I Can See Health Chapter 177

   Chapter 177 I'd rather do one more inspection

   "Junior sister, you take care of this patient." Lu Chen stood up with a dignified expression, "I'll go to Senior Brother Wang."

   "Okay." Chi Jia still doesn't quite understand what happened.

   However, the blood pressure of the patient in front of him is indeed a little low.

  According to his body type, it should definitely not be this blood pressure!

  Lu Chen trotted all the way to the emergency room.

   In front of the burn patient's bed, he found Wang Xiaodong.

   "Senior brother, that patient just finished his abdominal CT."

  Wang Xiaodong saw Lu Chen's eager face and understood that something might not be right.

"What's the problem?"

   "Senior brother, let's take a look at the CT image of the patient's abdomen first." Lu Chen found a computer and transferred Cheng Lin's image in the imaging system. He pointed to the low-density liver lesion he found.

   "Senior brother, look, this location...what is it?"

  Wang Xiaodong didn't find any problems at first, until he saw what Lu Chen was pointing at, and then he realized that it was different.

   "This is... a hypodense foci of the liver..."

   In fact, liver hypodense foci can be seen in many conditions. Benign diseases include liver cysts, heterogeneous fatty liver, liver abscess, liver hemangioma, liver adenoma, liver cirrhosis nodules, etc.

   Malignant tumors include primary liver cancer and metastatic liver cancer.

  These diseases all showed hypodense shadows on the CT scan of the upper abdomen.

   However, at this time, Lu Chen was not thinking of these situations!

   "Brother, the patient's blood pressure is low and may be prone to shock."

   Shock is often referred to as blood pressure less than 90/60mmHg.

   But this is not an accurate definition.

  Many patients have blood pressure not lower than 90/60mmHg, but may also be in shock.

   This needs to be compared with the patient's usual blood pressure. Some people's usual systolic blood pressure is 180mmHg, and suddenly it drops to 130mmHg, which may also be in shock.

   "Junior Brother, what do you mean, the patient is at risk of liver rupture?" Wang Xiaodong thought of this, and a thin layer of perspiration appeared on his forehead.

  If it is a ruptured liver, it will be a big deal.

   "Yes! It's very possible!" Lu Chen nodded, "Although this low-density lesion is not large, and there is a possibility of cysts or nodules, we can't take this risk."

   The liver is the largest digestive gland in the human body and an important organ for metabolism and detoxification in the body.

  Normal liver is soft and easily ruptured by violent blows.

  Under normal circumstances, closed liver ruptures are divided into three categories: central rupture, subcapsular rupture and true rupture from an anatomical point of view.

   Clinically, there are more cases of death due to acute hemorrhage due to liver rupture. Death due to less violent and delayed liver rupture is less common.

   Violent blows or falls are minor, and they do not pay attention to them. Neglecting to go to the hospital for examination can easily delay the timing of treatment. Chronic blood loss is very likely to lead to acute heavy bleeding.

   "I'll call the CT room first and ask them about the results of the film."

  CT just finished, the report will not come out so fast.

  Wang Xiaodong immediately took out his mobile phone and called the CT room.

   In less than a minute, he hung up.

   "The teacher in the CT room said that this low-density lesion does not rule out the possibility of bleeding, and it is recommended to do enhanced CT." Wang Xiaodong looked at Lu Chen with a solemn expression, "Junior brother, let's go and see the patient first."

   Emergency observation room.

   "What? Do you want me to do a CT scan of the abdomen?" Cheng Lin wanted to get up from the bed, but Lu Chen pressed him back.

   At this time, the patient should maintain absolute bed rest to avoid secondary injury.

   "We found that there is something wrong with your abdominal CT, and we cannot rule out the possibility of liver rupture." Wang Xiaodong said solemnly, "So, this enhanced CT must be done!"

   "Liver... Liver rupture?" Cheng Lin's face turned pale.

   His stomach was already a little sore, but at this time, he felt even more sore.

   "But...but I've been injured for two or three hours. If it was a ruptured liver, I should have reacted long ago, right?" Cheng Lin still couldn't believe his liver ruptured.

   When I heard the name, I felt terrible.

   Chi Jia on the side also widened his eyes.

   Is this patient at risk of liver rupture?

   There was no problem with the abdominal CT just now!

   She herself is a graduate student in the Department of Gastroenterology, so she can still see the CT of the abdomen.

  Why did a liver rupture and hemorrhage suddenly appear?

   "If it is a subcapsular rupture, that is, a small ruptured wound, symptoms will not appear immediately. We call it delayed hepatic rupture and bleeding." Wang Xiaodong explained.

   But the more he explained, the more scared Cheng Lin became.

   He felt that his stomach pain was getting worse and worse.

"What's wrong with you?"

  Lu Chen immediately noticed the pained look on Cheng Lin's face.

   Moreover, the health on his head suddenly dropped from 60 to 54!

   "I, my stomach hurts..." Cheng Lin suddenly felt a cramp in his abdomen.

   Wang Xiaodong and Lu Chen's expressions changed.

   "Please call for an emergency general surgery consultation!" Lu Chen shouted to Chi Jia, "Tell them, we have a patient who is highly suspected of liver rupture and bleeding, and has a tendency to go into shock, hurry up!"

