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Chapter 875: The disease caused by playing mahjong (2)

At this time, it is surprising to find high-specific imaging results such as "cable sign"!

Basically, the clinical discovery of "cable signs" can basically indicate acute intestinal fine capillaries!

But...the most important thing is that this acute mesenteric vascular infarction has been difficult to make a correct diagnosis before surgery for a long time, and most of the results are not specific.

Therefore, it is often ignored by doctors, which induces the aggravation of the disease.

The mortality rate is as high as 60%!

This is a horrible number.

In fact, sometimes, the patient's diagnosis has a lot to do with his own luck.

Some of the same diseases may not be detected, which will lead to the failure to detect the disease in time, which will induce the aggravation of the disease and even lead to death!

After seeing the "cable sign", the imaging doctor had to say something was a little surprised because how many detours did this take?

Save the film directly!

This is a typical case.

It is really a matter of not being lucky or unlucky to meet typical cases in clinical practice.

Chen Cang is now clear about why the patient suffers from vascular embolism of the mesenteria!

Once embolism occurs, there are really many diseases to consider.

Chen Cang didn't dare to relax at all now.

Is there any infectious disease in the abdominal cavity?

Or is there any deep vein thrombosis?

These are not simple things.

After the radiologist came out, Chen Cang hurriedly took the patient back to the emergency room.

"Xiao Ke, hurry up and take an electrocardiogram and measure your blood pressure! Call Team Leader Ma Yuehui quickly."

Seeing that the patient's condition became more and more wrong, Chen Cang picked up his mobile phone to contact the operating room. After all, Chen Cang did not know this kind of operation.

If there is acute intestinal obstruction, the surgery must be improved as soon as possible.

You can't delay at all!

At this time, the middle-aged woman's condition became increasingly unstable, her face was pale, as if it was caused by bleeding!

At this time, Chen Cang kept simulating various possibilities in the four-dimensional model diagram!

At this time, another nurse, Zhao Na, ran in, holding a test form in her hand.

"Doctor Chen, the blood routine has come out!"

Chen Cang was immediately delighted. Blood routine was a relatively fast test result.

Leukocytes 26?

Xiao Ke had just finished the electrocardiogram and immediately looked at the patient and exclaimed: "Doctor Chen, the patient is in a coma!"

Chen Cang was calm: "Replenish the fluid, contact the blood transfusion department to dispense blood as soon as possible."

I took the electrocardiogram and saw that everything was normal and there was no heart problem.

Chen Cang took a deep breath and quickly lowered his head and palpated the patient's abdomen again!

In his mind, he kept perfecting the possibility of a four-dimensional diagram based on his own feelings.

Not instussusception!

It's not intestinal adhesions!

Not embolism.

The little nurse beside him looked at Chen Cang constantly touching his abdomen at this time, and even closing his eyes, and was immediately confused.

In fact, it is not a bad thing to be unconscious at this time. Just now, because the patient's pain was very strong, Chen Cang's abdominal palpation could not be performed at all.

It’s different now. Chen Cang palpated his abdomen gently, and he kept feeling his feelings in his mind forming a complete four-dimensional picture.

At this time, Ma Yuehui ran in in a hurry.

I saw Chen Cang closing his eyes and touching the patient's stomach.

I was stunned for a moment!

"Xiao Chen, why are you doing with your eyes closed?"

Chen Cang couldn't help but say, "You can see what's inside your belly when you open your eyes?"

One sentence made Lao Ma stunned!

It seems...this is really the case!

But why do you always feel a little strange?

At this time, Chen Cang's four-dimensional picture had already formed a comprehensive systematic diagnosis based on the patient's abdominal ct film, examination results, palpation and auscultation... etc.

hernia!

That's right!

Chen Cang felt that it was an acute special hernia.

Thinking of this, Chen Cang hurriedly said: "Team leader Ma, it may be an intestinal hernia, prepare for the operation!"

Lao Ma was stunned for a moment.

"Intestinal hernia?"

"How did you know?"

Chen Cang turned around and threw away the plastic gloves: "I touched it, please contact the operating room quickly and improve the operation as soon as possible. Have the family members come?"

Lao Ma was stunned. You lied to me to study, can you find the hernia in the abdomen?

The card friends on the side were really shocked when they saw that their old friend suddenly fell into a coma!

I swear in my heart that if I get better today, I will definitely beat her a few times less...

At this time, a young man hurriedly ran over and sweated: "Doctor, what's going on? What's wrong with my mother?"

Chen Cang said directly: "Accidental abdominal disease, intraperitoneal bleeding caused by the patient, the patient is now in a coma, and his condition is relatively urgent, and he needs immediate surgery."

"Nana, prepare a critical illness notice and informed consent form."

After hearing the critical illness notice, the man was suddenly panicked.

The man was not old, only twenty-five or twenty-six years old. After hearing Chen Cang's words, he was directly confused!

"Notice of critical illness?"

"Doctor, isn't it too exaggerated? Is this critically ill? Is it okay this morning?"

Chen Cang shook his head: "This situation is in a developmental state, and I now suspect that his intestinal necrosis is still relatively high. No one can guarantee it if he does not have abdominal examinations!"

The young man couldn't accept it for a while when he saw his mother doing well!

After all, my mother has always been a smart and capable middle-aged woman, and she can carry rice to the stairs. In his heart, my mother has always been a healthy and even a bit stingy image.

But now, looking at the dying look on the hospital bed, the man was panicked.

Standing beside the bed in the rescue room, the man looked at his mother's face full of pain, his mouth moved, but he didn't say anything!

He quickly picked up the pen: "Doctor, you must save her! Please. Treat it for as much as possible!"

Chen Cang looked at the man signing and asked, "What disease did your mother have in the past? What medicine are you taking now?"

The man was stunned. After thinking about it, he didn't remember: "I...I don't know..."

He really doesn't know what medicine his mother takes!

I don’t even know what disease my mother has!

Chen Cang sighed and continued to ask: "How many times have your mother been pregnant? How many children have they had miscarriage..."

The man was silent again: "I'm sorry, I...I don't know..."

Chen Cang nodded, as if many people didn’t know about this problem, so he asked again: “What surgery did your mother have had in recent years? What disease did she do?”

The man's voice was already crying because he found out that he knew nothing!

He didn't know anything about it!

He didn't know what disease his mother had, he didn't know whether his mother took medicine or not, and he didn't even know whether his mother had surgery!

Thinking of this, the man could no longer hold back his tears and rushed out.

What does he know?

He knows nothing!

He discovered that when his mother needed him, he knew nothing about all this.

He was scared!

He feels guilty!

He felt a deep sense of self-blame and shame spread to his heart.

Over the years, he suddenly realized that he felt that his familiar mother was... stranger, and he knew nothing about her...

Tears of guilt kept surging out. The man suddenly pounced and knelt down beside his mother's bed, touching his mother's hand with both hands, feeling guilty and uneasy.

I originally thought that I was the person who knew my mother the most, but in the end I found out... he really didn't know her anymore.
Chapter completed!
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