Chapter 835

Now, the problem is becoming more and more complex!

Chen Cang shook his head!

Emergency doctors must have a clear diagnostic route and clinical thinking of regulations.

"Haven't you eaten anything messy recently? Or some special stimulation. How about defecation? Is there much exhaust? Is there any life?"

Chen Cang asked several questions one after another.

The girl shook her head frequently.

The man also hurriedly said: "no, none of these. Since tingzi was pregnant, I have been taking care of her. I am especially careful about eating. They are all stillbirth and stomach nourishing. My urine and urine are normal. If I exhaust... It is normal at ordinary times. Since I was pregnant... I have no family name life."

Chen Cang closed his eyes and kept thinking about all kinds of reasons in his mind, hoping to get a clue of breakthrough!

The car didn't take long to the hospital. After it was sent to the emergency room, Chen Cang quickly called Xiao Ke.

"Blood routine examination, and..."

Because of the existence of pregnancy, many examinations are actually limited, and abdominal CT doesn't have to think about it.

Otherwise Chen Cang wouldn't be so troublesome.

After some blood tests, Chen Cang felt that he should give some relatively safe drugs to inhibit acid and protect the stomach.

These drugs are safe for children, and the main purpose is to solve the problem of gastroenteritis.

Chen Cang can only start from the most basic and common cause of abdominal pain.

Defecate normally, exhaust normally, eliminate obstruction!

No peritoneal irritation sign, peritonitis can be ruled out!

Appendicitis... Can't be ruled out!

Gallbladder diseases... Can not be ruled out!

The problem of pancreas... Can't be ruled out!

Gynecological problems... Need to be observed!

At present, Chen Cang can only think of these.

"Do an abdominal B-ultrasound and a gynecological ultrasound."

Speaking of this, Chen Cang quickly found a B-ultrasound doctor.

At this time, vital signs were also detected.

"Blood pressure: 9565mmhg!"

"Oxygen saturation: 96."

These are basically normal.

Chen Cang breathed a sigh of relief. It seems that his life is not in danger?

At this time, the B-ultrasound doctor hurried in and pushed the B-ultrasound machine: "Dr. Chen, what's the situation?"

Chen Cang frowned: "pregnant for 20 weeks, the cause of abdominal pain remains to be investigated!"

In a word, he bluffed the other party.

Pregnant patients, can't provoke!

Get an abdominal ultrasound.

Chen Cang stared at the ultrasound results. The liver, gallbladder, pancreas, spleen and kidney were all normal!

oh

There is a small renal cyst, but this thing basically won't affect the diagnosis.

"Check a gynecology department!"

B-ultrasound nodded.

Before long, the result appeared.

"Normal!"

In a word, Chen Cang was stunned.

Normal!

All normal!

This is not normal!

All examinations were normal, but the patient's abdominal pain was not alleviated, but aggravated.

Isn't that unreasonable?

Chen Cang took a deep breath.

Meditate.

Looking at the girl's discomfort, Chen Cang can only wait for the result.

The man was worried: "doctor, do you have any pain relief? Give me some!"

As soon as the girl heard this, she shook her head and said, "don't use it!"

Chen Cang thought about it, looked at the sweating girl and said, "I'll give you a medicine, which may alleviate some."

Chen Cang gave me some normal saline and glucose for rehydration.

But

The patient did alleviate some abdominal pain!

Chen Cang was speechless. Is placebo so strong?

Clinicians often use placebo to help patients alleviate unexplained symptoms.

However, Chen Cang always felt that the situation was not so simple.

Simply go back to the office and start looking up books.

There is a bookshelf full of reference books and guides in the emergency office.

After about an hour, Chen Cang thought about countermeasures. When consulting books, Xiao Ke ran close to the office: "Dr. Chen, the patient's vital signs were suddenly abnormal!"

Chen Cang suddenly changed his face and hurried in.

The ECG monitor sounded bit by bit.

"Dr. Chen, the heart rate is 110 beats per minute, the blood pressure has dropped to 8555mmhg, shortness of breath!"

Chen Cang suddenly changed his face.

"Go and call Dr. Wang, quickly do another B-ultrasound and see the situation!"

At this time, it was nearly three o'clock, and the B-ultrasound doctor had gone to bed in the duty room.

After all, they don't need to be on duty all night. Just shout when they have something to do.

Dr. Wang is also numb. Before long, the results came out!

"There is a large amount of effusion in the abdomen and pelvis, which is likely to be blood accumulation!" Chen Cang was stunned by a sentence!

At this time, it was close to three or four o'clock in the morning. Chen Cang hurriedly greeted Xiao Ke: "contact gynecology for urgent consultation!"

At this time, team leader Ma is on the operating table. Such an uncertain patient is another severe test for Chen Cang on duty!

Gynecological inpatients always came before long. After asking clearly, they said, "puncture examination!"

Abdominal puncture!

Chen Cang is no stranger. Xiao Ke brought the puncture bag.

Chen Cang's technique was very careful. Before long, he pulled it out.

Seeing the extracted liquid, Chen Cang immediately frowned!

Extraction does not clot!

Is this... Organ rupture?

Suddenly, Chen Cang and the general manager of gynecology were in hospital.

Now, there is only one possibility: "open exploration and seek the reason!"

At this moment, open exploration is a necessary examination.

And do it as soon as possible!

But

There is a problem in front of them.

Laparotomy exploration is very simple. It is to open the stomach for examination, but... This laparotomy may mean that the child can't be saved.

Therefore, family members must sign.

Chen Cang looked at the blood pressure on the ECG monitor, getting lower and lower.

I can't help but feel lucky. Fortunately, I was rehydrated just now, otherwise... There would be a big problem.

However, now laparotomy is a must.

The girl was unconscious. Chen ckwai looked at the man. "Now the situation is very dangerous. The patient has ruptured organs in the abdominal cavity. Now the reason is to be investigated, we must immediately operate the probe, look for the cause, and then operate as soon as possible."

After hearing Chen Cang's words, the man was startled!

"What's going on? Why did this happen?"

The man was immediately hoodwinked!

Chen Cang shook his head: "now the reason is unknown, so I want to open the abdominal cavity to look for it, but... There's something you need to know. Once the abdomen is opened, the child may be lost!"

"But! Without laparotomy, adults and children may not be able to keep it! Are you his husband? Sign as soon as possible!"

It doesn't seem difficult to choose this question, does it?

However, the man was stunned.

"I... we're not married yet..."

In a word, Chen Cang was stunned: "contact the patient's family quickly!"

The man gritted his teeth, picked up his cell phone and hurriedly contacted the girl's mother.

Chen Cang didn't expect to encounter such a problem at a critical time!

Scalp numb!

……

……

PS: thanks for the 10000 reward from brother Lei Shu, thank you!