"There is really a possibility that we will not kill him."

When Chen Qi said these words, everyone's eyes lit up, including Li Huacheng, the director of the emergency department who was still arguing just now, and even the eyes of Dean Bian, who had always been calm, showed hope.

The big leader also sat up straight:

"Dean Chen, what do you say?"

Chen Qi took out the medical record, looked at the doctor from Ziguang Hospital and said:

"When the patient came to the emergency department of the hospital, was it just abdominal pain, or was it accompanied by chest pain?"

No one knew why, and all eyes were focused on the emergency doctor at Ziguang Hospital.

Li Huacheng thought for a while: "The main complaint is abdominal pain, and it is sudden abdominal pain that occurs after overeating. It seems that there is no chest pain, right?"

Li Huacheng said that he was no longer sure, and looked at the other doctors in the emergency department, which made Chen Qi frown again.

At this time, a young doctor in the emergency department raised his hand weakly and said:

"When the patient came to the hospital, he was in extreme pain and his speech was a bit unclear. At that time, he was covering his stomach with his hands and mentioned abdominal pain. It was indeed abdominal pain, but I vaguely heard the patient still talking about Chestpain, which means chest pain.

.”

Foreigners cannot speak Chinese, but there are many special terms in medicine, and ordinary translations are simply not accurate.

Just like when Chairman Chapman Webster suddenly fell ill and was sent to the emergency department, a large crowd of people surrounded him in a mess, and Chapman Webster himself could not speak clearly because of the pain.

So the translator only saw Chapman Webster holding his stomach, and directly translated "abdominal pain", forgetting to turn over chest pain.

When the young doctor said that the foreign patient mentioned "chest pain", the scene was once again in an uproar.

Because all the treatment measures targeted by Ziguang Hospital are based on "abdominal pain", but abdominal pain and chest pain are completely different concepts, which shows that the emergency department may be in the wrong direction at the first time.

Chen Qi thought that his guess might be accurate, so he continued to ask:

"Let me give you a break first. Listen to the symptoms I described. A patient suddenly suffered from severe pain in the chest, back or abdomen. The pain was like tearing. It was also accompanied by dizziness, difficulty moving, and slurred speech. He was rushed to hospital.

Admitted to the hospital, guess what went wrong?"

A doctor was the first to speak: "First consider heart problems, such as myocardial infarction or angina pectoris."

Another doctor also said: "Dizziness, difficulty moving, and slurred speech cannot be ruled out as a cerebrovascular stroke."

"I have severe abdominal pain and a history of overeating. I cannot rule out gastric perforation, acute pancreatitis and other digestive system diseases."

There was a lot of discussion in the conference room for a while, but whether it was the senior leader or Professor Cheng Bangwu, everyone had a carrot on their head and their minds were filled with questions.

Professor Cheng couldn't help but ask:

"Dean Xiao Chen, the symptoms you just mentioned are indeed the symptoms of this foreigner when he was admitted to the hospital, but as analyzed by so many colleagues, the reasons are multifaceted, some said heart and brain stroke, and some said digestive system

Yes, the respiratory system cannot be ruled out either.

So many systems are possible, and autopsy cannot be performed on the deceased now. All speculations are actually useless. What we need is to come up with solid evidence to prove that the death of Chapman Webster has nothing to do with our Ziguang Hospital.

"

Chen Qi, the old god, shook his head gently and said:

"Professor Cheng and everyone, don't worry. After listening to everyone's analysis, there is a disease that no one has thought of, and this is one of the most common complications of gastroscopy."

"What?" everyone shouted in unison.

"Dissecting aneurysm..."

"Dissecting aneurysm?"

Upon hearing this term, most of the doctors in the conference room were confused, and the doctors present were almost the most powerful doctors in Guangnan Province.

Chen Qi blinked, his eyes full of confusion, "Have you never heard of dissecting aneurysm? What about aortic dissection?"

"Oh~~~It turns out to be aortic dissection~~~"

At this time, a small number of doctors seemed to suddenly realize it. Apparently they had heard about this disease and learned about it.

Why don’t most experts and professors know about aortic dissection? In fact, this disease has not been included in textbooks, and everyone has never learned about it when they were in school.

Moreover, this disease relies heavily on auxiliary examinations, such as intravascular ultrasound, contrast-enhanced CT, magnetic resonance imaging, etc., and there are not many such advanced equipment in the country.

Therefore, even if doctors have encountered patients with aortic dissection in clinical practice, they often do not think of the existence of this disease because there are no auxiliary examinations to verify it.

Several doctors who know about aortic dissection are a little complacent. After all, they only learned about this disease through foreign medical journals. Others don't know, but they know. This is the gap.

So everyone was busy making introductions to the colleagues next to them.

The big leader also knocked on the table when he heard the messy conference room:

"Everyone, please be quiet. Let's first listen to what Dean Chen explains. In addition, can we really get rid of this dissection disease?"

