Chapter 221
Chapter 221
The next day,
Lin Feng joined the emergency department of Harmony Hospital as quickly as possible.
Director Zhang Guofeng gathered all the doctors and introduced Lin Feng to all the doctors and nurses, smiling, kind and kind.
Lin Feng really came to the emergency room!"
"The director is too good for him, right?"
“MMP!!!"
A group of young doctors have a complicated heart at this time, thinking about when they came to the emergency department, Director Zhang Guofeng's cold face and iron-faced Shura's appearance, his heart was unbalanced for a while.
Why can Lin Feng be treated like this?
Looking at the peach blossoms of Lin Feng's face when those nurse girls looked at them, the young doctors were even more jealous.
......
"It's really complicated~~~"
Lin Feng also felt the difference in the surrounding atmosphere, and many doctors rejected themselves.
However, he can also understand.
The bigger the place, the more contradictions.
In the first hospital of the city, the strength of each doctor has a huge gap compared to Lin Feng, so he will be willing to be Lin Feng's assistant.
And harmony, these doctors are all elites, geniuses, proud and confident, naturally they will not easily bow to Lin Feng.
So
If Lin Feng wants to gain a foothold in the emergency department and convince the doctors, he must show the strength of the crushing level.
This process, maybe a month, or three months, or half a year...
But
Lin Feng is not afraid of this challenge!
With his strength, these doctors in front of him are all war scum!!
...
Lin Feng felt that these young doctors were all war scum.
These young doctors also looked down on Lin Feng.
"This is not one of those local small hospitals (city hospitals), it is harmony!"
"This Lin Feng, it was so valued from the beginning, it was too floating!"
"Find time, give him some horses?"
One by one, the young doctors thought so secretly in their hearts.
But
They haven't had time to give Lin Feng a horse power,
Lin Feng gave them a dismount.
......
At 10 a.m.,
When Lin Feng sat in the consultation room,
In the emergency department, a 14-year-old girl came.
The parents came with them.
The doctor who treated her was Wang Yi, the attending physician of the emergency department, one of the doctors who had previously said that he would give Lin Feng a horse power.
"Doctor, help my daughter see, she now has a stomachache, vomiting, and a very swollen stomach. "
The parents looked nervous.
"How long has it been pain?" asked Wang Yi.
Patients with bloating and vomiting are most likely to:
Intestinal obstruction...
Acute peritonitis...
"It's been in pain for a day or two, but this morning was so bad that I almost couldn't stand upright." "
"When did you come to the moon?"
"Ten days ago. "
That is, not dysmenorrhea.
All young women with abdominal pain must be vigilant against gynecological diseases.
Such as pain, ectopic pregnancy, ovarian pedicle torsion...
Wait a minute!
Exclude first.
"Doctor, I'm swollen now, my stomach is bulging, I want to vomit when I drink water, and I want to vomit when I eat..."
"Have you eaten any different food?" asked Dr. Wang Yi.
"No, the child just happened to be at home on vacation these two days, it's all my cooking, nothing special." "
"Did you fart?"
"No, I usually fart less. "The girls are a little embarrassed.
"What about poop, has there been poop these days. "
"I didn't poop in the past two days, I didn't have a good appetite, I didn't eat anything, so I didn't poop. "
Next, Dr. Wang Yi examined the little girl.
The stomach is indeed bulging, and it is full of gas, not like liquid.
This excludes peritonitis, which is a tabular, hard abdominal manifestation.
There is tenderness.
Then use a stethoscope to listen for bowel sounds.
No!
A normal person's stomach will have bowel sounds 3-5 times a minute, which means that the intestines are active, digesting and absorbing food.
If you can't hear bowel sounds for a minute, and you have such a bloated stomach, there is definitely a problem.
Other words
Abdominal pain is caused by the disease of the stomach itself!
Gynecological diseases such as ectopic pregnancy can be excluded.
So, most likely intestinal obstruction!
And it is paralytic intestinal obstruction, the intestines do not seem to move much, this is a red flag, if the intestines are not good, they will soon be ischemic necrosis, if this is the case, the problem is serious.
