Zhou Litao was not idle at all. He chatted with Zheng Ren for a few words and then went to see the patient again.
He is a patient with acute appendicitis and is expected to be admitted to the hospital for surgery.
Zheng Ren accompanied Mr. Cui on medical visits, and Lao He did not go home. It seems that this guy has calmed down and is ready to stalk him. He will join the medical team no matter what.
Su Yun didn't care. He was sitting on a chair outside with his mobile phone in his hand, not knowing who he was chatting with.
At 3:20 in the afternoon, two patient family members supported a male patient in his fifties and walked in.
He held his stomach without exerting any force. It probably hurt whenever he exerted force. Not daring to walk too fast, he moved into Mr. Cui's consulting room little by little.
This was a typical sign of peritonitis. Mr. Cui immediately stood up and said, "Help him lie down on the bed."
"Doctor, I have a stomachache." The patient was in severe pain. Seeing Mr. Cui was like seeing a relative, and his mood suddenly collapsed.
He looked at Mr. Cui with tears in his eyes and spoke with a crying tone.
"What's going on? When did it start to hurt?" Mr. Cui saw the patient's family members supporting the patient and gently lying on the examination bed.
The movement is very slight, but even if the abdominal wall muscles contract slightly, the patient will feel a sharp pain.
The sounds of ouch and ouch are endless.
Zheng Ren saw that the patient's system panel was all red, and several shocking diagnoses - septic shock, acute peritonitis, intestinal rupture, etc. But what caught Zheng Ren’s attention the most was the diagnosis of chemical colorectitis.
Why is it so heavy? And what the hell is chemistry
The patient could not lie down at all and was lying in a semi-recumbent position in the arms of a family member of the patient.
The moment Mr. Cui's hand touched the patient's belly, he screamed louder reflexively.
The septic shock is not severe, at least for now, and the intestinal rupture probably won't last long, Zheng Ren judged.
I'm not afraid of crying out in pain, but I'm afraid of being silent and showing an indifferent expression. That's really heavy.
But whether it is heavy or not is also relative.
This patient's plate-shaped abdomen was gone. Mr. Cui hesitated for a moment and said, "Xiao Zheng, order an abdominal CT for me."
"Okay." Zheng Ren immediately started to give the doctor's orders.
Mr. Cui asked: "When did it start to hurt?"
"This morning... no, I felt a little pain last night. I thought it would get better if I endured it for a while." said a patient's family member.
last night? The timing didn't seem right. Such a serious intestinal perforation should last for a long time.
Zheng Ren placed the order and was thinking about it in his mind.
In a short period of time, Mr. Cui could not ask for any detailed medical history, so he left a family member of the patient who was said to know the situation and asked Zheng Ren to take the patient for a CT scan and then send him to the gastrointestinal surgery hospital.
Because his symptoms of peritonitis were obvious and the slightest movement caused severe pain, it took a lot of effort to help the patient onto the flat car.
I didn't dare to run, so I could only push the flat cart forward gently to minimize the vibration.
"Have you eaten anything?" Zheng Ren asked as he walked.
"I haven't eaten for a day." The patient was in pain like a shrimp. He was curled up on the flat car and sweating on his temples.
The blackness on his dark face has become much lighter.
Zheng Ren knew that this was a sign of worsening septic shock.
It would be wise to seize the time to do an abdominal CT and then open the abdomen. Without auxiliary examination, it is possible to open the abdomen for exploration. But in that case, it would be like finding a needle in a haystack, which is incomparable to having a pre-operative film.
Zheng Ren asked some more questions about possible intestinal perforation, but the patient's answer was still negative.
"Doctor, don't ask, he is almost dead, please help him!" Another escort who came with him said anxiously.
Because when he heard the patient's moans, even if he was not a doctor, he could tell that something was wrong with him, so he couldn't control his irritable temper and spoke irritably.
"We'll be in the CT room soon." Zheng Ren said, "After the CT, we need emergency surgery. Can you sign before the surgery?"
The patient's family members stopped talking.
Signing means taking responsibility. It's okay to help, but don't take responsibility for yourself.
As long as they are not direct relatives, those who can inherit the inheritance are generally unwilling to sign. This is also human nature.
Zheng Ren suppressed the impatience in his heart and took the patient to the CT room.
Give the order to the operator who is doing CT inside, and line up directly at the door, waiting for the emergency examination.
There were a lot of people queuing outside the CT room, and the waiting time was a bit long. In addition, family members were sick, so they were a little impatient.
Someone saw a flat car trying to cut in line, so he came over to see the situation. When they saw the doctors taking them and the people on the flat car half-dead, they suppressed their irritable emotions.
Very few people would still argue about whether to queue up at this time, rushing to reason. There are many leveragers, but they also have their own time.
The airtight lead door opened, and Zheng Ren immediately pushed the patient into the CT room.
Lifting him to the bed and letting him lie as flat as possible, Zheng Ren went to the operating room.
After the CT scan, 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.
With just one glance, Zheng Ren knew he was in trouble.
When Dr. Liang saw Zheng Ren come in, he came close to him, wanting to learn something from Zheng Ren. He glanced at the film and was stunned.
Dense air bubbles can be seen on CT in the distal part of the rectum and sigmoid colon.
"Boss Zheng, this is..." Dr. Liang asked in surprise as he had never seen such an image before.
Zheng Ren thought for a while and said helplessly: "Consider it possible that the patient used or was given hydrogen peroxide as an enema, causing local chemical burns in the intestines."
"..." Dr. Liang was speechless and 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 continued to look at other images.
Chemical burns to the rectum and sigmoid colon alone are definitely not enough.
Quickly watching the films one by one, Zheng Ren noticed that the patient had diffuse peritonitis, plus inflammatory congestion of the rectum and sigmoid colon, white exudates and air sacs, which are classic signs, known as the "white snow" sign.
While watching the movie quickly, Zheng Ren took out his cell phone and called Su Yun.
"Su Yun, we highly suspect that the patient used hydrogen peroxide for enema. Ask if this is the case." Zheng Ren said: "In addition to hydrogen peroxide for enema, what other methods were used."
As he spoke, Zheng Ren saw a high-density shadow near the patient's spleen and a large amount of exudate around the spleen.
Let me go... ruptured spleen! Zheng Ren was shocked.
Did this just happen
Zheng Ren tried hard to recall that when he sent the patient away, he did not look at the patient's system panel.
Now I guess there was hemorrhagic shock, but what on earth was that
Could it be that the patient poured more than 1000ml of hydrogen peroxide into the intestines, burning the intestines and burning the spleen
Just as he was thinking about it, Su Yun called.
"Boss, the patient reported that he had been constipated for a month. He took three live loaches for bowel movement 7 days ago and used hydrogen peroxide for enema at noon today."
MB! It’s really troublesome!
Is this using your own intestines as a sewer? !