Chapter 703: The clues are clear
Lao Yang drove an ambulance all his life, from Jinbei Gris to Benz 416, the changes in the car have also witnessed the development of Emss in the past few years.
This time, Lao Yang drove the Mercedes-Benz 214 with sufficient power and a maximum speed of 200 kilometers per hour, which also has considerable fuel consumption.
This kind of car is not cheap at all. A set of original Mercedes-Benz series ambulances cost more than 1.4 million yuan, which is still the standard configuration!
Of course, it is definitely not just the price of the car, but also includes oxygen supply equipment, air disinfection and circulation support, electrocardiogram monitoring, ventilators, defibrillators... these professional equipment.
Generally speaking, those who can make ambulances are not necessarily luxury manufacturers, but they are basically quite reliable. Domestic Jinbei is also considered an old brand.
However... the defects of Mercedes-Benz 216 are also very obvious, with shock absorption and rescue in the city, which is very easy!
But walking this mountain road gives Chen Cang the feeling that he is a little floating...
Mercedes-Benz cannot perform its performance at all, and its steering and flexibility are not as good as the domestic Jinbei.
The rescue of walking on a mountain road is actually very effective in the test of ambulance drivers!
It was okay for Kobayashi to sit in the co-pilot, while Chen Cang sat in the back compartment. After getting off, he felt that his steps were a little sloppy.
The director of Nanqiao Township Health Center was already waiting at the door. When he saw Chen Cang and others coming down, he immediately looked happy and hurriedly came forward!
"Hello expert!" The dean was very enthusiastic, and Chen Cang was still a little uncomfortable with talking about an expert.
After a while of greetings, I walked straight inside.
The township health centers here are well developed, and the fourth-story inpatient building looks quite like that.
Chen Cang followed the dean upstairs, while Lao Yang turned around and prepared to carry the car.
Generally, if he and Chen Cang come to the hospital, he will follow him to help. In this case, Lao Yang doesn’t like to interfere in such a situation where he is not short of manpower.
Kobayashi was obediently carrying the rescue box and following Chen Cang closely.
After working in the emergency department for several years, Kobayashi's ability is no longer just a nurse. To be honest, Kobayashi's rescue ability may be higher than that of the dean in front of him.
On the second floor is the cardiology department, after the group entered the ward.
Chen Cang finally saw the patient, the 71-year-old old lady, at this time she was lying on the bed, shaking her quilt, breathing rapidly and breathing continuously!
The sleepy eyes were closed all the time, and the slightly rough and rapid breathing sound was not sure whether it was snoring or what was going on.
He had an oxygen tube on his nostrils, and his face was pale and painful!
At the first glance, Chen Cang felt that things seemed not as simple as imagined!
Thinking of this, Chen Cang was the first to think of the possibility of heart failure.
In elderly patients with acute myocardial infarction, acute heart failure may occur during the attack.
The bed doctor is a young man who is not as good as Chen Cang in the grade, but judging from the greasiness, the working time should be quite long.
But Chen Cang naturally doesn’t need to have too many requirements for others. After all, to be honest, there are not many young people who can come to the health center now, so what else can they have too many requirements?
Chen Cang originally wanted to ask about the situation, but after thinking about it, he took the lead in walking to the old man's bed, lifted the quilt, and looked at his legs and feet.
The family member is a rural woman, who should be a daughter-in-law, but she serves her very carefully.
Generally speaking, patients with right heart failure will have edema, but the elderly have no signs of swelling their legs, and there are not many signs of swelling on their faces.
When Chen Cang saw the old man sitting upright and breathing, he actually didn't feel like a patient with right heart failure at the beginning.
It looks like a typical left heart failure. After all, it is typical for breathing difficulties, sit upright and breathing.
Chen Cang did not continue to check. At this time, the old man opened his eyes and saw Chen Cang smiling.
This is an old lady who smiles kindly and kindly.
Chen Cang looked at the old man and couldn't help but ask a few simple questions first, such as how old he is and whether he is good at sleeping.
The old man's answer was very clear.
Chen Cang also nodded secretly, with clear consciousness, normal thinking, and clear consciousness. This was a lot more relieved.
Only then did Chen Cang continue to ask about his medical history.
I suddenly had a myocardial infarction seven days ago and was sent to the hospital in time. I started to experience difficulty breathing yesterday morning and was able to lie flat. It was just that half-lying was comfortable. However, I felt chest tightness and shortness of breath and difficulty breathing all night, so I couldn't fall asleep. So the old man seemed irritable and anxious!
Chen Cang first comforted the old man, and then asked his family members to greet the old man to lie down.
Chen Cang picked up the stethoscope and started auscultation!
Typical systolic murmurs can be heard in the apex of the heart, and there are wet rales at the bottom of both lungs!
Chen Cang immediately frowned!
Isn't it right?
Isn't this a sign of heart failure?
At the beginning, according to the description of the old man and the expression of his family, all the signs were developing towards left heart failure.
But after Chen Cang finished listening, although it could not be ruled out, but... this should not be the main reason!
Thinking of this, Chen Cang asked Xiaolin to take blood pressure and blood oxygen.
"Blood pressure 120/80mmhg!"
"Heart rate 100 times per minute!"
"Blood oxygen 95!"
Chen Cang looked at the old man: "Have you ever had heart disease before? Or hypertension..."
The old man shook his head.
The daughter-in-law on the side also said: "The old man has always been very strong before, and he gave birth to five sons and two girls!"
Chen Cang was stunned. Although he could not prove anything, his health should be good too!
Thinking of this, Chen Cang turned around and looked at the doctor in charge: "Give me the medical record."
The supervisor's doctor was very assigned: "Okay, okay, wait!"
Not long after, he came over with his medical record.
Chen Cang saw that there were seven or eight electrocardiograms like this, and he did it every day. When he was admitted to the hospital, both of them were typical st-segment arch dorsal elevation and typical acute myocardial infarction waveform.
But... in the next few days, there was an electrocardiogram every day. Although the chest pain was relieved, the patient's st segment did not have a rhythm of decline.
What is going on?
If the diagnosis is not clear, you will definitely not be able to go on the road!
At this time, the old man's child also came. Five men came in. Chen Cang turned around and looked at the tall and big men. He suddenly felt that this was also the pride of a mother.
"Doctor, hurry up and send ammonium yang." said the older man.
Chen Cang shook his head: "Wait a moment, the old man's condition is unstable now and the journey is long. I am worried that something will happen. I must stabilize the symptoms before talking about it. At least I have to diagnose it clearly!"
When the family heard Chen Cang's words, they stopped talking.
In the eyes of the villagers, the experts in the provincial capital are definitely right after saying this, but they are still unwilling to be smart.
On the contrary, the kind of people who have only a little knowledge of Baidu's weapons to criticize the doctor is even more troublesome!
At this time, Chen Cang put his hand on the strongest point of his heart pulsation, and continued to feel it, and there was a tremor?!
Chapter completed!