li style=”le-height: 252x”

css=”” [Chapter 11 Cardiovascular Ward 06]

After a 10-second countdown, the space distorted again, and everyone returned to the bed in the ward.

The 15-bed grandfather was still there, Yue Xingwen only had time to take a look, and the upper and lower eyelids began to fight. Invisibly, there seemed to be a force urging him to fall asleep as soon as possible. He closed his eyes and fell asleep unconsciously.

The next morning, at seven o'clock, a nurse pushed the door into the room and urged, "Beds 16 and 17, blood is drawn on an empty stomach. After the blood is drawn, wash your face immediately, and follow the nurse to the imaging department for coronary angiography."

The two were stabbed with a needle early in the morning, but they woke up instantly. Yue Xingwen got up and got out of bed, and when he came to the bathroom door, he was about to go in to wash up, but found that the 15-bed grandfather was not in bed. He was stunned for a moment, then turned to ask the nurse, "What about the 15-bed patient?"

Liu Zhaoqing followed Yue Xingwen's gaze to bed number 15, and asked the back of his head doubtfully, "Yes, bed 15, why did it disappear so early in the morning?"

The nurse said calmly: "15 beds had acute myocardial infarction last night and passed away."

died? The two looked at each other and waited for the nurse to leave before Yue Xingwen lowered his voice: "It's weird, why did you die suddenly?"

Liu Zhaoqing said, "After washing your face and doing the examination, we will meet with the other students."

The two went to the bathroom to wash up one after another, and then followed an aunt who was in her 40s to the imaging ward. This was what Dr. Xiao had instructed them to do yesterday. They had made an appointment for this morning's coronary angiography, and they couldn't be late.

After a while, other students followed the nurses in two or two teams. Everyone sat in the corridor waiting to be called, and a girl asked Liu Zhaoqing softly, "Brother Liu, is this coronary angiography examination dangerous?"

Liu Zhaoqing explained: "Coronary angiography is a very common examination in cardiovascular specialists. The contrast agent is injected into the body through the blood vessels, and then a CT is taken, and the blood vessels of the heart can be clearly displayed on the screen. If you are allergic to the drug, you cannot do this test, and an allergy test is usually done before the inspection.”

The professional explanation of the medical student made everyone feel more at ease.

The next moment the nurse started to call: "Cardiovascular Ward, Qu Weiwei, come in with me for an allergy test."

Yue Xingwen reminded everyone in a low voice: "Everyone returns to the ward as soon as possible after the examination, and gathers at the old place after lunch."

Everyone nodded in understanding.

The students were called one by one, and Yue Xingwen had to put aside his thinking for a while and obediently went to the "coronary ct" examination.

It was almost noon after the examination. After returning to the ward, the hospital kitchen brought lunch together. Yue Xingwen and Liu Zhaoqing looked at the empty No. 15 bed and felt awkward.

Yue Xingwen frowned for a while and said, "Senior brother, I remember that during the ward round yesterday morning, the doctor Xiao said that the 15th bed is an old man in his 70s. He has just completed the heart stent implantation operation, and his vital signs are still there. Is it stable?"

Liu Zhaoqing nodded: "I also remember. After stent implantation, the patient died suddenly, there are several possibilities in theory, one is rejection reaction; the other is postoperative infection, leading to septic shock; the third is sudden Myocardial infarction. The fourth, you said..." He lowered his voice, "Murder?"

Yue Xingwen thought about it and said, "Meet the other students first and ask them about their situation."

The two quickly finished their lunch and came to the rest area in the upper left corner side by side.

During the day, everything in the cardiovascular ward was normal. The doctors and nurses were busy. The old men and women in other wards seemed to be in good spirits, and some elderly people were walking in the corridor with crutches.

Last night's horror battle royale was a memory that belonged only to their 10 students, like a nightmare. However, if someone died last night, perhaps today, everyone could see a classmate being pushed away with a "heart attack" under a white cloth.

The lounge area soon gathered 10 people.

Yue Xingwen asked, "How are the patients who live in the same ward with you?"

Zou Yuhang said with a sullen face: "The patient in our ward is an 80-year-old grandfather, and his condition has been very serious. During the ward round yesterday, the doctor said that he was hospitalized for the sixth time. I didn't understand the details, so I just remembered The next key points are that his anterior descending coronary artery is severely stenotic and atherosclerosis is severe, so he should pay attention to something. As a result, he died suddenly last night."

When he said this, he looked up at Liu Zhaoqing: "Brother Liu from the medical school, do you know the reason?"

