Sun Lien tricked the patient out of the ninth consultation room and tricked him into the emergency room, naturally because there was more adequate rescue equipment here. In this way, in case the patient has a heart attack before the ECG is done, or when the new ECG is done, Sun Lien can at least rely on the resources in the emergency room to try it. If Li Lifen had ventricular fibrillation in the clinic, it would have taken nearly 50 seconds from Sun Lien to take over CPR immediately to other rescue forces rushing to the clinic. Under the premise that the patient has no obvious signs of onset, slowly coaxing her into the emergency room is conducive to saving time for follow-up rescue and treatment.

"I just have a toothache, why do I have an electrocardiogram?" Li Lifen, who was fooled into lying down in the emergency room, finally noticed that something was wrong. However, before it was her turn to continue to be confused, the ECG was pulled out directly.

"The ST segment is elevated, and blood is drawn for a cardiac enzyme test. Sun Lien glanced at the electrocardiogram and knew that Li Lifen did have symptoms of myocardial infarction. He watched Zhong Yu draw blood for Li Lifen, and carefully explained, "Your current toothache is not because of a tooth problem. This is a special symptom called referred pain. ”

Referred pain refers to symptoms of certain organs inside the body that respond to pain on the skin and muscles in specific areas. Pain sensation in the viscera passes through nerve fibers, reaches the cerebral cortex through the spinal cord, and is understood as pain in the cerebral cortex. In the process of pain transmission, it may affect the nerve fibers on the body surface of the same spinal cord segment, resulting in pain conduction and spread to the corresponding body surface parts.

Some patients present with pain in the right shoulder when there is pain in the anterior chest area of myocardial infarction, epigastric or periumbilical pain in appendicitis, cholecystitis, or gallstones.

Toothaches caused by myocardial infarction are not very numerous, but the number is not too small. In fact, due to the complexity of the human nervous system, the referred pain of patients with myocardial infarction can sometimes change to the point that doctors are confused. Some patients present with leg pain, some with back pain, and others with more atypical neurological symptoms such as dizziness, blurred vision, tinnitus, and more.

When I was in medical school, many professors liked to teach students that they should not just copy the contents of a book. The human body is a very complex system, and the same problem can manifest itself in many people with completely different symptoms. For these diseases, it is necessary to have a high degree of vigilance and sensitivity.

Sun Lien used all his strength to fool Li Lifen on this side, and on the other side, he glared at Zhong Yu. Nurse Zhong glanced at Sun Lien suspiciously, and then began to comfort Li Lifen and let her lie down and rest for a while. And Sun Lien took the opportunity to sneak into Zhou Jun's office.

"What are you doing here?" Zhou Jun now spoke with a bit of Liu Tangchun's meaning - through humor and a somewhat scoundrel form to pull in relationships with other medical staff. "What's the trouble again?"

Sun Lien smiled with caution, "I took in a heart attack patient." ”

Zhou Jun raised his eyebrows, "Deal with it according to the regulations...... "The emergency department of the Fourth Central Hospital has two functions: a chest pain center and a stroke center. There are perfect treatment processes and means for patients with myocardial infarction and cerebral infarction.

"Patients may not be in a good financial situation and are more worried about costs. Sun Lien carefully explained, "And the symptoms are very atypical - she has a toothache." ”

"Not typical of typical. Zhou Jun glanced at Sun Lien, "Won't it be over if you explain it clearly to her?"

Sun Lien sighed with a painful expression on his face, "I think...... There may be other questions. ”

"I just met a patient who may be a family member who is going to cheat on negative treatment. Zhou Jun glared at Sun Lien, "Dean Song doesn't agree with Shenwai to give him surgery, what's wrong with you?"

"The worst is probably domestic violence, and my patient is thin and thin. Sun Lien spread his hands, and there were a lot of new things in the emergency department. "There may be starvation ketosis. ”

Zhou Junqi said, "How old are you?" His first reaction was that this might be a young woman who was over-dieting.

"Fifty-seven years old, female. "And I've been worrying about the cost of medical treatment — she can't walk steadily, but she's alone and doesn't have family members with her — and when I asked her what she ate at night, the answer I got was a very general type of high-sugar and high-fat food rather than a specific dish, which didn't feel real." ”

"Let's go, let's see. Zhou Jun frowned. From Sun Lien's description, he did hear a hint of domestic violence.

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"I'm going to prescribe a painkiller!" Li Lifen half-leaned on the bed weakly, and protested to Sun Lien very dissatisfied. It's just that her protest is too quiet, and it's almost difficult to spread too far in the noisy place of the emergency room.

"How long has it been since you eaten?" Zhou Jun began to frown as soon as he saw Li Lifen's state. She is about 1.55 meters tall, but she should weigh less than 45 kilograms. People are generally easy to get lucky when they reach middle and old age, but Li Lifen is thin and thin, and her skin is gray and yellow, so she knows at a glance that there must be something wrong with her body.

