"There's a chance that we didn't kill him."

When Chen Qi said this, the eyes of everyone at the scene lit up, including Li Huacheng, the director of the emergency department who was still raising the bar just now, and even Dean Bian, who had always been calm, showed expectation in his eyes.

The big leader also sat up straight all of a sudden:

"Dean Chen, what do you say?"

Chen Qi took out his medical record, looked at the doctor at Ziguang Hospital and said:

"When a patient comes to the emergency department of the hospital, is it just a simple abdominal pain, or is it accompanied by chest pain?"

Everyone didn't know why, and everyone's eyes were focused on the emergency doctor at Ziguang Hospital.

Li Huacheng thought for a while: "The main complaint is abdominal pain, and it is a sudden abdominal pain that occurs after overeating, it seems that there is no chest pain, right?" ”

Li Huacheng said that he was not sure, and his eyes looked at the other doctors in the emergency department, which caused Chen Qi to frown again.

At this time, a little doctor in the emergency department raised his hand weakly:

"When the patient came to the hospital, he was in extreme pain, and his speech was a little slurred, and he was holding his stomach with his hand and talking about abdominal pain, which was indeed abdominal pain, but I vaguely heard the patient still talking about chest pain, which is chest pain."

Foreigners do not speak Chinese, but there are many special terms in medicine, and ordinary small translations are not accurate at all.

Just like when Chairman Chapman Webster suddenly fell ill and was sent to the emergency department, a large crowd surrounded the mess, and Chapman Webster himself couldn't speak clearly because of the pain.

So the translator only saw Chapman Webster holding his stomach, and directly translated a abdominal pain, forgetting to turn the chest pain.

When the little doctor said that the foreigner patient mentioned "chest pain", the scene was in an uproar again.

Because all the treatment measures targeted by Ziguang Hospital are based on "abdominal pain", but abdominal pain and chest pain are completely two different concepts, which shows that the emergency department may have misdirected it in the first place.

Chen Qi thought that his guess might indeed be accurate, so he continued to ask:

"I'll give you a pass first, let's listen to the symptoms I described, a patient suddenly had severe pain in the chest, back or abdomen, the pain was like a tear, accompanied by dizziness, difficulty moving, slurred speech, and was rushed to the hospital, guess what went wrong?"

One doctor was the first to speak: "First of all, think about a heart problem, such as a heart attack or angina. ”

Another doctor also spoke: "Dizziness, difficulty moving, slurred speech, and it is not ruled out that it is a cerebrovascular stroke." ”

"There is severe abdominal pain and a history of overeating, and it is not ruled out that it is gastric perforation, acute pancreatitis and other digestive diseases."

For a while, there was a lot of discussion in the conference room, but whether it was the big leader or Professor Cheng Bangwu, they all had a radish on their heads, and their minds were full of question marks.

Professor Cheng couldn't help but ask:

"Dean Xiao Chen, the symptoms you just mentioned are indeed the symptoms of this foreigner when he was admitted to the hospital, but as analyzed by so many colleagues, there are many reasons, some say heart and brain stroke, some say digestive system, and respiratory system cannot be ruled out.

So many systems are possible, and now the dead can't be autopsied, all speculation is actually useless, what we need is to come up with solid evidence that Chapman Webster's death has nothing to do with our Unigroup Hospital. ”

Old God Chen Qi was there, shook his head lightly and said:

"Professor Cheng and all of you, don't worry, I have listened to so many analyses from you, and there is a disease that everyone did not expect, and this is precisely one of the most common complications of gastroscopy."

"What?" Everyone shouted in unison.

"Dissection aneurysm ......"

"Dissecting aneurysm?"

Hearing this term, most of the doctors in the conference room were confused, and the doctors present were almost the most powerful group of doctors in Quang Nam Province.

Chen Qi blinked, also full of confusion, "Haven't you heard of dissecting aneurysm?" What about aortic dissection? ”

"Oh~~~ It turned out to be an aortic dissection~~~"

At this time, a small number of doctors were in a state of sudden realization, apparently they had heard of the disease and learned about it.

Why don't most experts and professors know about aortic dissection? It's really that this disease has not been included in the textbooks, and everyone did not learn about it when they went to school.

Moreover, this disease is very dependent on auxiliary examinations, such as intravascular ultrasound, enhanced CT, magnetic resonance imaging, etc., and there are few advanced equipment in China.

Therefore, even if doctors have encountered patients with aortic dissection in clinical practice, they often do not think of the existence of this disease because there is no auxiliary examination to verify it.

Several doctors who know about aortic dissection are a little complacent, after all, they only learned about this disease through foreign medical journals, others don't know, they know, this is the gap.

So he talked about it and introduced it to his peers next to him.

The big leader also knocked on the table when he heard the messy conference room:

"Let's be quiet, let's listen to Dean Chen's explanation first, and besides, what kind of dissection disease can really let us get out?"

Chen Qi was not polite, knowing that he had to start from the beginning.

