That morning, when Chen Cang returned to the emergency department, he had never felt relaxed!

I miss the stupid old Ma a little bit, and I miss Nurse Yang Jie who would give her milk.

"Doctor Chen is here!"

"Doctor Chen is early!"

"Doctor Chen, you are finally back!"

When Chen Cang entered the office, everyone nodded.

Everyone knows what happened to the hospital these days. Chen Cang is now a popular hospital.

When everyone thought of Yang Hongmei, they couldn't help but shake their heads. Nurse Yang was indeed very panicked during this period, fearing that Chen Cang would not be able to get along with him.

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

Chen Cang nodded and smiled, saying nothing.

Everyone is adult, don't be so naive.

After seeing Chen Cang, Ma Yuehui suddenly widened his eyes and couldn't help but smile: "Card surgery department doesn't want you anymore, right? Orphan..."

Chen Cang couldn't help rolling his eyes. Why is this team leader still alive?

Chen Cang looked at Director Yu with a smile: "Director Yu, I'm back to work, by the way... I saw your coffee a few days ago by the team leader Ma."

Yu Yong just wanted to laugh, but after hearing Chen Cang's next words, he immediately stared at Ma Yuehui with a stern face, and his eyes remained on him for ten seconds.

Lao Ma suddenly felt panicked!

Looking at Chen Cang, he dared not speak out...

"Director, no...Boss, I'm afraid it will expire!"

Lao Ma wanted to explain, but... if the explanation is useful, what should I do for corporal punishment?

Seeing Lao Yu like this, Chen Cang suddenly felt much more relieved.

Lao Yu couldn't help looking at Chen Cang and said with a smile: "I have time to take me for this heart-rest surgery. I'm busy all this time and I don't have to worry about it."

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

You have to lean on it like this.

After Yu Yong left, the office suddenly burst into an uproar.

Xu Aiqing couldn't help but look at Lao Ma with a joke: "Haha... If you buy coffee, I'm sure I'll be able to save you!"

Ma Yuehui gritted his teeth and felt much pressure.

In the morning, Chen Cang did not leave the car. After all, Chen Cang went out to win glory for the emergency department and allowed him to sit on the stage this morning.

Sitting in the office, 120 hurriedly sent a middle-aged woman in.

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

Nurse Xiao Ke hurriedly called Chen Cang: "Doctor Chen, the patient is fifty-five years old, female, abdominal pain and nausea and vomiting worsened for one day!"

Chen Cang was originally in the rounds, but when he heard Xiao Ke's voice, he hurriedly walked outside.

After coming out, looking at the three people around him, Chen Cang learned his cleverness this time and asked quickly: "Who is the family?"

The three of them shook their heads!

"We are not family members!"

Chen Cang was stunned at this moment.

"We are card friends. When she was playing cards, she suddenly vomited, and then she covered her stomach and felt so painful. The three of us hurriedly delivered it to us."

The three of them speak fluent Beijing Mandarin.

The patient was carrying his ID card. At this time, her face was pale and her face was covered in cold sweat.

Seeing this, Chen Cang ignored everything else and hurriedly said, "Xiao Ke, push the bed and send it to the emergency room."

Xiao Ke nodded quickly.

The card friends here helped to complete the procedures and then contacted the family to come.

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

Chen Cang nodded, and had already made a judgment in his heart.

In fact, a qualified medical staff should have an intuitive first impression and judgment when they see the first side of the patient and hear the signs.

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

The first thing he thought of was acute abdominal disease!

"You're lying down, I'll check your body!"

The woman shook her head: "No, I'll turn it over and feel uncomfortable."

Chen Cang helped the woman to put on a position, then lifted up her clothes and exposed her belly!

As soon as Chen Cang exposed his abdomen, he saw Peng Long on his abdomen, and then Chen Cang just pressed him down.

The woman started to wail in great pain: "Oh, it hurts so much!"

A few minutes later, Chen Cang finished the inspection.

Chen Cang also had some impressions!

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

As for Peng Long's words on the abdomen, Chen Cang knocked a little, and suddenly felt a sensation of voice coming!

A frown suddenly!

"Xiao Ke, prepare for abdominal puncture!"

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

And Chen Cang also called his card friends in!

"Have the patient been injured?"

"No!"

"There are many firecrackers, so you won't be injured!"

"Um!"

Looking at the answers of the three of them, Chen Cang couldn't smile bitterly. He couldn't even release internal bleeding when firing a gun, right?

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

The patient's family has not appeared yet.

Fortunately, although the woman has abdominal pain, she is not in a coma. She is still aware of her consciousness and can sign it by herself.

Chen Cang held a puncture needle in his hand and gently penetrated into his lower abdomen.

Actually, you need to pay attention to this. Because there is a bladder in the lower abdomen, you must not pierce the bladder because of piercing the abdomen. This kind of thing is commonly used...

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

"Blood is coming!"

"What's going on?"

"Call his son quickly!"

The three-card friends were panicked at this time. They had just had an ordinary stomachache, but now they suddenly got bleeding from their stomachs. This is a very terrifying thing for ordinary people.

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

"No blood coagulation!"

Generally, it is very serious if the abdominal puncture is drawn out and blood is not coagulated.

Why?

Generally speaking, there are platelets in the blood, and they usually coagulate after bleeding under the action of a series of complex prothrombin.

But!

Once the puncture fluid does not coagulate, first consider the rupture of parenchymal organs or mesenteric blood vessels in the abdominal cavity, which indicates emergency surgery is required.

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

Can playing mahjong cause internal bleeding?

Isn't this supposed to be?

Chen Cang hurriedly said to Xiao Ke: "Blood draw and blood test routine, blood coagulation..."

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 toward the radiology department!

Now, only intraperitoneal CT can help patients diagnose clearly.
To be continued...