When Chen Qi firmly said the word "have", Li Huacheng's mind was stunned, and the pen in his hand was suddenly broken.

You must know that the rich people in the United States are not only asking for compensation, but also the attending doctor going to jail for manslaughter.

If the responsibility is in his emergency department, then Director Li, who is respected today, will be 9527 in the detention center tomorrow, which is a consequence that Li Huacheng cannot bear.

However, Zuo Yongxin, director of the Department of Gastroenterology, was overjoyed, and he couldn't wait to stand up and wave his fist on the spot.

Sure enough, Li Huacheng was in a hurry, he didn't even give face to the director of his hospital, and his colleague's face dared to tear up, let alone a foreign monk.

"Dean Chen, I know that you are the director of the Society of Intergastric Gastroenterology, so your position must be on the top of the gastroenterology department, and it is understandable that you want to help a gastroenterologist, but today is a big event, you have to maintain a neutral position, and you can't bite people indiscriminately!"

The huge pressure made Li Huacheng lose his mind and even say dirty words.

The scene was quiet, everyone was wise to protect themselves, and whoever spoke now would be burned on their heads.

Look at this Dean Chen Qi of Haidong Province, didn't he just get a hand of when he came.

As soon as he heard Li Huacheng directly scold him for "biting people indiscriminately", the anger in Chen Qi's heart also came up, and he was calm just now, but now he is also cold.

"Director Li, let's talk about the first question first, you look at this information passed from Mi Fang, it is clearly written that the deceased had high blood pressure and diabetes, right? But when I looked at the original medical records of the emergency department, there was no reflection at all, I wanted to ask Director Li, did you ask at that time? ”

Li Huacheng was also unconvinced:

"The first thing we have to do in the emergency department is to save our lives, and it is understandable that we are not detailed when we ask for a consultation, if we need to be hospitalized or kept for observation in the future, we may have a detailed consultation, and there is no emergency department in a small place like Yuezhong, so it is normal not to understand the process."

Chen Qi sneered:

"Who told you that there is no emergency department in Vietnam? The emergency department of Yuezhong People's Hospital was founded by me, and all the rescue equipment is imported from the United States. ”

Li Chenghua was stunned for a moment, but continued to quibble:

"Even if you understand the emergency process, what is the direct relationship between the cause of death and the detailed consultation?"

"How can it be okay? On the contrary, this is directly related, your Ziguang Hospital's emergency rescue is so casual? ”

In Chen Qi's view, there is a big problem with the emergency department process of Ziguang Hospital, and it is no wonder that there are not many hospitals in China that open emergency departments at this time, and everyone is groping forward.

Chen Qi obviously did not allow Li Huacheng to be spared:

"If you know in advance that the patient has hypertension and diabetes, then you should know that the cardiovascular and cerebrovascular arteriosclerosis of these patients with chronic diseases is very beneficial and hidden, or how to call it a critical disease?

I have just rescued a patient who came to the emergency department with abdominal pain in Viet Cong, and he was a complication caused by acute myocardial infarction, coronary ischemia and hypoxia, which led to the necrosis of the myocardium.

So let's go back now, what if this foreigner has a heart attack? So is there a possibility that he had a heart attack because of the increased pressure caused by violent vomiting during the gastroscopy, which led to the occurrence of a myocardial infarction and finally died of a myocardial infarction.

I would like to ask Director Li, did you consider a heart attack at that time? You didn't even ask if the patient had high blood pressure and diabetes and went straight to a gastroscopy, do you think this is a mistake? ”

Li Huacheng's face turned red, he opened his mouth, and he had nothing to say.

Chen Qi continued:

"In the same way, when patients have hypertension and diabetes, and there is atherosclerosis, is it possible to have a cerebrovascular accident? Director Li, do you want to talk about this careful consultation to avoid possible risks, and is there an inevitable connection with death? ”

As soon as Chen Qi's words fell, the doctors at the scene exchanged their heads and ears.

The people on the scene are all expert and professor-level doctors, and Chen Qi's words are like a piece of window paste paper, which can be broken at a point, including Li Huacheng.

Chen Qi obviously had not yet lost his anger, so he continued to shout and ask:

"There is another one, among the common causes of death in gastroscopy, there is an aortic dissection, this disease is known to everyone to be harmful, so I want to ask Director Li, knowing that the patient has a history of hypertension, severe abdominal pain or heartache, would you think of aortic dissection?"