The so-called intestinal obstruction means that a certain section of intestinal obstruction, intestinal contents (digestion) can not pass, then this intestine will be more and more dilated, the patient will have abdominal pain, vomiting, bloating, and anus stop exhaust and defecation.
Especially stop exhaust defecation, this is very important, the girl has not defecated and farted for 2 days, which cannot but make people suspect intestinal obstruction.
At this time, Dr. Wang Yi discovered another thing.
The patient's little girl has cold hands and feet
Dry skin, do not want the skin of little girls, obviously the lack of water is serious.
Intestinal obstruction, which can cause dehydration.
In this case, it is necessary to quickly replenish water and drip normal saline...
"Let's go for a CT..."
As long as the CT is done, all the results will be found.
......
It took an hour,
11:00......
The CT is done.
Dr. Wang Yi got the CT results.
· CT results: The intestinal lumen in the abdominal cavity is significantly dilated, and the fluid level is seen.
This is a typical manifestation of "intestinal obstruction"!
Really intestinal obstruction!
"Intestinal obstruction?"
"My girl is so good, why is her intestines obstructed?"
"Have you had any surgeries before?"
Mom: "I had appendicitis removal when I was in elementary school. "
"Appendicitis removal?"
Dr. Wang Yi was delighted.
The cause has been found!
Patients who have had abdominal surgery are highly likely to develop adhesive ileus!
Adhesive intestinal obstruction: After surgery, the intestinal serous membrane will be damaged, and some damaged serosa may adhere to each other, and over time, it may tighten the local intestine, causing intestinal obstruction...
Dr. Wang Yi is very happy.
In the emergency department, it's all about efficiency.
Now that the cause has been found, and there is CT evidence, then this disease must be intestinal obstruction.
Moreover, the little girl is now seriously short of water, which is a sign of a serious condition, maybe it is easy to go into shock, so speed up the operation.
"Go pay the money, admit to the hospital, and then an hour later, start the operation!"
Dr. Wang Yi began to arrange it quickly.
Soon, the operating room was arranged, cut in line ...
And then the money was paid ...
The admission surgery was done...
............
Lin Feng's side,
He happened to be sitting in the consultation room next to him, but his number, not many people hung up, because he was still a regular doctor, not even a small chief doctor, and many patients in the imperial capital did not believe in his strength.
Therefore, Lin Feng is very idle.
At this time, the little girl changed into a hospital gown and prepared for surgery.
suddenly
She saw Lin Feng.
"Wow~~ Doctor Lin!!"
She looked at the idol Lin Feng in front of her in surprise.
Originally, she was from Pink Huaze, but later in the airport, she was infected by Lin Feng's handsomeness, heroism, and life-saving help!
Suddenly became a fan of Lin Feng, and he was particularly fanatical.
"You are?"
"Dr. Lin, my name is Jiawen, and I am your fan!"
"Oooooh~~~~"
"Can you sign me?"
"Yes!"
Lin Feng quickly signed a word to the little girl Jiawen, a very beautiful word.
"You are?" Lin Feng looked at her hospital gown curiously.
"I had stomachaches and vomiting in the past two days, and then just now the doctor diagnosed me with intestinal obstruction, so I was admitted to the hospital, and I will have surgery later..."
Lin Feng nodded.
Anyway, he has no patients to see now, so he simply talked about the cause.
But
Listening to it, Lin Feng's brows furrowed.
Intestinal obstruction?
It doesn't feel like ah~~~
"Wait... I'll look at your CT..."
CT is fine, it's intestinal obstruction.
Lin Feng, who was idle and fine, did a physical examination for fan Jiawen, and it didn't sound right.
A doctor with rich clinical experience, Lin Feng's intuition is still very accurate.
"Has the blood sugar been measured?"
Lin Feng feeling,
This fan Jiawen breathes a little hard, and it is difficult to have a lack of oxygen or other problems.
It could be a problem with your blood sugar!
"Blood sugar?
"Let me give you a blood sugar test..."
Lin Feng called nurse Xiao Ai.
"Xiao Ai, help me get a blood glucose meter..."
"Okay!"
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ps: It's late, I changed the plot, it took a lot of time.
。
radicalducati