Back in 2002 as a doctor

Page 189

"Dean Xiao, director." Zhou Congwen said with a serious expression, "The patient's condition is very dangerous..."

As soon as he said this, Xiao Qiang interrupted him.

"I'll report back later, Director Shen from the People's Hospital has arrived."

After Xiao Qiang finished speaking, he stood up and went out to meet Director Shen. Li Qinghua patted Zhou Congwen on the shoulder and said nothing.

Xiao Qiang was really interesting, and Zhou Congwen was not angry either. He just told Dr. Tang to use antihypertensive drugs to maintain the patient's blood pressure.

It's useless to be anxious, you can't make a big shelf on the spot with wire, right?

If the diameter is a bit off, Zhou Congwen has a way to modify it during the operation, so it can be used to make do with it.But he is not a fairy, and he cannot conjure a membrane-covered stent out of thin air.

Hope the patient has better luck.

However, the patient's luck seems to be good. He met himself in Jianghai City in 2002, was able to make a clear diagnosis, and planned to give him a stent.

From the certainty of death to the great vitality, it cannot but be said that Wei Ju's luck is very good.

Zhou Congwen sat down with a few images printed out by the bedside machine in his hand and stared quietly.

"Xiao Zhou, what did you see during the echocardiogram?" Dr. Tang came back and asked.

"Why didn't you follow?" Zhou Congwen didn't answer, but asked rhetorically.

"The room is full of people, and I can't get in." Dr. Tang scratched his head. He stayed up late all year round. Although he was only under 30 years old, his hairline had been receding, and his forehead was like a wasteland after the wind and sand had spread. Same.

Neurosurgery is very difficult, Zhou Congwen thought to himself.

"What did you see? Xiao Zhou, why don't you go back first." Doctor Tang advised kindly, "Dean Xiao contacted 912, and Director Shen is here... It's my fault, I should have called the Circulatory Department first. .”

"Same." Zhou Congwen said lightly, "The patient has a problem with the thoracic aorta. I think it is a thoracic aortic dissection aneurysm. The circulatory department can't do it either, so we have to come."

"..." Doctor Tang was taken aback. He looked at Zhou Congwen and said helplessly, "Let's not say whether it is true or not. Even if it is interlayer, you seem to be unable to do it."

"Did you forget that I asked for a big shelf?"

Only then did Dr. Tang recall that Zhou Congwen called Professor Chen directly from the Second Hospital of Medical University at the very beginning.

Because there was no similar operation in the Third Hospital, all the doctors didn't even know that there was a stent technique. Even if they saw Zhou Congwen call with his own eyes, Dr. Tang still ignored it.

Big airs, this kind of thing is a legend to Dr. Tang, a legend that only exists in academic associations.

"Xiao Zhou, why don't you..."

"Old Tang, wait for Director Shen's results." Zhou Congwen said, "The patient's blood pressure must be well controlled, otherwise he may die at any time."

Seeing Zhou Congwen's confident and firm expression, Doctor Tang couldn't persuade him even if he wanted to.

After a while, Xiao Qiang and Director Shen from the People's Hospital walked in.

"Just now, Dr. Zhou from our Cardiac Surgery Department also performed an echocardiogram on the patient. Xiao Zhou, tell me about your results." After sitting down, Dean Xiao didn't let Director Shen speak, but asked Zhou Congwen directly.

"Dean Xiao, I think there is something wrong with the echocardiography, or..." Director Shen wanted to speak, but when he saw Xiao Qiang raised his hand, he shut his mouth wisely.

Zhou Congwen smiled, "Then shall I start talking now?"

"Report." Xiao Qiang sneered.

"The patient had carotid atherosclerosis with plaque formation, and the right vertebral artery showed a reverse blood flow signal. Combined with the medical history, vertebral artery steal syndrome was considered."

Xiao Qiang was taken aback.

Steal blood syndrome is also called steal blood syndrome.

When an artery in the human body is partially or completely occluded, the pressure at its distal end drops significantly, and a siphon effect occurs, whereby fresh blood is stolen from nearby blood vessels through the side branches of the arteries.

As a result, a series of symptoms of insufficient blood supply appear in the blood supply area adjacent to the blood vessel, which is called steal blood syndrome in medicine.

Xiao Qiang's eyes widened, and he looked at Zhou Congwen coldly.He thinks that Zhou Congwen said that on purpose, because there is another sentence in front of it that combines the patient's medical history.