Chen Qi was not polite and knew that he had to start from the beginning.

So I stood up and came to a white wall. Under the distressed eyes of the staff, I started to draw anatomical diagrams on the wall with a marker.

"You see, this is the heart. The aorta is connected to the left ventricle. As the largest arterial tube in the human body, the heart transports fresh oxygen, blood and nutrients to all organs throughout the body through the aorta.

The aorta originates from the left ventricle of the heart, goes upwards to the right and then downwards in a slightly arcuate shape, and then goes down along the spine. It branches into many smaller arteries in the chest and abdominal cavity. According to its course, it can be divided into three parts: ascending aorta

arteries, aortic arch and descending aorta.

The descending part of the aorta is bounded by the septal aortic hole. The section above the aortic hole is called the thoracic aorta, and the section below is called the abdominal aorta. The disease I am going to talk about today originates from these two sections.

Inside the aorta.”

The experts and professors of various subjects in the conference room felt as if they had returned to their student days, with clear stupidity in their eyes as they listened to Teacher Chen's lecture.

Even the lay leaders listened very carefully.

Good guy, this is a major matter involving 100 million US dollars and the reputation of the country, so they can't help but ignore it.

Chen Qi said to a J-shaped blood vessel written upside down:

"The aorta, all the doctors here know it, but the leaders may not understand it. This part is actually the yellow throat that we often order when eating hot pot. It tastes crunchy. Everyone must have noticed that the yellow throat is very thick and full of

It is elastic because it has to withstand the huge pressure of blood.

The aorta is divided into three layers, namely the adventitia, media and intima. The three layers are originally closely connected. The elastic muscle medium can prevent the rupture of the blood vessel wall, but there are various reasons, such as high blood pressure.

Blood pressure, aortic atherosclerosis, etc., often lead to destruction of the aortic stromal layer.

The consequence of the destruction of the matrix layer is that the aortic wall becomes thinner and thinner, which causes the blood in the aorta to flow into the aortic media from the weak or torn parts of the aortic intima, causing the media to separate from the intima.

Then the blood will stretch the aortic wall along the direction of the long axis of the aorta, forming a state where the two cavities are separated. The aorta will expand outward like a balloon, and it will be filled with blood. Everyone thinks, this is a

What kind of status?"

The doctors are all professionals, and they immediately moved after such an explanation.

Immediately a doctor exclaimed:

"This is a time bomb. Once the adventitia of the aorta cannot support the pressure, it will rupture in an instant and cause massive bleeding."

Chen Qi nodded to the doctor who spoke:

"Yes, your guess is correct, and because this is the aorta, once a dissection ruptures, the patient will die instantly."

The young doctor in the emergency department couldn't wait to raise his hand and said: "The foreigner died instantly at that time."

Professor Cheng was quite rigorous and raised another question of his own:

"I heard that foreigners still pay great attention to their health and have regular physical examination reports. For example, the deceased had a full physical examination in December last year, but there was no description of relevant vascular lesions in the physical examination report. This is very embarrassing.

It’s hard to convince the patient’s family.”

The senior leader also nodded silently: "Yes, if there really is such a big hidden danger, how could the physical examination not find it?"

"Not always!"

Chen Qi returned to his seat and continued to analyze for everyone:

"Physical examination is a routine examination. Everyone who is a doctor should know that the doctors in the physical examination department are often relatively poor in the hospital. It is not necessarily whether they understand dissecting aneurysm or aortic dissection. How to identify it?

Moreover, the onset of this disease is very insidious and generally cannot be felt. Some stable dissections may cause difficulty breathing or dull pain in the chest and abdomen. Most dissections will not experience severe pain until they rupture and bleed.

"

In fact, aortic dissection is also one of the difficult diseases in later generations. Because it is difficult to diagnose it all at once, especially in small hospitals or second-hand doctors, the misdiagnosis rate is very high, which directly leads to a high mortality rate.

When experienced doctors encounter patients with chest pain and abdominal pain, they will ask them to scan enhanced CT. The CT doctor can identify the condition of the aorta.

At this time, early detection and early treatment can be achieved to avoid the most serious consequences.

However, in China in the 1980s, CT was not popular, or doctors themselves did not understand aortic dissection, and there was no way to detect it in advance.

Look, most experts and professors in the conference room don't know about this disease. When they encounter such patients, they will only miss the best opportunity for early detection.

After listening for a long time, the big leader finally understood half of it and asked again:

"What does Director Chen mean? This patient's clinical symptoms are also consistent with dissecting aneurysm?"

Chen Qi nodded solemnly:

"That's consistent, because the patient's main complaint was chest pain, but our doctor didn't hear it clearly or understood it. He had chest pain and abdominal pain, difficulty moving, and slurred speech. This is consistent with the symptoms of aortic plexus. He had high blood pressure in the past.

Blood pressure and diabetes are also important basic diseases.
To be continued...