So he stood up, came to a white wall, and under the distressed eyes of the staff, began to draw anatomical drawings on the wall with a marker.

"You see, this is the heart, the aorta is connected to the left ventricle, as the thickest arterial canal in the human body, the heart sends fresh oxygen, blood and nutrients to the whole body through the aorta.

The aorta originates from the left ventricle of the heart, is slightly arched upwards to the right and then downwards, and then descends down the spine, dividing into many smaller arteries in the thoracic cavity and abdominal cavity, which can be divided into three parts according to their travel: ascending aorta, aortic arch, and descending aorta.

The descending part of the aorta is bounded by the aortic hiata of the septum, and the section above the aortic hiatus is called the thoracic aorta, and the following section is called the abdominal aorta. The disease I'm going to talk about today is in these two sections of the aorta. ”

The experts and professors of various disciplines in the conference room all listened to Mr. Chen's lecture as if they had returned to their student days at this time, with clear stupidity in their eyes.

Even the big leaders of the laymen listened very carefully one by one.

Good guys, this is a major matter related to 100 million dollars and the reputation of the country, so they can't afford not to pay attention to it.

Chen Qi said to a Y-shaped blood vessel written backwards:

"Aorta, the doctors here all know, the leaders may not understand, this part is actually the yellow throat that we often order when we eat hot pot, it tastes crunchy, I think everyone has noticed that the yellow throat is very thick and elastic, this is because it has to bear the huge pressure of the blood.

The aorta is divided into three layers, namely the adventitia, media, and intima, the three layers are originally closely connected, and the elastic muscle medium can prevent the rupture of the blood vessel wall, but there are various reasons, such as high blood pressure, aortic atherosclerosis, etc., which often lead to the destruction of the aortic stromal layer.

As a consequence of the destruction of the stromal layer, the wall of the aorta becomes thinner and thinner, which causes blood in the aorta to flow from the weak or torn part of the aortic intima into the aortic media, causing the mediata to separate from the intima.

Then the blood will stretch the aortic wall along the direction of the long axis of the aorta, forming a state of separation between the two chambers, and the aorta will expand outward like a balloon, and the inside will be filled with blood. ”

The doctors are all professional, and this explanation immediately moved.

Immediately, a doctor exclaimed:

"It's a time bomb, once the adventitia of the aorta can't support this pressure, it will rupture in an instant and cause massive bleeding."

Chen Qi nodded at the doctor who spoke:

"Yes, you're right, and because it's an aorta, if a dissection ruptures, the consequence is that the patient dies instantly."

The little doctor in the emergency department couldn't wait to raise his hand and said, "At that time, this foreigner died instantly." ”

Professor Cheng is still more rigorous and raised another question of his own:

"I heard that foreigners still pay great attention to their physical health, and have regular physical examination reports, such as the deceased, he once had a full body physical examination in December last year, but there is no description of relevant vascular lesions on the physical examination report, which is difficult to convince the patient's family."

The big leader also nodded silently: "Yes, if there is really such a big hidden danger, how can the physical examination not find it?" ”

"Not necessarily!"

Chen Qi returned to his seat and continued to analyze for everyone:

"Physical examination is a routine examination, everyone is a doctor should know that the doctors in the physical examination department are often relatively poor in the hospital, they understand whether the dissection aneurysm or aortic dissection is not necessarily, how to distinguish it?

Moreover, the onset of this disease is very insidious, generally not felt, some stable dissections will also have dyspnea or chest and abdominal pain and vague pain, and most of the dissections will have sudden severe pain until they rupture and bleed. ”

In fact, aortic dissection is also one of the incurable diseases in later generations, because it is difficult to be diagnosed at once, especially in small hospitals, or second-knife doctors, so the misdiagnosis rate is very high, and it also directly leads to a high mortality rate.

Experienced doctors will ask patients with chest pain and abdominal pain to have a contrast-enhanced CT scan, and the CT doctor can identify the condition of the aorta.

At this time, it can be detected early and treated early to avoid the most serious consequences.

However, in China in the 80s, CT was not popular, or the doctors themselves did not understand this aortic dissection, so there was no way to detect it in advance.

Look, most of the experts and professors in the conference room don't know about this disease, and if they encounter such a patient, they will only miss the best opportunity for early detection.

The big leader listened for a long time and understood half of it, and then asked:

"What does Dean Chen mean, the clinical symptoms of this patient are also consistent with dissecting aneurysms?"

Chen Qi nodded solemnly:

"Yes, because the patient's chief complaint is chest pain, but our doctor did not hear or understand clearly, and there is chest pain, abdominal pain, difficulty moving, and slurred speech, which is consistent with the manifestation of the aortic heterolayer, and there is hypertension and diabetes in the past, which is also an important underlying disease.

There is also a fatal place, that is, when doing gastroscopy, the patient is not suitable for gastroscopy, which causes violent vomiting, and the pressure of blood vessels in the human body will increase instantly, which is fatal.

