Chapter 132: The Elephant of the Broken Pulse (Add. 3)

"Doctor Li, please go and see the patient named Huang Ximei again, if the pneumonia condition worsens, I will immediately ask Doctor Yang Yu to deal with it. ”

Wang Lishu has changed his name to Li Quan now, and even his attitude is much more polite.

It's no longer that cold, commanding tone.

The old man Huang Ximei's condition is very dangerous, but Doctor Wang has now asked Li Quan to go over to check on her, what does this mean? First of all, it must be trust. It is the trust in Li Quan's medical skills.

Secondly, I am also worried about another accident.

In terms of pneumonia diagnosis, whether Dr. Wang admits it or not, Li Quan is indeed better than him.

Li Quan went to check the old man's condition, and through the dual means of visiting and cutting the pulse, he found that the old man's condition was quite stable. It did not continue to deteriorate.

Due to the limited medical resources in the emergency room, vital signs monitoring instruments are mainly placed in the emergency room, ICU, and operating room.

Therefore, for the time being, no life monitoring equipment has been installed for the elderly.

Not even a half-nasal oxygen was done.

It's not that there is no oxygen delivery equipment, but because the patient's condition has not progressed to that point.

Premature oxygen delivery is tantamount to harming the patient.

It's like a lot of people who have a little cold and run to get an infusion and get an antibiotic. By the time antibiotics are really needed, it's over, and there are no more drugs available.

In addition, the misuse of antibiotics can make the body severely dependent and reduce the body's immunity.

"Elderly, what about your children? In your current situation, it is better to have family members with you. Li Quan asked the old man.

"Alas...... My child died in the line of duty more than thirty years ago. My wife also left early, and there was no one at home for a long time. The old man shook his head and sighed.

"What if you have to go through the hospitalization procedures at night? Without an escort, the hospital will not give you the hospitalization procedures. Li Quan was somewhat sympathetic to the old man.

According to the regulations of the hospital, patients like this who are difficult to take care of themselves and may even be in danger of their lives must be accompanied before they are admitted to the hospital.

"It's okay, young man, you go and get busy with you. If I really need to be hospitalized, just hire a nurse. "The old man is very clear about these procedures and has a way to deal with them.

It doesn't appear to be the first time I've been hospitalized.

"Then you lie here and rest, and if there is anything, you can call us. ”

Li Quan admonished and went back to report to Dr. Wang.

"Doctor Wang, the old man named Huang Ximei, his condition is quite stable and has not deteriorated further. ”

"That's good! Dr. Wang breathed a sigh of relief, and his brow furrowed a lot.

There must have been some psychological pressure on him.

The emergency department is a tiring and dangerous department.

If you are not careful, you may have an accident.

"Ah...... Ah......h

The young woman had returned from the examination, and the screams had become even more terrifying. Along the way, it attracted the attention of countless people.

"Doctor, doctor, please help my girl take a look, this is the B-ultrasound single and the blood routine result sheet. The woman's father was so anxious that he almost burst into tears.

"Don't worry, I'll take a look! Only when the cause is found can the symptoms be treated. ”

Dr. Wang took the test documents and looked at them.

For modern physicians, test data and advanced imaging techniques can help them diagnose the cause of the disease.

Li Quan took two steps forward and clasped one hand on the woman's wrist.

"Bear with me, we as doctors can only treat the symptoms if we find out the cause of your disease. While Li Quan comforted her gently, he was also feeling her pulse with his heart.

The mantra of the pulse method automatically appeared in his mind.

There are three parts of the vein, multiplying yin and yang, Rongwei blood and qi, bowing in the human body, up and down in the middle, because of the breath of the cloth, the flow of fluid. Actions at any time, the effect is described, the spring strings float in autumn, the winter sinks and the summer floods. Observe the color and vein, the size is different......

"The patient's pulse is wrong. The pulse is rapid and fierce, but it regularly beats. What's going on?"

