On Thursday night, Chen Cang's night shift.

An old man walked in slantedly: "Doctor, I want to buy some medicine."

Chen Cang was stunned and quickly stood up: "What medicine?"

The old man was a little panting and his breathing was a little rapid.

"Ah...Ah...Spilin enteric-coated tablets!"

The old man thought for a long time before he said this sentence.

After saying that, the old man continued, "By the way, I still want to do an electrocardiogram, but I'm so nervous recently."

Chen Cang looked at the old man's face and was stunned!

The old man is tall, but he is also relatively obese. He is not very steady when walking, so it is more troublesome to move step by step.

However, this is not the most important thing. The most important thing is that the old man's face is yellow and swollen, and his cheeks are dark red!

This may not be a typical symptom to others.

But Chen Cang saw the old man talking in a short voice, and when he thought of him wanting to do an electrocardiogram, he immediately frowned!

Look at his lips and his tongue is dark...

A name is about to come out!

Wind and heart disease!

That is, rheumatic heart disease. The face of the elderly is a typical mitral valve face, also known as rheumatic heart disease face.

Chen Cang hurriedly greeted Xiaolin: "Xiaolin, come with me to help the old man in."

Kobayashi put down the work in her hand, nodded quickly, and helped the old man into the rescue room.

The old man was lying on the bed and then he breathed a sigh of relief.

Chen Cang couldn't help asking: "Old man, have you ever had any illness before?"

The old man took a few breaths. Kobayashi was very eye-catching and quickly brought oxygen.

Then he said, "I...I have heart disease, rheumatoid heart disease, for many years."

When Chen Cang heard this, it was indeed the case.

Afterwards, Chen Cang quickly picked up the stethoscope and put it on the apex of the old man's heart to listen to the heart beat.

I saw my heartbeat sometimes fast and sometimes slow, and my heart sound was not as strong as my heart sound.

Chen Cang suddenly frowned. The old man might have atrial fibrillation.

Not only does there be atrial fibrillation, but Chen Cang can also hear the gradual increase in the rumble murmur of the late diastolic stage in the apical part of the heart, which is a typical auscultation of mitral valve stenosis.

Then, at this time, Kobayashi also pushed the electrocardiogram machine over.

An electrocardiogram was pulled out.

Chen Cang looked at the electrocardiogram and frowned immediately.

This situation is not very good. Let’s not talk about the problem of wind and heart disease. This atrial fibrillation may cause serious illness and cause complications at any time.

Thinking of this, Chen Cang hurriedly said to the old man: "Are there any diseases such as hypertension and hyperlipidemia..."

The old man nodded: "There are, all... but I have been taking medicine all the time, and the control is OK. I was hospitalized in the autumn, and it was a cerebral infarction. After being discharged from the hospital, I have been taking medicine for maintenance now. What is aspirin..."

The old man was very clear in consciousness. Although he was slow when he said it, he was orderly and reasonable.

This is a good thing!

It is normal to take the blood pressure, but Chen Cang thinks he should remind the old man.

However, after the old man bought the medicine, he had decided to leave and went home staggeringly.

Chen Cang looked at the old man, worried too much.

Kobayashi said with a worried look: "Doctor Chen...will something happen to him?"

Chen Cang frowned: "It's hard to say."

At about 9 o'clock, the emergency phone suddenly rang.

"There was an elderly man in Anju Community who suddenly felt unfavorable in speech and was unable to move, and needed timely rescue."

Chen Cang nodded quickly, and Xiaolin didn't pause at all. She quickly got up and went out.

The second-line duty staff also quickly got up to watch Chen Cang's shift.

Based on the patient's condition, Chen Cang's diagnosis should be a cerebral infarction, but bleeding cannot be ruled out. As long as the cerebral infarction is not a large blood vessel obstruction in the brain stem, it will generally not endanger life, but bleeding may not be necessary.

After the car arrived, Chen Cang, Xiaolin and driver Lao Yang went upstairs together.

Chen Cang and Xiaolin were stunned when they saw the old man!

Isn’t this... the old man who came to the emergency room to buy medicine just now?

My wife was panicked. After Chen Cang comforted her, she hurried back to the hospital.

Just as he was sent to the hospital, Chen Cang suddenly heard the system prompt sound.

[Ding! Serial Mission - Truth Trigger!

The final link: Save the elderly, explore the cause of the disease, and you can get rich rewards after the task is completed!]

Chen Cang was stunned after hearing this.

Is this the final task?

Now, Chen Cang has not only considered rich copy rewards, but also what the truth is!

Is volb cough water the key cause?

This time the clue is very direct. The patient has 70% or 80% of the chances of cerebral infarction, and hypertension, wind and heart disease... so many primitive diseases are too likely.

It is precisely because of this that it is even more difficult to judge, because even if there is no coughing water, the elderly are highly likely to get sick.

However, now is not the time to worry about this, after Chen Cang hurriedly sent the old man.

Send it directly to the MMA.

The results showed that the patient had multiple ischemic lesions in the cranial area, but these were old, but there was a new acute cerebral infarction in the right frontal lobe!

Generally speaking, if you are suspected of cerebral infarction, you will be the first to do brain MRI (nuclear magnetic field), and if you are suspected of bleeding, you will be preferred to choose craniocerebral CT. These tests are more targeted for diagnosis.

Chen Cang called Doctor An of the Department of Neurology for consultation. While treating, he had to find the cause of the disease.

When he learned that the elderly had rheumatoid heart disease, Dr. An also frowned.

Tell the patient's wife directly: "The blood flow in the normal heart is smooth and unimpeded. When the mitral valve is narrowed, the blood cannot flow from the left atrium to the left ventricle at a normal speed. The blood accumulates in the enlarged left atrium, rotates, and slows down the flow rate, which may form a tiny thrombus, thus burying the hidden danger of stroke."

"At the same time, mitral valve stenosis over a long period of time can lead to changes in the heart structure, such as the expansion of the left atrium, which is closely related to atrial fibrillation, and atrial fibrillation is the most common cause of cardiogenic embolism."

Now it seems that the truth is revealed.

Patients have blood viscosity reactions. When mitral valve stenosis is narrowed, thrombosis is easily formed, and the onset of atrial fibrillation directly gives the emboli a place.

Everything is a very reasonable explanation!

At this time, Dr. An suddenly looked at Chen Cang and said, "Director Chen, what he is considering now should not be acute cerebral infarction. As long as the blood circulation in the ischemic area is improved as soon as possible, anticoagulation and thrombolysis can be performed at the same time."

"But...the most critical thing is the problem of the mitral valve."

"The patient does not treat mitral valve stenosis and the primary disease is not controlled, and this cerebral infarction will also occur, and it is not an attack once or twice."

When Chen Cang heard this, he nodded. Indeed, according to the old man, there have been cerebral infarctions twice since autumn.
Chapter completed!