Chapter 1726： Poisoning that rapidly accelerates the progression of the disease
On the skin of the chest and abdomen of Chen Zehui, a large area of skin mucosal ecchymoses appeared. On the pale skin, these freckles are so glaring.
"It is suspected that there is a blood system disease, blood test immediately, blood routine, blood coagulation, liver and kidney function. Contact ICU, the test is determined to be sent to severe cases." Zheng Ren said.
After that, Zheng Ren looked at Chen Zehui and asked: "How long has this been the case?"
Chen Zehui’s effort to look up and see the changes in her body in a very weird posture was also shocked.
She shook her head slyly, indicating that she did not know.
"Is it stunned and hit the table?" A female colleague guessed.
"No, no." Another person said: "I remember that she was directly on the table and should not touch her stomach."
"Looking at it is scary."
Zheng Ren guessed that it should be the symptoms that have just appeared today, even the patients themselves have not noticed.
"Be a abdominal CT, hurry up." Zheng Ren is very serious in the emergency department rescue room.
Zhou Litao, who should have been the owner here, has become a little sister, running wildly.
On ECG monitoring, blood pressure was measured 5 minutes, and the value between the two was extremely significant.
It may be that Chen Zehui has just struggled too strongly, and emotional fluctuations have led to an increase in blood pressure, which has led to the fermentation and deterioration of the unknown condition, and this series of changes has occurred in the second place.
After arranging the patient to open the test, Zhou Litao took a look at the blood pressure, took the deep vein puncture bag without hesitation, put on the gloves, and began to do deep vein puncture.
In a short period of time, the patient's blood pressure plummeted, considering the shock of hypovolemia, and hemorrhagic shock could not be diagnosed for the time being.
However, no matter what diagnosis, rehydration is necessary.
There is a deep venous puncture channel, and the patient is equivalent to an additional insurance.
"What are you thinking about?" Su Yun asked, whispering.
Zheng Ren's eyes flickered slightly, and then he said: "Hematuria, can also be considered to be caused by rectal tumors, appendicitis, but combined with ultrasound and CT examination, can also be initially excluded.
Hematuria with colic, should consider urinary stones; hematuria with waist bulge, dull pain, to consider infection; asymptomatic gross hematuria, to consider the tumor; hematuria with irritation, to consider urinary tract infection. ”
"Speaking is equal to not saying." Su Yun swearing, said: "Can you not talk to me with the patient's voice, can't you trust a little between people?"
"I think about poisoning." Zheng Ren helpless, Shen Sheng.
"Poisoning?" Su Yun looked at Chen Zehui's dress and dress, and had some doubts about Zheng Ren's judgment.
For pesticides, the white-collar workers of the Imperial Capital are hard to buy even if they want to drink.
If you want to buy online like Zhou Chunyong's son, you will get a few days at home. The fire of a stomach has been vented early, and I want to breathe a sigh of anger and pick up the pesticides. I am afraid that it is not so easy.
Therefore, among urban white-collar workers, it is difficult to see cases of drinking pesticides.
Other poisoning, but quite rare.
However, Zheng Ren finally officially said that the problem of suspicion, Su Yun does not refute, began to quickly ponder the possible situation of patients.
There are many possible situations. In the face of this unexplained disease, if you want to understand it, you have to become a big detective.
Zheng Ren is also very distressed, the big pig hooves gave diagnosis of food poisoning. But what poisoning is in the end, but it did not say.
Zhou Litao completed the deep vein puncture and dripped it up. He first rehydrated the patient, and the blood sample was collected and sent to the laboratory.
"Zheng boss, CT..." Zhou Litao was hesitant.
"Still do one." Zheng Rendao, "Prepare the defibrillator and other emergency medicines and go to the ICU, it is even harder to check."
Zheng Ren’s meanings are both Su Yun and Zhou Litao.
The patient's condition is unknown. Once I have gone to the ICU, there is a high probability that the ventilator will assist in breathing.
Now take the time to do a belly, chest CT, you can point the way for future diagnosis and treatment.
Then go, Zhou Litao is a bit distressed, this is a critical illness, it is likely to stop on the road.
Whether it is the CT room or the middle of the road, you need emergency treatment, all the way to use the defibrillator or chest compression to press the ICU...
Now is not the time of entanglement, there must be countless opinions, each with its own advantages and disadvantages. As for how to weigh... what is the trade-off.
