At this time, it can be surprising to find higher specificity imaging results such as "cable sign"!
Basically, the "cable sign" found in the clinic can basically indicate an acute intestinal infarct!
But ... the most important thing is that this acute mesenteric vascular infarction has long been difficult to make a correct impact diagnosis before surgery, and most of the results are non-specific.
As a result, it is often overlooked by doctors, which leads to aggravation of the disease.
The mortality rate is as high as 60%!
This is a terrible number.
In fact, sometimes, the diagnosis of a patient has a lot to do with his or her luck.
The same disease may not be detected in some cases, resulting in the disease not being detected in time, which will cause the disease to worsen and even cause 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?
Save the film directly!
This is a typical case.
典型 It is really not lucky or unlucky to encounter typical cases in clinical practice.
沧 Cang Cang is now clear why the patient has mesenteric vascular embolism!
Once embolism occurs, there are really many more diseases to consider.
沧 Cang Cang now dare not relax at all.
Is there any infectious disease of the abdominal cavity?
Is there any deep vein thrombosis?
These are not simple things.
After waiting for the radiologist to get the results, Chen Cang hurriedly took the patient back to the rescue room.
"Xiao Ke, quickly pull an electrocardiogram and measure your blood pressure! Hurry up and call Team Leader Ma Yuehui."
Cang Cang watched the patient's condition was getting more and more wrong, so he picked up his mobile phone and contacted the operating room. After all ... this kind of operation, Chen Cang would not.
一旦 If acute intestinal obstruction is needed, the operation must be completed as soon as possible.
不能 Can't delay at all!
At this time, the situation of middle-aged women is becoming more and more unstable, her face pale, and it seems to be caused by bleeding!
Cang Cang is constantly simulating various possibilities in the four-dimensional model diagram!
At this time, another nurse, Zhao Na, ran in, holding a test sheet in her hand.
"Dr. Chen, the blood routine is out!"
沧 Cang Cang was immediately pleased that the blood test was one of the faster results in the test.
Leukocyte 26?
Xiao Xiaoke just finished the ECG, looked at the patient immediately, exclaimed: "Dr. Chen, the patient is unconscious!"
沧 Cang Cang is not panic: "Rehydration, contact the blood transfusion department to match blood as soon as possible."
I took an ECG and saw that everything was normal and there was no heart problem.
Cang Cang took a deep breath, and quickly lowered the patient to palpate again!
The possibility of continually improving the four-dimensional map according to his feelings in his mind.
Not intussusception!
Is not intestinal adhesions!
Thallium is not an embolism.
The little nurse who stood aside watched that Chen Cang kept touching the abdominal cavity at this time, and even closed her eyes, she suddenly lost sight.
Actually, coma is not a bad thing at this time. Just because the patient was very painful, Chen Cang's abdominal palpation could not be performed at all.
It's different now, Chen Cang's tender palpation in the abdomen, in his mind, he constantly felt his feelings forming a complete four-dimensional picture.
At this time, Ma Yuehui hurried in.
I saw Chen Cang touching her belly with her eyes closed.
Suddenly hesitated!
"Xiao Chen, what are you doing with your eyes closed?"
Cang Cang couldn't help but say: "You can open your eyes to see what's going on in the belly?"
Hesitated a word, choked old horse directly!
I seem to ... it really is such a truth!
Hey, why is it always strange?
At this time, Chen Cang's four-dimensional map has formed a comprehensive systematic diagnosis based on the patient's abdominal CT film, examination results, palpation and auscultation, etc.
Hernia!
Yes!
Chen Cang felt that it was an acute special hernia.
Thinking of this, Chen Cang said quickly: "Leader Ma, it may be an intestinal hernia. Prepare for surgery!"
马 Old horse suddenly stunned.
"Gut hernia?"
"How did you know?"
沧 Cang Cang turned and threw away the plastic gloves: "If you feel it, contact the operating room as soon as possible and complete the operation as soon as possible. Has the family arrived?"
Lao Ma suddenly froze, you lied to me to read the mountain, the abdominal hernia can be felt?
The card player on the side saw the old friend suddenly unconscious, and was really shocked!
I swear in my heart that if she gets better today, she must win a few times ...
At this time, a young man hurriedly rushed with sweat, "Doctor, what's going on? What happened to my mother?"
Cang Cang said directly: "Acute abdomen, caused by intra-abdominal bleeding, the patient is now in a coma, and the situation is more urgent and requires immediate surgery."
"Nana, prepare a critical illness notice and informed consent."
男子 After hearing the critical notice, the man suddenly panicked.
The man is not big, so he looks like twenty-five or six years old. After hearing Chen Cang's words, he was directly said to be blinded!
"medical crisis notice?"
医生 "Doctor, isn't it exaggerating? This is critically ill? Are you fine this morning?"
沧 Cang Cang shook his head: "This situation is a state of development, and I now suspect that his bowel has ischemic necrosis, and the risk factor is still relatively high. No one can guarantee without open examination!"
The young guy watched his mother become like this, and it was not acceptable for a while!
After all, the mother has always been a smart and capable woman, and rice can be carried upstairs. In his heart, the mother has always been healthy and even a bit spicy.
But now looking at the dying state lying on the bed, the man was panicked.
I stood by the bed in the rescue room. The man looked at his mother's face in pain, his mouth moved, but he didn't say anything!
I quickly picked up the pen: "Doctor, you must rescue her! Come on. Any amount of money is ruled!"
Chen Cang looked at the man and asked, "What kind of illness did your mother have had before? What medicine is she taking now?"
The man stunned, thinking about it, but didn't remember: "I ... I don't know ..."
He really doesn't know what medicine his mother is taking!
I do n’t even know what ’s wrong with my mother!
Cang Chen sighed ~ www.novelhall.com ~ and continued to ask: "How many times has your mother been pregnant? How many children have you had an abortion ..."
The man was silent again: "Sorry, I ... I don't know ..."
沧 Cang Cang nodded. It seems that many people do n’t know the problem, so he asked again: “Have your mother had any surgery in the last few years? Because of what disease?”
The man's voice was crying, because he found that he didn't know anything!
He doesn't know everything!
He did n’t know what happened to his mother. He did n’t know if his mother took medicine or not. He did n’t even know if his mother had had surgery.
I thought of this, the man's tears couldn't help but rushed out.
什么 What does he know?
He knows nothing!
发现 He found that when his mother needed him, he knew nothing about it.
He was scared!
He is guilty!
He felt a deep sense of self-blame and shame.
For so many years, he suddenly found that his mother, whom he felt familiar with, was ... strange, and he knew nothing about his mother ...
Guilty tears kept flowing, and the man suddenly made a splash, kneeling beside his mother's bed, touching his mother's hand with both hands, his heart filled with guilt and uneasiness.
Originally thought that he was the most familiar mother, but in the end it was found that ... he really did not know his mother.
Even for so many years, he didn't seem to try to understand her ...