1726 Poisoning with rapid progression of the disease
Large blotches of skin and mucous membrane had appeared on the skin of Chen zeyhui’s chest and abdomen. The bruises on her pale skin were so glaring.
“He is suspected to have a blood system disease. Draw a blood test immediately. Contact the ICU and send them to the ICU. ” Zheng Ren said in a deep voice.
Zheng Ren then looked at Chen Zehui and asked,””How long has this been going on?”
Chen Zehui tried hard to raise her head. She was in a very strange position when she saw the changes in her body. She was also stunned.
She shook her head in a daze, indicating that she didn’t know.
“Did you knock into the table when you fainted?” A female colleague beside her guessed.
“It shouldn’t be.” “I remember that she was lying on the table,” another person said.”She shouldn’t have touched her stomach.”
“It looks so scary.”
Zheng Ren guessed that the symptoms had just appeared today, and even the patient himself had not noticed it.
“Do an abdominal CT scan. Hurry up.” Zheng Ren was giving medical advice in the emergency department’s resuscitation room with a serious expression.
Zhou Litao, who was supposed to be the owner of this place, had turned into a manservant and was running madly.
The ECG monitor measured blood pressure every five minutes, and the drop in value between the two times was very obvious.
Perhaps Chen Zehui’s struggle just now was too intense. The emotional fluctuations caused his blood pressure to rise, causing the unknown condition to ferment and worsen, leading to this series of changes.
After arranging for someone to give the patient a test sheet, Zhou Litao took a look at the blood pressure and took out the deep vein puncture kit without hesitation. He put on gloves and began to do deep vein puncture.
In a short period of time, the patient’s blood pressure plummeted. Considering that it was a low blood volume shock, hemorrhagic shock could not be diagnosed yet.
However, regardless of the diagnosis, fluid replacement was a must.
The existence of a deep vein puncture tunnel was equivalent to an additional insurance for the patient.
“What are you considering?” Su Yun leaned over and whispered.
Zheng Ren’s eyes flickered, then he said,””Hemorrhaging can also be considered to be caused by a rectal tumor or appendicitis, but if it’s combined with ultrasound and CT scans, it can also be ruled out.
Urinals should be considered if urinals were accompanied by urinals; Blood and urine, accompanied by waist swelling and dull pain, should be considered for infection; For a patient with hemorrhaging in the naked eye without any symptoms, a tumor would be considered; The blood and urine will cause symptoms of irritation, so we have to consider urinary infection. “
“It’s as good as not saying anything. ” “Can you not talk to me like you’re explaining your condition to a patient?” Su Yun pouted disdainfully.”Can’t there be a little trust between people?”
“I’m considering getting poisoned. ” Zheng Ren said in a low voice helplessly.
“Poisoned?” Su Yun sized up Chen Zehui’s attire and was a little suspicious of Zheng Ren’s judgment.
Even if the White – collar workers in the capital wanted to drink it, it was difficult to buy pesticides.
If he wanted to buy it online like Zhou chunyong’s son, it would take him at least a few days to get home. The anger in his stomach had long been vented. It would not be so easy for him to rush up to the sky and drink the pesticide.
Therefore, it was very rare to see a case of white collar workers drinking pesticide.
Other poisons were rare.
However, in the end, Zheng Ren very formally stated his suspicions, and Su Yun did not refute him. She began to quickly think about the possible situations that might occur to the patient.
There were many possible situations. In the face of this unknown disease, if he wanted to understand, he would have to transform into the great detective Polo.
Zheng Ren was also very vexed. The big pig trotter diagnosed that Wufu had food poisoning. However, it didn’t say what the poison was.
After Zhou Litao finished deep vein puncture, he put on a drip and replenished the patient’s fluid. Blood samples were also collected and sent to the laboratory Department.
“Boss Zheng, CT …” Zhou Litao was a little hesitant.
“Let’s just make one. ” Zheng Ren said,”prepare a defibrillator and other first aid drugs. Once we send them to the ICU, it will be even more difficult to do the check – up.”
Su Yun and Zhou Litao both understood what Zheng Ren meant.
The patient’s condition was unknown. Once he went to the ICU, there was a high probability that he would need a ventilator to help him breathe.
If he could hurry up and do a CT scan of his abdomen and chest, he could point out the way for future diagnosis and treatment.
“Then let’s go.” Zhou Litao was a little vexed. This was a critical condition, and it was very likely that his heart would stop on the way.
Regardless of whether it was in the CT room or on the way, if they needed to perform emergency treatment, using a defibrillator or performing chest compressions all the way to the ICU …
Now was not the time to be conflicted. There were definitely countless opinions, each with their own pros and cons. As for how to balance it … There was no need to balance it.
In an emergency, they could only listen to the suggestions of the senior doctor Who presided over the resuscitation.
When boss Zheng came to the emergency department, Zhou Litao habitually regarded his opinion as the opinion of a senior doctor and unconditionally carried out all the medical advice.
This was not the power of an administrative position, but the Halo of intimidation brought about by the crushing of technical standards.
They hurriedly lifted the patient onto the Gurney. Zhou Litao carried a first aid kit, and the nurse carried a defibrillator. They ran all the way to the CT room.
The risk of doing so was relatively high, but for the patient, the benefits outweighed the risks.
It was just that the other risks had to be borne by the doctor.
This heavy burden was pressing down on Zhou Litao’s shoulders. It was as heavy as carrying a mountain.
The Gurney sped all the way and the CT scan began. Zheng Ren and Su Yun stood in the operating room and looked at the image on the screen.
There was fluid in the pelvic cavity, and a blood clot in the left upper abdomen. There was a small amount of effusion in his lungs, of unknown origin.
At this time, the emergency department called, saying that it was the report of the four blood coagulation test results. His PT and APTT were 50 times more than the normal value, so he definitely had coagulopathy.
According to the routine blood test, his white blood cells were still very high, and his hemoglobin level had dropped from 9G to 5.5g two days ago.
“Let’s go to the ICU. Something must have induced coagulopathy, causing low blood volume shock. “
As for whether he could be saved, Zheng Ren did not dare to say.
On this point, the big pig trotter was extremely detestable. If he could be given a simple and clear treatment plan, he would be able to win without having to do anything.
He didn’t even need a treatment plan, as long as he explained what chemical poisoning it was.
Sigh … Zheng Ren sighed.
“What art are you talking about?” Su Yun asked.
“Artsy my ass, what poison did the patient get? You know about it?” Zheng Ren was obviously in a bad mood, so his words were a little harsh.
“Why are you throwing a tantrum? He had to ask little by little. Boss, do you feel that it’s a pity because the girl is so pretty?” Su Yun asked softly.
“Don’t talk nonsense. ” Zheng Ren’s face was serious.
“Tsk!” Su Yun scoffed.”Hypocrite, I’m leaving!”
“Su Yun, let’s go to the ICU and send the patient in. We can also understand the situation from the patient’s colleagues and friends who sent her here.” Zheng Ren said.
“Yes.” Su Yun also thought the same.
After the CT scan was done, Zhou Litao and the patient’s friends lifted her onto the Gurney and pushed her directly to the ICU. Zheng Ren printed out the x – ray and ran off without asking for a report.