Chapter 279: New Patients

Unexpected situation?!

Healing is a dangerous situation!

Rong Xiaorong immediately put aside the messy things in his mind, called a few nurses on duty, plus Huang Fei, and rushed out.

The ambulance roared in, the doors opened, and the flat cars met.

A middle-aged man was removed.

"What's the patient's condition?" Huang Fei asked eagerly.

"Judging from the wallet ID card, 45 years old, from Yihai City, Luo Mingyuan, unknown reason, abnormal breathing, has fainted!" A male doctor in the ambulance had a serious face.

Such a foreign patient, such a strange situation, is the first time he has seen it in his more than ten years of first aid!

"Pulmonary hypertension!" Rong Xiaorong just glanced at it, and made a definite judgment!

"What?! Pulmonary hypertension?! Huang Fei looked at Rong Xiaorong in surprise!

Huang Fei's mind was like a typewriter typing out such a line of text:

Pulmonary hypertension is a group of clinicopathophysiological syndromes with a mean pulmonary artery pressure of ≥25 mmHg measured by the right heart catheterization at rest, of various causes. The average age of onset is 36 years old, and 75% of patients are concentrated in the age group of 20~40 years old. Seventy-five percent of patients died within 5 years of diagnosis, with an average survival of 1.9 years after symptom onset, and less than 1 year for those with right heart failure. It can be said that this disease is cancer among cardiovascular diseases.

Patients with congenital heart disease, connective tissue disease, portal hypertension, lung disease, chronic pulmonary embolism, HIV infection and other underlying diseases, taking diet drugs, central appetite suppressants. Anyone with a family history of idiopathic pulmonary hypertension or hereditary pulmonary hypertension can develop this "cancer".

Common symptoms include dyspnea, fatigue, fatigue, impaired exercise tolerance, syncope, angina or chest pain, hemoptysis, hoarseness, ......

And the examination to confirm the diagnosis is quite cumbersome and complicated.

In addition to laboratory tests, autoantibodies, liver function and hepatitis virus markers, HIV antibodies, thyroid function tests, blood gas analysis, prothrombin time and activity, etc., but also electrocardiogram, chest x-ray, echocardiography, pulmonary function measurement, pulmonary ventilation/perfusion scan, high-resolution CT and contrast-enhanced CT, magnetic resonance imaging, polysomnography monitoring, cardiopulmonary exercise test, 6-minute walking distance, right heart catheterization and acute vasodilation test, pulmonary angiography, thoracoscopic lung biopsy, etc......

Check out a set. Not only does it cost a huge amount of money, but it is also extremely exhausting for patients and their families.

Even so, it is necessary to distinguish from a series of related diseases and make a clear diagnosis!

Even if a diagnosis can be made, treatment is a drop in the bucket, and it is difficult, time-consuming and laborious...... And then finally. The patient still dies......

Huang Fei's concerns are also the concerns of everyone present.

How can such a rare disease be determined by a young doctor with a single sentence?!

Even if it's really diagnosed. How can a few simple treatments snatch people back from the ghost door!

Rende, even the best hospital in the entire Huaxia country, brings together the best doctors, this incurable disease. It's also a head-shaking one!

"Quick! You guys follow me to push you in! Delay any longer. I'm afraid the patient is about to have hemoptysis! Rong Xiaorong's words are not guessed for no reason.

The moment she opened the handover from the ambulance just now, she had already seen the patient from the inside out!

All the symptoms of pulmonary hypertension are reflected in this man named Luo Mingyuan without exception......

Right now, his precapillary microhemangioma is in danger, and it may rupture at the moment of movement, and then the patient's hemoptysis will appear!

"Send it to the emergency room first. Get on a ventilator and prepare for defibrillation. The patient is now unconscious, and he is still in normal shock! "Where can Huang Fei let Rong Xiaorong Hu come!

Even though this young girl has just been promoted to deputy director of the emergency department!

