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326 I think so too (Part 2)

"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 him.

But the patient brought it himself, and the consultation call was called by his own doctor, unlike someone who deliberately designed himself.

While listening to Zhou Congwen's statement, Xiao Qiang was stunned and used conspiracy theories to find out why Zhou Congwen did this.

"The patient's left atrial ventricular enlargement, and mild and moderate regurgitation signal was seen in the mitral valve; the ventricular septal thickened, hypertrophic cardiomyopathy was considered."

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

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

Dean Xiao nodded and looked at Zhou Congwen again.

"I'll continue?"

"continue."

"The patient ascended aorta and diagnosed ascending aortic aneurysm." Zhou Congwen expressed his final conclusion.

"Wait a minute!" Director Xiao immediately interrupted Zhou Congwen and looked at Director Shen.

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

The young doctor from the Third Hospital is really bold, Director Shen thought to himself. After he had echocardiacs on the patient, he was just suspicious. If he was asked to tell the result, Director Shen would add vague words such as possible, as if considering, and would never give a diagnosis directly like Zhou Congwen.

Zhou Congwen spoke confidently about the diagnosis, and Director Shen could only bite his back teeth and admit it.

After all, it is even more embarrassing to ask him to raise an objection without any basis.

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

Director Shen is the one he invited. Even the young doctors from the Third Hospital are ready to do something, they will not know in advance that they are going to ask Director Shen for coming, and it is even more impossible for them to bribe Director Shen to deal with him.

I saw the ghost, it was just an ordinary cerebral infarction, and the patient's symptoms had been relieved after 12 hours of inactivity in the limbs. Why did it turn into an ascending aortic aneurysm?

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

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

"First, sudden transient dizziness, sweating, nausea, etc. are more common in posterior circulation ischemia; but it is rare in patients with cerebral infarction mainly based on hemiplegia or brief cerebral ischemia attacks on the anterior circulation."

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

"From the medical history analysis, the patient has a history of hypertension for more than 10 years and has not been treated properly; and he did not take antihypertensive drugs before the onset of the disease, and his blood pressure should have been relatively high. However, the blood pressure measured when he came to the hospital was slightly lower, which is very abnormal."

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

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

"The patient's cerebral infarction and insufficient blood supply to the cerebral is caused by a thoracic aortic aneurysm. I suggest you take the time to do chest CT."

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

Dean Xiao looked at Zhou Congwen's eyes and felt his eyes slap him in the face.

Especially in the final conclusion, the patient's cerebral infarction was insufficient in cerebral blood supply due to thoracic aortic aneurysm, which made Dean Xiao unacceptable.

Isn’t this a slap in the face in front of my subordinate doctors and the leader of the group company?

Wang Chengfa was right, Zhou Congwen was really stupid and didn't understand the rules, and Dean Xiao thought to himself hatefully.

Before, when Wang Chengfa talked to him about that matter, Dean Xiao just wanted to agree and was not ready to do it.

What a joke!

Wang Chengfa is already a dead dog. Many years ago, he had to convince himself to deal with a young and powerful director, Zhou Congwen?

However, President Xiao was slapped in the face by Zhou Congwen, and was already angry and angry. He became brave and felt that Wang Chengfa’s words were more and more reasonable.

"Director Shen, what do you think?" Dean Xiao's anger became more and more intense, but his tone became more and more dull, without a trace of fireworks.

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

Dean Xiao was furious.

The experts from the People's Hospital and the most authoritative echocardiac director in Jianghai City came to the consultation. As a result, I thought so too.

waste!

What's the use of asking you!

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

However, Zhou Congwen is too arrogant and must be a blow to his arrogance.

President Xiao recalled what Zhou Congwen said and said, "The gold standard for diagnosing aortic dissection is DSA or vascular enhancing CT, which is not available in our hospital. What is the use of chest CT? It seems that it is not a mess."

Zhou Congwen smiled, "Director Xiao, the patient's blood pressure continued to rise since 8:22 am. The patient's first sight began to see that the blood pressure continued to rise, and the thoracic aortic dissection aneurysm may rupture and bleeding at any time.

It’s not impossible to transfer to the People’s Hospital, but the 120 ambulance may be gone if it bumps."

“…”

Xiao Qiang was so upset. Why didn’t Zhou Congwen give in to a single word? He belonged to something.

The key is that Zhou Congwen presented the serious consequences. In front of other leaders of the group company, President Xiao really did not dare to take this risk.

Dean Xiao knew how heavy the aortic dissection is, this is a fatal disease.

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

Is it meaningful that you think about something? Dean Xiao is furious.

"Director Shin, do you have any suggestions?"

Although he was cursing in his heart, Dean Xiao was still very calm and asked in a pretentious manner.

"You can ask if anyone from the Medical University can do similar surgery, or you can find the imperial capital. No matter how you choose, I suggest you hurry up. The patient's aorta is thick, and I think that as long as the blood pressure fluctuates, the ascending aorta will be broken."

Director Shen lowered his head and honestly expressed his opinion.

He knew that Dean Xiao might be unhappy to say this, but where was the patient's condition? Director Shen could not follow the words he loved to listen to.

"I think so too," Zhou Congwen said lightly.
Chapter completed!
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