Chapter 889 Overwhelmed Stomach!

The car is running fast!

Chen Cang's heart was also a little anxious.

"Doctor Chen, the patient's temperature is now 39 degrees Celsius!"

fever!

Chen Cang frowned.

Inflammation?

Or infection?

this is a problem.

No, maybe both are the problem!

At this point, the patient started vomiting again.

A large amount of undigested contents poured out continuously, mixed with blood.

Xiao Ke responded quickly and quickly caught a bag.

The smell of sourness permeates this small space, but little Currie's expression has not changed recently.

It seems that this is her job.

Chen Cang picked up the stethoscope and listened to his stomach, the bowel sounds disappeared, and percussed slightly, Chen Cang found a problem!

Liver dullness world disappeared?

Chen Cang frowned suddenly!

Think of a more serious problem!

After thinking of this, he hurriedly percussion on Lens' stomach.

Gastric bubble tympanic area disappeared.

This is……

Chen Cang, who is proficient in physical examination, knows the human body like the back of the hand.

The four-dimensional model diagram is constantly deduced, and the various clues are clear enough.

Although no laboratory tests and imaging tests were performed, in fact, Chen Cang can already guess the results.

Because the key clues are already clear.

Diagnosis does not need to be done for every item. A successful emergency doctor must use limited diagnostic techniques to obtain effective diagnostic results.

Chen Cang thought of a very possible disease: "Stomach perforation!"

If so, it all makes sense.

Severe abdominal pain is the most intuitive and most important manifestation and also the most important symptom.

The pain site is at the perforated site, and it is often a knife-cut or burning pain, which is usually persistent, but there is also a situation of episodic aggravation such as Lens.

Moreover, the patient's vomiting was caused by bacterial peritonitis and intestinal paralysis.

Now the performance is "poisoning" symptoms!

After all, a large amount of contents enter the abdominal cavity, and bacterial peritonitis is possible. Although the patient's condition is not in shock, Chen Cang estimates that he will not be able to last for long.

After all, intestinal paralysis has occurred, which means that there is a serious infection in the abdominal cavity.

At this time, Chen Cang put his hand on Lens' belly, and it felt like he was touching a wooden board!

"Full abs tight, flat belly!"

This was Chen Cang's first impression.

Eight and nine are inseparable!

Thinking of this, Chen Cang looked at the blond fat woman in her forties and said directly: "The patient is most likely to have acute peritonitis and intestinal paralysis caused by gastric perforation. Now the situation is more critical. , need to improve the diagnosis as soon as possible and carry out surgery.”

"Can you sign?"

Tracy nodded quickly and explained, "No problem, I can do it. I'm Lens' aunt and agent, and I have the right to sign."

"Doctor, you must save Lens, God, she's only 24 years old!"

"Never participate in such a bad game again!"

Tracy was very anxious, and her hands kept praying to God.

In fact, Chen Cang didn't know much about the big stomach competition, so he couldn't help asking: "Does she often participate in such competitions?"

Tracy shook his head: "No, in fact, although the Big Stomach King competition is often held, players like us, Lance, basically participate in the competition less than ten times a year."

"This time it's just commercial, and it may have something to do with her attending twice in the last month."

"I didn't expect it to be like this! God, bless Lens!"

Chen Cang nodded.

In fact, the big stomach king is not born, it needs continuous practice in the later period to practice a relaxation ability of the stomach.

This ability, in Chen Cang's opinion, has no effect other than damage to the gastric mucosa!

Because the stomachs of adults are actually similar!

It's not that your stomach is big and others' stomachs are small.

The stomach itself has "surprising bones" and is super stretchable, just like a "top balloon".

As you inflate the balloon, the capacity of the balloon increases, and likewise, the capacity of the stomach changes depending on what you eat.

However, the flexibility of the stomach is very good. After all, it is the top match. It is a biological structure, so the stomach itself will not be much different. As long as your food is emptied, the stomach will return to its original state.

It's like a pair of one-size elastic pants. People who wear it are different in fat and thin, and they look like different sizes on the back of the upper body.

But once you take it off, the stretch pants return to their original size.

Normal adult stomach capacity is only about 50ml on an empty stomach, and up to 1.5L after eating. When the stomach fills, it is mainly the expansion of the greater curvature of the stomach.

The volume of the stomach gradually increases with age.

Of course, children's stomachs are actually very small.

After a full meal, it is about 7ml for newborns, 300ml at one year old, 600ml at 3 years old, and 3000ml for adults.

In fact, the big stomach king is not a special function, it can be trained the day after tomorrow.

However, under normal circumstances, no one is going to train the capacity of the stomach. After all, it is useless for you to have such a large capacity.

Generally speaking, only sumo wrestlers are typical. They need, after special training, even 10 to 20 times the diet of ordinary people.

But... the balloon blows so big, it will definitely burst!

The stomach is not infinitely inflated, but has a limit. If the food intake always exceeds the limit of the stomach capacity, the stomach wall muscles will be stretched thinner and thinner, causing acute gastric dilatation.

And if there is peptic ulcer itself, coupled with acute gastric dilation, gastric perforation will naturally occur!

Because an ulcer is like a wound in the stomach!

Without a word, Chen Cang stared at the monitor. The drop in blood pressure should be caused by electrolytes and internal bleeding.

Thinking of this, Chen Cang picked up the phone, contacted the hospital quickly, opened the green channel as soon as possible, and prepared the operating room.

Not long after, the car stopped at the emergency door, and someone was already waiting at the door!

Chen Cang and Xiao Ke pushed the car down!

The staff who came with the car helped with the formalities.

Chen Cang hastily began to issue various medical orders:

"Blood routine, liver and kidney function, blood type, coagulation function..."

"Infectious Disease Check!"

"Abdominal CT!"

"Chest film!"

...

The emergency center is really a 24-hour non-stop hospital, and any department will be put to work in an instant.

The preoperative examination and preparation have already been completed, and the blood matching department has also transported the needed blood and started to heat up.

Everyone is busy urgently!

After Chen Cang pushed Lens into the emergency room, he said to Xiao Ke, "Prepare for abdominal piercing!"

It is still necessary to confirm the diagnosis by abdominal puncture.

Sure enough, just after Chen Cang's abdominal piercing was successful, yellow turbid digestive juice or food residue was pierced!

At this time, it is basically confirmed!

Soon, the X-ray and abdominal CT results came out, and the diagnosis could be made intuitively, and everything was waiting for the physiological and biochemical results.