"Acute severe myocarditis!"

This is a disease in which the virus directly invades the myocardium, causing acute myocardial edema and necrosis, which can quickly lead to heart failure, arrhythmia, and cardiogenic shock!

The early symptoms of this disease are atypical and can easily be misdiagnosed as a common cold.

Some community hospitals, and even many tertiary hospitals, have misdiagnosed acute severe myocarditis as a cold, resulting in death!

Xu Qiu glanced at Li Qianqian again.

The other person's complexion is getting worse and worse, and his lips are beginning to show signs of cyanosis, which is obviously a lack of oxygen.

In this case, it is best to transfer to ICU.

But Xu Qiu's intuition made him feel that something was wrong.

"First give the mask oxygen to see the effect." Xu Qiu said.

However, a few minutes later, Li Qianqian's hypoxia became more and more serious, the ECG monitoring data also declined, and her blood oxygen saturation became lower and lower.

Xu Qiuyi frowned: "Push a sedative and ventilate the tube for intubation."

At this time, a man wearing casual pants in the ward spoke. He asked: "Doctor, can you cure it? If you have any expensive medicine, just give it to me and it will be cured."

Another man pushed up his gold-rimmed glasses and said, "I'm 34 weeks now. I should be able to have a cesarean section. Let's do it first."

Xu Qiu ignored them.

Fortunately, after the medicine was given and the ventilator was put on, Li Qianqian's blood oxygen slowly increased.

The crisis is temporarily resolved.

Everyone then breathed a sigh of relief.

However, the stone in my heart still hasn't let go.

Before the real cause is found, the crisis can recur at any time.

"Dr. Xu, go to the conference room first. Our department has contacted the Department of Respiratory Medicine and the Department of Cardiology to discuss this case..." Li Xue reminded in a low voice.

Before leaving, Xu Qiu looked back.

The man with gold-rimmed glasses was pressing the sides of Li Qianqian's pregnant belly, leaning his head against her belly to listen.

Another man was on the phone, seemingly calling the remaining three people to rush back to the hospital.

"Oh, there is really no bottom line..."

After leaving the house, the nurses all shook their heads in condemnation.

…

Five minutes later, conference room.

When everyone saw Xu Qiu coming in, they temporarily stopped the progress of the discussion.

Pairs of eyes looked at Xu Qiu, exuding kindness.

After Xu Qiu sat down, the discussion resumed.

Director of the Department of Respiratory Surgery said: "Based on the CT scan, the patient's pneumonia is not serious. Such severe dyspnea and hypoxia must have nothing to do with pneumonia."

The director of the cardiology department frowned: "The symptoms are very similar to acute severe myocarditis, and heart failure markers are also high..."

At this time, Xu Qiu finally finished reading the inspection report that had just been released.

One of them is very significant:

The patient's cardiac enzymes were slightly elevated!

If it is severe myocarditis, when myocardial cells are destroyed, myocardial enzymes will definitely increase dramatically.

However, the patient's cardiac enzymes only increased slightly!

Obviously, the director of the Department of Cardiology also noticed this. He sighed: "If we can do a myocardial biopsy, we can confirm the diagnosis."

Everyone present shook their heads.

It is not yet clear whether it is severe myocarditis. Just to judge, it is necessary to penetrate the endocardium for examination, which is too costly.

Clinically, doctors are not willing to perform invasive examinations unless it is a last resort.

At this moment, Li Xue, who was next to Xu Qiu, raised her hand. She stood up and said, "Could it be hyperthyroidism?"

Hyperthyroidism?

Everyone was stunned for a moment, and as they continued to think along Li Xue's train of thought, they suddenly felt enlightened.

right!

The patient was irritable, tachycardia, and sweaty, all symptoms that could be explained by hyperthyroidism.

And the difficulty in breathing that just broke out——

This is exactly what happens when a hyperthyroid crisis occurs!

In addition to severe myocarditis, hyperthyroid crisis can also cause such sudden heart failure!

"If it's a hyperthyroid crisis, the mortality rate is about 30%, so we need to deal with it quickly!"

"Yes, we need to ask the endocrinologist for consultation!"

However, at this moment, Xu Qiu's voice interrupted everyone's discussion.

He said calmly: "I have done palpation, and there is no sign of thyroid enlargement."

Everyone's excitement came to an abrupt end.

Director Hu from the Department of Obstetrics and Gynecology tentatively asked, "How about checking the thyroid hormone level?"

Hyperthyroidism crisis does not necessarily involve thyroid enlargement.

Hormone levels are the gold standard.

The director of cardiology suggested: "Check the thyroid hormone first. If it is normal, then ask the family to see if they need a myocardial biopsy."

But Li Xue directly refuted it and said: "This patient is quite special and we cannot consult his family members!"

Those five rich second generations just used Li Qianqian as a tool in their bet——

The other party doesn't care about Li Qianqian's life or death at all!

After this joint consultation, no final diagnosis was reached.

However, Xu Qiu clearly ruled out pulmonary embolism, Li Qianqian's life was saved, the diagnosis could be slowly advanced, and everyone breathed a sigh of relief.

…

In the afternoon, Xu Qiu returned to the emergency department and followed up with the operation.

After completing an operation, he went to the gastroenterology department for a meeting.

Everyone in the department memorized the video of Chen's pancreaticojejunostomy, and they were waiting for Xu Qiu to go over and teach it in person.

However, Xu Qiu still pushed the time to after the academic exchange in brain surgery.

He really doesn't have time lately.

After leaving the gastroenterology department conference room, Xu Qiu unexpectedly saw an acquaintance again.

Gao Peian!

Academician Chen's protégé, a medical leader in the field of duodenal and liver cancer!

Seeing Xu Qiu, Gao Pei'an left the others behind and walked over quickly, "Xu Qiu, you also want to come to the gastroenterology department for surgery?"

Xu Qiu shook his head and asked: "Professor Gao, do you have a flying knife again?"

Gao Pei'an nodded, looked at a man with a big belly not far away, and said: "Bureau Zhang, the leader of the city, his mother has liver cancer, and he asked me to perform an operation."

Just as he was talking, Director Zhang came over with eight-character steps.

Just as Gao Pei'an was about to introduce him, Director Zhang glanced at Xu Qiu's nameplate, his face suddenly sank, and he said, "Are you Xu Qiu?"

Gao Pei'an was pleasantly surprised, "We all know each other, so I don't need to introduce you."

Director Zhang shook his face and cursed: "Of course I know him!

It was this bastard who got rid of the clerk at the blood station. The new guy was like a lump in the tree. He had to help each other donate blood——

My blood fat was too high and I couldn’t donate it, so I struggled for a long time before I found a few people to replace four bags for my mother!”

He was very angry.

A few days ago, I made a call to the blood station and a green channel was opened.

As a result, it won’t work today!

After asking, I found out that it was this little doctor named Xu Qiu who was responsible.

Realizing that something was not going right, Gao Pei'an hurriedly stopped him and said: "Zhang Ju, I'm going to make an exception and come here to fly the knife. You should also show me some respect. Xu Qiu is a junior that my teacher likes, so you'd better be careful with your words!"

Director Zhang choked.

In the end, he sneered a few times, gave Xu Qiu a slap in the face and left.
To be continued...