"I think it's very likely to be a heart attack, but looking at his limbs, it's swollen. Pen × fun × Pavilion www. ｂｉｑｕｇｅ。 There is a high probability of rheumatic heart disease. It's just that I'm not sure yet, and I'll be sure in a while. ”

"Hmmm! Attaboy! I'll just say that you kid has a way, and sure enough, you are worthy of the name of Xiao Divine Doctor! Ouyang De said with a smile.

Xiao Ying smiled bitterly when he heard this: "Forget it! But now it's still a while before the check out, so I'll find a place to rest for a while, I'm afraid I won't be able to rest later! ”

"Hmmm! You go to the next room and rest for a while! I'll go talk to the doctors at the hospital and they'll agree! ”

Xiao Ying nodded, and after Ouyang De went to talk to the doctors in the military hospital, those doctors did not object. After all, he called someone else here at night, and now only he can see the symptoms, so he will have to rely on him later, and it is good to let others rest for a while, and only by treating the disease later can he keep a clear head!

Xiao Ying fell asleep while lying on the hospital bed next to him. After falling asleep, Xiao Ying had a dream. I dreamed that I was holding a silver needle in my hand and giving acupuncture to the old man in ****, footsteps and other places! Xiao Ying woke up after doing this dream a few times! It wasn't him who woke up, but was woken up by Ouyang De.

Xiao Ying washed his face in the bathroom before walking out. Then he was invited to a conference room, where there were two rows of doctors at the bottom of the room, and an old man was standing on top of it.

"Doctor Xiao, please be seated!" The old man couldn't help but smile when he saw Xiao Ying.

Xiao Ying nodded and sat down.

"Look, here's a CT image of the chief. Dr. Sieau, this image is a CT image made according to your request, you can take a look! Also, this is a case before the chief. The blood test report is not out yet, but it should be soon! ”

After Xiao Ying took it, he didn't look at the CT image, but looked at the case first.

At this time, Xiao Ying knew that the leader they were talking about was called Zhou Derong, a major general of the Republic. Born in 1910. In the previous cases, there were no heart diseases, all rheumatism and the like.

Xiao Ying jumped his eyebrows, then put down the case in his hand, picked up the CT image, but was thinking about the information of this Major General Zhou Derong in his mind.

After a while, Xiao Ying searched for the old man, and it was rheumatic heart disease. Because rheumatic heart disease has a long incubation period, rheumatic heart disease is actually a type of heart disease in which rheumatism infects the heart.

His incubation period is very long, which can reach 10~~15 years. Usually you don't feel like you have a heart attack at all, but by the time you feel it, it's already in the middle and advanced stages. At that time, there will be coma shock, arrhythmia, palpitations.

After a while, Xiao Ying looked up at those people and said, "I have confirmed the cause, it is rheumatic heart disease!" ”

"What? Impossible! There's nothing wrong with this CT image, huh? And his heart looks good! A middle-aged man said in disbelief.

After finishing speaking, he looked at Xiao Ying with disdain and said, "Where are you from?" Who invited you? You can't even see the CT image clearly, and you're still here to talk about it!

Xiao Ying has always been what you do to me, I will do to you!

Since everyone else is at war, how can Xiao Ying shrink his head?

Xiao Ying looked at the man with contempt: "I don't even know how you got into the military district hospital, a fool like you will naturally think so!" ”

"You..... Boy, you wait for me! The middle-aged man suddenly stood up and pointed at Xiao Yingdao.

"Waiting? Want to bully ordinary people? Xiao Ying blocked this person's movements in one bite. If something happens to him during this time, others will first suspect him, who will let him threaten.

"Enough! Director Chen, is this the quality of you, as the director of a department? Dr. Siu was hired by me, how? Are you going to doubt my people? Xiao Ying still has a good impression of this old man, although Xiao Ying himself knows that he was not invited by this old man, but he knows that this old man is telling himself. Let yourself be bold and say that there is him behind the top.

The doctor who was talking to Xiao Ying in the ward just now asked suspiciously, "Doctor Xiao, can you tell us why you confirmed that it was rheumatic heart disease?" ”

Xiao Ying knew that he had to come up with something to say. Otherwise, even they will be dissatisfied.

Xiao Ying stood up, holding the CT image in his hand and said: "The first time I entered the ward, I saw that the chief's lips were blue and purple.

But then I saw that the chief's face didn't look like he was poisoned, so I guessed that it was probably a lack of oxygen! Do you remember when you told me that the chief's heartbeat was strong and powerful, and it couldn't be a heart attack?