However, human lives are at stake!

In case it was an ordinary fainting, but it took a lot of effort to open the chest and dissect the abdomen!

In case you get entangled by the patient's family, it's a big medical accident!

In these years, the most offended is the patient's family!

In case it's really wrong! Don't think about the peace of the days in the emergency department!

Huang Fei was worried, and struggled to command a few little nurses to send Luo Mingyuan to the emergency room.

Suddenly!

"Ahem......" On the flat car, there was a violent twitch, Luo Mingyuan was lying flat in consciousness just now, but at this moment, a large mouthful of blood gushed out......

"Hemoptysis!" Huang Fei was shocked.

"The patient has hemoptysis?!" A few little nurses were so panicked that they didn't know what to do!

Although they had never seen any kind of disease in that pulmonary hypertension, seeing Huang Fei's expression so serious, they guessed that it must be a rare and incurable disease!

I just heard Rong Xiaorong say for no reason, "If you delay any longer, I'm afraid the patient will have hemoptysis!" ”

Who knows, as soon as the words fell, Luo Mingyuan really coughed out a mouthful of blood......

Huang Fei was stunned......

"Quick! Send to the emergency operating room! Where can Rong Xiaorong still care about appeasing Huang Fei, seeing that Luo Mingyuan's pulmonary precapillary microhemangioma has finally ruptured...... Thinking of Luo Mingyuan's lungs at this moment...... Rong Xiaorong Fei also added himself to the ranks of pushing flat cars!

"Could it be...... Don't...... Did she really get her right?! This girl ...... "Huang Fei entered Rende as soon as she graduated, and now she is also an older leftover girl, almost dedicating her youth and energy to Rende Emergency Medicine...... What kind of incurable disease, unexpected situation has not been seen? But this time...... Such a difficult diagnosis of the disease actually came from the mouth of a little girl in her early twenties!

Good boy! Is this the Harvard Medical School gap? This is simply God!

Rong Xiaorong just rushed into the operating room with someone in a hurry.

Huang Fei began to urgently contact the hospital executives and the directors of various departments!

After all, this disease cannot be completed by one person overnight!

For now, the patient's family needs to be contacted!

Because if it's really pulmonary hypertension...... The cost of treatment is by no means a small amount!

The Rende emergency department at midnight was hectic!

In a high-end apartment complex in Kyoto at midnight, Luo Qi was woken up by a rapid mobile phone ringtone!

"I'm sick of it...... So late...... Who is it......" Luo Qi yawned, rubbed his sleepy eyes, and fumbled for the mobile phone on the bedside.

Shows an unfamiliar phone call......

"Neurotic! Harassing phone calls......" Luo Qiwu scolded himself, then pressed the phone, ready to continue to sleep.

"Strange! Why did you hang up?! Huang Fei took Luo Mingyuan's mobile phone and muttered to herself, and the address book in it clearly stored her daughter's phone number......

"If you don't try anything else, these days, let alone a man in his forties, even a man in his fifties and sixties, he still a lot of his daughter...... Maybe this daughter did the same? The little nurse on the side was anxious, so she simply reminded Huang Fei bluntly.

"You're right! I'll try my wife's phone again! Huang Fei nodded, and Luo Mingyuan's mobile phone dialed again.

"What do you say?! What's wrong with my husband?! The woman named Zhou Jin on the other end of the phone had a trembling voice.

"Ms. Zhou, your husband is now being rescued at Rende Hospital in Kyoto, please tell us his past medical history, which can also save us time in diagnosis......," Huang Fei reassured.

"A week ago, my husband had just ...... Just found out...... Have pulmonary hypertension...... I looked around for medicine...... My husband...... My husband was still in Yihai City yesterday...... Why did you get to your Kyoto Rentoku Hospital today?! "Zhou Jin almost collapsed!

"Pulmonary hypertension!" Huang Fei was shocked! It's really pulmonary hypertension! The kid was right......

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