Chapter 314 Meng Xi's Test

Department of Cardiac Surgery, East University First Hospital.

Nine twelve at night.

Through the window, you can see the bustling city.

Chen Cang followed Ge Huai and Meng Xi back to the doctor's office from the operating room. From six o'clock in the afternoon until now, Ge Huai followed Meng Xi to perform two operations. To be precise, Ge Huai helped Meng Xi to perform two operations. As for Chen Cang... Chen Cang's assistant is not counted as an assist, at most it counts as an eye assist.

Chen Cang found that the more he participated in the operation, the more likely he was to "learn" the skills of the surgeon.

It's not called stealing, it's called learning.

The five percent chance seems to be very high, but Chen Cang has estimated for a long time that this ratio will change.

If you have a high degree of participation, do your best for this operation, and make a lot of effort, you will have a high probability of getting an operation, such as the original phalanx fracture operation.

But such eye assists are really annoying, and the percentage of people who want to acquire skills is too low.

In fact, it's not that Chen Cang doesn't want to do it, Chen Cang also wants to...

But in the final analysis, it was mainly because of Meng Xi and Ge Huai's distrust.

After all, you are a student, and it is impossible to get started just a few days after you arrive. Everything needs a gradual process.

This made Chen Cang feel helpless. After all, if he didn't get started, he wouldn't be able to learn surgery.

Surgery, no hands-on, how to learn techniques!

And there is no way to improve the favorability!

Favorability is now stuck at 20 and cannot be improved.

Chen Cang was a little confused. This skill must be obtained by favorability. What is 20 favorability points enough for him?

Cardiac surgery, as a highly specialized department, starts with second-level operations, and basically all are third-level operations, first-level operations... This is not bullshit!

Chen Cang felt more and more that life was deceiving him.

...

...

The three sat in the doctor's office, Ge Huai excitedly told Meng Xi about the operation just now, while Meng Xi listened, rarely spoke, and occasionally nodded or commented.

And... Chen Cang's participation is extremely low, and his presence is meager...

The so-called "don't know about BB", Chen Cang thoroughly implemented this theory.

Seeing that the operation was over, and it was getting late, Chen Cang estimated to get up and leave.

Just as Chen Cang was about to leave, the phone rang in the doctor's office. Before Ge Huai could answer the call, the sound of the incoming call had stopped. It should have been picked up by the nurse station.

The doctor's office phone and the nurse's station phone are connected.

A minute later, the nurse came in, looked around the office, saw Meng Xi and others, and said curiously, "Director Meng, who is on duty today?"

Meng Xi shook his head and looked at Ge Huai: "Doctor Ge, who is on duty today?"

Ge Huai hurriedly walked over to the watch face and looked at it: "It's Doctor Yao today, I'll see if I'm going to change the medicine."

Meng Xi shook his head: "No need."

After speaking, Meng Xi looked at the nurse: "What's the matter? Xiao Li."

Nurse Xiaoli said, "A patient was sent to the emergency department just now. He has chest pains, and it is suspected that it is a heart problem. Let the doctor of our department go for consultation."

Meng Xi got up and walked directly outside: "I'll go."

Chen Cang nodded and hurriedly followed Meng Xi towards the outside.

Ge Huai also followed Chen Cang and walked down.

When they arrived at the emergency department, the nurse saw Meng Xi and said quickly, "Director Meng, you are here. The patients are all in the emergency room now."

Meng Xi nodded and walked inside.

The doctor on duty saw Meng Xilai coming, and his eyes suddenly lit up. This female doctor can be said to be a famous person in the First Hospital of Dongda University.

Let's not talk about the blessing of this halo from a world famous school.

After Meng Xi came to the hospital, most of the people were convinced by his vigorous and resolute work style, his self-serving work attitude, his accurate diagnosis and his mastery of surgery.

They are not only talented and so beautiful, but they also work so hard and have strong abilities.

How could such a person be unpopular.

Wu Peng, a doctor in the emergency department, said directly: "Director Meng, you haven't gotten off work yet!"

For these nonsense, Meng Xi did not answer, but said directly: "What's the situation of the patient."

Wu Peng was stunned for a moment, and quickly said: "The patient male, 51 years old, suffered from sudden crushing pain in the anterior chest area three days ago! It was obvious behind the sternum, with typical referred pain and radiating pain, which radiated to the neck and back, sharp and sharp. Pain is the main thing, I didn't pay attention to it, and today it's aggravating... It's a bit like a heart attack!"

As soon as these symptoms are said, it is obvious that people are brought in the direction of acute myocardial ischemia, which is very similar to the symptoms of angina pectoris and myocardial infarction in coronary atherosclerotic heart disease.

Meng Xi walked directly to the patient, looked at the ECG monitor, then walked to the man and saw that the man was clearly conscious.

"Have you done an electrocardiogram?"

Wu Peng hurriedly brought over the electrocardiogram in his hand: "Here, it doesn't look like a heart attack."

"Before coming, the patient had taken oral nitroglycerin, but the effect was mediocre, and the chest pain did not relieve."

Wu Peng is not a cardiology major. He can recognize and distinguish some emergencies in the electrocardiogram, but he cannot accurately distinguish those special abnormal electrocardiograms or ordinary electrocardiograms.

Meng Xi took a look at the electrocardiogram, frowned slightly, nothing was typical, but... not right!

Meng Xi suddenly noticed a detail, the offset of the P-R segment.

This is a typical difference from myocardial infarction and early repolarization syndrome!

Could it be... acute myocarditis?

Upon closer inspection, there are no abnormal Q waves, and the ST to T ratio is about a quarter.

Attack time for a few days...

All clues point to an answer!

May be acute pericarditis.

Thinking of this, Meng Xi took off the stethoscope on his neck and put it on, and placed it in front of the patient's heart to listen.

pericardial fricative...

Sure enough there is!

With the ups and downs of breathing and the continuous progress of heartbeat, Meng Xi heard a slow pericardial fricative.

Nine times out of ten it is pericarditis.

Thinking of this, Meng Xi looked at Wu Peng: "I suspect pericarditis now, but myocardial infarction cannot be ruled out. Has the patient checked for myocardial enzymes?"

When Wu Peng heard that it was myocarditis, he immediately reacted: "Myocardial enzymes were checked when I came to the hospital, and it was all right."

At this time, the patient suddenly said, "Doctor, I have some chest tightness, and it's a little hard to exhale."

Meng Xi frowned slightly: "Let the bedside ultrasound come over to see if there is any exudate."

When Wu Peng heard it, he nodded quickly, and hurriedly arranged a consultation.

At this time, Meng Xi suddenly turned around and stared at Chen Cang: "Didn't you stay in the emergency room? Can you judge acute myocarditis?"

Chen Cang was stunned: Who do you look down on!

【Ding! Trigger Meng Xi's test, the first ring, analyze the condition! 】