Chapter 873

This morning, when Chen Cang returned to the emergency department, he was never relaxed!

A little nostalgic for iron Han Han's old horse, and a little nostalgic for nurse Yang Jie who will give her milk.

"Here comes Dr. Chen!"

"Good morning, Dr. Chen!"

"Dr. Chen, you're finally back!"

When Chen Cang entered the office, everyone nodded.

We all know what happened in the hospital these days. Chen Cang is now the meat and potatoes in the hospital.

When everyone thought of Yang Hongmei, they couldn't help shaking their heads. During this time, nurse Yang was really flustered. She was afraid that Chen Cang couldn't live with herself.

When Chen Cang entered the office, Yang Hongmei nodded and smiled awkwardly: "good morning, Doctor Chen. Are you back?"

Chen Cang nodded and smiled, saying nothing.

Everyone is an adult. Don't be so naive.

When Ma Yuehui saw Chen Cang, he immediately opened his eyes and couldn't help laughing: "cardiac surgery doesn't want you? Orphan..."

Chen Cang couldn't help rolling his eyes. How can the team leader still be alive.

Chen Cang smiled and looked at director Yu: "director Yu, I came back to work. By the way... I saw that your coffee was taken by team leader Ma a few days ago."

Yu Yonggang just wanted to laugh. After hearing the last sentence of Chen Cang, he immediately stared at Ma Yuehui with a straight face, and his eyes stayed on him for ten seconds.

Old Marton was flustered!

Looking at Chen Cang, I dare not say anything

"Director, not... Boss, I'm afraid it's overdue!"

Old Ma wants to explain, but... If the explanation is useful, why do you want corporal punishment?

Looking at Lao Yu like this, Chen Cang suddenly relieved a lot.

Lao Yu couldn't help looking at Chen Cang and said with a smile, "take me to have this non-stop heart surgery when you have time. I'm busy these days and haven't taken care of it."

Chen Cang nodded and smiled, "OK, sure!"

Backer, that's how you get up.

After Yu Yong had just left, the office suddenly burst into laughter.

Xu Aiqing couldn't help looking at the old horse with a joking face: "ha ha... If you buy coffee, I guess I can be saved!"

Ma Yuehui clenched his teeth and felt pressure.

In the morning, Chen Cang didn't leave the car. After all, Chen Cang went out with the name of emergency department to win glory for the emergency department and was allowed to sit on the stage this morning.

At 11 a.m., 120 rushed in a middle-aged woman.

I'm in my fifties. There are three people around me!

Nurse Xiao Ke quickly called Chen Cang: "Dr. Chen, the patient is 55 years old, female, abdominal pain with nausea and vomiting aggravated for one day!"

Chen Cang was making rounds. Hearing Xiao Ke's voice, he hurried outside.

After coming out, looking at the three people around him, Chen Cang was smart this time and hurriedly asked, "who is the family?"

The three shook their heads one after another!

"We are not family members!"

Chen Cang was stunned.

"We are card friends. When she was playing cards, she suddenly vomited, and then covered her stomach. It didn't hurt. The three of us rushed to deliver it."

The three are fluent in Beijing Mandarin.

With her ID card, the patient was pale and covered with cold sweat.

Seeing this, Chen Cang couldn't care about anything else. He quickly said, "Xiao Ke, push the bed and send it to the rescue room."

Xiao Ke nodded quickly.

The card friends here helped to go through the formalities, and then contacted their families to come.

"It's killing me. My stomach hurts... Doctor, please help me!"

Chen Cang nodded and already had a judgment in his heart.

In fact, a qualified medical staff should have an intuitive first impression and judgment when they see the patient's first face and hear the signs.

At this time, the woman held her stomach with both hands, with a painful face, accompanied by nausea and vomiting.

The first thing he thought of was acute abdomen!

"You lie down and I'll check your body!"

The woman shook her head: "no, I'm uncomfortable."

Chen Cang helped the woman to position herself, then lifted her clothes and revealed her stomach!

As soon as he exposed his abdomen, Chen Cang saw Peng long in his abdomen, and then Chen canggang just pressed it.

The woman wailed in great pain: "Oh, it hurts!"

A few minutes later, Chen Cang finished his inspection.

Chen Cang also had some impressions!

Total abdominal tenderness, rebound pain, no muscle tension, obvious lower abdomen.

When Chen Cang knocked on Peng Long's belly, he immediately felt a voiced sound coming!

Suddenly frown!

"Xiao Ke, prepare for abdominal puncture!"

Now the patient must make a clear diagnosis as soon as possible. There is a lot of fluid in the patient's abdominal cavity. Now I don't know what it is.

And Chen Cang also called the card friends in!

"Is the patient injured?"

"No!"

"There are more shots, so you won't get hurt!"

"Yes!"

Looking at the three people's answers, Chen Cang also smiled bitterly. Shooting can't release internal bleeding, can it?

At this time, Xiao Ke had opened the abdominal puncture bag. Chen Cang asked the patient to sign first and then puncture.

At this time, the patient's family has not appeared.

Fortunately, although women have abdominal pain, they are not in a coma. Their consciousness is still clear and they can sign by themselves.

Holding a puncture needle, Chen Cang gently penetrated into the lower abdomen.

In fact, we need to pay attention here. Because there is a bladder in the lower abdomen, we must not pierce the bladder because of abdominal puncture. This kind of thing often happens... Many young doctors pull out urine through abdominal puncture!

When the liquid was pumped out, Chen Cang was stunned!

"Bleeding!"

"What's going on?"

"Call his son quickly!"

The three card friends were all flustered at this time. Originally, they were just ordinary stomachache. Now they suddenly draw blood from their stomachs, which is a very terrible thing for ordinary people.

Even Chen Cang frowned at the red bloody liquid!

"No coagulation!"

Generally, if the abdominal puncture is extracted without coagulation, it is a very serious thing.

Why?

Generally speaking, there are platelets in the blood. Generally, after bleeding, platelets will coagulate under the action of a series of complex prothrombin.

But!

Once the puncture fluid is non clotting, the first consideration is the rupture of abdominal parenchymal organs or mesenteric vessels, suggesting the need for emergency surgery.

At this moment, Chen Cang couldn't help but have a headache.

Can playing mahjong play internal bleeding?

Shouldn't this be?

Chen Cang hurriedly said to Xiao Ke: "blood test, blood routine, coagulation..."

Chen Cang is confused now because the evidence is not enough to support the patient's rupture of abdominal visceral organs.

Subsequently, Chen Cang hurriedly pushed the patient towards the radiology department!

Now, only intraperitoneal CT can help patients make a clear diagnosis.

Several card friends are neighbors. They are worried when they see the blood drawn from the belly of their old friends.

After the patient was sent to the radiology department, the film was taken soon!

Just

There is no trace of organ rupture in the abdominal cavity!

This stunned the radiology doctors and Chen Cang.

What is the reason?

However, at this time, the radiologist suddenly said, "Dr. Chen, look here!"

Chen Cang immediately saw a picture in his abdominal cavity!

The radiologist was pleasantly surprised: "cable sign"!

As soon as this sentence came out, Chen Cang suddenly changed his face and had a big problem

……

PS: thanks for the 10000 reward of "Uncle Owen and uncle drew", thank you!