Didn't the doctor say just now, this dissecting aneurysm is now like a time bomb, it will explode at any time, and at this time, the pressure of the blood vessels suddenly increases, and the consequence is that the blood vessel pressure directly squeezes the aneurysm.

Once a dissecting aneurysm ruptures, there is only one consequence, massive bleeding and instant death. ”

Boom~~~ Everyone in the conference room exploded again.

"This explanation feels the most reliable."

"I also think that this is consistent from the mechanism to the clinical symptoms."

"I'm ashamed, it seems that we also need to learn foreign languages well and read more foreign medical journals."

Chen Qi is like a policeman, slowly analyzing the case for everyone, and finding out the possible causes like peeling back the cocoon, so that everyone can understand it as soon as they hear it.

Seeing that everyone began to talk again, Chen Qi, who had been talking for a long time, picked up his thermos cup and took a sip of the Coke inside.

The big leader knocked on the table and fell into deep thought, and it took a long time before he spoke:

"Dean Chen, your analysis seems to be reasonable, but there is still a question, can you find evidence from so many inspection reports, so that the family can accept this conclusion and stop making trouble?"

Chen Qi pretended to smile lightly at this time, and he was just about to have a feather fan:

"It's not difficult to find evidence, Dean Bian, you did a CT scan after the deceased was admitted to the hospital, and now you immediately send someone to pull out the CT film."

As soon as Dean Bian heard that things had taken a turn for the worse, he hurriedly shouted to the staff of the hospital office: "Don't go yet!" ”

After about 10 minutes, the staff rushed into the conference room with a few CT films.

"Dean Chen, give!"

Chen Qi picked up the film, and a group of experts surrounded him with a hula behind him, and the dean on the side didn't care about his demeanor, and desperately squeezed to Chen Qi's side.

As for the two unlucky doctors involved, Li Huacheng and Zuo Yongxin, they didn't care at this time, stepped directly on the table and looked at the CT film.

Although the big leader couldn't read the CT film, he was also anxious and ran to Chen Qi's side.

The conference room, which was originally sitting in an orderly manner, was already centered on Chen Qi at this time, and a large group of doctors were densely gathered.

As soon as Chen Qi got the CT film, he quickly read it, and then knocked on the film, making a light and crisp sound:

"Yes, it's a dissected aneurysm."

The other doctors were anxious: "Where? ”

Chen Qi pointed to one of the places and said:

"Look here, you see, the root of the aorta here is much thicker than usual, and if you look here, there is obviously a bud-like bulge here, which is a dissecting aneurysm.

Unfortunately, this is not contrast-enhanced CT, if the contrast-enhanced CT can clearly see the true cavity, false cavity, stratification, dehiscence, and the entire aorta passing, the existence of this crack can also be seen. ”

The vast majority of the doctors present were not vascular surgeons, because of the previous abdominal pain and gastroscopy misleading, most of them were gastroenterologists.

Therefore, the reading of vascular CT is not so professional, but this does not prevent them from making a sudden realization, otherwise it would be so embarrassing to say that they can't read it.

"Oh~~I see~~~"

"It's really oh, Dean Chen is really as wise as a torch~~~"

"Dean Xiao Chen, I'm convinced~~~"

The big leader also laughed when he heard it:

"Now it has been confirmed that it is a dissecting aneurysm, does this mean that there is no problem in our rescue? We don't have to take on too much responsibility? Is there no basis for their compensation? ”

Dean Bian clenched his fists excitedly, and Li Huacheng and Zuo Yongxin had already hugged each other and cried bitterly.

Solved a big case, Chen Qi was also in a happy mood:

"The most important thing now is to immediately revise the medical record, add the diagnosis of aortic dissection, put a question mark at the end, and also reflect the doctor's written description of the dissection in the medical history."

The family of the deceased still lacked experience because the incident happened suddenly and the family did not have a lawyer with them.

Originally, in the event of a medical dispute, the original medical records should be sealed in the presence of the hospital, the family, and the lawyer, but the people of the United States did not do so.

This leaves an opportunity for the Unigroup Hospital to cheat.

As soon as the original medical records were modified, even the CT conclusions were also modified, and the emphasis was on "aortic dissection" or "dissecting aneurysm", so that the hospital had almost no responsibility.

I predicted in advance what disease you might have, and I also did the corresponding tests, and in the end, the patient died suddenly due to this disease, and the hospital couldn't do anything about it.

After all, the mortality rate of this disease is so high, there is no time to rescue at all, and you can only blame yourself for your bad life.

The doctors of Ziguang Hospital acted quickly, tampering with medical records, which is the basic skill of doctors, and everyone is familiar with it.

In less than half an hour, a brand new rescue medical record was released, and even the CT examination report was re-revised and printed, and it was sandwiched in the medical record.

Everyone in the conference room was relieved, and even the big leader laughed and joked with everyone.

Just when everyone thought that the matter would be settled like this, there was an accident the next day when they colluded with the family...... (End of chapter)