Chapter 803 Mother's Self-Reproach (1)

The woman was only in her twenties, and she started to cry when she came in!

"Save the child, I beg you."

At this moment, looking at the child's appearance, it's really terrifying, his face is pale and without a trace of blood, his lips are cyanotic, his breathing is short, and the most important thing is that he has passed out of a coma!

The woman was terrified. She originally took the child to the playground to play, but it became like this when she came back.

Thinking of this, Qin Fang was terrified!

Qin Fang is not a native of the capital, but works in the capital with a man. Qin Fang does housekeeping and the man drives a taxi.

After three or five years of hard work, I finally saved a sum of money and built a house in my hometown.

The child has been left in his rural home in North River Province to be taken care of by his grandparents.

There are many such families in the country, and it is not a rare thing, but because parents and children have not seen each other for a long time, the children are even a little unfamiliar with their parents.

This made Qin Fang and her husband very depressed.

Neither of them have any culture, and they want to earn more money and give their children a slightly better future.

But after returning to his hometown this year for Chinese New Year, Qin Fang found that the child even started to hide after seeing the two of them, and felt a little more strange and distant.

This is undoubtedly a heavy blow to Qin Fang, who is a mother.

During that time, Qin Fang and his wife thought for a long time.

After much deliberation, it was because the time spent with the child was too little, and the child did not know enough about it, so the couple thought about it and decided to try to stay with the child, rent a slightly larger house, and spend a little more money. It's a big deal, don't let your children be left-behind children!

To put it bluntly, as a parent, we all want our children to be well!

After coming to the capital for half a month, the two of them saw more and more smiles on the children's faces, and they couldn't help but feel happy.

Fortunately, the hard work was not wasted.

And five-year-old children from small villages to international metropolises are full of shock and curiosity. Today, the couple took a day off to take their children to the playground to see what the playground looks like on TV. look!

You can also look at the Ferris wheel and take a roller coaster ride...

However, what was originally a happy thing, after the child got off the merry-go-round, Qin Fang suddenly found that the child was breathing more and more quickly, and touched his chest and said, "Mom, I'm uncomfortable, so uncomfortable!"

This suddenly shocked Qin Fang and his wife!

The two of them were still in the mood to play, so they hurriedly took the child to the hospital.

Along the way, the child's face became paler and paler, and Qin Fang was worried to death. Seeing that he was about to arrive at the hospital, the child suddenly fainted!

This made Qin Fang cry!

A woman in her twenties, where did this happen!

For a while, I was in a hurry and worried.

I have been complaining about myself along the way, and I usually don't pay attention to my children.

At this moment, a man in his thirties also hurried in.

"Doctor! Please, save the child!"

"How much money does it take to save!"

Chen Cang nodded and said to Qin Fang, "Don't worry, we will definitely try our best to treat it. This... Come in, I'll ask a few questions!"

After speaking, Qin Fang followed Chen Cang into the rescue room uneasy.

After the man outside finished the formalities, he waited anxiously.

Chen Cang looked at the boy's situation at this time, and it was clearly caused by ischemia and hypoxia!

And the symptoms are caused by just a few diseases, but...how old is the child?

Is it congenital?

"Sister Yang, take an electrocardiogram for the child!" Chen Cang said to the nurse.

Then asked Qin Fang: "How did the child get sick? What is the incentive?"

Qin Fang's face was full of tears, and she said with a crying voice: "I took him to the playground and did some roller coaster rides. After getting off, he suddenly told me that he had chest pains and felt uncomfortable, and then he started to sit on the stool and gasp for breath. …”

Hearing Qin Fang's words, Chen Cang keenly caught a few key words.

Chest pain, orthopnea, difficulty breathing.

Is it heart failure?

At this time, before the electrocardiogram came out, Chen Cang hurriedly looked at the child's hands, feet and eyes, and there was no sign of swelling.

Then Chen Cang put his hand on the apex of the heart where the pulsation was strongest, and immediately felt that the pulsation was significantly enhanced!

And, is this... a lift beat?

This clue made Chen Cang's eyes light up!

Afterwards, he quickly put his hand on it gently, and sure enough, he felt a tremor in his heart during systole!

Suddenly, Chen Cang thought of a disease: "Mitral regurgitation!"

But the child is only so old, the possibility of rheumatic heart disease is extremely small, it is likely to be congenital heart disease.

Then Chen Cang took out the stethoscope and listened in the front of his heart!

Sure enough, Chen Cang heard a loud, rough, high-pitched, long-lasting holosystolic murmur with hyperactive S3 sound in the apex area!

This is the characteristic sign of mitral regurgitation!

Since it is mitral regurgitation, the significance of the electrocardiogram may be of little significance.

But at this time, the electrocardiogram also came out at this time. Chen Cang took it and took a look. In fact, he felt that it should be a basically normal electrocardiogram.