Li Quan couldn't help but think of the diagnosis he made on the woman by his own Zhan Nian technique.

The lesion is in the large intestine, but there is a regular pulse, indicating that there is a blood flow in the large intestine.

Unable to form an effective circuit, this is why the pulse is broken.

If the main vein is blocked, the phenomenon of broken pulse will be more serious.

"It's a pity that my pulse diagnosis is still only a small realm, and I can't find out the specific cause when I don't get home. ”

Fine sweat broke out on Li Quan's forehead, which was urgent.

If no cause can be identified, it means that there is no way to cure the patient.

The woman's pulse was extremely abnormal.

When things go wrong, there must be demons.

In the face of this female patient who kept screaming, Li Quan did not dare to be negligent in the slightest. I dare not be overly superstitious about the ability of senior physicians.

The old man named Huang Ximei before is the best example from the past.

Li Quan just started squatting down and put it on the female patient's wrist, but the family didn't say anything.

Think this is just a normal diagnosis behavior of the doctor.

But Li Quan has been holding the female patient's wrist, and the family members are a little dissatisfied.

"Little doctor, you are a modern hospital, right? Why do you still use this old-fashioned pulse diagnosis technique?" The family member unceremoniously removed Li Quan's hand.

In addition to questioning, he is also full of vigilance against Li Quan.

It is no wonder that the current group of physicians is uneven, and those with bad moral character have done some bad things without skin and face, resulting in patients and their families having a bad view of the entire group of physicians.

Physician Wang saw that Li Quan was treated so roughly by the patient's family, although he also blamed Li Quan for being troublesome.

He still spoke out to defend Li Quan, and said to his family members in a calm voice: "Although there are many advanced instruments for diagnosing diseases, pulse diagnosis is the foundation of Chinese medicine. A variety of methods of traditional Chinese and Western medicine can comprehensively diagnose diseases, with higher accuracy, which can reduce the occurrence of missed diagnosis and misdiagnosis. Our Dr. Li took your daughter's pulse, and that was in a responsible manner. ”

At the critical moment, Dr. Wang spoke up for Li Quan and maintained his dignity, which made Li Quan feel grateful to Dr. Wang.

The woman's father also seemed to realize the mistake, "Doctor Li, I'm sorry just now, I misunderstood you!" He quickly apologized to Li Quan.

"It's okay, just explain it clearly!" Li Quan waved his hand, but his mind kept thinking about the pulse he had just cut.

Why does a broken pulse occur?

His mind couldn't help but think of the pulse of the last time Ms. Yang, who was bleeding profusely. After Ms. Yang suffered heavy bleeding, her blood pressure could not rise because her heart was blocked and her return was weak.

However, Ms. Yang's pulse was very different from that of this woman.

It can only provide Li Quan with a direction to think.

Weak pulse and broken pulse are completely two different concepts.

"The heart pulse is blocked, but it is not completely occluded, resulting in a weak pulse. So what if the blood vessels are completely closed?"

A flash of inspiration flashed in Li Quan's mind.

This woman has a broken pulse, could it be that a blood vessel is blocked?

If the lesion is in the large intestine, then the blocked blood vessels will definitely be in the large intestine. At least it is also associated with the large intestine.

Which blood vessel could be blocked?

There are three main blood vessels in the large intestine, the superior mesenteric artery, the inferior mesenteric artery, and the mesenteric vein. The most common thing that happens is varicose veins.

If the mesenteric varicose veins are severe, the ultrasound should be able to show some clues.

Being able to directly block the blood vessels, this varicose vein must be very serious.

Li Quan subconsciously looked at the B-ultrasound order in Dr. Wang's hand.

B-ultrasound imaging technology is relatively basket and has poor definition.

Li Quan looked at it for a long time and didn't find any images of varicose veins. However, the large intestine is tortuous, and even if there is, it is not easy to distinguish.