When a doctor opened a plug-in

Now, the problem is getting more and more complicated!

Chen Cang shook his head!

Emergency doctors must have a clear diagnosis route and clinical thinking of regulations.

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

Chen Cang asked several questions one after another.

The girl shook her head frequently.

The man also said quickly: "No, none of these. Since Tingzi was pregnant, I have been taking care of it carefully. I have been especially careful about eating. It is a fetus that nourishes the stomach, and my bowel movements are normal. If I have gas... …It’s normal at ordinary times. Since I got pregnant… I have no last name."

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

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

"Routine blood test, and..."

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

Otherwise, Chen Cang would not be so troublesome.

After doing some blood tests, Chen Cang felt that he was still given some relatively safe anti-acid and stomach-protecting drugs.

These drugs are safe for children, and the main purpose is to solve the problem of gastroenteritis.

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

Normal urine and defecation, normal exhaust, eliminate obstruction!

No peritoneal irritation, peritonitis can be ruled out!

Appendicitis...cannot be ruled out!

Gallbladder system diseases... also can't be ruled out!

The pancreas... the same cannot be ruled out!

Gynecological issues...to be seen!

At present, Chen Cang can only think of these.

"Be an abdominal ultrasound and a gynecological ultrasound."

Speaking of this, Chen Cang quickly found a B-ultrasound doctor.

At this time, the vital signs were also detected.

"Blood pressure: 9565mmHg!"

"Blood oxygen saturation: 96."

These are basically normal.

Chen Cang breathed a sigh of relief, it seemed that his life was not in danger?

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

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

A word, bluffed the other party.

Pregnant patients, can't afford it!

Quickly do abdominal ultrasound.

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

Oh!

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

"Check out a gynecology!"

The ultrasound nodded.

Before long, the result appeared.

"normal!"

In a word, Chen Cang was stunned.

normal!

All normal!

This is abnormal!

All the tests were normal, but the patient's abdominal pain did not alleviate, but worsened.

This is too unreasonable, right?

Chen Cang took a deep breath.

Think about it.

And seeing the girl uncomfortable, Chen Cang could only wait for the result.

The man was anxious: "Doctor, is there any pain relief, please use it!"

When the girl heard it, she shook her head: "No use!"

After thinking about it, Chen Cang looked at the sweating girl and said, "I'll give you a medicine to relieve it."

Chen Cang gave some saline and glucose to make up fluids.

but……

The patient's abdominal pain is indeed relieved!

Chen Cang was speechless. Is the placebo so strong?

Clinicians often use placebos to help patients relieve symptoms of unknown cause.

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

He simply returned to the office and began to read books.

There is a bookshelf in the emergency office full of reference books and guides.

After an hour or so, Chen Cang was thinking about countermeasures. When reading books, Xiao Ke ran to the office: "Dr. Chen, the patient's vital signs are suddenly abnormal!"

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

The ECG monitor rang steadily.

"Doctor Chen, the heart rate is 110 beats per minute, the blood pressure has dropped to 8555mmHg, and the breathing is short!"

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

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

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

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

Doctor Wang was also numb, and it didn't take long before the result came out!

"There is a large amount of fluid in the abdomen and pelvic cavity, it is likely to be blood!" Chen Cang was stunned!

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

At this time, Team Leader Ma is on the operating table. Such an uncertain patient is another severe test for Chen Cang on duty!

The gynaecological hospitalization always came soon after, and after inquiring clearly, he said: "Let’s get a puncture check!"

Abdominal puncture!

Chen Cang is no stranger, Xiao Ke used 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 suddenly frowned!

Take it out without clotting!

This is... a broken organ?

Immediately, Chen Cang and the gynecology department were hospitalized.

Now, there is only one possibility: "open abdomen to explore, seek the reason!"

At this moment, open abdominal exploration is already a must-do check.

And do it as soon as possible!

but……

There was a question before them.

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

Therefore, family members must sign.

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

I can’t help but feel lucky, but fortunately, I just had fluid rehydration.

However, opening an abdomen is something we must face now.

The girl was in a coma, and Chen Cang looked at the man: "The situation is very dangerous now. The patient has a ruptured organ in the abdominal cavity. The cause is yet to be investigated. An operation must be performed immediately to find the cause and then operate as soon as possible.

After hearing what Chen Cang said, the man was taken aback!

"What's the matter? Why does this happen?"

The man suddenly went blind!

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

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

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

However, the man was stunned.

"I...we are not married yet..."

In a word, Chen Cang was stunned: "Contact the patient's family quickly!"

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

Chen Cang did not expect to encounter such a problem at a critical time!

Scalp tingling!

...

...

ps: Thank you "Lei Shu" brothers for your 10,000 reward, thank you!