Large areas of skin and mucosal ecchymosis appeared on the skin of Chen Zehui's chest and abdomen. On the pale skin, these bruises and bruises are so dazzling.
"If you suspect hematological disease, immediately draw blood for tests, including routine blood tests, four coagulation tests, and liver and kidney function. Contact the ICU, and if the test confirms, prepare to send him to a severe case." Zheng Ren said in a deep voice.
After saying that, Zheng Ren looked at Chen Zehui and asked, "How long has this been going on?"
Chen Zehui looked up hard and saw the changes in his body with a very strange posture, and was shocked.
She shook her head in a daze, indicating that she didn't know.
"Did you hit the table when you fainted?" a female colleague next to her speculated.
"It shouldn't be." Another person said: "I remember that she lay directly on the table, and she shouldn't be able to touch her belly."
"It looks scary."
Zheng Ren guessed that it was a symptom that just appeared today, and even the patient himself didn't notice it.
"Do an abdominal CT, hurry up." Zheng Ren stood in the emergency room of the emergency department and gave the doctor's orders seriously.
Zhou Litao, who was supposed to be the owner of this place, had turned into a servant and started running wildly.
For ECG monitoring, blood pressure is measured once every 5 minutes, and the value drops extremely significantly between the two times.
It may be that Chen Zehui struggled too hard just now, and his mood swings caused his blood pressure to rise, which caused the unknown condition to ferment and worsen, and this series of changes subsequently occurred.
After arranging for someone to write a test order for the patient, Zhou Litao took a look at the blood pressure, took out the deep venous puncture bag without hesitation, put on gloves, and started to perform deep venous puncture.
In a short period of time, the patient's blood pressure dropped sharply, which was considered to be hypovolemic shock. Hemorrhagic shock could not be diagnosed yet.
However, no matter what the diagnosis, rehydration is necessary.
The existence of a deep venous puncture channel is equivalent to an extra layer of insurance for the patient.
"What are you considering?" Su Yun came over and asked softly.
Zheng Ren's eyes flickered slightly, and then he said: "Hematuria can also be considered to be caused by rectal tumors and appendicitis, but combined with ultrasound and CT examination, it can also be preliminarily ruled out.
If hematuria is accompanied by colic, urinary tract stones should be considered; if hematuria is accompanied by swelling and dull pain in the waist, infection should be considered; asymptomatic gross hematuria should be considered tumors; if hematuria is accompanied by irritating symptoms, urinary tract infection should be considered. "
"If you say it, you haven't said it." Su Yun curled his lips in disdain and said, "Can you talk to me without explaining the condition to the patient? Can't you have some trust between people?"
"I'm considering being poisoned." Zheng Ren said helplessly in a deep voice.
"Poisoned?" Su Yun looked at Chen Zehui's clothes and had some doubts about Zheng Ren's judgment.
Even if the young white-collar workers in the imperial capital want to drink pesticides, it is difficult to buy them.
If you want to buy online like Zhou Chunyong’s son, it will take a few days to get home at the earliest. The anger in my stomach has already been vented. If I think about it, I would just pick up the pesticide and drink it. I'm afraid it won't be that easy.
Therefore, it is rare to see cases of drinking pesticides among urban white-collar workers.
Other poisonings are quite rare.
But Zheng Ren finally formally stated the suspected problem. Su Yun did not refute and quickly began to think about what might happen to the patient.
There are many possible situations. Faced with this unexplained disease, if you want to understand it, you have to transform into the great detective Polo.
Zheng Ren was also very distressed, and Big Pig Hoof diagnosed him with food poisoning. But it didn't say what the poisoning was.
Zhou Litao completed the deep venous puncture, hooked up the intravenous drip, gave the patient fluids, and collected blood samples before sending them to the laboratory.
"Boss Zheng, CT..." Zhou Litao hesitated.
"Let's make one." Zheng Ren said, "Prepare a defibrillator and other emergency medicines, and go to the ICU. It will be more difficult to do examinations."
Su Yun and Zhou Litao both understood what Zheng Ren meant.
The patient's condition is unknown. Once he goes to the ICU, he will most likely need a ventilator to assist breathing.
Take the time to do an abdominal and chest CT now, which can point the way for future diagnosis and treatment.
Then go, Zhou Litao is a little distressed, this is a critical illness, and he may suffer a cardiac arrest on the way.
Whether in the CT room or on the way, if emergency rescue is required, if you use a defibrillator or chest cardiac compression all the way to the ICU...
Now is not the time to get entangled. There must be countless opinions, each with pros and cons. As for how to weigh it...what else is there to weigh.
In an emergency, you can only listen to the advice of the superior doctor in charge of the rescue.
When Boss Zheng came to the emergency department, Zhou Litao habitually regarded his opinions as those of his superior doctors and carried out all medical orders unconditionally.
This is not the power of administrative positions, but the aura of shock brought by the crushing technical level.
They scrambled to lift the patient onto the flat car. Zhou Litao carried the first aid box and the nurse took the defibrillator and rushed all the way to the CT room.
The risk of doing this is relatively high, but for patients, the benefits outweigh the risks.
It's just that the doctor has to bear the other risks.
This heavy burden rested on Zhou Litao's shoulders, as heavy as carrying a mountain.
The flat car ran all the way and started to do CT. Zheng Ren and Su Yun stood in the operation room, looking at the images on the screen.
There was fluid accumulation in the pelvis and a hematoma in the left upper abdomen. There was a small amount of fluid in both lungs, the source of which was unknown.
At this time, a call came from the emergency department, saying that the four coagulation test results were: PT and APTT were 50 times higher than the normal values, and a coagulation disorder was definitely not present.
The blood test showed that the white blood cells were still very high and the hemoglobin had dropped from 9G two days ago to 5.5g.
Go to the ICU, it must be something that induces coagulopathy leading to hypovolemic shock.
As for whether he could be rescued, Zheng Ren didn't dare to say.
In this regard, the big pig's hooves are extremely hateful. If only I could be given a simple and clear treatment plan, I would be able to win.
You don’t even need a treatment plan, just a description of the chemical poisoning.
Sigh... Zheng Ren sighed.
"What do you mean by literature and art?" Su Yun asked.
"I'm a bit of a literary person. Do you know what caused the patient's poisoning?" Zheng Ren was obviously in a bad mood and spoke a little too hastily.
"Why are you so angry? Just ask a little bit. Boss, do you think it's a pity because this girl is so good-looking?" Su Yun asked in a low voice.
"Don't talk nonsense." Zheng Ren looked serious.
"Tch~" Su Yun said contemptuously: "Hypocrisy, let's go!"
"Su Yun, let's go with you to the ICU. The patient will be sent in, so we can get to know the situation with the colleagues and friends of the patient who sent her here." Zheng Rendao.
"Yeah." Su Yun thought so too.
After the CT scan, Zhou Litao and the patient's friends carried her onto a flat car and pushed her directly to the ICU. Zheng Ren typed up the film and ran away without asking for a report.