Chapter 1671： Sewage system

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

It is an acute appendicitis patient and is estimated to be admitted to the hospital for surgery.

Zheng Ren accompanied Cui Lao to see the doctor, and Lao He did not go home. It seems that this product has been slowed down, ready to stalk and say everything to enter the medical group.

Su Yun does not matter, holding a mobile phone in his hand, sitting in a chair outside, do not know who to chat with.

At 3:20 pm, the families of the two patients supported a male patient in his fifties and walked in.

He licked his stomach, no effort, it is estimated that it is painful. I didn't dare to walk fast, and moved into Cui's clinic a little bit.

This is a typical sign of peritonitis. Cui Lao stood up and said: "Help him to lie down on the bed."

"Doctor, my stomach hurts." The patient hurts a lot. Seeing Cui Lao, just like seeing a loved one, the emotion suddenly collapses.

Looking at Cui Lao with tears, talking and crying.

"What happened? When did it start to hurt?" Cui Lao sees the patient's family holding the patient and gently lying on the bed.

The movement was very slight, but the abdominal wall muscles were gently curled up, and the patient felt a sharp pain.

The sound of screaming is endless.

Zheng Ren saw that the patient's system panel was blood red, and several diagnoses were shocking septic shock, acute peritonitis, intestinal rupture and so on. But the most cited Zheng Ren's attention is the diagnosis of chemical colorectal inflammation.

How could it be so heavy? And what is the chemical nature?

The patient is completely unable to lie flat, lying in the arms of a patient's family in a semi-recumbent position, which is still not the case.

When Cui Lao’s hand touched the patient’s stomach, his conditioned reflex was louder.

Infectious shock is not heavy, at least for now, it is estimated that the time of intestinal rupture is not long, Zheng Ren judged.

Not afraid of shouting pain, I am afraid that it will not sound, the expression is indifferent, it is really heavy.

But the heavy weight is also relatively speaking.

This patient's plate-shaped abdomen did not run, Cui old hesitated, said: "Xiao Zheng, help me open an abdomen ct."

"Good." Zheng Ren immediately set about his doctor.

Cui Lao asked: "When did it start to hurt?"

"This morning... No, it hurt a bit last night, thinking that it would be good to endure a patient." A family member said.

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

Zheng Ren opened the list and was thinking about it.

In a short time, Cui Lao could not ask for a too detailed medical history, so he left a family of patients who were said to know the situation, let Zheng Ren take the patient to do ct, and then sent to the gastrointestinal surgery hospital.

Because his peritoneal inflammation is obvious, it hurts a little, and it takes a lot of effort to get the patient to the flat car.

Do not dare to run, can only gently push the flat car forward, try to reduce vibration.

"What have you eaten?" Zheng Ren asked as he walked.

"I haven't eaten in a day." The patient's pain was like a shrimp, curled up on a flat car, and the cold sweat was blowing.

The dark face is black and the color is much lighter.

Zheng Ren knows that this is an aggravating performance of septic shock.

It is serious to take time to make an abdomen ct, and then open the abdomen. Without an auxiliary examination, it is also possible to open the abdomen for exploration. But in that case, it is like a needle in a haystack, and there is no comparison with a film before surgery.

Zheng Ren also asked some questions that may cause intestinal perforation, but the patient's answer is still negative.

"Doctor, don't ask, he is dying, hurry to save it!" Another accompanying **** said anxiously.

Because I heard the patient's snoring, even if it wasn't a doctor, I could see that his condition was wrong, so he couldn't resist his irritated temper and talked very hard.

"I will soon go to the ct room." Zheng Rendao, "After ct, you need emergency surgery, you can sign before surgery."

The patient's family did not speak.

Signing means taking responsibility. Help out, and take responsibility for it.

As long as it is not an immediate family member, the kind that inherits the inheritance is generally unwilling to sign. This is also human nature.

Zheng Ren suppressed the irritable emotions in his heart and took the patient to the ct room.

Hand over the list to the operator who is doing ct, line up directly at the door, and wait for the emergency to check.

There are a lot of people waiting in the ct outdoor, waiting for a long time, plus the reason for the illness in the family, so they are a little impatient.

Someone saw the flat car to jump in the team, then came over to see the situation. When they saw that there was a doctor, the people in the flat car were half-dead, and the irritating emotions were all suppressed.

Few people argue at this time whether they are going to line up or not, and they are rushing to make sense. There are a lot of bars, but it is also time.

The airtight lead door opened, and Zheng Ren immediately pushed the patient into the ct room.

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

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

Just look at it, Zheng Ren knows the trouble.

Dr. Liang saw Zheng Ren coming in and came together to learn something from Zheng Ren. He glanced at the film and stunned it.

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

"Zheng boss, this is..." Dr. Liang has never seen such an image, and asked strangely.

Zheng Ren thought about it and said helplessly: "Consider the local intestinal chemical burn caused by the patient or the enema with hydrogen peroxide."

"..." Dr. Liang was speechless and silenced for a few seconds.

"Hydrogen peroxide damages the mucous membrane and forms oxygen at the same time so you can see the presence of microbubbles." Zheng Ren continued to see other images.

Light is a chemical burn of the **** and sigmoid colon, which is absolutely not enough.

A frame of the film quickly looked at, Zheng Ren noticed that the patient had diffuse peritonitis, plus rectal, sigmoid inflammatory hyperemia, white exudate and balloon were classic signs, known as the "white snow" sign.

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

"Su Yun, highly suspected patients with hydrogen peroxide enema, you ask is not the case." Zheng Rendao: "In addition to hydrogen peroxide enema, what means are used."

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

I am going... The spleen is broken! Zheng Ren was shocked.

Is this just happening?

Zheng Ren tried to think back, when he left the patient, he did not look at the patient's system panel.

It is estimated that there is hemorrhagic shock, but what is it?

Is it that the patient has filled more than 1000ml of hydrogen peroxide into the intestines, burned the intestines, and burned the spleen?

Just thinking, Su Yun’s phone came in.

"Boss, the patient reported constipation for 1 month, 7 days ago, using three live muddy laxatives, and enema with hydrogen peroxide at noon today."

Mb! Really trouble!

Is this taking your own intestines as a sewer? !