Immediately after that, a doctor next to him came with the news of the arrhythmia. From this, I can know that the chief's heartbeat is not strong, but it should be palpitations, but you don't think about heart disease, so you don't think it's heart disease.

Later, when you were about to push the chief for a CT scan, I saw that all of the chief's limbs were swollen. In addition, although it was swollen, it did not appear in other colors, so I guessed that it was rheumatic heart disease.

And now you look at this CT image. The mitral valve in the heart, if you look at it roughly, you will see that the valve is very strong, but if you look at the picture next to it, you will find it if you look closely. The mitral valve of the head and some other valves have varying degrees of fine damage. And the mitral valve is not thick, it is thickened. It's just that you can't see whether there is fibrosis in this CT image, but if you open the chief's ribcage, you will definitely find that his mitral valve is actually fibrosis!

This is only part of the story, if you look closely, do you find that the valve is not fully closed? This is a significant change in rheumatic heart disease, and if you don't look closely, you won't notice these problems at all! After Xiao Ying finished speaking, he passed the CT image in his hand.

Those people immediately took it in their hands and looked at it carefully, and those who had seen it were all nodding their heads there one by one. They found that all this was indeed as Xiao Ying said.

When Xiao Ying saw that they were all about the same, he handed them the case and said, "Look at it again, these are the cases before the chief, and the main symptom before this was rheumatism." Judging from the above cases, the chief's rheumatism actually began to worsen eleven years ago. And by that time, the chief should have already suffered from rheumatic heart disease. It's just that we don't notice it yet. ”

"Dean, the blood test report is ready!" Just then, a female nurse outside pushed the door open.

At this time, Xiao Ying knew that this old man would actually be the dean, but it was not strange to think about it.

The dean took the blood test report and looked at it, and after a while, he exclaimed, "What is the gap?" That's the gap! What a hero at a young age! Let's take a look! According to the blood test report, the chief has a hemolytic streptococcal infection in his blood, which is a major feature of rheumatic heart disease! ”

The dean said as he circulated the blood test report. Those people kept looking and nodding their heads.

In the end, they all set their eyes on Xiao Ying.

Xiao Ying touched his face, did he become handsome again? But even if you become handsome, what do you guys look at at the level of uncles? If you want to see it, you can also show it to beautiful women, what do you see?

"Why are you looking at me?"

"Huh! Dr. Siu, since you found out the cause, do you have any thoughts on rheumatic heart disease? The dean looked at Xiao Ying and said with a smile. He wanted to hear Xiao Ying's opinion.

Now that he has regarded Xiao Ying as a skilled doctor, he will not have any opinion on his age. Although the profession of a doctor is getting more and more powerful, sometimes age is not everything.

"Everyone here is a senior, and it's just a junior, so let's listen to the opinions of your seniors first!" After all, his age is there, if he sweeps the face of those people again and again. It's no wonder they don't hold a grudge against themselves.

Sometimes it takes a lifetime to befriend someone, and sometimes it only takes a minute to offend someone. Xiao Ying is not a fool. And these people are not ordinary doctors, they are all doctors in military hospitals.

"Huh! All right! What do you think? The dean asked, looking at the people below.

After a moment of silence, one of the doctors stood up and said, "Now the chief's condition is dangerous, I recommend surgery, so that the chief's condition can be stabilized soon!" ”

"I recommend using medication to stabilize the treatment first, with our current medical equipment and technology, the risk of surgery is too great. Conservative treatment first, and then discuss the specific plan! ”

"I agree to use surgery, the chief's condition is very critical, and if it is treated conservatively, there is a high probability that there will be consequences that we cannot afford!"

"I agree to use conservative treatment, although the chief's condition is very critical now, but conservative treatment is more secure for the later stage!"

........

Some of the doctors below agreed to use the surgery immediately, and some agreed to use conservative treatment! The dean patted his forehead with a headache, and they all made sense.

The dean patted the table and said, "That's it! Don't talk about it, let's listen to Dr. Siu! "The dean spoke, and they couldn't say anything.

Xiao Ying saw that their eyes were all looking at him, and finally straightened out his thoughts and said, "I think it's better to use conservative treatment!" Although surgery can stabilize the condition in the short term, it does not mean that there are no risks. If surgery, a portion of the heart muscle will be removed, which will make the patient's heart dysfunctional.

It also requires long-term anticoagulant therapy, which is very risky. The sutures of the surgical valve are also very infectious. If it is not good or even need another operation, everyone knows that the age of the chief is already over 80 years old, and the risk of surgery will increase by one point, so I recommend using conservative treatment! However, for the chief's current crisis condition, I can temporarily stabilize his condition. After that, conservative treatment will not be what you feared! (To be continued.) )