1671 Clearing the sewers
Zhou Litao didn’t have the time to be idle. He chatted with Zheng Ren for a while before going to see the patient again.
It was a patient with acute appendicitis. He was expected to be admitted to the hospital for surgery.
Old he didn’t go home either, as Zheng Ren was accompanying cui Lao. It seemed that this guy had already recovered and was ready to pester her to join the medical group no matter what.
Su Yun didn’t mind. She held her phone and sat on a chair outside, chatting with someone.
At 3:20 P. M., Two family members of the patient helped a male patient in his 50s into the room.
He clutched his stomach and didn’t use any force, probably because it would hurt if he used any force. She didn’t dare to walk too fast as she inched into cui Lao’s clinic.
This was a typical sign of peritoneum. Cui Lao immediately stood up and said,”Help him lie down on the bed.”
“Doctor, my stomach hurts.” The patient was in great pain. When he saw cui Lao, he felt as if he had seen his family and his emotions collapsed.
She looked at cui Lao with teary eyes and spoke in a sobbing tone.
“What’s going on? When did it start to hurt?” Cui Lao watched as the patient’s family supported the patient and gently laid him down on the bed.
The movement was very light, but the abdominal muscles contracted slightly, and the patient felt a burst of severe pain.
The sound of crying could be heard.
Zheng Ren saw that the patient’s system panel was blood red, and a few of the diagnoses were shocking and shocking. They were shock, acute peritoneum, intestinal rupture, and so on. However, what caught Zheng Ren’s attention the most was the diagnosis of Hanhan’s chemical enteritis.
How could it be so heavy? And what the hell was chemical?
The patient could not lie flat at all. Even if he was lying in the arms of a patient’s family member in a semi – reclining position, it would not work.
The moment cui Lao’s hand touched the patient’s stomach, the patient screamed even louder.
“The infectious shock isn’t too serious, at least for now. The time of the intestinal rupture probably isn’t long,” Zheng Ren judged.
She wasn’t afraid of screaming in pain, but she was afraid of being silent and wearing an indifferent expression. That was really heavy.
But whether it was heavy or not was only relative.
This patient had a plate – like abdomen. Cui Lao hesitated for a moment before he said,”Little Zheng, help me do an abdominal CT scan.”
“Alright,” he said. Zheng Ren immediately ordered.
“When did it start?” cui Lao asked.
“This morning … No, it hurt a little last night. I thought it would be fine after enduring it.” A family member of a patient said.
Last night? The timing didn’t seem right. Such a serious intestinal perforation should have lasted for a long time.
Zheng Ren wrote the list and pondered in his mind.
Cui Lao couldn’t get any detailed medical history in a short period of time, so he asked a family member who seemed to know the situation to take the patient for a CT scan and then send him to the gastrointestinal department.
As his Qiao Nan had obvious Qiao Nan’s Qiao Nan ‘s, she could feel the pain with just a slight movement. It took a lot of effort to help the patient onto the Gurney.
He didn’t dare to run, so he could only push the Gurney forward slowly to reduce the vibration.
“Did you eat something?” Zheng Ren asked as he walked.
“I haven’t eaten all day.” The patient was in so much pain that he looked like a shrimp. He curled up on the Gurney, and cold sweat was dripping down his sideburns.
The black color on his dark face had faded a lot.
Zheng Ren knew that this was a sign that the patient’s infectious shock was getting worse.
He had to hurry up and do an abdominal CT scan before performing an open abdominal surgery. Without any auxiliary examination, he could still perform an exploratory laparotomy. However, if that was the case, it would be like looking for a needle in a haystack, and it would be incomparable to having an x – ray before the surgery.
Zheng Ren asked a few more questions that could lead to intestinal perforation, but the patient’s answer was still no.
“Doctor, don’t ask anymore. He’s dying. Hurry up and save him!” The other accompanying nurse said anxiously.
Even if he was not a doctor, he could tell that the patient’s condition was not right when he heard the patient’s moans. Therefore, he could not control his temper and spoke in a harsh tone.
“We’ll be at the CT scan room soon. ” Zheng Ren said,”after the CT scan, we need an emergency operation. Can you sign the form before the operation?”
The patient’s family member stopped talking.
Signing meant taking responsibility. It was okay to help, but don’t take responsibility for things.
As long as they were not immediate family members, those who could inherit the inheritance were generally unwilling to sign it. This was also human nature.
Zheng Ren suppressed the anxiety in his heart and brought the patient to the CT room.
He handed the form to the operator who was doing a CT scan inside and lined up at the entrance, waiting for the emergency department to do a check.
There were many people waiting outside the CT room, and the waiting time was a little long. In addition, because their family members were sick, they were all a little impatient.
Someone saw that the Gurney was about to cut the queue and walked over to check on the situation. When they saw the half – dead person on the Gurney with the doctor, they suppressed their anxious emotions.
There were very few people who argued whether they should line up or rush up to reason at this time. There were a lot of bar spirits, but they also varied in time.
The airtight lead door opened, and Zheng Ren immediately pushed the patient into the CT room.
Zheng Ren carried him to the bed and let him lie as flat as possible before he went to the operation room.
After the CT scan was completed, Su Yun took the patient back. Zheng Ren found a machine in the reading room of the CT room and found the patient’s scan.
Zheng Ren knew that he was in trouble with just one glance.
When professor Liang saw Zheng Ren come in, he moved closer to him, wanting to learn something from him. He glanced at the x – ray and was stunned.
Dense air bubbles could be seen on the CT scan at the far end of the rectum and Sigma colon.
“Boss Zheng, this is …” Professor Liang had never seen such an image before and asked in surprise.
Zheng Ren thought for a while and said helplessly,””I’m guessing that the patient used or someone used hydrogen peroxide filling, which caused a chemical burn in the local intestine. “
Professor Liang was speechless and kept silent for a few seconds.
Hydrogen peroxide damages the mucous membrane and forms oxygen at the same time, so we can see the existence of firubies.” Zheng Ren continued to look at the other images.
It was definitely not enough to treat a chemical burn of the colon and rectum.
As he looked through the scans quickly, Zheng Ren noticed that the patient had diffused fish – infected peritoneum, as well as inflamed congestion in the colon and rectum. The White ooze and airbag were the classic signs, and they were known as the “white snow” signs.
As he looked through the x – ray quickly, Zheng Ren took out his phone and called Su Yun.
“Su Yun, you’re highly suspicious of the patient using hydrogen peroxide sausages. You can ask if that’s true.” “What other methods did he use other than filling it with hydrogen peroxide?” Zheng Ren asked.
As he spoke, Zheng Ren saw a high – density shadow near the patient’s spleen, and there was a large amount of oozing fluid around the spleen.
‘Holy sh * t … His spleen is ruptured!’ Zheng Ren was shocked.
Did this just happen?
Zheng Ren tried hard to recall that he did not look at the patient’s system panel when he sent the patient away.
There was probably a hemorrhagic shock, but what was that thing?
Could it be that the patient had poured more than 1000 ml of hydrogen peroxide into his intestines, which burned his intestines and then his spleen?
Just as he was thinking, Su Yun’s call came in.
“Boss, the patient said that he has been constipated for a month. Seven days ago, he used three living loaches to clear his bowels, and this afternoon, he used hydrogen peroxide to fill his intestines.”
MB! This is really troublesome!
Was he treating his own intestines like a sewer?