Chapter 1671

When Zhou Litao was not idle at all, he chatted with Zheng Ren and went to see the patient again.

He is a patient with acute appendicitis. It is estimated that he will be admitted to the hospital for surgery.

Zheng Ren accompanied Cui Lao to the clinic, and Lao he didn't go home. It seems that the goods have slowed down and are ready to be tangled up. Everything they say should be sent to the medical group.

Su Yun didn't care. He was sitting in a chair outside with a mobile phone in his hand. He didn't know who he was chatting with.

At 3:20 p.m., two patients' families helped a male patient in his fifties in.

He covered his stomach and didn't exert himself. It was estimated that it hurt when he exerted himself. I didn't dare to walk fast. I moved into Cui's consulting room bit by bit.

This is a typical sign of peritonitis. Cui immediately stood up and said, "help him lie in bed."

"Doctor, I have a stomachache." The patient was in severe pain. Seeing Cui Lao was like seeing his relatives. His mood suddenly collapsed.

Looking at Cui Lao with tears, he spoke with a cry.

"What's the matter? When did it start to hurt?" Cui Lao saw the patient's family holding the patient and gently lying on the sickbed.

The movement was very slight, but the abdominal muscles contracted slightly, and the patients felt a sharp pain.

Ouch, ouch, ouch, ouch, ouch, ouch, ouch, ouch, ouch, ouch, ouch, ouch, ouch, ouch, ouch, ouch, ouch, ouch, ouch.

Zheng Ren saw that the patient's system panel was red with blood, and several kinds of diagnosis were shocking - septic shock, acute peritonitis, intestinal rupture and so on. But what attracts Zheng Ren's attention most is the diagnosis of chemical colitis.

How could it be so heavy? And what the hell is chemistry?

The patient can't lie on his back at all. He lies in a semi reclining position in the arms of a patient's family. That's still not enough.

The moment old Cui's hand touched the patient's stomach, his conditioned reflex screamed louder.

Septic shock is not serious, at least now. It is estimated that the time of intestinal rupture is not long, Zheng Ren judged.

Not afraid to shout pain, afraid to be silent and indifferent, that's really heavy.

But it is also relative whether it is heavy or not.

The patient's plate-shaped abdomen didn't run away. Cui hesitated and said, "Xiao Zheng, help me open an abdominal CT."

"OK." Zheng Ren immediately followed his doctor's advice.

Old Cui asked, "when did it start to hurt?"

"This morning... No, it hurt a little last night. I thought it would be better to bear it." A patient's family said.

last night? The time seems wrong. Such a serious intestinal perforation should last a long time.

Zheng Ren opened the list and was thinking about it in his mind.

In a short time, Cui Lao couldn't ask for too detailed medical history, so he left a patient's family who was said to know the situation, asked Zheng Ren to take the patient to CT, and then sent him to gastrointestinal surgery for hospitalization.

Because he had obvious symptoms of peritonitis and felt terrible pain when he moved a little, he spent a lot of effort to help the patient to the flat car.

Dare not run, can only gently push the flat car forward to minimize vibration.

"Did you eat anything?" Zheng Ren asked as he walked.

"I haven't eaten for a day." The patient's pain was like a shrimp, curled up on the flat car, with cold sweat on his temples.

The dark face is much lighter.

Zheng Ren knows that this is the aggravation of septic shock.

Seize the time to do an abdominal CT, and then open the abdomen is serious. Without auxiliary examination, we can open the abdomen for exploration. But in that case, it's like looking for a needle in a haystack, which can't be compared with a film before surgery.

Zheng Ren asked some questions that might lead to intestinal perforation, but the patient's answer was still No.

"Doctor, don't ask. He's dying. Help him quickly!" Another attendant said anxiously.

Because he heard the patient's groans, even if he was not a doctor, he could see that he was in a wrong state, so Ann couldn't stand her impatient temper and spoke very quickly.

"I'll be in the CT room soon." Zheng Ren said, "after CT, you need emergency surgery. Can you sign before surgery?"

The patient's family stopped talking.

Signing means taking responsibility. It's OK to help. Don't take responsibility for yourself.

As long as they are not immediate relatives, those who can inherit the inheritance are generally unwilling to sign, which is also human nature.

Zheng Ren suppressed his impatience and took the patient to the CT room.

Give the list to the operator who is doing CT inside, line up directly at the door and wait for emergency examination.

There are a lot of people waiting in line outside the CT room. The waiting time is a little long. In addition, the reason why people at home are ill is a little impatient.

When someone saw that the flat car was about to cut in line, he came to see the situation. When they saw the doctor with them and the people on the flat car half dead, their impatience was suppressed.

Few people still argue about whether to line up and hurry to make sense at this time. There are many refined bars, but they are also divided by time.

When the airtight lead door opened, Zheng Ren immediately pushed the patient into the CT room.

Carry him to the bed and let him lie flat as far as possible. Zheng Ren went to the operation room.

After finishing CT, Su Yun took the patient back. Zheng Ren directly found a machine in the film reading room of the CT room and found the patient's film.

After only one look, Zheng Ren knew that he was in trouble.

When Dr. Liang saw Zheng Ren coming in, he gathered around him and wanted to learn something from Zheng Ren. He glanced at the film and was stunned.

At the distal end of rectum and sigmoid colon, dense bubbles can be seen on CT.

"Boss Zheng, this is..." Dr. Liang didn't see such an image and asked in surprise.

Zheng Ren thought for a while and said helplessly, "it should be considered that the patient should use or be enema with hydrogen peroxide, resulting in local intestinal chemical burns."

"..." Dr. Liang was silent for a few seconds.

"Hydrogen peroxide damages the mucosa and forms oxygen at the same time, so we can see the existence of microbubbles." Zheng Ren continues to look at other images.

Just a chemical burn of rectum and sigmoid colon is absolutely not enough.

Looking at the films frame by frame quickly, Zheng Ren noticed that the patient had diffuse peritonitis. In addition, rectal and sigmoid colitis hyperemia, white exudate and air bag were classic signs, which were known as the "Snow White" sign.

While watching the film quickly, Zheng Ren took out his mobile phone and called Su Yun.

"Su Yun, I highly doubt that the patient uses hydrogen peroxide enema. Ask if it is so." Zheng Ren said: "in addition to hydrogen peroxide enema, what means have you used?"

With that, Zheng Ren saw a high-density shadow near the patient's spleen and a large amount of exudate around the spleen.

I'll go... My spleen is broken! Zheng Ren was stunned.

Is this what just happened?

Zheng Ren tried to recall that he didn't look at the patient's system panel when he sent the patient away.

Now it's estimated that there is hemorrhagic shock, but what is it?

Is it because the patient poured more than 1000ml of hydrogen peroxide into the intestine, burned the intestine and burned the spleen?

Just thinking, Su Yun called in.

"Boss, the patient said that he had constipation for 1 month. He used three live loaches to defecate seven days ago and Enema with hydrogen peroxide at noon today."

MB！ Really troublesome!

Is this using your gut as a sewer?!