Chapter 874 The Disease Caused by Playing Mahjong (1)

This morning, when Chen Cang returned to the emergency department, his mood had never been more relaxed!

I miss Tie Hanhan's old horse a little, and I also miss Nurse Yang Jie, who gives her milk.

"Doctor Chen is here!"

"Morning Doctor Chen!"

"Doctor Chen, you are finally back!"

When Chen Cang entered the office, everyone nodded.

Everyone knows what happened in the hospital these days. Chen Cang is now a sweet treat in the hospital.

When everyone thought of Yang Hongmei, they couldn't help shaking their heads. During this time, Nurse Yang was really panicked, for fear that Chen Cang would not be able to get along with her.

When Chen Cang entered the office, Yang Hongmei nodded and smiled awkwardly: "Dr. Chen, are you back?"

Chen Cang nodded and smiled, but said nothing.

Everyone is an adult, don't be so naive.

When Ma Yuehui saw Chen Cang, his eyes widened and he couldn't help but smile: "I don't want you in the cardiac surgery department? 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 was taken by Team Leader Ma a few days ago."

Yu Yong was about to laugh just now, when he heard Chen Cang's last sentence, he stared at Ma Yuehui with a straight face, his eyes stayed on him for ten seconds.

The old horse suddenly panicked!

Looking at Chen Cang, I dare not say anything...

"Director, it's not... boss, I'm afraid it's overdue!"

Lao Ma wants to explain, but...if the explanation is useful, why do you need corporal punishment?

Seeing Lao Yu like this, Chen Cang was relieved a lot at once.

Lao Yu couldn't help looking at Chen Cang, and said with a smile, "If you have time, take me to do this non-stop cardiac surgery. I've been busy during this time, so I didn't care."

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

Relying on the mountain, it is necessary to rely on it like this.

After Yu Yong had just left, the office suddenly burst into laughter.

Xu Aiqing couldn't help but look at the old horse with a playful expression: "Haha... If you buy coffee, I think it will be saved!"

Ma Yuehui gritted his teeth, feeling the pressure.

In the morning, Chen Cang did not get out of the car. After all, Chen Cang went out with the name of the emergency department to win glory for the emergency department, and was allowed to sit on the stage this morning.

At eleven o'clock in the morning, 120 hurried in a middle-aged woman.

In his fifties, there are three people around to accompany him!

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

Chen Cang was doing rounds, and when he heard Xiao Ke's voice, he hurriedly walked outside.

After coming out, looking at the three people around, Chen Cang learned to be smart this time, and quickly asked, "Who are the family members?"

The three shook their heads one after another!

"We are not family members!"

This time, Chen Cang was stunned.

"We are poker friends. When she was playing poker, she suddenly vomited, and then covered her stomach with a pain, so the three of us hurriedly delivered it."

The three are fluent in Beijing-flavored Mandarin.

The patient was carrying an ID card, and at this time she was pale and covered in cold sweat.

Seeing this, Chen Cang couldn't care about other things, and said quickly, "Xiao Ke, push the bed and send it to the emergency room."

Xiao Ke nodded quickly.

The card friends here helped to go through the formalities, and then contacted the family members to come.

"It hurts to death, my stomach hurts... Doctor, please save me!"

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

In fact, a qualified medical staff should have an intuitive first impression and judgment after seeing the patient's first face and hearing the signs.

At this time, the woman held her stomach with both hands, her face was painful, and she was accompanied by nausea and vomiting.

The first thing that came to his mind was acute abdomen!

"You lie down, I'll give you a physical examination!"

The woman shook her head: "No way, I turned around and felt uncomfortable."

Chen Cang helped the woman get into position, then lifted her clothes to reveal her belly!

As soon as his abdomen was exposed, Chen Cang saw Peng Long in his abdomen, and then Chen Cang pressed it.

The woman cried out in great pain: "Oh, it hurts, it hurts!"

A few minutes later, Chen Cang finished the inspection.

Chen Cang also had some impressions!

Whole abdominal tenderness, rebound tenderness, no muscle tension, obvious lower abdomen.

As for the words of Peng Long in the abdomen, Chen Cang knocked a little, and suddenly felt a dull sound coming!

Immediately frown!

"Xiao Ke, prepare for paracentesis!"

Now the patient must be diagnosed as soon as possible, there is a lot of fluid in the patient's abdominal cavity, and now I don't know what it is.

And Chen Cang also called the card friends in!

"Is the patient injured?"

"No!"

"There are more guns fired, so you won't be injured!"

"Um!"

Looking at the three people's answers, Chen Cang couldn't help laughing bitterly. He couldn't release internal bleeding when he fired a gun, right?

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

The patient's family has not yet appeared.

Fortunately, although the woman has abdominal pain, she will not fall into a coma, her consciousness is still clear, and she can sign by herself.

Chen Cang held the puncture needle and gently pierced it toward the lower abdomen.

In fact, you need to pay attention here, because there is a bladder in the lower abdomen, and you must not puncture the bladder because of abdominal puncture. This kind of thing often happens... Many young doctors have abdominal puncture to extract urine!

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

"Blood is coming!"

"what's up?"

"Hurry up and call his son!"

The three card friends were all panicked at this time. Originally it was just an ordinary stomachache, but now blood suddenly came out of the stomach. This is a very terrifying thing for ordinary people.

Even Chen Cang frowned when he saw the red bloody liquid!

"No blood clotting!"

Generally, it is a very serious matter if the abdominal puncture does not coagulate.

why?

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

But!

Once the puncture fluid is non-coagulated, the first consideration is the rupture of intra-abdominal solid organs or mesenteric vessels, prompting the need for emergency surgery.

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

Can playing mahjong cure internal bleeding?

Shouldn't it be?

Chen Cang hurriedly said to Xiao Ke, "Routine blood test, blood coagulation..."

Chen Cang is in a mess now, because the evidence is not enough to support the rupture of internal organs in the abdominal cavity.

Afterwards, Chen Cang quickly pushed the patient towards the radiology department!

Currently, only intra-abdominal CT can help patients diagnose clearly.

Several poker players were neighbors, and they were a little anxious to see blood drawn from the stomach of an old friend.

Immediately after the patient is sent to the radiology department, filming is performed!

only……

There are no signs of organ rupture in the abdominal cavity!

This made both the radiologist and Chen Cang stunned.

What is the reason?

However, at this moment, the radiologist suddenly said, "Doctor Chen, look here!"

Chen Cang suddenly saw a picture in his abdominal cavity!

The radiologist was pleasantly surprised: "cable sign"!

As soon as this sentence came out, Chen Cang's expression changed suddenly, the problem was big...

...

ps: Thanks to "Uncle Owen and Uncle Drew" for the 10,000 reward, thank you!