Signing in at the hospital, the first operation shocked the whole country!
The first operation shocked the whole country!Section 485
After all, if you want to cure a disease, you must at least know the cause first.
In the current situation, CT must be done.
As the seed player of the Beijing team, Sun Peng's biggest dream is to enter the Olympics and even enter the top foreign teams.
But now, he encountered the biggest crisis in his life!
......
Fifteen minutes later, the short sound of the ambulance came from far to near.
"Here here!"
A student had been waiting at the door for a long time, and when he saw the ambulance, he immediately waved his hand.
When the car stopped, Liu Chang rushed to the infirmary with someone pushing the flat car.
"Come get out of the way!"
As soon as he ran to the bed, his expression suddenly changed,
"Sun Peng?"
Liu Chang's heart skipped a beat, he was very familiar with the boy on the hospital bed, because this was his nephew,
"Doctor, how is he?"
The school doctor heard the words and told him the whole process and the inspection.
Hearing this, Liu Chang's face became more serious.
If you really have a heart or cardiovascular problem, it's really serious.
"Everyone, let's get in the car and go to the courtyard."
Sun Peng is a center and plays basketball, and his height exceeds 2 meters.
Even the first aid flat car couldn't fit his leg, and most of his calf was exposed.
"Give him an electrocardiogram, blood pressure in both arms, abdominal ultrasound, hurry up!"
On the ambulance, Liu Chang immediately arranged for a nurse to operate, then looked at the boy,
"Sun Peng, Sun Peng, can you hear me!"
"Second Uncle~~~"
Sun Peng struggled to open his eyes, saw the familiar person in front of him, and said in a low voice with a painful expression.
"Scared me to death, how do you feel?"
"I can't...breathe, I feel like I'm dying~"
Sun Peng took a hard breath and said with difficulty.
"Stop talking, take oxygen first."
"Doctor Liu, electrocardiogram."
Just then, the electrocardiogram came out.
Liu Chang took a look, and immediately frowned, and put on a stethoscope to listen to heart sounds.
There is a diastolic murmur near the aorta, and there is also a gunshot sound of the femoral artery, which is likely to be a problem with the aorta.
"blood pressure."
"Left arm 120/80mmhg, right arm 150/100mmhg."
The blood pressure of the two arms is asymmetrical, and the difference between the two pressures is 30, which must be seriously abnormal.
Precordial pain, dyspnea, high blood pressure.
Must go to CT!
"Doctor, you must cure Sun Peng, please."
The coach who followed couldn't help but said anxiously.
"Inform the hospital to prepare for CT and cardiac surgery for consultation."
Liu Chang nodded when he heard the words, and immediately made arrangements.
Soon, the ambulance rushed to the hospital.
"Quick, pick up!"
"Get ready to go to bed, 1, 2, 3! Send to the emergency room!"
Sun Peng was sent to the emergency room, and the CT beside the bed had already been pushed over.
"Go to the director quickly."
Liu Chang hurriedly urged the nurse on the side.
Soon, Qin Feng hurried over with Zhang Qingquan.
"what's the situation?"
"Director, the patient has pain in the heart area, this is the electrocardiogram."
Liu Chang quickly handed the electrocardiogram in front of him.
Qin Feng took it and checked it. Although the waveform of the electrocardiogram is unstable, there is no serious problem, and there should be no infarction.
"let me check."
Qin Feng put on the stethoscope, listened around the heart area, picked up the electrocardiogram again,
"Did you give him pain relief?"
"It has been administered, but it has no effect."
Liu Chang nodded and said quickly.
Qin Feng frowned even more when he heard this.
Only then did he catch a glimpse of the boy on the hospital bed who was tall enough, with half of his leg outside the bed.Properly more than two meters.
When I checked it just now, I found that Sun Peng's limbs were obviously very long, even a little...too proud.
This is no longer a nine-headed body, the length of the arm plus the palm has reached below the crotch line.
"Director Qin, this is my nephew who plays basketball, what's the problem?"