In other words, Zhou Congwen was ridiculing his diagnosis error in front of everyone - the patient was not an ordinary cerebral infarction at all, or cerebral infarction was just one of the diagnoses, and it was still an unimportant part.

"Wait a minute, Director Shen, what do you think?" Xiao Qiang asked in a deep voice.

Director Shen of the People's Hospital was looking at Zhou Congwen in surprise. Hearing what Dean Xiao asked him, he replied without thinking, "I think so too."

"..." Dean Xiao was stunned.

Could it be that I have misjudged it, that it is really stealing blood syndrome? !

I go!

All the neurosurgeons in the office lowered their heads. Based on their knowledge of Dean Xiao, Dean Xiao would definitely be furious when such an embarrassing thing happened.

Even if he wanted to put on an air in front of "outsiders", if he took a second look and was caught by Dean Xiao, he would definitely be in bad luck when he turned around.

Dean Xiao's old face turned red, and he stared at Zhou Congwen, "Go ahead."

These words squeezed out between the teeth, as if constipated.

Chapter 0327 I also think so

"The patient's left vertebral artery pressure difference increased."

Zhou Congwen continued.

Dean Xiao frowned, and looked at Zhou Congwen viciously. He vaguely felt that this was a big conspiracy, a conspiracy against himself.

But the patient was brought by himself, and the consultation call was made by his own doctor. It didn't seem like someone deliberately designed him.

While listening to Zhou Congwen's statement, Xiao Qiang was in a daze, using conspiracy theories to find out why Zhou Congwen did this.

"The patient's left atrium and ventricle are enlarged, and mild and moderate regurgitation signals are seen in the mitral valve; the interventricular septum is thickened, and hypertrophic cardiomyopathy is considered."

"Wait a minute, what do you think, Director Shen?" Dean Xiao interrupted Zhou Congwen again.

"I think so too." Director Shen already sensed that something was wrong with the atmosphere in the office, but what Zhou Congwen said was right, so he could only bite the bullet and admit it.

Dean Xiao nodded and looked at Zhou Congwen again.

"I continue?"

"continue."

"The patient's ascending aorta was dilated, and he was diagnosed with ascending aortic aneurysm." Zhou Congwen said the final conclusion.

"Wait a minute!" Dean Xiao immediately interrupted Zhou Congwen, looking at Director Shen.

"I... I think so too." Director Shen stammered.

How dare this little doctor from the Third Hospital speak out, Director Shen thought.After he finished the echocardiogram for the patient, he was just skeptical. If he was asked to tell the result, Director Shen would add vague words such as maybe, like, and consider, and would definitely not give a direct diagnosis like Zhou Congwen.

Zhou Congwen spoke of the diagnosis with confidence, but Director Shen could only admit it with his back teeth gritted.

After all, it would be even more embarrassing to ask him to raise an objection, but there is no basis for it.

When Dean Xiao heard what Director Shen said, his face turned dark, as if he was wearing a veil.

Director Shen was invited by himself, even if the little doctors from the third hospital were eager to do something, it was impossible to know in advance that they were going to invite Director Shen, and it was even more impossible to bribe Director Shen to deal with him together.

Damn it, it's just an ordinary cerebral infarction, and the patient's limb movement has been relieved after 12 hours. How could it become an ascending aortic aneurysm!

"Doctor Zhou, tell me the basis of your diagnosis." Dean Xiao asked with a dark face.

Zhou Congwen looked around at the doctors in the office, and finally his eyes collided with Dean Xiao's, sparks flew everywhere.

"First of all, sudden onset of transient dizziness, profuse sweating, nausea, etc. are more common in posterior circulation ischemia; but less common in patients with hemiplegia-based cerebral infarction or anterior circulation transient ischemic attack. "

"According to what I just said, transient dizziness, profuse sweating, nausea combined with upper abdominal discomfort, etc., suggest the possibility of cardiogenic cerebral ischemia or aortic dissection."

"From the analysis of medical history, the patient has a history of hypertension for more than 10 years without standardized treatment; and he did not take antihypertensive drugs before the onset, and his blood pressure should have been high. However, the blood pressure measured when he came to the hospital was slightly low, which is very abnormal. "

"Analysed from the perspective of auscultation, the patient has signs such as bradycardia and obvious murmurs in the aortic valve area. Although these can be seen in many situations, they are also common signs of aortic dissection."

"Ultrasound showed that the ascending aorta was dilated, and a large number of regurgitation signals were seen in the aortic valve; the right vertebral artery showed reverse blood flow signals, which were highly suggestive of thoracic aortic dissection aneurysm, and the cerebral blood supply artery had been involved."

