At this time, it is surprising to find the high specific image result of "cable sign"!
Basically, the clinical discovery of "cable sign" can basically suggest acute intestinal capillary infarction!
But... The most important thing is that it is difficult to make a correct diagnosis of this acute mesenteric vascular infarction before operation for a long time, and most of the results are not specific.
Therefore, it is often ignored by doctors, resulting in the aggravation of the disease.
The mortality rate is as high as 60%!
This is a terrible number.
In fact, sometimes, a patient's diagnosis has a lot to do with his own luck.
Some of the same diseases may not be detected, resulting in the disease not being found in time, leading to the aggravation of the disease and even death!
After seeing the "cable sign", the imaging doctor had to say that he was a little surprised, because how many detours did he take less?
Save the film directly!
This is a typical case.
It's really not lucky or unlucky to meet a typical in clinic.
Chen Cang now knows why the patient has mesenteric vascular embolism!
Once embolism occurs, there are really more diseases to consider.
Chen Cang doesn't dare to relax at all now.
What is the abdominal infectious disease?
Or deep vein thrombosis?
These are not simple things.
After the radiologist came out with the results, Chen Cang hurriedly took the patient back to the rescue room.
"Xiao Ke, hurry up and take an ECG and measure your blood pressure! Call group leader Ma Yuehui quickly."
Seeing that the patient's condition was getting worse and worse, Chen Cang also picked up his mobile phone to contact the operating room. After all... Chen Cang won't have such an operation yet.
In case of acute intestinal obstruction, the operation must be improved as soon as possible.
There can be no delay!
At this time, the situation of middle-aged women is becoming more and more unstable. They look pale and seem to be caused by bleeding!
Chen Cang constantly simulates various possibilities in the four-dimensional model diagram at this time!
At this time, another nurse Zhao Na ran in with the test sheet in her hand.
"Dr. Chen, blood routine has come out!"
Chen Cang was immediately happy. Blood routine examination was one of the faster results.
Leukocyte 26?
Xiao Ke just finished his ECG. He immediately looked at the patient and exclaimed, "Dr. Chen, the patient is in a coma!"
Chen Cang was not in a hurry: "rehydration, contact the blood transfusion department to match blood as soon as possible."
After taking the ECG, everything was normal and there was no heart problem.
Chen Cang took a deep breath and quickly bowed his head to the patient's abdominal palpation again!
He kept in mind the possibility of perfecting the four-dimensional map according to his feelings.
Not intussusception!
It's not intestinal adhesion!
It's not embolism.
The little nurse on one side looked at Chen Cang. At this time, she kept touching her abdominal cavity, even closed her eyes, and was suddenly blindfolded.
In fact, coma is not a bad thing at this time. Just now, Chen Cang's abdominal palpation can't be carried out because the patient's pain is very strong.
Now it's different. Chen Cang's gentle palpation in the abdomen constantly feels his feelings in his mind, forming a complete four-dimensional picture.
At this time, Ma Yuehui ran in in a hurry.
I saw Chen Cang touching the patient's stomach with his eyes closed.
Suddenly stunned!
"Xiao Chen, what are you doing with your eyes closed?"
Chen Cang couldn't help saying, "can you open your eyes and see the situation inside your belly?"
In a word, I was stunned by what the old horse said!
It seems that... It's really such a truth!
However, why do you always feel a little strange?
At this time, Chen Cang's four-dimensional map has formed a comprehensive and systematic diagnosis according to the patient's abdominal CT film, examination results, palpation and auscultation.
Hernia!
you 're right!
Chen Cang's feeling is an acute special hernia.
Thinking of this, Chen Cang hurriedly said, "team leader Ma, it may be an intestinal hernia. Prepare for surgery!"
Old Marton was stunned.
"Intestinal hernia?"
"How did you know?"
Chen Cang turned and threw away the plastic gloves: "if you can touch it, quickly contact the operating room and improve the operation as soon as possible. Has the family come?"
Old Marton was stunned. You lied to me. Can you feel the internal hernia?
The card player on one side was shocked to see his old friend suddenly unconscious!
I swear in my heart that if I get better today, I will beat her a few times less
At this time, a young man came in a hurry, sweating: "doctor, what's the matter? What's the matter with my mother?"
Chen Cang directly said: "acute abdomen, caused by intraperitoneal bleeding, the patient is now in a coma. The situation is urgent and needs immediate surgery."
"Nana, prepare critical notice and informed consent."
After hearing the critical notice, the man was a little flustered.
The man was not big, and he was only twenty-five or six years old. After hearing Chen Cang's words, he was directly said to have been deceived!
"Critical notice?"
"Doctor, isn't it too exaggerated? Is it critical? I'm fine this morning?"
Chen Cang shook his head: "this situation belongs to the state of development, and I now suspect that his intestinal tract has ischemic necrosis. The risk coefficient is still relatively high. No one can guarantee it without open exploration!"
The young man looked at his mother and became like this. He couldn't accept it for a while!
After all, on weekdays, his mother has always been a smart and capable middle-aged woman. Rice can be carried upstairs. In his heart, his mother has always been a healthy and even some pungent image.
But now looking at the way he was dying in the hospital bed, the man was directly flustered.
Standing by the bedside of the rescue room, the man looked at his mother's face full of pain. The corners of his mouth moved, but he didn't say anything!
Quickly picked up the pen: "doctor, you must save her! Please. How much money!"
Looking at the man's signature, Chen Cang asked, "what disease did your mother have before? What medicine is she taking now?"
The man was stunned, thought about it, and didn't remember: "I... I don't know..."
He really doesn't know what medicine his mother takes!
I don't even know what disease my mother has had!
Chen Cang sighed and continued to ask, "how many times has your mother been pregnant? How many children have you had a miscarriage..."
The man was silent again: "sorry, i... I don't know..."
Chen Cang nodded. It seemed that many people didn't know this problem, so he asked again, "did your mother have any surgery in recent years? What disease did she do?"
The man's voice was already crying, because he found that he didn't know anything!
He doesn't know everything!
He didn't know what disease his mother had. He didn't know whether his mother took medicine or not. He didn't even know whether his mother had surgery!
Thinking of this, the man couldn't help crying and rushed out directly.
What does he know?
He knows nothing!
He found that he knew nothing about all this when his mother needed him.
He's scared!
He's guilty!
He felt a deep sense of remorse and shame.
Over the years, he suddenly found that his familiar mother was... Strange, and he knew nothing about his mother
Tears of guilt kept pouring out. The man suddenly flopped, knelt down by his mother's bed, touched his mother's hand with both hands, and his heart was full of guilt and uneasiness.
Originally thought he was the most familiar person with his mother, but in the end he found... He really didn't know his mother.
Even for so many years, he didn't seem to try to understand he