When the situation is urgent, you can only listen to the advice of the superior doctor who presided over the rescue.
When Zheng Boss came to the emergency department, Zhou Litao habitually regarded his opinions as the opinions of the superior doctors and unconditionally executed all the doctors.
This is not the **** of administrative duties, but the aura of the technical level.
The patient was lifted into the flat car, and Zhou Litao took the first aid kit. The nurse took the defibrillator and ran all the way to the CT room.
The risk of doing this is relatively large, but for patients, it is a matter of income greater than risk.
It is just another risk that the doctor should bear.
This heavy burden, pressed on Zhou Litao's shoulders, is heavy, like a mountain.
The flat car ran all the way, began to do CT, Zheng Ren and Su Yun stood in the operating room, looking at the image on the screen.
There is effusion in the pelvic cavity and a hematoma in the upper left abdomen. A small amount of fluid in both lungs, the source is unknown.
At this point, the emergency department's phone call came over and said that it was the test of four blood coagulation tests: PT, APTT exceeded the normal value by 50 times, and a coagulopathy was definitely not running.
Blood routine, white blood cells are still very high, hemoglobin has dropped from 9G two days ago to 5.5g.
Go to the ICU, it is definitely something that induces hypovolemic shock caused by coagulopathy.
As for whether he can save it, Zheng Ren does not dare to say.
At this point, the big pig's hooves are extremely odious. If you can give a simple, clear treatment plan, you can lie down and win.
Don't even plan a treatment, as long as it shows what chemical poisoning can be 唉... Zheng Ren sighed.
"What is literary art for you?" Su Yun asked.
"Well and hair, what poison is the patient? Do you know?" Zheng Ren's mood is obviously a bit bad, and the speech is slightly more rushed.
"What temper are you sending? A little bit of asking. Boss, do you think that the girl looks good, it is a pity." Su Yun whispered.
"Don't talk nonsense." Zheng Ren looked serious.
"Cut ~" Su Yun sighed: "hypocrisy, gone!"
"Su Yun, let's go to the ICU, the patient is sent in, just to the patient colleagues and friends who sent her to understand the situation." Zheng Rendao.
"Yeah." Su Yun thinks so.
After completing CT, Zhou Litao and the patient's friend carried her to the flat car and pushed directly to the ICU. Zheng Ren played the film and did not report it. He followed it.
"It is suspected that there is a blood system disease, blood test immediately, blood routine, blood coagulation, liver and kidney function. Contact ICU, the test is determined to be sent to severe cases." Zheng Ren said.
After that, Zheng Ren looked at Chen Zehui and asked: "How long has this been the case?"
Chen Zehui’s effort to look up and see the changes in her body in a very weird posture was also shocked.
She shook her head slyly, indicating that she did not know.
"Is it stunned and hit the table?" A female colleague guessed.
"No, no." Another person said: "I remember that she was directly on the table and should not touch her stomach."
"Looking at it is scary."
Zheng Ren guessed that it should be the symptoms that have just appeared today, even the patients themselves have not noticed.
"Be a abdominal CT, hurry up." Zheng Ren is very serious in the emergency department rescue room.
Zhou Litao, who should have been the owner here, has become a little sister, running wildly.
On ECG monitoring, blood pressure was measured 5 minutes, and the value between the two was extremely significant.
It may be that Chen Zehui has just struggled too strongly, and emotional fluctuations have led to an increase in blood pressure, which has led to the fermentation and deterioration of the unknown condition, and this series of changes has occurred in the second place.
After arranging the patient to open the test, Zhou Litao took a look at the blood pressure, took the deep vein puncture bag without hesitation, put on the gloves, and began to do deep vein puncture.
In a short period of time, the patient's blood pressure plummeted, considering the shock of hypovolemia, and hemorrhagic shock could not be diagnosed for the time being.
However, no matter what diagnosis, rehydration is necessary.
There is a deep venous puncture channel, and the patient is equivalent to an additional insurance.
"What are you thinking about?" Su Yun asked, whispering.
Zheng Ren's eyes flickered slightly, and then he said: "Hematuria, can also be considered to be caused by rectal tumors, appendicitis, but combined with ultrasound and CT examination, can also be initially excluded.
Hematuria with colic, should consider urinary stones; hematuria with waist bulge, dull pain, to consider infection; asymptomatic gross hematuria, to consider the tumor; hematuria with irritation, to consider urinary tract infection. ”
"Speaking is equal to not saying." Su Yun swearing, said: "Can you not talk to me with the patient's voice, can't you trust a little between people?"
