When I heard Li Yue's words, Chen Cang also stopped.
那个 "That five-year-old boy?" Chen Cang asked, "I think the recovery is pretty good?"
越 Li Yue also frowned. He pushed his glasses and couldn't help thinking: "Well, the operation went smoothly!"
异常 No abnormalities were seen during or during the operation, and the incision was not infected. This sudden fever was obviously abnormal.
What the **** is going on?
At this time, Chen Cang suddenly received the system prompt:
【Ding! Trigger a task and make a clearance for Li Yue. After the operation is successful, you can get a random skill of Li Yue! 】
Cang Cang suddenly for a moment, it seems that this is not a simple matter ...
越 Li Yue's level Chen Cang has deep experience, strong clinical skills, and solid theoretical foundation. This is a man who likes to put a few sheets of paper in his pocket at any time.
越 Li Yue has a habit of reading a dissertation every day. This habit has been maintained since he went to work.
现在 Now the task shows that it is a problem that Li Yue can't solve, which definitely means a big thing!
Between words, the car was finally fine at the emergency department entrance.
越 Li Yue got up and Chen Cang followed.
Seeing the crowd, Nurse Xiao Ke said, "Dr. Li, Dr. Chen, the patients are in the rescue room."
"Be careful, this ... the little boy's mother is a reporter, and his father seems to be a lawyer!" Xiao Ke cautioned.
越 Li Yue nodded, this sentence is obvious, this is telling him, do not talk nonsense.
After entering the rescue room, the little boy was on the monitor.
Zhang Yuan and Yang Hui are already busy.
Seeing Li Yue and Chen Cang coming in, he quickly said, "Mr. Li."
He Lan and the man saw Li Yue and said anxiously, "Dr. Li, was there any accident during the operation?"
越 Li Yue shook his head and insisted: "There were no accidents, the operation went smoothly, the operation video is also saved, and you can view it at any time!"
When he heard what Li Yue said, the husband and wife looked at each other: "Dr. Li, we are not here to make trouble, we are really anxious, and the child suddenly has a fever."
Li Yue nodded, looking at the upset little boy in bed, crying and making noises, turned to the family members of He Lan and said, "Well, you go out to the rescue room first, I'll call you something, I'll see how the child It's going to happen. "
When He Lan heard this, she was reluctant, but when she saw Li Yue's so serious face, she had to go out.
But the man was a little stubborn: "No, I can't figure out the reason. I won't leave. I'm here and I won't interrupt your treatment, but I hope you don't have anything to hide from us."
Obviously, the man already thinks that this is a medical dispute because Li Yue's irresponsibility caused the child's illness to be repeated!
越 Li Yue saw this and couldn't help shaking his head, and the two nurses in front of the nurse's desk in the room were also nervous.
越 Li Yue thought about it, walked directly towards the patient, and said to the child:
"I feel my stomach and relax. I press and it tells me it hurts."
The little boy was pressed lightly by Li Yue, and immediately mourned: "It hurts, it hurts me, help me ..."
"Please, don't press it! It hurts ..."
越 Li Yue frowned and saw that the abdominal pain was very obvious, accompanied by abdominal muscle tension.
"What's your temperature?"
Zhang Yuan: "39.5 degrees Celsius!"
Is it peritonitis?
可能 Everyone has this possibility in mind.
Chen Chen Cang also looked at all of this.
Total abdominal tenderness, abdominal muscle tension, anti-beating, nausea and vomiting, high fever!
Peritoneal irritation sign is very obvious!
This almost meets all the manifestations of peritonitis.
越 Li Yue asked, "Have you done your blood routine?"
Zhang Yuanyuan nodded: "I drew blood and also performed an abdominal puncture. All of them were urgently checked. It is estimated that it will take about 10 minutes."
Li Yue nodded.
Now, everyone is highly suspected to be peritonitis.
At this time, Yang Hui handed over the x-ray: "X-ray is not abnormal."
越 Li Yue took it for a look, there was no free gas, not perforation, no obstruction, nor intestinal twist ...
Now, all the spearheads are pointing at peritonitis.
There was a moment of silence in the room.
The man behind him could not help but asked, "What's going on?"
越 Li Yue calmly said: "Wait for the results! Be quiet."
The man suddenly said, "What attitude, I am a lawyer! Be careful ..."
Li Yue: "I'm a doctor. If it's my problem, you can tell me!"
A word of let, immediately made the scene anxious.
No one wants to deal with the media and lawyers because they are more sensitive.
越 But Li Yue is very confident in his treatment plan. He doesn't think it has anything to do with himself.
"What did you give your child after you were discharged? Did you drink anything?"
She Helan took a breath and wanted to relax the atmosphere: "Doctor, don't be angry, my lover is a little excited and anxious."
"After the child was discharged from the hospital, he always had a light diet and good digestible food."
At this time, the result is back!
Leukocytosis, infection is definitely present, but ascites examination found no abnormalities.
