No one told Dean Cheng that he certainly didn't know that Boss Zhu was hospitalized in the emergency center.

The person who whistleblower is Director Tian.

It turned out that Dean Cheng heard about Boss Zhu's car accident from Director Tian last night. He was also a little reluctant to go, so he came over early this morning to take a look.

Zhou Yisheng didn't know that Dean Cheng and Boss Zhu were old acquaintances.

He immediately stepped forward to greet Dean Cheng and said, "Dean Cheng, the situation was too urgent yesterday, so I didn't have time to ask a colleague outside my heart for consultation, so I took over the operation as an advocate......

Dean Cheng waved his hand with a smile and said, "I'm not here for this matter today, Boss Zhu is my old friend, and I came to see him." ”

"Oh, I thought Dean Cheng was going to criticize me for not asking for instructions and doing this kind of surgery without permission. ”

"Criticize you for what you do. Yesterday, Director Tian also told me on the phone, you have done a very beautiful operation, Xiao Zhou, it seems that you are deeply hidden, how many skills you still have not shown. ”

Zhou Zhou was a little embarrassed by Dean Cheng.

He thought to himself that where he was hiding, he was just making progress all the time. However, my progress is a bit of a mushroom, a new height every day.

"Dean Cheng, I didn't hide it, but I used to go abroad to get some exercise. In an emergency, I was a little bolder. ”

This is also an essential quality of an emergency doctor. You're doing a great job. You, the team leader, are not in vain. If you can do it, let it go! Director Jiang and I will support you. Dean Cheng said happily at this time.

As someone who came out of the emergency center, he was certainly a little selfish. He hopes that the emergency center will not simply do some triage work.

Bigger and stronger is why the purpose of upgrading the emergency department to the center.

Of course, the field has become bigger, and the hardware has become better. Talent also has to keep up.

The appearance of Zhou Yi has just made up for some shortcomings in talent.

"Thank you! Dean Cheng!" Zhou Sheng was affirmed by Dean Cheng, and he was naturally happy.

The two were talking.

Cao Xin ran in panting.

"Zhou ...... Hello Dean Cheng!"

Cao Xin originally came to find Zhou Sheng, but when he saw Dean Cheng here, he immediately greeted him.

Dean Cheng saw that Cao Xin was in a hurry, "You don't have to worry about me, I'll leave in a while." ”

Cao Xin hurriedly said to Zhou Yisheng: "Team Leader Zhou, Doctor Su asked me to call you, another heart problem." ”

If you have a heart problem, it's not a minor illness.

Zhou Zhou said goodbye to Dean Cheng and immediately followed Cao Xin out of the ward.

……

In the emergency room, a male patient in his twenties was lying in agony on a hospital bed.

Su Quan was anxious in front of the hospital bed.

And next to him, there is a helpless Bai Mingming.

The patient in this bed was first treated by Su Quan, and later he found out that his condition was serious, so he asked Cao Xin to find Bai Mingming.

Bai Mingming saw that he couldn't figure it out, and immediately asked Cao Xin to find Zhou Sheng.

Monday arrives on Monday.

Su Quan immediately reported the current situation to Zhou Yisheng.

The patient, a 25-year-old man, came to the emergency department for about an hour with chest tightness and sweating.

Su Quan had the patient check the electrocardiogram (ECG), which showed inferior ST segment elevation.

Su Quan said: "Could it be an acute myocardial infarction?"

Chest tightness and sweating are indeed manifestations of acute myocardial infarction.

Monday nodded.

Bai Mingming added: "The patient's blood pressure in both upper limbs is Hg. ”

Zhou Zhou frowned, and there will be a slight difference in blood pressure between the upper limbs of a normal person. However, it should be within 15mmHg, which is a difference of 40mmHg, which is most likely a manifestation of heart failure caused by heart disease.

Su Quan was briefing Zhou on the situation.

Over there, Cao Xin suddenly shouted, "The patient has fainted." ”

Zhou Yisheng, Su Quan, and Bai Mingming immediately surrounded them.

A heart attack has caused heart failure and is now unconscious.

This is a fatal matter, and the situation cannot be delayed.

As he turned on the system scan, he instructed on Monday: "Prepare the operating room and do coronary artery radiography." ”

Although coronary artery imaging is also a type of photography, it is much more complicated than ordinary photography. This is done by inserting a catheter into the femoral artery of the thigh or other artery into the coronary ostium and injecting a contrast agent to visualize the coronary artery.

Coronary angiography is currently the only diagnostic method that can directly observe the morphology of coronary arteries, and the medical community claims to be the "gold standard".

Why should coronary arteries be tested for myocardial infarction.

This is because acute myocardial infarction is myocardial necrosis caused by acute, persistent ischemia and hypoxia of the coronary arteries.

Bai Mingming reminded at this time: "The condition is so serious, do we want to find someone outside the heart to come for a consultation." ”

At this time, the results of the system test on Monday have already been given.

Patient's condition: right coronary artery occlusion, resulting in acute myocardial infarction!

Etiology: Aortic dissection type A.

Treatment: Thoracotomy surgery.

Predictive ......

Aortic dissection!

It was actually a myocardial infarction caused by this, and Zhou Zhou was stunned, and it was still a type A.

This condition is all too familiar on Monday.

In last night's copy, he was the second person he was exposed to type B of this condition, and he was also exposed to quite a few of this condition in later copy cases.

He knows everything about this condition.

You don't need to look at the system's disease prediction, and you can know that type A is much more dangerous than type B. Type B can be slowed down, and can be treated conservatively with minimally invasive stents. Type A can't be delayed for a moment, and there is only one way to open your chest.

In the case of type A dissection, the mortality rate can reach 50% within 48 hours, and if it is delayed, the mortality rate can be as high as 90% within one month, which is almost a lifetime of death

Now the system gives a prediction of the disease: the probability of death within 6 hours, the probability of death within hours, the probability of death within hours, and the probability of death within hours is 90%.

Monday took a deep breath.

The disease did not become any less alleviated because the patient was young.

If we had waited for the consultation to be completed and then studied the surgical plan, it is estimated that the patient would have been hopeless.

Emergency coronaography is done first.