Chapter 1726

Chen Zehui's chest and abdominal skin showed large areas of skin mucosal ecchymosis. On the pale skin, these bruises are so dazzling.

"If blood system diseases are suspected, immediately take blood for test, blood routine, four items of coagulation and liver and kidney function. Contact ICU for test and confirm that it is ready to be sent to severe." Zheng Ren said in a deep voice.

With that, Zheng Ren looked at Chen Zehui and asked, "how long has this been happening?"

Chen Zehui looked up hard and was stunned to see the changes in her body with a very strange posture.

She shook her head in a trance, indicating that she didn't know.

"Did you hit the table when you fainted?" A female colleague nearby guessed.

"No." Another humanitarian: "I remember she was lying directly on the table. She shouldn't touch her stomach."

"It looks scary."

Zheng Ren guessed that it should be the symptom just appeared today, and even the patient didn't notice it.

"Do an abdominal CT and hurry up." Zheng Ren seriously stood in the emergency room and gave medical advice.

Zhou Litao, who should have been the owner here, has become a little boy and runs crazy.

In ECG monitoring, blood pressure was measured once every 5 minutes, and the value decreased significantly between the two times.

It may be that Chen Zehui has just struggled too violently. The emotional fluctuation leads to the rise of blood pressure, which leads to the fermentation and deterioration of the unknown condition, followed by this series of changes.

After arranging someone to write out the test sheet for the patient, Zhou Litao took a look at the blood pressure, took out the deep vein puncture bag without hesitation, put on gloves and began to do deep vein puncture.

In a short period of time, the patient's blood pressure drops suddenly. It is considered to be hypovolemic shock. For the time being, hemorrhagic shock cannot be diagnosed.

But no matter what diagnosis, rehydration is necessary.

With the existence of deep vein puncture channel, the patient is equivalent to an additional insurance.

"What are you thinking?" Su Yun came over and asked in a low voice.

Zheng Ren's eyes flickered slightly, and then said, "hematuria can also be considered to be caused by rectal tumor and appendicitis, but it can also be preliminarily ruled out in combination with ultrasound and CT examination.

Hematuria with colic, urinary calculi should be considered; Hematuria with lumbar distension and dull pain, infection should be considered; Asymptomatic gross hematuria, tumor should be considered; Hematuria with irritating symptoms, urinary tract infection should be considered. "

"Said is equal to didn't say." Su Yun sneered and said, "can you talk to me without telling the patient about your condition, so people can't trust each other?"

"I think about poisoning." Zheng Ren was helpless and said in a deep voice.

"Poisoning?" Su Yun looked at Chen Zehui's clothes, and doubted Zheng Ren's judgment.

Pesticides are hard to buy even if they want to drink.

If you want to buy online like Zhou Chunyong's son, it will take a few days to get home. The fire in my stomach has already been vented. If I think of a gas going straight to the Xiaohan, I'm afraid it's not so easy to pick up the pesticide and drink it.

Therefore, among urban white-collar workers, it is difficult to see cases of drinking pesticides.

Other poisonings are rare.

But Zheng Ren finally formally said the suspected problem. Su Yun didn't refute it and began to quickly think about the possible situation of the patient.

There are many possible situations. In the face of this unexplained disease, if you want to think clearly, you have to turn into detective polo.

Zheng Ren was also very upset. The pig hoof was diagnosed as food poisoning. But it didn't say what the poisoning was.

Zhou Litao finished the deep vein puncture, hung up the drops, rehydrated the patient first, and the blood sample was also collected and sent to the laboratory.

"Boss Zheng, CT..." Zhou Litao hesitated.

"Let's make one." Zheng Rendao said, "prepare defibrillators and other first-aid drugs. When you go to the ICU, it's more difficult to check."

Su Yun and Zhou Litao understand Zheng Ren's meaning.

The patient's condition is unknown. Once he goes to ICU, he probably needs to use a ventilator to assist breathing.

Now seize the time to do an abdominal and chest CT, which can point out the way for future diagnosis and treatment.

Let's go. Zhou Litao is a little distressed. It's urgent and critical. It's likely that his heart stops suddenly on the road.

Whether it's in the CT room or on the way, if you want emergency rescue, press it all the way to the ICU with a defibrillator or extrathoracic cardiac compression

Now is not the time to tangle. There must be countless opinions, each with its own advantages and disadvantages. As for how to weigh... What else to weigh.

In case of emergency, you can only listen to the suggestions of the superior doctor in charge of the rescue.

When boss Zheng came to the emergency department, Zhou Litao habitually took his opinions as the opinions of superior doctors and unconditionally implemented all medical orders.

This is not the debauchery of administrative posts, but the aura awe brought by the rolling of technical level.

The patient was carried onto the flat car by all means. Zhou Litao carried the first-aid kit, and the nurse ran all the way to the CT room with a defibrillator.

The risk of doing so is relatively large, but for patients, the benefit is greater than the risk.

But other risks should be borne by doctors.

This heavy burden was on Zhou Litao's shoulder. It was like carrying a mountain.

The flat car ran all the way and began to do CT. Zheng Ren and Su Yun stood in the operation room and looked at the image on the screen.

There is effusion in the pelvic cavity and a hematoma in the left upper abdomen. There is a small amount of effusion in both lungs, and the source is unknown.

At this time, the emergency department called and said that it was the report of the four coagulation tests: Pt and APTT exceeded the normal value by 50 times, and a coagulation disorder must not have run.

Blood routine, white blood cells are still very high, and hemoglobin has decreased from 9g two days ago to 5.5G.

Go to ICU. It must be something that induces low blood volume shock caused by coagulation dysfunction.

As for whether he can be saved, Zheng Ren dare not say.

At this point, the big pig hoof is extremely hateful. If you can give a simple and clear treatment plan, you can win.

Don't even give a treatment plan, just explain what chemical poisoning is.

Alas... Zheng Ren sighed.

"What are you doing?" Su Yun asked.

"A piece of wool, what is the patient poisoned? Do you know?" Zheng Ren was obviously in a bad mood and spoke a little.

"What's your temper? Ask a little. Boss, do you think it's a pity to see other girls look good?" Su Yun asked in a low voice.

"Don't be bullshit." Zheng Ren looked serious.

"Cut ~" Su Yun said contemptuously, "hypocrisy, let's go!"

"Su Yun, let's go to the ICU with the patient. The patient is sent in. We happen to know the situation with the patient's colleagues and friends who sent her." Zheng Rendao.

"Yes." So does Su Yun.

After completing the CT, Zhou Litao and the patient's friends carried her to the flat car and directly pushed her to the ICU. Zheng Ren typed out the film and didn't want to report, so he ran away.