Zhou Yewu quickly called the inpatient department of the Department of Cardiology and began to communicate actively.

The cardiologist on the other end of the phone was also a little surprised when he received the call from Zhou Yewu.

"Xiao Zhou? Why did you go to the emergency department?" asked the doctor on duty in the cardiology department.

Some of the hospital beds in the Department of Cardiology are for non-new G patients, and Zhou Yewu has been in the hospital for 2 months after all, and has daily work and business contacts with many doctors in the Department of Cardiology, so as soon as they spoke, the doctor on duty could hear Zhou Yewu's voice.

Zhou Yewu smiled silly: "Isn't this following Uncle Chen to support the emergency department? The brothers in the emergency department can't bear it."

He said it very calmly, without the fear of facing the new G patient.

You should know that in the emergency room, it is much more dangerous than in the ward, because you can encounter new G-positive patients at any time.

In the emergency department, the requirements for preventing new G are higher!

The doctor on duty in the cardiology department also expressed his admiration for Zhou Yewu on the phone: "You are still honest and dare to go to the emergency department at this time."

Everyone knows that Zhou Yewu doesn't have to go.

Because he has low qualifications, if he shakes his head and refuses, no one will force him to go.

However, Zhou Yewu still appeared in the emergency room, which means he was voluntary.

Li Ruyu, the doctor on duty in the cardiology department on the phone, agreed to come to the emergency department immediately to see Xu Tianfu's condition.

...

After a while, Li Ruyu arrived in turmoil.

"Brother Yu, you are here, this patient..." Zhou Yewu introduced Xu Tianfu's condition in detail to Li Ruyu.

Li Ruyu also listened to what he said about the medical history very carefully.

Li Ruyu is a senior instructor and has already passed the qualification of deputy chief physician, but the original unit has not yet been hired, so he is still instructor. In fact, his level has reached the director level.

After several consultations in the ward, Zhou Yewu has always admired Li Ruyu and was overwhelmed.

So at this moment, Li Ruyu came to consult, and Zhou Yewu stood obediently like a school child, not daring to speak, listened carefully to the exchange between Li Ruyu and Xu Tianfu, and the analysis of the senior teacher.

In fact, Li Ruyu is Li Ruyu after all, and what he thinks is indeed farther and more professional than Zhou Yewu.

"I am worthy of being a master of cardiology." Zhou Yewu exclaimed silently in his heart.

Because during the communication between Li Ruyu and Xu Tianfu, regarding the chest tightness, chest pain and blood pressure surge caused by Xu Tianfu, Li Ruyu not only considered hypertensive encephalopathy and acute myocardial infarction, but also considered whether the patient would have aortic dissection!

When Zhou Yewu mentioned the aortic dissection, his mind was almost blank.

He didn't expect such a fatal disease.

You should know that Xu Tianfu has such high blood pressure and chest tightness, which cannot be easily ruled out.

Zhou Yewu didn't expect that the aortic dissection was because his clinical experience was too shallow after all, and the patient did not have obvious chest pain, so he did not consider this aspect for a while.

...

But Li Ruyu is different. After all, he is a senior doctor and a cardiovascular expert, so he almost immediately thought of the problems with aortic dissection.

Because cardiologists usually only look at cardiology diseases, aortic dissection must be considered!

Zhou Yewu had a lot of thoughts in his heart. If it was really an aortic dissection, he would really be in a cold sweat.

Aortic dissection is a disease with very high cardiovascular risk coefficient. The blood in the aortic cavity enters the aortic middle membrane from the tear of the aortic endometrium, separating the middle membrane, and then expands along the long axis of the aorta to form a separation state of true and false aortic wall. It can easily lead to the patient's death from heart occlusion, arrhythmia, etc. in the acute stage!

Thinking of Xu Tianfu's chest pain, difficulty breathing and hypertension, Zhou Yewu sweated coldly behind him...

There is pain in the clinical manifestations of aortic dissection, especially the pain in the chest and back. Type A aortic dissection is obviously painful in the anterior chest and interscapular areas, while Type B aortic dissection is in the back and the abdominal pain is obvious.

However, the pain in the aortic dissection is severe and unbearable, and it looks like a knife cut or tear, which is not very consistent with Xu Tianfu's situation.

"Is it an inconsistent?" Zhou Yewu thought and looked at Xu Tianfu.

Then there is hypertension, and most patients with aortic dissection have hypertension.

Thinking of this, Zhou Yewu took out a stethoscope and sausaged Xu Tianfu again.

Li Ruyu's eyes also showed an admiration.

Since aortic dissection is suspected, auscultation must be necessary, because patients with aortic dissection, dissection hematoma often affects the valve annulus of the aortic valve, resulting in incomplete closure, and may then cause diastolic hair drying murmurs, and may even have pericardial friction sounds.

Therefore, it is necessary to auscultation.

"No noise." Zhou Yewu finished auscultation.

...

Li Ruyu knew what Zhou Yewu was thinking: "There are many aortic dissections with atypical clinical symptoms, and the auscultation may not be able to be heard. At this time, you should have a chest CT."

Zhou Yewu sat in front of the computer and quickly issued a doctor's order.

Chest CT!

After the doctor's order was issued, he printed out the chest CT and handed it to Xu Tianfu.

"Why do you need to do another inspection?" Xu Tianfu looked at the list in his hand, a little puzzled.

He had just returned from the emergency room, but he didn't expect that he would pass again soon.

Zhou Yewu also explained the old man's condition with some embarrassment, and Li Ruyu also helped explain, which made Xu Tianfu accept the CT scan.

"Just in case, let the nurse continue to follow." Li Ruyu suggested.

Xu Tianfu's condition is indeed unstable now. Zhou Yewu nodded in agreement and quickly communicated with the nurse in the emergency room. Finally, a nurse was willing to accompany him.

Li Ruyu also decided to take Xu Tianfu into the cardiology department. While explaining his condition and was about to sign the admission agreement, a nurse suddenly rushed in outside the door.

"Why are you making a fuss?" Li Ruyu shook her head.

The nurse shouted: "No, the old man fainted just now, and the blood he drew was found out. He was a new G-positive!"

Zhou Yewu and Li Ruyu looked at each other and rushed out of the door without saying a word.

At this time, Chen Riyuan had already organized the rescue site.

"How is the electrocardiogram result?" Li Ruyu shouted.

Chen Riyuan had asked the nurse to pull the electrocardiogram well, but a chaotic waveform appeared in everyone's field of vision.

Vent fibrillation!

Finished!

Zhou Yewu looked at the terrifying waveform in surprise, and his heart could no longer be quiet. It was like a wooden boat accidentally entering the center of a storm in the sea, and was bumped so hard that he could not control himself.

Patient, ventricular fibrillation!

What I mean is this patient tonight.

The doctor on duty in the cardiology department was startled by the nurse's sudden shout and stopped signing the words and rushed back to the surveillance room. A nurse had already undergone chest compressions next to the patient's bed.
Chapter completed!