Li Huacheng replied weakly: "I, of course I thought of ......"

"Okay, you thought that there might be an aortic dissection, so let me ask Director Li, have you carefully listened to heart sounds or lung sounds?"

"I, I ......"

Li Huacheng couldn't go on, and the doctors in the conference room were in an uproar.

Aortic regurgitation occurs when a hematoma affects the aortic annulus or affects the support of the valve leaflets during the onset of aortic dissection, and a diastolic murmur can be heard in the aortic valve area.

If crackles are heard at the base of the lungs on both sides at this time, coupled with clinical symptoms, heart failure is suspected.

The sum of these symptoms makes it easy to conclude that there is a critical condition called "aortic dissection".

Li Huacheng was already sweating profusely at this time, and his lips were trembling and he didn't know how to defend himself.

Dean Bian glanced at this subordinate and shook his head slightly, obviously in the emergency department, there are loopholes everywhere, and one important node after another has been missed, which cannot but be said to be a kind of fault.

Chen Qi glanced at Zuo Yongxin, the director of the Department of Gastroenterology who was gloating opposite, and asked:

"Director Zuo, right, you did the gastroscopy at that time, and the patient also died in the endoscopy room, please tell me in detail about the gastroscopy."

Zuo Yongxin had already put his mind at ease at this time, thinking that it was all the responsibility of the emergency department, so he began to report the gastroscopy process very negotiably.

"At that time, after the patient was delivered, there was no detailed medical record on the gastroscopy application form, but it only said that abdominal pain was admitted to the hospital for 1 hour, and there was no rebound pain in the middle of the abdomen, so I routinely underwent gastroscopy...... Then the patient suddenly has a seizure-like jitter...... We will do a rescue in the endoscopy room immediately......"

Director Zuo said easily, but Chen Qi frowned more and more he listened:

"Director Zuo, you are an old expert in gastroenterology, and you are also one of the most professional doctors in gastroscopy in China, you should understand the precautions and contraindications of gastroscopy, right? The first question I want to ask is, why don't you ask yourself when you know that your emergency department history is incomplete? ”

Zuo Yongxin was stunned for a moment, chuckled in his heart, and thought to himself, why did this guy come at me?

"At that time, I thought that the emergency department was in a hurry, so I didn't ask carefully......

Chen Qi looked at his notebook and continued to ask:

"You said that the patient reacted very strongly when he did the gastroscopy at that time, and I also have a description of the deceased's secretary here, she said that the deceased was vomiting violently, her face was red, and she obviously looked suffocated, and she had asked to stop continuing the gastroscopy, is there such a thing?"

Li Huacheng, who was still depressed just now, heard this, and his eyes instantly lit up.

Now it was Zuo Yongxin's turn with trembling lips and hands, and his head was buzzing:

"I, this and this, it is not uncommon for patients to vomit during gastroscopy, and if we stop gastroscopy because the patient vomits, then the gastroscopy work cannot be carried out at all."

When everyone heard this, they all felt that this made sense, and there were almost few people who didn't vomit when they did gastroscopy.

Chen Qi obviously disagrees with this view:

"If it is just ordinary vomiting and nausea, of course the gastroscopy can be continued, but if the patient has severe vomiting, even the face has changed, at this time there may be two situations, one is rapid spasm of the trachea, which may lead to suffocation of the patient.

Second, strong vomiting, gastric acid will rush up from the stomach, coupled with the presence of vomit, and a gastroscope tube is inserted, which is very prone to aspiration or suffocation death.

Therefore, when the doctor is doing gastroscopy, when the patient begins to vomit violently, it is often necessary to stop the gastroscopy immediately and withdraw the gastroscope tube, instead of forcibly continuing the gastroscopy. ”

Boom~~~ There was another uproar in the conference room.

At this time, a doctor also stood up and agreed with Chen Qi's point of view:

"In the case of Dr. Chen, our hospital has just encountered a case where the patient was an elderly man who died suddenly during a gastroscopy, and it was later discovered after an autopsy that the patient died of suffocation caused by violent vomiting."

When Zuo Yongxin heard this, his heart was already like playing a drum, and he was completely panicked.

He was the person concerned, and what happened when he had a gastroscopy that day is vivid. In addition, he himself is an expert in gastroenterology, and he is no stranger to gastroscopy that may cause death by asphyxiation.

