tumor has invaded the endocardium, if it is surgery, even the endocardium will have to be partially removed......

When Wang Xiaoming heard this, his already tightly knit brows were even more screwed together.

Earlier he thought it was just going to remove the tumor.

Now listening to Director Tian's words, in order to deal with this tumor, even surgery must go deep into the endocardium.

If so, the difficulty of the operation is even higher than he expected!

The heart can be seen as an irregularly spherical musculature, surrounded by a layer of membranous tissue called the epicardium, except for the heart muscle. Correspondingly, the inner surface of the heart is also covered with a membranous structure, which is called the endocardium.

Endocardial resection, atrium and ventricles must be defective, and they must be repaired.

Therefore, in addition to removing the tumor, this surgery also involves the reconstruction of the atria and ventricles.

According to the current report, although it cannot be specifically concluded that the area of tumor invasion is large, it is generally certain that it is a huge tumor.