world famous doctor

Chapter 55

The car stopped outside the gate of the municipal hospital.

Zhou Chen immediately took Yuan Lili to the emergency room

The doctor on duty in the emergency room was not Zhang Jian, but a male doctor wearing glasses.

Zhou Chen knocked on the door and asked:

"Excuse me, which clinic is Dr. Zhang Jian in?"

The male doctor with glasses changed his face when he heard such questions.

He replied coldly: "What's the matter? Can't you watch it here?"

Time was urgent, Zhou Chen didn't think much, and brought Yuan Lili into the consultation room.

He said directly to the doctor in an orderly tone:
"Doctor, her name is Yuan Lili, please prescribe nitroglycerin, beta blockers, metoprolol for her immediately..."

Zhou Chen is currently unable to predict whether Yuan Lili's upcoming acute myocardial infarction will be accompanied by tachycardia or high blood pressure.

Therefore, metoprolol and beta-blockers are backup drugs.

Zhou Chen was even more unsure whether to choose intravenous or oral administration.

I can't control that much anymore, I'll bring the medicine first, so I'll be prepared.

The male doctor with glasses in the emergency department acted as if he didn't hear it.

On the contrary, his expression became gloomy all of a sudden, and there was a trace of anger in his heart.

Imagine.

A strange patient suddenly rushed into the consulting room and asked himself to prescribe medicine in an orderly tone?
No matter which doctor encountered this kind of thing, he might not be able to deal with it calmly.

Zhou Chen and the male doctor with glasses looked at each other, and he felt the doubt and displeasure from the doctor's eyes.

Zhou Chen saw this kind of gaze once before when he went to the psychiatric department of the municipal hospital.

This is the second time.

His memory is still fresh.

Could it be that...this doctor also regards me as a mental young man?

"Stop being stunned, hurry up and place an order, electrocardiogram, chest X-ray, heart ultrasound, complete blood biochemistry test..." Zhou Chen raised his voice and urged.

After a long silence, the male doctor with glasses looked at Zhou Chen as if he were seeing a mental patient.

Then he turned his attention to Yuan Lili, who stood there motionless and silent, but judging from her expression and physical signs, there was no sign of any disease or abnormal condition.

The doubts in his heart, coupled with Zhou Chen's posture as a hospital leader, made the male doctor with glasses very upset.

Originally, he didn't want to talk to Zhou Chen, but with the cautious attitude of practicing medicine, he asked Zhou Chen with some doubts:
"How do you know she's going to have an acute myocardial infarction? Does she have any medical history?"

Yuan Lili just shook her head and said, "I'm not sick, I'm in good health. I was shopping in the street just now, and this man dragged me to the hospital for no reason, and kept saying that I was sick."

The male doctor in glasses let out a long oh, confirming his impression of the spirited boy Zhou Chen just now:
"No wonder Girl, do you want me to call the police for you?"

Yuan Lili turned her head and glanced at Zhou Chen. Although Zhou Chen's behavior was very puzzling, his face looked kind and not like a bad person.

Therefore, Yuan Lili said to Zhou Chen in a negotiating tone:
"You let me go now, I won't investigate the past, and I won't call the police, okay?"

Zhou Chen looked at the time, and it was almost 40 minutes since the system task was released.

In other words, within the next 20 minutes, Yuan Lili will definitely have a heart attack.

He was very worried for the patient Yuan Lili, who was a pregnant woman, and she couldn't tolerate any mistakes.

Zhou Chen said anxiously to the emergency doctor: "Okay, okay, you have the right to give her a physical examination now, okay? Immediately make an order, complete blood biochemistry, myocardial enzymes, serum electrolytes, liver function, blood sugar and blood lipids, promote Thyroid hormone and high-sensitivity troponin must not be missed, and all must be tested!"

The male doctor with glasses in the emergency department hesitated for a moment, since Zhou Chen had said so, he had no choice but to follow suit.

Because the doctor has no right to refuse the patient's wishes for physical examination.

"By the way, the blood ST2 level should also be tested." Zhou Chen added emphatically.

Before billing.

A male doctor with glasses performs a routine physical examination on a patient.

He called Yuan Lili to the consultation table and listened to her with a stethoscope.

No abnormalities were found.

He then asked, "Do you feel any discomfort in your body?"

Yuan Lili shook her head: "As I said just now, I'm fine."

The male doctor with glasses squinted at Zhou Chen again, as if scolding him for making trouble out of nothing.

He reluctantly typed out a series of checklists on the computer.

Zhou Chen took the checklist, and then supported Yuan Lili to go straight to the checkup.

After the blood was drawn, they went to the ultrasound department, the radiology department, and finally came to the door of the EKG room.

Yuan Lili squatted down slowly, frowning tightly, with a painful look on her face.

After a while, I was sweating profusely.

Zhou Chen frowned, and hurriedly squatted down and asked, "What's wrong with you?"

Yuan Lili covered her chest and said with difficulty: "I feel pain here."

"A crushing pain?"

Zhou Chen stared at her hand covering her heart and asked.

Yuan Lili didn't know what kind of pain Zhou Chen described as the crushing pain.

She lowered her head, and her breathing gradually became more rapid.

After holding back, Yuan Lili said again: "I feel pain in my chest and back, and my throat is also a bit uncomfortable."

After Yuan Lili's description, these symptoms are consistent with the characteristics of acute myocardial infarction.

Acute myocardial infarction is one of the most common emergencies in internal medicine.

The earlier the diagnosis can be confirmed and the effective treatment measures can be taken, the better the prognosis of patients can be significantly improved.

They had to line up for examination, but the doctor in the electrocardiogram room immediately asked Zhou Chen to help Yuan Lili in first.

Yuan Lili was fat, and she was pregnant, Zhou Chen had a hard time helping her to the examination bed.

The doctor quickly performed an 18-lead electrocardiogram for Yuan Lili.

The electrocardiogram results with the paper feeding speed of 25mm/s were gradually printed out from the machine.

Zhou Chen immediately spent 200 likes and obtained the treatment guidelines and related materials on acute myocardial infarction from the system.

This ECG is automatically generated by the ECG machine, and under the report, it says Edge ECG.

Zhou Chen's heart skipped a beat.

Things are normally going in a predicted bad direction.

The electrocardiogram of a normal person generally indicates that there is no pathological q wave, and the depression or elevation of the isoelectric line of the ST segment is less than 0.10mV.

This proves that there must be a problem.

Although the electrocardiogram has been used clinically for 10 years, it can only diagnose and locate myocardial infarction, and cannot do quantitative analysis.

In foreign countries, the qrs integral method of electrocardiogram is generally used to evaluate the infarct size of ami, so as to draw positive conclusions.

Zhou Chen immediately took Yuan Lili back to the emergency room.

On the way, Zhou Chen took Yuan Lili's blood biochemical test report by the way.

Myocardial injury markers, phosphokinase isoenzyme CKMB and troponin I were significantly increased by more than twofold.

The peak value of the serum biomarker cardiac troponin exceeds 99% of the normal control value, which has a very high diagnostic value.

(End of this chapter)