Chapter 1283 Intussusception!
When Fatty Zhu heard the alarm, he naturally started to panic.
He glanced at Lao Yang, wanting help.
Lao Yang and Fatty Zhu don't do serious work, and they don't like to deal with the police the most.
Lao Yang gave Fatty Zhu a wink, and Fatty Zhu sighed and explained the whole story.
The two of them summed it up and spent a little money.
Who knew such a thing could happen?
And when Lao Ma heard Fatty Zhu's actions, his brows slightly frowned, and he himself, who was from the army, looked down on these hooligans.
However, things have come to the point where an intermediate adjustment mechanism is definitely needed.
Or the family is private.
Or go to the public security organs or the medical investigation commission.
It depends on the patient's situation.
Chen Cang and Lao Ma entered the rescue room.
Seeing the patient rolling around in pain, his state of consciousness was quite good, Chen Cang asked several questions one after another.
Clear mind!
Severe abdominal pain, what could it be?
After thinking about it, Chen Cang said to Zhou Zheng, "Relax, let me see how your stomach is."
Although he still had abdominal cramps, Zhou Zheng had to hold back when he heard the sound.
Chen Cang stretched out his hand and began to palpate the patient's abdomen.
The old horse didn't say anything, for fear of disturbing Chen Cang.
Chen Cang's hand started to palpate counterclockwise around the middle of the navel.
When Chen Cang's right hand slid to the upper right abdomen, Zhou Zheng suddenly cried out.
Chen Cang couldn't help but stop.
Right upper quadrant?
What can make a person fall so painfully?
Liver rupture?
But...how can the liver break so easily, it breaks when you drop it, you think it is glass, and there is a thick layer of meat and ribs on the outside to protect it.
By the way, ribs!
Could it be a broken rib?
Chen Cang quickly palpated and checked, but found nothing at all.
Is this weird?
What will happen?
Falling to the ground can actually be regarded as a kind of strenuous activity, and the abdominal pain caused by such strenuous activity is nothing more than just a few...
The old horse looked at Chen Cang and said, "Do you want to do a B-ultrasound?"
Chen Cang was about to nod his head when he suddenly saw Zhou Zheng's hands covering his stomach, and his eyes lit up.
He quickly took Zhou Zheng's hand and looked at it carefully.
Then he said to the old horse, "Take off his socks!"
Although the old horse was a little puzzled, he didn't care about other things, and quickly took off his socks.
Chen Cang hurriedly came over to take a look.
as predicted!
I saw many black spots on the fingers and toes of the delivery boy, like paint stains and black moles.
When the old horse saw it, his eyes widened and he was puzzled.
Nurses Yang Jie and Xiao Ke stared at the patient's hands and feet, curious for a while.
However, a nurse intern suddenly whispered: "Look at his mouth, it seems that there are also lips."
At this time, everyone turned around and took a closer look, only to find that Zhou Zheng also had a little black mole on his lips.
Although it is easy to be ignored, the phenomenon of connecting hands and feet makes Chen Cang think of a strange thing.
However, this kind of thing does not seem to cause such severe abdominal pain!
Chen Cang said to Xiao Ke, "Go and call Dr. Zhang for an ultrasound."
Koko nodded.
The old horse stared at Chen Cang and couldn't help asking, "Chen Cang, what's the matter?"
Chen Cang shook his head: "The patient should have underlying diseases, but... Now I'm not sure if it has anything to do with abdominal pain."
After listening to the old horse, he was a little puzzled. Just when he was about to ask, the doctors on duty from the gastroenterology department and the surgery department came.
After all, Chen Cang was on duty, and when the nurse called them to come down, four or five people from the first and second lines all came down.
Wuyangyang's people all entered the emergency room.
After seeing Chen Cang one by one, they nodded.
"Hello, Professor Chen!"
"Greetings!"
Chen Cang nodded: "Let's take a look at the patient first, check it out, and Sister Yang urges the B-ultrasound."
Yang Jie nodded, got up and ran out.
During the physical examination, several doctors suddenly asked a question: "Caused by a fall? Could it be an acute volvulus?"
Chen Cang said here, and suddenly his eyes lit up.
Not volvulus!
but another disease.
A kind of disease that can make a drastic change in body position, ordinary people are fine, but there is a disease that is a special patient!
After everyone discussed it, the old horse was a little anxious.
"Chen Cang, what's going on?"
"It should be acute intussusception. It can be seen by a B-ultrasound, and I will take a CT later."
Hearing Chen Cang say intussusception, everyone couldn't help but froze for a moment.
This patient is obviously a serious adult, a strong young man in his twenties, not a doll of what age, can this be intussusception?
Everyone was obviously suspicious.
Even Lao Ma looked at Chen Cang suspiciously: "Are you sure?"
indeed.
After Chen Cang said it, it was obvious that everyone was a little bit incredulous.
Intussusception is an acute disease of digestive surgery.
Treatment within 24 hours is the best, otherwise it will cause complex peritonitis and acute intestinal necrosis.
However, most of the results of the intussusception study were neonates, and even very few young children, let alone a strong guy in his twenties.
So everyone is really skeptical.
But who is Chen Cang?
This is the authoritative president of the digestive surgery world.
This portion is too heavy.
It's more powerful than their director.
Although everyone is puzzled, they basically believe it.
At this time, Dr. Zhang from the B ultrasound walked in with his eyes confused, and it was obvious that he had just woken up.
"Professor Chen, Team Leader Ma, what's the condition of the patient?"
Chen Cang said directly: "It may be intussusception, you can check."
Hearing Chen Cang's words, Dr. Zhang didn't say much, and went straight to check.
Zhou Zheng's pain was not relieved at this time.
Sure enough, the B-ultrasound probe started to check in the mass area, and the length and wall thickness of the thickened bowel can be clearly seen.
Through color Doppler ultrasound, it can be clearly seen that the blood flow of the mesenteric blood vessels is abnormal!
Dr. Zhang decisively confirmed: "Yes, it is intussusception!"
"Professor Chen is amazing! Intussusception can be found through the belly, and... this is an adult."
Everyone nodded.
The old horse looked at Chen Cang suspiciously, is this kid so amazing?
However, at this time, Chen Cang directly asked the patient: "Does your family have the same thing as you, such as those with moles on their fingers or mouth, or those who have undergone gastrointestinal surgery?"
Zhou Zheng shook his head: "No."
After hearing the negative answer, Chen Cang closed his eyes slightly.
Everyone is stunned!
They found that they couldn't keep up with Professor Chen's thinking.
Acute intussusception, how to start asking for genetic history?
Does it matter?