Now, the clue is broken!
Zhang Yuan couldn't help but propose: "Ms. Li, would you like to open your belly again?"
When the man behind him heard it, he nodded suddenly: "I suspect you must have had a problem with the operation!"
越 Li Yue was thinking about frowning.
Chen Cang suddenly opened his eyes: "It is not peritonitis or intra-abdominal complications, and there was no accident during the operation."
患者 "Patient is fifth day syndrome!"
越 As soon as this remark came out, Li Yue suddenly stunned.
Suddenly the patient's father was stunned by the name: "What do you mean?"
Chen Cang couldn't help but said, "This is the fifth day syndrome after pediatric appendectomy. The operation was very smooth during the pediatric appendectomy, but on the fifth day, abdomen pain and high fever suddenly appeared. Signs similar to diffuse peritonitis! "
After I said it, the patient's family members suddenly held back and couldn't help sneering: "Are you kidding me?"
"Everything goes well and there will be high fever? Abdominal pain? Do you think we don't understand medicine? There must be a cause for something?"
"Fifth-day syndrome, does my son have to explain that you have to write a sixth-day syndrome if you have a fever?"
"The appendix was cut and then cut, and the fever was unknown, and there must be some accident during the operation!"
Cang Cang couldn't help shaking his head. Is the appendix really useless?
Of course not, it will definitely be useful, just because modern medicine has not been researched.
As for the fifth day syndrome, this thing is also true!
But the cause is still unclear. Some people think it may be caused by immunodeficiency and weakened defense function.
At this time, He Lan quickly grabbed the man and whispered, "Maybe it is true!"
The man froze, and saw He Lan handed the phone over. After seeing it, the man suddenly got blind!
I still have this disease?
For a moment, the man was so ashamed that he didn't know what to say.
He said, "The fifth day syndrome ... is it the sixth day?"
She Helan couldn't help but cover her face, and she was a top student in law. How could she be confused?
"Okay, go outside and wait, I'll talk to the doctor!"
"Doctor, I'm really sorry, my lover is confused, we are not distrustful, but we are in a hurry! Don't care, how you treat and how we treat, we actively cooperate!"
越 Li Yue nodded: "Well, rest assured, this is our accusation."
After waiting for the family members to leave, everyone stared at Chen Cang, and was so impressed!
"Ms. Chen is so good!"
"Yeah, the **** ... you are so amazing!"
越 Li Yue couldn't help looking at Chen Cang and smiled: "Thank you."
As a doctor, no one can guarantee that he can face all situations calmly, because the disease itself is diverse, and even if you have been studying and working hard, there will always be some blind spots in knowledge.
This is why medical care is a collaborative position, not a stand-alone operation.
沧 Cang Cang couldn't help but smile: "I happened to be studying recently, so I thought of this disease."
In fact, Chen Cang is perfect for appendix surgery, and the role of special training cards is not wasted.
I did not expect that when I thought the most insignificant appendectomy was, I thought that the special training card was small and useful, and suddenly I took advantage of the residual heat.
However, even so, Chen Cang is sorry, who can think of the fifth day syndrome after all?
Everyone saw Chen Cang being so humble and couldn't help but smile: "Okay, Teacher Chen, don't be humble."
"Yes, I really don't know what else you don't?"
"Yes, yes, I don't think you're going to use it for further studies, would you just come here as a director?"
The double reed duo couldn't help but coax ~ www.novelhall.com ~ The diagnosis was clear and the treatment had to keep up.
Yang Hui couldn't help asking: "Ms. Chen, what should I do? Do I need surgery?"
沧 Cang Cang shook his head: "Conservative treatment is the main method, and most do not require surgery.
The use of fasting, intravenous fluid replacement, continuous nasogastric tube decompression, and antibiotics is necessary and effective for the intrinsic treatment. "
After speaking, Chen Cang urged: "However, it is important to ensure that children are discharged after the 6th day after encountering appendicitis in children, so as not to miss the diagnosis of the 5th day syndrome and delay treatment."
越 Li Yue could not help but sigh, he was too confident.
As a doctor, self-confidence is a good thing, but you must not be blindly confident!
The patient was hospitalized again and was observed.
After the farce ended, everyone was relieved.
Emergency department is really uneasy.
Zhang Yuan and Yang Hui followed Chen Cang: "Ms. Chen, is this appendix really useless?"
沧 Chen Cang thought for a long time and couldn't help but say, "This may be your wisdom root! Maybe you can get the way!"
Zhang Yuanyi: "Do you tease me?"
沧 Cang Cang rolled his eyes: "How do I know, I came from 2088. At that time, the appendix was not yet discovered, and you can't blame me!"
When Zhang Yuan heard it, he immediately became happy: "Who is my wife?"
Yang Hui: "Can you have a wife? No, you can live to 2088?"
Uh ...
Ps: To finish this story, drag it to the present.