From the instinct of a doctor.

Zhao Yuan and Jiang Qiang looked at each other, stood up, and quickly came to the box next door.

A man of twenty-five or twenty-six years old fell to the ground, closed his eyes tightly and covered his chest, "It hurts so much!"

Tian Wei, Chen Shuai, Liu Sha and others also came to the second floor at this time.

Tian Wei almost fell out when he saw Jiang Qiang beside Zhao Yuan.

Why is Jiang Qiang here, his own department director?

Then, he misunderstood!

I thought Director Jiang paid for Zhao Yuan.

How could Zhao Yuan know Jiang Qiang?

What's the relationship between the two?

Jiang Qiang is the director of cardiothoracic surgery. It is a matter of one sentence to be able to hold his thighs and want to stay in the hospital.

Tian Wei was upset that he underestimated Zhao Yuan.

This kid has a background.

No wonder Liu Sha treated him differently.

"Hello, Director Jiang!" Tian Wei took the initiative to say hello.

"Um!"

Jiang Qiang's attention was on Zhao Yuan.

Just glanced at Tian Wei indifferently.

Zhao Yuan was examining the patient's physical condition, and Jiang Qiang knew Zhao Yuan's strength.

The patient's heart can be determined by physical examination.

It is not difficult for him to examine the patient in front of him.

Tian Wei has been in cardiothoracic surgery for three years, and Jiang Qiang usually has a cold attitude towards him.

Tian Wei knew very well that this moment was his once-in-a-lifetime opportunity to show his life.

Tian Wei walked to Zhao Yuan and urged impatiently: "Give me aside."

Zhao Yuan glanced at Tian Wei and liberated the location.

When Tian Wei started to check the patient's chest, Zhao Yuan's behavior was surprising.

He was checking his thighs.

Tian Wei was secretly amused.

This kid is really good at pretending to be a fool!

In about ten minutes, Tian Wei finished the examination and took the lead in reporting to Jiang Qiang, "Director, the patient should have acute myocardial infarction!"

Jiang Qiang's eyes turned to Zhao Yuan, "What do you think?"

Tian Wei was shocked.

Jiang Qiang is even more looking forward to Zhao Yuan’s answer.

Zhao Yuan said solemnly, "It's not myocardial infarction, but pulmonary embolism caused by venous thrombosis!"

Tian Wei retorted, "Vinary thrombosis is caused by sitting for a long time and moving or standing for a long time. The patient is strong. I just asked the patient's family that his profession is a football coach, so how can he get venous thrombosis?"

Jiang Qiang ignored Tian Wei and pondered slightly, "The ambulance should have arrived."

Jiang Qiang ignored Tian Wei again because Zhao Yuan’s conclusion was consistent with his own guess.

Tian Wei's mentality collapsed.

In the eyes of the director, he is just a little transparent!

Tian Wei's embarrassment was seen by several interns.

"Director Jiang looked at Senior Brother Tian, ​​as if he was looking at a stranger." Liu Sha said softly.

"There are so many young doctors in cardiothoracic surgery, so Director Jiang cannot know everyone well." Chen Shuai sighed. It seems that even if he stays in the hospital and becomes a resident, his life will not be so easy.

"Zhao Yuan seems to be very familiar with Director Jiang." Liu Sha felt strange.

Chen Shuai patted his forehead lightly!

Why are you so forgetful?

"I remembered it. Yesterday, Zhao Yuan had a cardiac interventional surgery with Director Jiang as Ichisuke."

During the surgery in the emergency surgery department, Chen Shuai heard the nurses talk about this.

The hotel is not far from the hospital and the ambulance arrives quickly.

Patients enter the hospital, take the green channel, and conduct a comprehensive examination.

About a quarter of an hour, Jiang Qiang got the report result and said calmly, "It was indeed a pulmonary embolism."

Tian Wei was stunned as if he was struck by lightning.

It's hard to accept this result.

Jiang Qiang was too lazy to look at Tian Wei again.

Extremely disappointed!

The three-year resident doctor in his own department was crushed by an intern in the emergency surgery department.

a shame!

"In clinical practice, the misdiagnosis rate of pulmonary embolism reaches 80%, and it is easy to be confused with myocardial infarction. Zhao Yuan, please explain the pathology to you!" Jiang Qiang narrowed his eyes slightly.

Chen Shuai, Liu Sha and others turned their attention to Zhao Yuan.

Tian Wei was unwilling to accept it, and at this moment he couldn't help but lift his ears up.

Zhao Yuan said calmly, "The patient is a football youth training coach. He exercises frequently and is in good health. However, due to his professional reasons, he maintains high-intensity exercise for a long time. During the muscle pulling process, the endometrium of the venous blood vessel wall of the lower limbs was damaged, which turned into deep venous thrombosis.

However, deep venous thrombosis can lead to pulmonary embolism with a high mortality rate.

Therefore, excessive exercise and long-term static and immobility are not advisable, and they will cause venous embolism."

Tian Wei suddenly realized.

No wonder I checked the patient's chest pain location by myself.

Zhao Yuan was examining the patient's lower limbs.

At that time, Tian Wei felt it was inexplicable.

Now it seems that the clown is himself.

At this time, Chen Shuai's eyes lit up suddenly, "I remembered that not long ago, a striker in the NBA was reimbursed for the entire season due to deep vein thrombosis!"

Chen Shuai is a senior basketball fan.

Jiang Qiang smiled at Zhao Yuan, "I have said hello to Lao Tong. I did the surgery in the emergency room. You are my help."

Zhao Yuan had no reason to refuse.

...

The patient was already lying on the operating table. Zhao Yuan and his family communicated patiently, and the family members signed the operation confirmation letter nervously.

The family members did not expect that patients who were usually very healthy would suffer from such a high mortality rate.

They were at a loss and could only put their hope on the doctor.

Zhao Yuan felt the responsibility!

The lead door slowly closed.

Zhao Yuan asked Bai Lu to hang dopamine on the patient to maintain blood pressure.

Subsequently, low molecular weight sodium heparin was injected intravenously to calm down and relieve pain.

Judging from the instrument display, the patient's vital signs are gradually normal.

Jiang Qiang did not interfere too much and quietly observed Zhao Yuan.

It must be admitted that Zhao Yuan has reached the ability to be above the attending doctor.

For patients with acute pulmonary embolism, the most important thing is first aid during the onset of the disease.

The patient's time from the onset of the disease to the hospital was very short, and Zhao Yuan's diagnosis was quick, which shortened the time, so the patient's condition was quickly controlled.

"Tromolytic-injection of urokinase."

Zhao Yuan and Bai Lu issued an order.

Jiang Qiang nodded slightly.

Very good pace!
To be continued...