"The patient's cerebral infarction and cerebral insufficiency were caused by a thoracic aortic aneurysm. I suggest taking a chest CT as soon as possible."

After Zhou Congwen finished speaking, he put his hands on the table, glanced at Director Shen, and then at Dean Xiao.

Dean Xiao looked into Zhou Congwen's eyes and felt that his gaze was slapped on his face.

Especially the final conclusion - the patient's cerebral infarction and cerebral insufficiency were caused by thoracic aortic aneurysm, which made Dean Xiao unacceptable.

Isn't this a direct slap in the face in front of the doctors under him and the leaders of the group company!

Wang Chengfa was right, Zhou Congwen really didn't understand the rules, Dean Xiao thought bitterly.

When Wang Chengfa asked him to talk about that matter before, Dean Xiao just wanted to agree to it with a grunt, and was not going to do it.

What a joke!

Wang Chengfa is already a dead dog. A little affection many years ago will convince him to deal with a young and powerful director and Zhou Congwen?

However, Dean Xiao was slapped in the face by Zhou Congwen, and he became angry from embarrassment. He felt more and more that what Wang Chengfa said made sense.

"Director Shen, what do you think?" The anger in Dean Xiao's heart became more and more intense, but his tone became more and more flat, without any trace of fireworks.

"Dean Xiao...I...I...I think so too." Director Shen stammered.

Dean Xiao was furious.

Experts from the People's Hospital, the most authoritative director of echocardiography in Jianghai City, were invited to come for a consultation. As a result, they said this sentence back and forth-I think so too.

waste!

What's the use of you!

Dean Xiao was furious, and he gave Director Shen a vicious look with his eyes.

However, Zhou Congwen was too arrogant, so he must be hit with arrogance.

Dean Xiao recalled what Zhou Congwen had said, and said, "The gold standard for diagnosing aortic dissection is DSA or vascular contrast-enhanced CT, which is not available in our hospital. What is the use of chest CT? group."

Zhou Congwen smiled, "President Xiao, the patient's blood pressure has continued to increase since the first time I saw it at 8:22 in the morning, and the thoracic aortic dissection aneurysm may burst and bleed at any time.

It is not impossible to transfer to the People's Hospital, but the 120 ambulance may be gone after a bump. "

"..."

Xiao Qiang was very blocked, why didn't Zhou Congwen back down a word?What is he.

The key is that Zhou Congwen laid out the serious consequences. In front of other leaders of the group company, Dean Xiao really didn't dare to take this risk.

How serious is the aortic dissection? Dean Xiao knows that it is a fatal disease.

"I think so too." Director Shen said subconsciously, as if it was the echo of Zhou Congwen.

What are you thinking about?Dean Xiao was furious.

"Director Shen, do you have any suggestions?"

Although he was scolding his mother in his heart, Dean Xiao still asked calmly and pretending to be plain.

"You can ask if there is anyone in the Medical University who can perform a similar operation, or you can go to the Imperial City. No matter what you choose, I suggest that you hurry up. The patient's aorta is thick. I think that as long as the blood pressure fluctuates, the ascending aorta will be ruptured. "

Director Shen lowered his head and honestly expressed his opinion.

He knew that Dean Xiao might be unhappy when he said that, but Director Shen couldn't follow what Dean Xiao said he wanted to hear, given the patient's condition.

"I think so too." Zhou Congwen said lightly.

Chapter 0328 how much energy this is

Dean Xiao was silent.

Although Zhou Congwen touched his "Ni Lin", the most important thing in front of him was not Zhou Congwen, but Wei Ju.

In Dean Xiao's eyes, Zhou Congwen is just an ant, who can be crushed to death with his hand, making him irreparable.

But Wei Ju is different.

If Wei Ju died suddenly in his ward, what would Wei Ju's family think?What do the leaders of the group company think?

I personally told Wei Ju's family that the condition was not serious, and the main purpose of being hospitalized was for a physical examination.

It was fun at the time...but the more it was like this, the more unprepared the patient's family was, and the more difficult it would be to accept it in the event of an accident.

At that time, I am afraid that I will become an ant, and others will be able to destroy me forever.Dean Xiao knew the seriousness of the matter, put Zhou Congwen's "provocation" aside, and began to think about a solution.

"provincial capital……"

The first thing Dean Xiao thought of was the provincial capital. After all, the imperial capital is so far away, and the airport in Jianghai City is still under construction. It may be cold for the experts to come to Bureau Wei.