So Zuo Yongxin was completely panicked, thinking that it couldn't really be the cause of death, right?

At that time, everyone was skeptical, not to mention the other experts in the room, and everyone thought that the answer should have been found.

Only Li Huacheng is the rest of his life at this time, if the foreigner dies at the hands of the endoscopist, it has little to do with him, the emergency doctor.

Even if you want to pull it, the big deal is to be disciplined, at least you don't have to be expelled from prison, and your family will be ruined, right?

As for whether Zuo Yongxin dies or not, uh, it's not like he dies by himself anyway.

At this time, Professor Cheng Bangwu raised a question:

"Dean Xiao Chen, have you noticed that in the medical history, it is said that the patient had epileptiform convulsions before death, what do you think is the reason, and is it possible to identify the cause of death?"

Everyone is an expert and has their own guesses about the possible cause of the convulsions, but everyone obviously wants to hear the young dean's analysis.

Chen Qi glanced at his notebook, and then said:

"I have also noticed the details that Professor Cheng noticed, just now I said that suffocation and aspiration are the most likely causes of death, but they are not the cause of death of this foreigner, which is difficult to judge for the time being.

The convulsions mentioned by Professor Cheng are also very easy to explain from the physiological and pathological point of view, the patient's sudden and violent vomiting during gastroscopy will cause the vagus nerve to be excited, which in turn will cause the heart rate to slow down and the blood pressure to drop.

When the patient's vagus nerve is suddenly excited, the worst consequence is nausea arrhythmia, such as cardiac arrest, ventricular fibrillation, etc., at this time, the effective ejection of the heart is reduced to almost 0, resulting in tissue ischemia and hypoxia, resulting in convulsions. ”

Oh~~~~

There was another exclamation at the scene, as if Chen Qi's analysis was closer to the truth of the patient's death, that is, there was a heart problem.

Zuo Yongxin's heart was already dead at this moment, and the whole person was stupid.

This was lively for a long time, and the biggest black pot actually fell on his head, thinking that he was about to be expelled from prison and ruined, the chief professor in his 50s actually had a feeling of urinary incontinence.

Dean Bian also sighed after hearing this, thinking that this is over, the whole diagnosis and treatment process is a disaster, one link after another, all of which are loopholes.

Originally, in President Bian's mind, Ziguang Hospital, as the best hospital in Qianzhen City and the most advanced hospital in China, is not to mention the best, but also the forefront of the country.

Looking at it now, the level of Ziguang Hospital is not much better than that of county-level hospitals.

So in the conference room, the people on the side of Ziguang Hospital were silent, but the expert group composed of major hospitals on the other side was discussing.

The big leader who had been silent in the first seat smacked his lips, and looked at Chen Qi with complicated eyes:

"There is no vanity under the fame, Comrade Chen Qi is really powerful, after analyzing so many reasons, I listen to it is very reasonable, but now there is a very troublesome place, if the responsibility is really in Ziguang Hospital, in our Chinese side, then we will definitely lose this lawsuit.

If we are at a loss, we will have no way to refute the smears of foreign forces and will not be able to maintain the image of the country. Similarly, the family wants us to pay 100 million US dollars, even if it is a discount in the final negotiation, 50 million US dollars, which is also something we cannot afford.

So I thought...... Please forgive me for my luck, is there a possibility that the real cause of death of this patient is not suffocation, malignant arrhythmia caused by gastroscopy, or misjudgment caused by our careful examination and consultation in advance.

I mean, that's ...... Is there another cause of the death of foreign businessmen, and this reason is unforeseeable, at least our hospital does not have to bear any responsibility, we are closed, and some ugly things can be said.

Now there is a lot of pressure up and down, and we don't hide it from Dean Chen, we invited you here, one is to find out the real cause of the patient's death, and the other is to find a way to get out, and the other is to explain the cause of death to the family. ”

Chen Qi is not an old pedant who eats the old age, and immediately understood the meaning of the big leader.

In fact, the meaning is very simple, we must find a way to "exonerate" ourselves, as long as we don't kill you.

Then the death is not caused by Ziguang Hospital, does this possibility exist, Chen Qi looked at his densely recorded notebook, and then saw a diagnosis:

"There's a chance that we didn't kill him." (End of chapter)