When a doctor opened a plug-in

This morning, when Chen Cang returned to the emergency department, he felt relaxed like never before!

A little nostalgic for Tie Hanhan's old horse, and a little miss nurse Yang Jie who can give her milk.

"Doctor Chen is here!"

"Dr. Chen early!"

"Dr. Chen, you are finally back!"

When Chen Cang entered the office, everyone nodded.

Everyone knows what happened in the hospital these days, Chen Cang is now the sweet pastry in the hospital.

When everyone thought of Yang Hongmei, they couldn't help but shook their heads. During this time, Nurse Yang was really panicked, for fear that Chen Cang would have trouble with herself.

When Chen Cang entered the office, Yang Hongmei nodded and smiled awkwardly: "Dr. Chen is early, are you back?"

Chen Cang nodded and smiled without saying anything.

Everyone is an adult, don't be so naive.

After Ma Yuehui saw Chen Cang, her eyes widened and she couldn't help but smile: "Hey, don't you need you in the cardiology surgery? Orphan..."

Chen Cang couldn't help rolling his eyes, how could this group leader still be alive.

Chen Cang smiled and looked at Director Yu: "Director Yu, I'm back to work, yes... I saw that your coffee was taken by Team Leader Ma a few days ago."

Yu Yong just wanted to laugh. After hearing Chen Cang's last sentence, he straightened his face and stared at Ma Yuehui, his eyes staying on him for ten seconds.

Lao Ma suddenly panicked!

Looking at Chen Cang, daring to be angry but dare not to speak...

"Director, it's not... Boss, I'm afraid it will expire!"

Lao Ma wanted to explain, but...if the explanation is useful, why do you have to punish you?

Seeing what Lao Yu looked like, Chen Cang was relieved a lot.

Lao Yu couldn't help but looked at Chen Cang, and said with a smile: "I have time to take me for this non-stop heart surgery. During this time, I didn't take care of it.

Chen Cang nodded and smiled: "Okay, definitely!"

Backer, you have to lean up like this.

After Yu Yong left, the office suddenly burst into laughter.

Xu Aiqing couldn't help but looked at the old horse with a joking expression: "Haha...If you buy coffee, I guess there will be some help!"

Ma Yuehui gritted her teeth, feeling stressed.

In the morning, Chen Cang did not leave the car. After all, Chen Cang went out to win the honor of the emergency department with the name of the emergency department. He was allowed to sit on the platform this morning.

At eleven in the morning, 120 hurriedly sent in a middle-aged woman.

He was in his fifties, and there were three people around him!

Nurse Xiao Ke quickly called Chen Cang: "Dr. Chen, the patient is 55 years old, female, and her abdominal pain and nausea and vomiting worsened for one day!"

Chen Cang was in a ward round when he heard Xiao Ke's voice and hurriedly walked outside.

After coming out, looking at the three people around, Chen Cang became clever this time, and quickly asked, "Who is the family member?"

The three shook their heads!

"None of us are family members!"

Chen Cang was stunned.

"We are card friends. When she was playing cards, she suddenly vomited, and then her stomach hurts. The three of us hurriedly sent it."

The three spoke fluent Beijing-flavored Mandarin.

The patient carried her ID card. At this time, her face was pale and her face was covered with cold sweat.

When Chen Cang saw this, he didn't care about the others, and said quickly, "Xiao Ke, push the bed and send it to the rescue room."

Xiao Ke nodded quickly.

And here, the card friend helped to go through the formalities, and then contacted the family to come.

"It hurts me so much, my stomach hurts...Doctor, please help me!"

Chen Cang nodded, already having a judgment in his heart.

In fact, a qualified medical staff should have an intuitive first impression and judgment after seeing the first side of the patient and hearing the signs.

At this time, the woman held her belly with her hands, her face was painful, and she was accompanied by nausea and vomiting.

The first thing he thought of was acute abdomen!

"You lie down, I will check your body!"

The woman shook her head: "No, I twisted and felt uncomfortable."

Chen Cang helped the women to position themselves, then lifted up the clothes to reveal their belly!

As soon as his abdomen was exposed, Chen Cang saw Peng Long in his abdomen, and then Chen Cang just pressed it.

The women wailed in pain: "Oh, it hurts so much!"

A few minutes later, Chen Cang finished his inspection.

Chen Cang also had some impressions!

Whole abdominal tenderness, rebound pain, no muscle tension, obvious lower abdomen.

As for the words of Peng Long in the abdomen, Chen Cang tapped a little, and suddenly felt a dull voice coming!

Suddenly frowned!

"Xiao Ke, prepare for abdominal puncture!"

Now the patient must confirm the diagnosis as soon as possible. There is a lot of fluid in the patient's abdominal cavity, and now I don't know what it is.

And Chen Cang also called in his poker friends!

"Has the patient been injured?"

"No!"

"There are more shots, so there will be no injuries!"

"Ok!"

Looking at the answers of the three of them, Chen Cang couldn't smile. He couldn't let out internal bleeding when he fired a gun.

At this time, Xiao Ke had opened the abdominal puncture package, and Chen Cang asked the patient to sign first, and then puncture.

At this time, the patient's family has not yet appeared.

Fortunately, although the woman has abdominal pain, she is not in a coma, and she has a clear consciousness and can sign by herself.

Chen Cang held the puncture needle and gently penetrated it toward the lower abdomen.

In fact, you need to pay attention here. Because there is a bladder in the lower abdomen, you must not puncture the bladder because of abdominal puncture. This kind of thing often happens...Many young doctors draw urine from abdominal puncture!

When the liquid was drawn out, Chen Cang was stunned!

"Bleeding is coming!"

"what's up?"

"Call his son quickly!"

The three players were panicked at this time. Originally, it was just an ordinary stomachache, but now suddenly blood was drawn from the stomach. This is a very scary thing for ordinary people.

Even Chen Cang frowned when he looked at the red bloody liquid!

"No blood clotting!"

Generally, it is a very serious matter if the abdominal puncture does not coagulate.

why?

Generally speaking, there are platelets in the blood. After bleeding, platelets will coagulate under the action of a series of complex prothrombin.

but!

Once the puncture fluid is non-coagulated, the first consideration is the rupture of the solid organs in the abdominal cavity or the mesenteric vessels, prompting urgent surgery.

At this moment, Chen Cang couldn't help having a headache.

Can playing mahjong cause internal bleeding?

Shouldn't this?

Chen Cang hurriedly said to Xiao Ke: "Take blood for routine blood tests, blood clotting..."

Chen Cang is now confused because the evidence is insufficient to support the patient's abdominal organ rupture.

Afterwards, Chen Cang hurriedly pushed the patient towards the radiology department!

Now, only intra-abdominal CT can help patients diagnose clearly.

Several poker friends are all neighbors, and they are a little anxious to see the blood drawn from the belly of the old friend.

After the patient is sent to the radiology department, the film will be taken soon!

just……

There are no signs of broken organs in the abdominal cavity!

This made the radiology doctor and Chen Cang a little stunned.

What is the reason?

However, at this moment, the radiologist suddenly said, "Dr. Chen, look here!"

Chen Cang suddenly saw a picture in his abdominal cavity!

The radiologist gave a surprise: "Cable sign"!

As soon as this sentence came out, Chen Cang's expression suddenly changed, and the problem became serious...

...

ps: Thank you "Uncle Owen and Uncle Drew" for the 10,000 reward, thank you!