When a doctor opened a plug-in

The car is running fast!

Chen Cang was also a little worried.

"Dr. Chen, the patient's temperature is now 39 degrees Celsius!"

fever!

Chen Cang frowned suddenly.

Inflammation?

Or infection?

this is a problem.

No, maybe both are problems!

At this time, the patient began to vomit again.

Large amounts of undigested contents are pouring out continuously, mixed with blood.

Xiao Ke responded quickly and quickly caught a bag.

The smell of sour rot permeates this small space, and Xiao Curry's face has not changed recently.

It seems that this is her job.

Chen Cang picked up the stethoscope and listened on his stomach. The bowel sounds disappeared. After percussion slightly, Chen Cang found a problem!

The liver dullness world disappeared?

Chen Cang frowned suddenly!

Thought of a more serious problem!

After thinking of this, he hurried to percussion on Lens's stomach.

The bulging area of ​​the stomach bubble disappeared.

this is……

Chen Cang, who is proficient in physical examination, knows the human body well.

The four-dimensional model is constantly deduced, and the clues are clear enough.

Although laboratory tests and imaging examinations were not performed, in fact, Chen Cang could already guess at odds.

Because the key clues are already clear.

Diagnosis does not need to do everything. A successful emergency doctor must use limited diagnostic techniques to obtain effective diagnosis results.

Chen Cang thought of a very possible disease: "Stomach perforation!"

If this is the case, all of this will be explained.

Abdominal pain is the most intuitive and main manifestation, and also the most important symptom.

The painful part is in the part of the perforation. It often presents a knife-cutting or burning pain, which is generally continuous.

Moreover, the patient's vomiting is caused by bacterial peritonitis and enteroplegia.

The present manifestation is "poisoning" symptoms!

After all, a large amount of content enters the abdominal cavity, and bacterial peritonitis is already possible. Although the patient's condition is not shocked, but...Chen Cang estimates that it will not last long.

After all, intestinal paralysis has occurred, which has indicated that a serious infection has occurred in the abdominal cavity.

At this time, Chen Cang put his hand on Lunsi's abdomen, and he felt like touching a wooden board!

"The whole abdominal muscles are tight and flat belly!"

This is Chen Cang's first impression.

Eight or nine will never leave ten!

Thinking of this, Chen Cang looked at the fat blond woman in her forties and said directly: "The patient is most likely to have acute peritonitis and enteroparalysis caused by a gastric perforation. The situation is now in a crisis. , It is necessary to complete the diagnosis and perform the operation as soon as possible."

"Can you sign?"

Tracy nodded quickly and explained: "No problem, I can. I am Lance's aunt and agent. I have the right to sign."

"Doctor, you must save Lance, God, she is only 24 years old!"

"Never participate in such a bad game again!"

Tracy was very anxious, and kept praying to God with both hands.

In fact, Chen Cang didn't know much about the game of Big Stomach. He couldn't help asking: "Does she often participate in such competitions?"

Tracey shook his head: "No, in fact, although the Big Stomach Tournament is often held, players like our Lens basically participate in the competition less than ten times a year."

"This time is only a commercial nature, and may have something to do with her participation twice in the last month."

"I didn't expect it to be like this! God, bless Lance!"

Chen Cang nodded.

In fact, the big stomach king is not born, it needs continuous practice later to practice a diastolic ability of the stomach.

This ability, in Chen Cang's view, has no effect except accidentally damaging the stomach mucosa!

Because the stomachs of adults are almost the same!

It's not that your stomach is big, others' stomachs are small.

The stomach itself "bone surprise", with super stretchability, just like a "top with balloon".

If you inflate the balloon, the capacity of the balloon will increase. Similarly, the capacity of the stomach will change according to the food you eat.

However, the stomach is very flexible. After all, it is a top match. It is a biological structure, so the stomach itself will not be much different. As long as your food is empty, the stomach will return to its original shape.

It's like a pair of one-size stretch pants. People who wear them are different in fat and thin, and the back of the upper body looks like different sizes.

But once you take it off, the stretch pants will return to their original size.

The capacity of the stomach of a normal adult is only about 50ml on an empty stomach, and it can reach 1.5L after a meal. When the stomach is full, it is mainly the expansion of the greater curvature of the stomach.

The volume of the stomach gradually increases with age.

Of course, children’s stomachs are actually very small.

After a full meal, about 7ml for newborn babies, 300ml at one year old, 600ml at 3 years old, and 3000ml for adults.

The big stomach king is actually not a special function, it can be trained the day after tomorrow.

However, under normal circumstances, no one has to train the capacity of the stomach. After all, it is useless for you to have such a large capacity.

Generally speaking, there are only sumo wrestlers who need special training and can even reach 10 to 20 times the diet of ordinary people.

But... the balloon blows so big, it will definitely burst!

The stomach does not expand indefinitely. There is a limit. If the amount of food always exceeds the limit of the stomach capacity, the muscles of the stomach wall will become thinner and thinner, causing acute gastric expansion.

And if you have peptic ulcer, coupled with acute gastric dilatation, this will naturally occur gastric perforation!

Because the ulcer is like a wound in the stomach!

Without a word, Chen Cang stared at the monitor, and the blood pressure drop should be caused by electrolytes and internal bleeding.

Thinking of this, Chen Cang picked up the phone and quickly contacted the hospital to open the green channel as soon as possible to prepare for the operating room.

Before long, the car stopped at the door of the emergency department, and someone was waiting at the door below!

Chen Cang and Xiao Ke pushed the car down!

The staff who came with the car helped with the formalities.

Chen Cang was busy issuing various medical orders:

"Blood routine, liver and kidney function, blood type, coagulation function..."

"Infectious disease check!"

"Abdominal CT!"

"Chest!"

...

The emergency center is really a 24-hour hospital that never stops, and any department will be put into work instantly.

The preoperative inspections and preparations have already been completed, and the blood matching department has also transported the blood needed to start heating up.

Everyone is busy urgently!

After Chen Cang pushed Lunsi into the rescue room, he said to Xiao Ke: "Prepare for abdominal wear!"

It is still necessary to confirm the diagnosis through abdominal puncture.

Sure enough, just after Chen Cang's abdominal wear was successful, a yellow turbid digestive juice or food residue came out!

At this time, the diagnosis can be basically confirmed!

Soon, the x-ray and abdominal ct results came out, and the diagnosis can be made intuitively. Everything is waiting for the physiological and biochemical results.