Chapter 836 The Hustle and Bustle in the Early Morning (2)

Now, the problem is getting more complicated!

Chen Cang shook his head!

Emergency physicians must have a clear diagnostic route and clinical thinking of regulations.

"I haven't eaten anything messy recently, have you? Or some special stimulus. How is the stool? Is there a lot of exhaust? Do you have a surname to live?"

Chen Cang asked several questions one after another.

The girl shook her head frequently.

The man also quickly said: "No, none of these, since Tingzi was pregnant, I have been taking care of it carefully, especially what I eat, it is all stomach-friendly, and the bowel and bladder are normal, if you have gas... ...usually normal, since I got pregnant ... I have no surname to live."

Chen Cang closed his eyes and kept thinking about various reasons in his mind, hoping to get a clue of a breakthrough!

The car arrived at the hospital not long after, and after being sent to the emergency room, Chen Cang hurriedly greeted Xiao Ke.

"Routine blood test, and..."

Because of the existence of pregnancy, many examinations are actually limited, and abdominal CT is even more unnecessary.

Otherwise, Chen Cang wouldn't be so troublesome.

After doing some blood tests, Chen Cang felt that he should give some relatively safe drugs to suppress acid and protect the stomach.

These medications are safe for children and are primarily intended to address gastroenteritis.

Chen Cang can only start from the most basic and most common cause of abdominal pain.

Urinary and bowel movements are normal, exhaust is normal, and obstruction is ruled out!

No peritoneal irritation sign, peritonitis can be ruled out!

Appendicitis ... cannot be ruled out!

Gallbladder system disease ... can not be ruled out!

Pancreatic problems...the same cannot be ruled out!

Gynecological problems...to be seen!

At present, Chen Cang can only think of these things.

"Do an abdominal B-ultrasound, and a gynecological ultrasound."

Speaking of this, Chen Cang hurriedly called for a B-ultrasound doctor.

At this time, vital signs were also detected.

"Blood pressure: 95/65mmHg!"

"Blood oxygen saturation: 96."

These are basically normal.

Chen Cang breathed a sigh of relief, it seemed that there was no danger to his life?

At this time, the ultrasound doctor also hurried in and pushed the ultrasound machine: "Doctor Chen, what's the situation?"

Chen Cang frowned: "20 weeks of pregnancy, the cause of abdominal pain is yet to be investigated!"

In a word, the opponent was stunned.

Pregnant patients, can't afford it!

Get an abdominal ultrasound now.

Chen Cang stared at the ultrasound results, the liver, gallbladder, pancreas, spleen and kidney were all normal!

Oh!

There is a small cyst in the kidney, but this thing will not affect the diagnosis.

"Check out a gynecologist!"

Ultra B nodded.

It didn't take long for the results to appear.

"normal!"

In a word, Chen Cang was stunned.

normal!

All normal!

This is so abnormal!

All examinations were normal, but the patient's abdominal pain not only did not relieve, but aggravated.

This is too unreasonable, right?

Chen Cang took a deep breath.

brooding.

Seeing that the girl was uncomfortable, Chen Cang could only wait for the result.

The man was anxious: "Doctor, is there any pain reliever, give me some!"

When the girl heard this, she immediately shook her head: "Don't use it!"

Chen Cang thought about it, looked at the girl who was sweating constantly, and said, "I'll give you a medicine, it may relieve some."

Chen Cangrang lost some normal saline and glucose for rehydration.

But……

The patient did experience some relief from the abdominal pain!

Chen Cang was speechless, how strong is the placebo?

Clinicians often use placebos to help patients with unexplained symptoms.

However, Chen Cang always felt that the situation was not so simple.

I simply went back to the office and started looking up books.

Inside the emergency room is a bookshelf full of reference books and guides.

After an hour or so, Chen Cang thought about countermeasures, and when he was looking up the books, Xiao Ke ran to the office: "Doctor Chen, the patient's vital signs are suddenly abnormal!"

Chen Cang's expression changed suddenly, and he hurried in.

The ECG monitor beeped beeping.

"Doctor Chen, heart rate is 110 beats per minute, blood pressure has dropped to 85/55mmHg, shortness of breath!"

After some words, Chen Cang's expression changed suddenly.

"Go and call Dr. Wang, and quickly do another B-ultrasound to see the situation!"

It was nearly three o'clock at this time, and the ultrasound doctor had already gone to sleep in the duty room.

After all, they don't need to be on duty all night, just call if something happens.

Dr. Wang is also numb, and it didn't take long for the results to come out!

"There is a lot of fluid in the abdomen and pelvis, it is likely to be blood!" Chen Cang was stunned by this sentence!

It was almost three or four in the morning, Chen Cang hurriedly greeted Xiao Ke: "Contact the gynecological emergency consultation!"

At this time, the team leader Ma was on the operating table. Such an uncertain patient was another severe test for Chen Cang, who was on duty!

The gynecologist's hospitalization didn't take long, and after inquiring about it, he said, "Puncture and check!"

Paracentesis!

Chen Cang was no stranger, and Xiao Ke brought the puncture bag.

Chen Cang's technique was very careful, and it didn't take long before he pulled it out.

Seeing the extracted liquid, Chen Cang frowned!

No blood clotting!

Is this... a ruptured organ?

Immediately, Chen Cang and the gynecology hospital were all confused.

Now, there is only one possibility: "Explore the abdomen and find the cause!"

At this moment, exploratory laparotomy is already an examination that must be done.

And do it ASAP!

but……

There was a question before the two of them.

Open abdominal exploration is very simple, it is to open the abdomen for examination, but... this open abdomen may mean that the child cannot be saved.

Therefore, it must be signed by the family members.

Chen Cang watched the blood pressure on the ECG monitor, which was getting lower and lower.

I can't help but feel fortunate, fortunately, I just replenished with fluids, otherwise... there would be a big problem.

However, open belly is something that must be faced now.

The girl was in a coma, and Chen Cang looked at the man: "The situation is very dangerous now. The patient has an organ rupture in the abdominal cavity. Now the cause is yet to be investigated. Immediate surgical exploration is necessary to find the cause, and then operate as soon as possible."

After hearing Chen Cang's words, the man was taken aback!

"What's going on? Why does this happen?"

The man was blinded!

Chen Cang shook his head: "The reason is unknown now, so I have to open the abdominal cavity to look for it, but... there is something you need to understand. Once the abdomen is opened, the child may not be able to be saved!"

"But! If you don't open your stomach, you may not be able to keep the adults and children! Are you his husband? Sign it as soon as possible!"

This question does not seem to be difficult to choose, does it?

However, the man was stunned for a moment.

"I...we're not married yet..."

In one sentence, Chen Cang was stunned: "Hurry up and contact the patient's family!"

The man gritted his teeth, picked up his mobile phone, and quickly contacted the girl's mother.

Chen Cang did not expect that at a critical time, he would encounter such a problem!

Scalp tingling!

...

...

ps: Thanks for the 10,000 reward from the "Leishu" brothers, thank you!