There's a big difference between satiety and bloating. Sun Lien had a flash of inspiration, although there was no direct evidence, but he felt that this was probably the correct answer to all questions.

"Do you feel that satisfied feeling of fullness, or do you feel that your stomach is a little swollen?" Sun Lien asked, "This is a big difference, you can feel it well before answering me." ”

Sun Lien's questioning aroused the curiosity of the experts watching next to him, and they really did not take the initiative to ask Li Fengmin how he felt now. In fact, they didn't even ask Li Fengmin if he had any questions in the past. All examinations and interviews are done for choking and lumbar disc herniation.

"It's a little bit up. After thinking about it for a long time, Li Fengmin replied with some hesitation, "Does this have anything to do with it?"

"Take your blood pressure again. Sun Lien did not answer Li Fengmin's question, he estimated that after another ten minutes or so, he measured Li Fengmin's blood pressure again, and this time the results further confirmed Sun Lien's thoughts. "Heart rate 90, systolic blood pressure 95 mm Hg, diastolic blood pressure 70 mm Hg. "This blood pressure parameter has basically reached the lower limit of normal blood pressure. Li Fengmin's blood pressure is indeed gradually decreasing.

"Call an ambulance immediately, he has to rush to the hospital. Sun Lien's brows furrowed. Although it is not immediately possible to determine whether this change will be life-threatening, whether it is due to occupational sensitivity or diagnostic needs, Li Fengmin should immediately go to the hospital for further examination.

"Xiao Sun, what do you see the problem?" the white and chubby old man asked with a frown, although he didn't ask too much detail during the consultation, they all felt that Li Fengmin was fine. Even Lao Li himself didn't feel any serious discomfort.

"It's hard to say yet, but this trend of blood pressure drop is not good. Sun Lien replied, he directly called the lifeguard, asked him to contact the ambulance immediately, and he began to palpate Li Fengmin's abdomen. "I suspect there may be internal bleeding. ”

"Internal bleeding?" A group of experts around him frowned at the same time, "There is no blood clotting disorder, no external injury, no impact, where is the internal bleeding?"

Sun Lien frowned and checked, "I don't know." But with this steady drop in blood pressure, I can only think of internal bleeding. He tapped carefully on Li Fengmin's stomach, "Let's go to the hospital." If there is no problem, it should be a false alarm, but if there is really internal bleeding, at this rate of blood pressure dropping, it will be too late after he has symptoms of excessive blood loss. ”

Sun Lien said it very bluntly, anyway, everyone present was peers. Even if they don't come from the emergency department or anesthesia, they should understand this simple truth - a false alarm is much better than a surprise, or even danger.

Although the surrounding experts are not very recognizant of Sun Lien's diagnosis, after all, what Dr. Sun said is quite reasonable. If Lao Li is fine, it's a big deal that everyone will laugh at Sun Lien at the dinner table in the future and make a big fuss. But if Li Fengmin really had serious and hidden internal bleeding as Sun Lien said, and he hadn't gone to the hospital yet, then no one would be able to laugh after that - this would be dead!

The hospital in Sanya was notified that the ambulance was on its way to the hotel. Li Fengmin also showed unusual symptoms, he felt some swelling pain at the base of his left leg. But it's still within the limits of patience.

"Get him two bath towels. Hu Jia called the hotel manager who was nervous and on standby. She noticed that Li Fengmin's face was a little pale, and he seemed to be trembling slightly. But the current temperature in Sanya is about 27 degrees, so it stands to reason that it shouldn't feel cold.

"It's internal bleeding. The onlookers finally recognized Sun Lien's diagnosis. Pale face and shortness of breath are typical symptoms of excessive blood loss and imminent shock.

But the most important question has not yet been found, where is the bleeding point, where is the bleeding location?

Sun Lien began the fifth detailed physical examination. After he pressed Li Fengmin's left lower abdomen, Li Fengmin began to cry out in pain, and after letting go of his hand, Sun Lien clearly heard the moans coming from Li Fengmin's mouth again.

Left lower quadrant tenderness, positive rebound tenderness. Sun Lien almost shouted happily, this time the palpation receipt was too big, he was not only sure that there was tenderness and rebound pain in the left lower abdomen of Li Fengmin, but also from the hard feel, Li Fengmin had obvious abdominal muscle tension.

That's right, internal bleeding, and it's right in the right lower quadrant.

The surrounding experts were in an uproar. And in the midst of this bustle, Hu Jia quickly lay down beside Li Fengmin and asked urgently, "Do you have any allergies?" Do you have diabetes, high blood pressure or other old problems?"

Li Fengmin turned his head a little sluggishly and shook his head at Hu Jia, "No." ”

"Have you had any other surgeries, have you ever implanted metal in your body?" asked Hu Jia as she quickly put her hand on Li Fengmin's neck and began to confirm his carotid pulse.

"More than a decade ago...... Gastric perforation repair. Li Fengmin said in a low voice, "No...... Yes...... Implant. ”

His consciousness began to fade.

"How long will it take for the ambulance to arrive?" The onlookers were already anxious, everyone was not a rookie, and they knew from Li Fengmin's situation that Lao Li might be attacked this time. "Is there a stretcher? Hurry up and carry the person to the door!"

Sun Lien suddenly asked, "Is there a tourniquet?" He must do something immediately, otherwise Li Fengmin would probably die of blood loss in the ambulance.

Hu Jia did not hesitate to take off the headband he used to tie his hair, and after discovering that Sun Lien was preparing to tie Li Fengmin's lower limbs to prevent venous return, Hu Jia realized that his headband was not enough at all. She anxiously looked around and saw the two hotel managers in suits, and was overjoyed. "You two, take off your ties!"

Of course, Li Fengmin had internal bleeding caused by a ruptured vein, and if it had been a ruptured artery, he would have died long ago. But the real problem is that Sun Lien also doesn't know which vein Li Fengmin ruptured and where. Judging by the location of the swelling pain, it is possible to have iliac veins and deep femoral veins or even pelvic veins. If it is an iliac vein or pelvic vein, it is less effective in blocking femoral venous return. But this is also the only feasible plan after all - you can't just open your abdomen urgently in this kind of place for exploration, there is no plasma support, and now even if the bleeding point is found immediately, Li Fengmin still has to die.