"I've just eaten ......" Li Lifen still wanted to cover it up, but the just right bowel sound made her stop.

Zhou Jun sighed, "You now have obvious symptoms of myocardial infarction. This is because there are large blood vessels in your heart that are blocked. There are many kinds of things that block blood vessels, and generally what we see is blood clots or arteriosclerosis deposited in blood vessels. But you shouldn't be in this case. ”

"You should have been in a state of chronic hunger for a while. The human body is constantly weakened by hunger and is prone to various infections. That's what I'm most worried about right now – if your infection is so dangerous that it can attack the coronary arteries of your heart and cause blockages. Zhou Jun moved with emotion and reason, "We are doctors, our job is to save people, you really don't have to worry too much, just tell us the truth." He dragged Sun Lien over, "For example, he's a newcomer who has just graduated." But he was also able to donate two-thirds of his monthly income to support part of the treatment costs for anti-Japanese war veterans and righteous and courageous people. ”

Sun Lien smiled a little embarrassedly, he didn't know how Zhou Jun got the news so quickly.

"The cost of things, let's figure it out. You don't have to worry. Zhou Jun said sincerely, "You just need to tell us the truth, and then cooperate with us for treatment." You don't have to worry about anything else, really. ”

Li Xiufang half-bowed her head, sobbed for a while, and then began to whisper her story.

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Li Xiufang is a hard-working person as the old saying goes. My mother died when I was three, and my father died at the age of twelve. and his brother who is three years younger have been dependent on each other for 20 years, and finally pulled his younger brother to grow up, and his daughter is unmarried, and he is always harassed by the idle men and hooligans in the village. As a result, the younger brother was young and vigorous, and stabbed to death two scoundrels with unclean mouths with a sharp knife. He was then arrested and executed.

At the age of twenty-four, Li Xiufang was left alone, and she didn't want to live anymore.

When she was about to die next to Ninghu Lake, she was rescued by the militia captain who guarded the irrigation facilities. The old militiaman, also surnamed Zhao, was 20 years older than Li Xiufang, and had participated in the self-defense counterattack against Vietnam. In Laoshan was blown up by a mine and broke a leg, and later after retiring, he returned to Ningyuan to work in the Township People's Armed Forces Department, and his main responsibility was to take care of irrigation facilities.

The old militia is a rough man, but he is really good to Li Xiufang. And Li Xiufang, who originally wanted to die, gradually fell in love with the old militia. Although he lost a leg, he was a reliable man. At the age of twenty-six, Li Xiufang married an old militiaman who had been a bachelor for most of his life.

At the age of thirty-five, Li Xiufang and the old militia adopted an eight-year-old orphan. The old militiaman said with a smile that the old Zhao family has a future.

At the age of forty-one, the old militia drowned after being electrocuted in order to stop two bastards who were going to water and fish.

At the age of fifty-three, twenty-six-year-old Xiao Zhao got married and had children. But Li Xiufang didn't know. The daughter-in-law said that Li Xiufang was a desperate lone star, killed her parents, brothers and husband, and resolutely refused to allow Xiao Zhao to have any more contact with her adoptive mother.

Li Xiufang is getting older and her income is getting less and less. She still likes to live in the small brick house built next to Ninghu Lake when the old militia married her. She can't do farm work anymore.

At the age of fifty-six, Ninghu requisitioned land to build a resort, and the houses of Li Xiufang and the old militia were also within the scope of the land requisition. The developer offered her a compensation of 1.2 million.

When he was fifty-six years old, his son and daughter-in-law suddenly contacted Li Xiufang again.

At the age of 56, without Li Xiufang's knowledge, her son signed a land acquisition consent form. One and a half million went into the daughter-in-law's account. And Li Xiufang was invited to live at her son's house.

At the age of fifty-six, the house left by the old militia to Li Xiufang was in ruins.

At the age of fifty-six, Li Xiufang began to have enough to eat.

At the age of fifty-six.

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There was silence in the emergency room. Only the crunching of a few male nurses clenched their teeth and the sound of Zhou Jun clenching his fists.

"Call the police. After being silent for a long time, Zhou Jun said in a very low but extremely angry voice, "Call the police, go and call Lao Wu...... Also, contact the family. With trembling hands, he let go of the paper he had clutched into a ball of paper. "I'll go find Dean Song. ”

Zhou Jun raised his head, his eyes on fire.

"Do a set of routine blood tests, arrange CT for contrast-enhanced imaging, and confirm the extent of myocardial infarction. He forced himself to take a few deep breaths, and then said, "After confirming the location of the myocardial infarction, arrange thrombolysis treatment as soon as possible, and I will do the rest." ”

He squeezed out a cloud of turbid air from his nose again, and then said to Sun Lien, "Find her something to eat, don't be too salty and spicy, buy some meat porridge or something." He turned and walked to the door of the emergency room, "I'll pay for it." ”