"I think about poisoning." Zheng Ren helpless, Shen Sheng.
"Poisoning?" Su Yun looked at Chen Zehui's dress and dress, and had some doubts about Zheng Ren's judgment.
For pesticides, the white-collar workers of the Imperial Capital are hard to buy even if they want to drink.
If you want to buy online like Zhou Chunyong's son, you will get a few days at home. The fire of a stomach has been vented early, and I want to breathe a sigh of anger and pick up the pesticides. I am afraid that it is not so easy.
Therefore, among urban white-collar workers, it is difficult to see cases of drinking pesticides.
Other poisoning, but quite rare.
However, Zheng Ren finally officially said that the problem of suspicion, Su Yun does not refute, began to quickly ponder the possible situation of patients.
There are many possible situations. In the face of this unexplained disease, if you want to understand it, you have to become a big detective.
Zheng Ren is also very distressed, the big pig hooves gave diagnosis of food poisoning. But what poisoning is in the end, but it did not say.
Zhou Litao completed the deep vein puncture and dripped it up. He first rehydrated the patient, and the blood sample was collected and sent to the laboratory.
"Zheng boss, CT..." Zhou Litao was hesitant.
"Still do one." Zheng Rendao, "Prepare the defibrillator and other emergency medicines and go to the ICU, it is even harder to check."
Zheng Ren’s meanings are both Su Yun and Zhou Litao.
The patient's condition is unknown. Once I have gone to the ICU, there is a high probability that the ventilator will assist in breathing.
Now take the time to do a belly, chest CT, you can point the way for future diagnosis and treatment.
Then go, Zhou Litao is a bit distressed, this is a critical illness, it is likely to stop on the road.
Whether it is the CT room or the middle of the road, you need emergency treatment, all the way to use the defibrillator or chest compression to press the ICU...
Now is not the time of entanglement, there must be countless opinions, each with its own advantages and disadvantages. As for how to weigh... what is the trade-off.
When the situation is urgent, you can only listen to the advice of the superior doctor who presided over the rescue.
When Zheng Boss came to the emergency department, Zhou Litao habitually regarded his opinions as the opinions of the superior doctors and unconditionally executed all the doctors.
This is not the **** of administrative duties, but the aura of the technical level.
The patient was lifted into the flat car, and Zhou Litao took the first aid kit. The nurse took the defibrillator and ran all the way to the CT room.
The risk of doing this is relatively large, but for patients, it is a matter of income greater than risk.
It is just another risk that the doctor should bear.
This heavy burden, pressed on Zhou Litao's shoulders, is heavy, like a mountain.
The flat car ran all the way, began to do CT, Zheng Ren and Su Yun stood in the operating room, looking at the image on the screen.
There is effusion in the pelvic cavity and a hematoma in the upper left abdomen. A small amount of fluid in both lungs, the source is unknown.
At this point, the emergency department's phone call came over and said that it was the test of four blood coagulation tests: PT, APTT exceeded the normal value by 50 times, and a coagulopathy was definitely not running.
Blood routine, white blood cells are still very high, hemoglobin has dropped from 9G two days ago to 5.5g.
Go to the ICU, it is definitely something that induces hypovolemic shock caused by coagulopathy.
As for whether he can save it, Zheng Ren does not dare to say.
At this point, the big pig's hooves are extremely odious. If you can give a simple, clear treatment plan, you can lie down and win.
Don't even plan a treatment, as long as it shows what chemical poisoning can be 唉... Zheng Ren sighed.
"What is literary art for you?" Su Yun asked.
"Well and hair, what poison is the patient? Do you know?" Zheng Ren's mood is obviously a bit bad, and the speech is slightly more rushed.
"What temper are you sending? A little bit of asking. Boss, do you think that the girl looks good, it is a pity." Su Yun whispered.
"Don't talk nonsense." Zheng Ren looked serious.
"Cut ~" Su Yun sighed: "hypocrisy, gone!"
"Su Yun, let's go to the ICU, the patient is sent in, just to the patient colleagues and friends who sent her to understand the situation." Zheng Rendao.
"Yeah." Su Yun thinks so.
After completing CT, Zhou Litao and the patient's friend carried her to the flat car and pushed directly to the ICU. Zheng Ren played the film and did not report it. He followed it.
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