Seeing this expression, Liu Chang hurriedly approached and whispered nervously.
"Your nephew?"
Qin Feng was taken aback when he heard the words, and asked curiously.
Seeing him nodding, his eyes narrowed slightly, and he turned to look at Sun Peng on the hospital bed.
If it's not a heart attack, it's probably another disease.
"Has the CT come out? Has the doctor from the heart surgery arrived?"
"The CT is coming out, and the doctor is here."
"Add an angiography of the aorta, prepare blood in the blood bank, and notify the cardiac surgery consultation. Your nephew's illness may be dangerous. Hurry up and inform the family that it may be an arterial dissection."
Qin Feng nodded slightly, and said in a solemn tone.
Now he has basically suspected another disease in his heart, aortic dissection!
Arterial dissection?
Hearing this, Liu Chang was also dumbfounded, and then his face changed drastically.
"10% glucose, 100mg sodium nitroprusside, 0.5mg propranolol, intravenous drip."
Qin Feng glanced at the indicators on the monitor, and immediately arranged.
The most important thing now is to reduce the compression of the heart and stabilize the blood vessels so that they cannot be broken. Once the aorta is broken, it is really hard to save!
Soon, CT and radiography were sent to the consultation room.
When seeing the angiogram, everyone was silent.
With contrast fluid, the location of aortic dissection can be clearly seen.
What made everyone frown was that the location of the dissection in patient Sun Peng was extremely dangerous.
Ascending aortic dissection!
Chapter 361 Marfan Syndrome
"This situation is not good."
Gao Quan, deputy director of cardiothoracic surgery, frowned and said in a low tone.
Qin Feng didn't say anything when he heard the words, because he also knew that the ascending aortic dissection meant that the body, forehead
In cardiothoracic surgery, the ascending aorta is the most difficult and dangerous for the anastomosis of the thoracic vessels, especially the great vessels.
And now, this dissection appears in the ascending aorta, which is obviously not good news.
According to angiography, the dissection of the aortic wall starts at the root of the ascending aorta, and the breach of the intima starts at the anterior wall of the proximal ascending aorta and extends to the distal end of the aorta to the descending aorta.
And not only that, this position even affects the arch arterial branch dissection, as well as aortic insufficiency.
In other words, even if the dissection does not appear this time, the patient still has other problems.
But this time, it exploded concentratedly!
"Director Qin..."
When Liu Chang on the side heard this, his face was full of tension and anxiety.
"Don't worry, Dr. Liu, does the patient have a family medical history?"
Qin Feng comforted him.
"His father has high blood pressure, but the others don't."
Hearing this, Liu Chang recalled it for a while.
Hearing this, Qin Feng nodded and fell into deep thought.
The patient is more than 2 meters tall, far exceeding the average height of ordinary people, and has very long limbs.
"Director Gao, do you think this operation is safe?"
"It can be done, but it is very difficult and the risk is very high. It is best to wait for the stability before performing the operation."
Gao Quan expressed his thoughts. The current situation of the patient is sudden. If the rash operation leads to a rupture, the situation will not be controllable.
"it is good."
Qin Feng nodded slightly, always feeling that something was wrong.
Although he had seen tall patients before, he still felt that the ratio was not right.
Half an hour later, the consultation was over, and Qin Feng came to the emergency room.
Sun Peng's angina has been alleviated a lot, and gradually stabilized after taking medication.
This is a good sign.
"Xiao Peng, how do you feel?"
"Much better~"
......
When Liu Chang and Sun Peng were talking, Qin Feng looked at each other carefully again.
While Sun Peng's arms are very long, his palms are also very large. The palm length should exceed 25 cm, and the palm distance is also very wide.
With such a hand, it is easy to hold a basketball with one hand.
However, his five fingers seem to be somewhat different, especially the thumb has already passed the second joint of the index finger. Most people may not think there is anything, but it seems very abrupt in Qin Feng's eyes.
"Doctor Liu, take off his shoes and socks."
Qin Feng couldn't help but have a special guess in his mind, and then said.
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