Liu Zhaoqing said: "80-year-olds with severe stenosis, if they are not in good health, it is difficult to undertake the risk of interventional surgery. It may be that atherosclerotic thrombus blocks the arteries and causes acute myocardial infarction."

Seeing everyone's blank faces, Liu Zhaoqing squeezed the fist of his right hand and gestured with his left hand to give an example: "The heart is like a pump, every time it beats, it transmits blood to the surroundings; blood vessels are like rivers that transport blood. Coronary arteries are located on the surface of the heart and are important channels for transporting blood. Coronary stenosis is the narrowing of the channel, which naturally affects the efficiency of blood transport."

He paused and continued: "Atherosclerosis is similar to the silt that has formed in the river for many years. When a heart patient is exercising vigorously or in a high mood, his heart beats faster, causing the originally narrow river to be blocked instantly; The silt in the river suddenly fell off and flowed to a narrow place to block the river. The river was blocked and the blood could not pass through. Then, the area under the jurisdiction of the river would be necrotic because the blood could not flow - this is myocardial infarction. "

Brother Liu explained it in an easy-to-understand manner, and everyone probably understood the meaning of "coronary stenosis" and "atherosclerosis". From this point of view, it is very common in medicine for an 80-year-old to suddenly die of a myocardial infarction.

Zou Yuhang said: "The 80-year-old man in our ward died suddenly, because his blood vessel was blocked for some reason, causing myocardial infarction? Is this an accidental death?"

Yue Xingwen's expression was calm, and his eyes swept across the crowd: "It depends on what the other wards are like. Let's talk about it in detail."

Liu Xiaoxiao said with red eyes: "The grandmother in our ward also died last night. The five-bed grandmother was very nice. Her family came to see her yesterday afternoon and brought her a fruit basket. She even peeled oranges for us. She Her condition is not serious. I remember that in the afternoon, she was going to be discharged today. But when she woke up in the morning, she was pushed away with a white cloth. I asked the nurse and said that it was a myocardial infarction last night. rescued."

Yue Xingwen and Liu Zhaoqing looked at each other and continued to ask, "Where are beds 34 and 35?"

Qin Lu said: "Our ward is a 60-year-old grandmother. The cause of this hospitalization is also coronary stenosis, and she is going to undergo interventional surgery. During the ward round yesterday, her doctor in charge said that the deputy director will perform the surgery in person, and the operation will be scheduled 3 days later. Did you die of a myocardial infarction last night?"

Yue Xingwen looked at Ke Shaobin, who immediately said, "The patient in our ward is a 70-year-old male. This time he was admitted to the hospital because of angina pectoris of unknown cause. He also suffered a heart attack last night."

Hearing this, everyone finally realized that something was wrong.

Liu Xiaoxiao's voice trembled: "All, all dead?"

Zou Yuhang frowned and looked at Yue Xingwen: "Could it be that the No. 15 bed in your ward also died?"

Yue Xingwen nodded and said solemnly, "This is the title of the additional question."

The patients in the ward where the classmates were all died overnight. It seems that the exam has indeed come to the part of the additional questions.

Yue Xingwen quickly took out the paper in his pocket. This was the important information he wrote down from Ke Shaobin's laptop yesterday, including the basic information of all patients in the ward. He quickly typed an x ​​on the back of five of them, simply Summarized: "Five people died last night, namely patients in beds 5, 15, 24, 33, and 50. There were postoperative recovery periods and preoperative preparation periods. Some were hospitalized and some were about to be discharged. The severity of the disease was Completely different, the only thing in common is sudden death at night."

When everyone saw him taking notes, they couldn't help but admire him in the bottom of their hearts - is this the attitude of the Xueba to the exam?

Yue Xingwen looked at the notes and said calmly: "The five deceased are all patients in the same ward as us. However, last night because everyone was forcibly dragged to the night examination room, when did they die, why did they die, and the doctors We don't know if there was any rescue or what happened during the rescue."

Zou Yuhang couldn't help but complain: "That is to say, the additional questions are only given to a question of 'dead five people' and a question of 'find out the real cause of death of the patient', and then let us check it ourselves?!"

The boy from the Chemistry Department pressed his chest and said with a white face, "Is this class a daytime suspenseful reasoning and a nighttime thriller battle royale?"

Zou Yuhang added: "He also arranged a heart attack for us collectively."

Everyone: "..." This is too difficult, isn't it?

