Guo Xiang returned to the hospital. After a while, two students came and held a girl.
"What's the matter?" Guo Xiang quickly stood up.
The two students helped the girl to the chair and sat down, "doctor, we were in class just now. Han Wenjuan suddenly vomited blood and fell down, which scared me to death!" One of the students said with lingering fear.
"Spit blood? Didn't you send it to the hospital for emergency treatment? " It is very serious. Guo Xiang hurriedly took the stethoscope and put it on the girl's chest. It sounded like the girl coughed from time to time.
"We took her to the school doctor first - we were college students. Later, she woke up in the infirmary. She didn't send her to the emergency room. She came to you after a rest!" The classmate said.
"Do you spit much?" Guo Xiang asked, listening with a stethoscope. There seems to be something wrong with his lungs.
"Quite a lot." A girl said, gesturing with her palm, "there's such a big piece!"
"Are you sure it's not phlegm? Is bloody phlegm? " Guo Xiang asked, sometimes it may be just getting angry, or the capillaries in the lungs rupture and slightly coughing up blood.
"Absolutely not. A big mouth, maybe a small half of a small cup of Baijiu." The classmate said, "look, there's a little blood on her mouth!" The classmate pointed to the corner of the girl's mouth.
Guo Xiang looked carefully, and sure enough, it was a little. Maybe the school doctor wiped it and didn't clean it completely.
If there is so much blood, it will be serious.
"Before? Is there anything wrong? " Asked Guo Xiang.
The girl leaned back on the chair and was a little weak. "A few days ago, because of intestinal obstruction, the doctor said that the small intestine was necrotic and a large section was removed."
Guo Xiang opened the girl's clothes. Sure enough, there were traces of newly removed stitches on his belly. The wound was not completely good, and the stitches were obvious.
Could it be intestinal bleeding? Vomiting so much blood is likely to be gastrointestinal bleeding.
"Does your stomach hurt?" Asked Guo Xiang.
The girl shook her head.
"I'd better check it and do a B-ultrasound to see if there is any problem." Guo Xiang said.
The girl nodded and came to the hospital naturally to check, in case the previous doctor didn't do a good job in the operation.
It's also said that some doctors have left gauze in their stomach. They must check it before they know.
Guo Xiang issued a bill and asked his classmates to pay the fee. Seeing that the girl was really weak, he borrowed a wheelchair and asked them to push it for examination.
Because now the hospital business is good and there are many people, the examination results came out in the afternoon.
As a result, Guo Xiang saw that there was no problem in her stomach, no perforation, no problem with intestinal surgery, no gauze falling into her stomach, and she didn't know where her blood came from.
However, in view of the girl's cough and lung problems, Guo Xiang decided to treat her lungs with a little ribavirin first.
Then I opened the hospitalization form and let the girl stay for treatment first. I will continue to check tomorrow. I don't dare to let her go if I don't find out the reason. What if I spit blood again when I go back to school?
The next day Guo Xiang went to the ward. Many girls came to see her. Guo Xiang went to see the situation. The girl seemed to be in good condition.
She was about to check, when the girl suddenly covered her stomach and screamed "ah", which frightened the students nearby.
"Get out of the way!" Guo Xiang hurriedly asked the students to hide and uncover the girl's clothes. He saw that the blood vessels on his belly were protruding, as obvious as tree roots. Guo Xiang was cluttering in his heart, which seemed to be a manifestation of liver failure.
Quickly called the nurse to help take the girl to the emergency room.
It was found that there was a blood clot in the hepatic vein. Only when the clot was sucked out could the girl's liver be guaranteed. Otherwise, the clot would block the vein and the liver would soon fail.
But no venous malformation was found. It seems that it has nothing to do with the intestinal obstruction operation. I don't know why there was a sudden blood clot.
Now I don't know why, I can only give her anticoagulant first, otherwise there will be blood clots again, and it will be bad if the rescue is not enough.
The students were frightened when they saw the girl's sudden rescue just now. They immediately reported to the teacher and left two students to take care of her. The teacher contacted the girl's parents and asked them to hurry up.
The girl's home was out of town. The next day, her parents rushed over and were very worried when they saw that the girl was so seriously ill.
"Doctor, what's wrong with my daughter?" Girl mother problem.
"Sorry, I don't know yet." Guo Xiang shook his head.
"Well, what about that? Will my daughter be all right? " The girl's mother shed tears.
"Still checking, we'll try our best." Guo Xiang said that he was a little helpless. Sometimes this is the case. Not all diseases are obvious at a glance. There will be many unusual situations. Only one by one can get the results.
And in the process of examination, the condition may still be changing, which is really difficult to diagnose.
"Do a blood routine!" Guo Xiang said to the nurse nearby.
"OK!" The nurse came to draw blood for the girl. After drawing blood, she pressed it with a cotton ball. Who knew that the cotton ball was soaked with blood and the blood couldn't stop.
"President Guo!" The nurse screamed. Seeing this, Guo Xiang quickly took a stack of gauze and pressed it.
"Hasn't the anticoagulant stopped?" Asked Guo Xiang.
Yesterday, I asked to play, but I didn't ask to play for a long time. Now the blood flow is not only the problem of coagulation function.
"Stop!" The nurse said, "I didn't call again after yesterday's call."
Guo Xiang pressed the blood vessel tightly, and the blood kept seeping out. Although it was not as serious as just now, it was still very abnormal.
It's strange that coagulation happened yesterday and blood loss happened today. How can two opposite things happen at the same time?
After examination, it was found that the girl's red blood cells were broken, which may be leukemia.
But after checking the blood, I found that the white blood cells were normal again.
Guo Xiang called Xu Wei and Xing Ming together for consultation.
"It looks like cancer!" Xu Wei looked at the case, "can it be that there is a tumor in the gastrointestinal tract, which was just done before, but the doctor didn't find it?"
"Haven't you done B-ultrasound?" Xing Ming asked.
Guo Xiang nodded, "but B-ultrasound couldn't see clearly. At that time, he didn't pay attention to whether there were lesions in other places."
"Then do another CT?" Xu Wei said.
Guo Xiang nodded and wanted to rule out gastrointestinal tumors. He really had to do CT.
So he arranged for the girl to do CT. Guo Xiang sat in the CT room and looked at the scan. No gastrointestinal tumor was found.
"Look at the pancreas!" Guo Xiang said.
When the CT doctor scanned the pancreas, Guo Xiang was surprised. The pancreas was very swollen and bulged like a tumor.
I'm afraid there are stones in such a big situation.
"What should I do? Do you want an operation to remove the stone? " Xu Wei asked.
"Tell the patient's family first and operate when necessary." Guo Xiang said.
Several people came to the ward. Xu Wei told the girl's parents about her pancreas. Suddenly Guo Xiang found that the urine in the catheterization bag hanging beside the bed was soy sauce. She was surprised. What happened to her kidney again?