Because many patients with mitral insufficiency have normal electrocardiograms!

However, when Chen Cang took the electrocardiogram, his expression suddenly changed!

This is not only not a normal, but a seriously abnormal EKG!

What Chen Cang saw at this time was a sign of left atrial hypertrophy and left ventricular hypertrophy!

Chen Cang couldn't help frowning!

This means that the mitral insufficiency is already severe, and combined with the current situation of the child, the tolerance is extremely poor, and the operation may need to be completed as soon as possible.

but……

Chen Cang has a question. With such a thickened left atrium and ventricle, the child must not have one or two seizures, right?

Don't the family members know that?

Thinking of this, Chen Cang said to Yang Jie, "Go and call Dr. Xin and let him do a four-dimensional UCG (echocardiogram) for the child!"

At this time, compared with other examinations, four-dimensional echocardiography can be seen the most clearly, and even the grade can be judged!

Yang Jie nodded and got up quickly.

And Chen Cang looked at Qin Fang and couldn't help but say, "The child's condition is more serious, it belongs to mitral valve insufficiency, and according to the current situation, it may also be accompanied by heart failure."

"But! It's definitely not the first time that this happens to a child, and it will even happen frequently. Haven't you been paying attention?"

After Qin Fang heard Chen Cang's words, she just stood there with a pestle, dumbfounded!

"I...I don't know..." Qin Fang was full of guilt.

Chen Cang couldn't help shaking his head: "The child has not been injured or otherwise, right? Has he had any disease before?"

Qin Fang was stunned!

Suddenly, she found that she didn't know anything about the child, and it was difficult to answer even such a basic question.

As a mother, she doesn't know anything about the child's illness, whether the child has been injured or not, and what has happened to the child...

Tears of remorse flowed down from his eyes constantly, and regret and regret filled his heart.

Are you a qualified mother?

Seeing Qin Fang cry like this, Chen Cang couldn't help but sigh...

Simply wait patiently for Dr. Xin to do the inspection.

Four-dimensional echocardiography can observe the structure and activity of mitral valve leaflets in three-dimensional direction, and can more intuitively observe the starting position, direction and shape of the regurgitation beam, which is of great help in diagnosis!

After a successful injection of the contrast medium, the examination begins.

But the more he did it, the more Dr. Xin frowned, and the cold sweat oozes out!

"Doctor Chen, the situation is not very optimistic!"

Hearing Doctor Xin's words, Chen Cang was taken aback: "What's the situation?"

Xin Rong is a female doctor in her thirties. Looking at the results at this time, she felt a little uneasy and uneasy!

"Look, the contrast agent in the first systolic reflux has reached the entire left atrium, and there is contrast agent in the pulmonary veins... This is already a 4/4 degree reflux, no wonder it caused a coma!"

After Chen Cang heard it, his expression changed!

Fourth degree regurgitation?

so serious!

Need surgery as soon as possible!

At this time, Xin Rong had already typed out the report: "It's confirmed, it's congenital mitral regurgitation."

"Also, or mitral regurgitation with stenosis, but the overall valve activity is still good, the anterior leaflet is uniform, and the compliance is good!"

After seeing the report, Chen Cang was overjoyed, it seems that artificial valve replacement is not needed.

For such an old child, the use of artificial valve replacement is a very troublesome thing.

Chen Cang looked at Qin Fang and said, "The child is in critical condition and needs immediate surgery. Please sign as soon as possible."

After Qin Fang heard it, she nodded quickly: "Okay, sign, doctor, I will listen to you, you can say anything, please save the child."

Qin Fang was almost in despair at this time.

The child has such a serious disease, and he, as a mother, knows nothing about it. This is a dereliction of duty!

Thinking of this, Qin Fang took a deep breath, full of remorse.

And Chen Cang hurriedly said to the nurse:

"Blood test,"

"Inject digoxin to boost the heart!"

"Injecting Enalapril to Reduce Reflux!"

...

"Notify the operating room to get ready!"

The preparations started hurriedly here, and Chen Cang couldn't help but fell into deep thought when he saw the report of the four-dimensional echocardiogram.

This little patient...

It might be a special case.

Such severe heart failure at such a young age, ventricular hypertrophy, and enlarged atrium, if extracorporeal circulation is used, it may not be good for future development.

Or... with mitral valvuloplasty without beating the heart?

Thinking of this, Chen Cang was eager to try it!

At this time, Ma Yuehui, who was participating in the rescue of patients outside, suddenly felt a cold wind coming from his back, and he couldn't help but shiver.

Ma Yuehui shook his head suddenly, what happened?

"Damn, it's actually so fake recently?"

...

...

ps: There is only one chapter tonight, and I can't finish the second chapter, which is a headache.