   Hearing Lu Chen's order, Chi Jia immediately took action, ran to the nurse's station, and started contacting general surgery.

   At this time, Wang Xiaodong was giving Cheng Lin an abdominal examination.

   "I have abdominal tenderness and rebound pain!" Wang Xiaodong said solemnly.

  Lu Chen's expression became more and more solemn.

   There is tenderness and rebound tenderness in the abdomen, which indicates that there is peritoneal irritation. Ninety-nine percent of the patients are diagnosed with liver rupture and bleeding, and the amount of bleeding continues to increase!

   "Brother, let's transfer the patient to the emergency room first!"

  Wang Xiaodong nodded, and the two worked together to push the hospital bed in the observation room to the emergency ward.

The    general surgeon arrived soon after.

   As soon as he saw the patient, he was startled.

   "Liver rupture and hemorrhage, combined with shock, and peritoneal irritation, need emergency laparotomy!"

  Wang Xiaodong immediately said: "Take the emergency green channel and push it directly into the operating room! We have contacted his family."

   "Okay." The general surgeon nodded, "I will contact the operating room to prepare, you can push it to the operating room now!"

  Lu Chen immediately, Chi Jia and another nurse pushed the hospital bed directly to the operating room of the surgical building.

"Xiaodong, it's fortunate for you to have an abdominal CT done in advance." The general surgeon sighed, "If the diagnosis cannot be made in time, and the CT scan is performed when the patient becomes ill, it will take a lot of time! Last time a liver The ruptured patient is gone on the way to the operating room."

  Wang Xiaodong nodded, lingering fears.

   This kind of hidden critically ill patient is the worst.

   At first, there are no special symptoms. Once the condition changes, it will be too late for rescue!

   This time, Junior Brother Lu Chen had to be careful, otherwise the consequences would be disastrous.

   When Lu Chen pushed the hospital bed into the operating room, he breathed a sigh of relief.

   "Congratulations, the system upgrade completion rate has risen by 10%!"

   "Congratulations, +1 for receiving thanks from Cheng Lin!"

   "Congratulations, +1 for receiving thanks from Wang Xiaodong!"

   Brother Wang Xiaodong is really interesting, he also gave him a little thanks.

   "Let's go, let's go back to the emergency department." Lu Chen said to Chi Jia, there are dozens of patients waiting for them in the emergency department.

   "Well." Chi Jia nodded, "Senior brother, how did you find out that the patient's liver was ruptured?"

  There are so many patients in the entire emergency observation room, why did this young man have to do abdominal CT?

Lu Chen paused and said, "Because of a fall from a bicycle or a hit by the handlebar, these conditions are most likely to cause liver rupture. The patient also has abdominal pain symptoms. Although it is not obvious, we cannot ignore it. The most important thing is What's more, there is a low density shadow on the abdominal CT, and we have to highly suspect the risk of liver rupture!"

   Of course, Lu Chen still had one very important thing to say.

   That is the patient's HP, which was only 63 at the beginning!

   This is also the reason why Lu Chen focused on Cheng Lin.

   "Are there still low-density shadows on the abdominal CT?" Chi Jia was stunned, but she didn't find anything!

   "I'll show you when I'm back in the emergency room."

   "Okay, thank you brother." Chi Jia nodded.

   The senior brother in front of me is quite powerful, and he is willing to teach others.

   At this moment, another prompt popped up on Lu Chen's system panel.

   "Congratulations, +1 for the thank you from Chi Jia!"

   He looked back at Chi Jia, this intern is pretty good too.

   Back to the emergency ward.

  Lu Chen was surprised to find that Wang Xiaodong was looking at the patients he had selected in the emergency department with a life value of 60-70.

   Seeing Lu Chen coming back, Wang Xiaodong immediately waved to him.

  Lu Chen came to Wang Xiaodong's side.

Wang Xiaodong handed the examination results of several patients in his hand to Lu Chen, and said, "Junior brother, I found that your eyes are very vicious! The patients you picked out and let them do the examination, more or less found some of them. question."

  Lu Chen smiled, took these reports, and said, "I would rather do one more examination than let a patient with a problem be spared."

   That's what he said, but Lu Chen really didn't do another inspection.

   The middle-aged woman who had been wanting to be examined was suppressed by Lu Chen.

   "Junior brother, you did a good job." Wang Xiaodong said, "Go ahead and go to the emergency room for observation. If the patient's condition changes, if you are sure, deal with it first, and then let the junior brothers and sisters come to me."

   "Okay." Lu Chen nodded and returned to the emergency room with Chi Jia.

   It was already two o'clock in the afternoon.

  Jinghua Medical University Headquarters.

  Skills Assessment Center.

   Wang Zihao came out of the examination room and searched the whole examination center, but couldn't find any sign of Lu Chen.

   Looking at the ranking on the screen, Lu Chen's completed projects have not changed at all, and his ranking has been dropping!

   "What did Lu Chen do? He didn't come, right?" Wang Zihao couldn't help thinking, "Did he take a nap?"

   He called Lu Chen several times.

   But no one responded.

   "He didn't come, so what about the assessment!" Wang Zihao was a little anxious, "I remember that he still has more than 20 items to take the test!"

   (end of this chapter)

Chapter end