Liu Xiaoxiao suggested in a low voice: "If it doesn't work, the additional questions can be waived without affecting customs clearance? I usually like to read science fiction novels, but reasoning is really not good." Others whispered: "Since elementary school, I have never failed in exams. Doing additional questions, I couldn’t get it right anyway.”

Yue Xingwen said: "This is the first floor of the library, you are about to give up? Why don't you try?"

The medical school on the first floor is so perverted, what colleges are on the second and third floors behind, and what courses are offered for everyone? Just thinking about it makes my spine go crazy.

Yue Xingwen put away his notes and said, "Everyone cooperated very well last night. I hope that everyone can cooperate with each other and share some information in the future. After all, no one can stare at five wards at the same time. Doing the questions alone, It is difficult to give a complete answer. Those who are willing to try to do additional questions can join in, discuss and brainstorm together.”

Everyone looked at each other and nodded.

Zou Yuhang was the first to raise his hand: "I think Xingwen's thinking is calm and clear, and thanks to him last night, we were able to survive to this day without dying. After this class is over, we will not be able to meet each other. Sure, there is no need to guard against each other. Sharing clues makes it easier to reason. I suggest everyone to listen to Xingwen’s arrangement and try hard together. The additional questions are worth 30 points. People can also get some basic points, multiply the credits by 4 points, and the points will be a lot!"

Liu Yufan from the Physics Department next to him nodded: "I agree."

The boy from the chemistry department raised his hand and said, "I am willing to join,"

Yue Xingwen looked at the others: "How about you?"

The four girls also nodded: "I agree." "If you need help, just arrange it, I can't reason, you can run errands and help collect clues!"

No one objected, and Yue Xingwen said cheerfully: "Then let's divide the labor. Everyone, first of all, first of all, every word that the patients in your ward said all day yesterday, and the doctors' judgment on their condition during the ward rounds, including The conversations that the family members had when they visited the class can be remembered, all recalled and sorted out.”

He quickly tore ten sheets of paper from the dictionary, and each sent one: "Around 7:30 in the evening, hand it over to me for a summary."

Seeing his calm appearance, everyone admired him. In this case, he can still keep calm and gather everyone to quickly find clues, analyze and reason.

Zou Yuhang joked: "We are also a temporary class. The monitor assigns the homework, and everyone must finish it carefully!"

Yue Xingwen nodded at him and asked Liu Zhaoqing, "Senior brother, after the death of a patient, the doctors will write the death case?"

Liu Zhaoqing said: "Generally, the death case report will be written within 24 hours, and a meeting has to be held to discuss it. Their meeting must be in the conference room, we can't go in, but after they finish the meeting, let Junior Brother Ke go to check on them. minutes of the meeting.”

Yue Xingwen looked at Ke Shaobin and said, "Young Master Ke can hack into the doctor's computer and find out key information. After dinner tonight, everyone will help Ke Shaobin to cover up. Everyone pretends to be sick, or uses other methods to cover up the ward. All the nurses and doctors were called away, leaving the doctor's office empty."

Everyone looked at Ke Shaobin with surprise: "You can still hack their computer?"

Ke Shaobin nodded proudly: "I am a computer science student, and cracking a computer is a basic operation."

He was the same old man, his eyes lit up at the mention of the computer. Yue Xingwen looked at the tip of Ke's red ears, smiled lightly, and finally said, "The doctors have finished the meeting in the afternoon, and in the evening, the computer can record the minutes of the meeting. At that time, everyone will use their acting skills and hold the ward. All the medical staff, give Ke Shao time to copy the documents."

He glanced at everyone, got up and said, "Go back to sort out the information first, and act in unison at 7:30 pm."

This exam will be graded according to the performance of each student. Even if everyone works together to make additional questions at the end, the score will definitely be different. The main partners of Yue Xingwen are Ke Shaobin and Liu Zhaoqing, two alumni. One from the Department of Computer Science is responsible for collecting data, the other from the Department of Medicine is responsible for analyzing cases, and he does the summarization and reasoning.

Those who made great contributions like Ke Shao and Senior Brother Liu will naturally score higher in the end. Other students who cooperate with the action may only get a basic score. However, with the cooperation of the students, the problem solving will become much smoother.

Five people died overnight?

Yue Xingwen believes that as long as there is a murderer, there will be traces of the crime.

The author has something to say:

The masters of the Chinese department have a wide range of knowledge, and Xingwen is still on the debate team, and his thinking is quicker than the average person.

Hope you all like the handsome Xingwen 🙂

Message to continue to send red envelopes! w ,please keep in mind:,,,