Chapter 133: Fighting for the Death of Hades (Added 4)
At this time, Dr. Wang had already begun to give diagnostic opinions to patients.
"Judging from the symptoms and test results, the initial diagnosis of this disease is acute appendicitis. Our surgeon here will be in charge of the second consultation, and after confirming that everything is correct, we will give a treatment plan. ”
Dr. Wang put a question mark behind acute appendicitis.
This is the practice of all physicians.
Unless it is nine out of ten and the disease is diagnosed, it will always be a question mark.
Don't ask why you're doing it.
The doctor's job is not easy, and he is afraid of being broken.
Dr. Wang is an internal medicine physician, but appendix surgery is surgery. Therefore, in this case, Dr. Luo Wenhao from the emergency surgery department had to be asked to do this operation.
The emergency department is inherently a department, so it is natural to work together.
If the Department of Surgery receives an internal medicine case, it will also ask Dr. Wang Lishu to come over for help.
As for the many people who think that the emergency department doctor is the all-powerful holy hand, he can cure any disease. That's a pure layman who doesn't understand the nature of the emergency department at all.
Soon, Dr. Luo Wenhao came over.
"Dr. Luo, I have a patient with acute appendicitis here, please take another look. Physician Wang said politely.
"Dr. Wang has made a diagnosis, so there must be no mistake. Dr. Luo Wenhao glanced at the female patient who was dying of pain, and his words changed slightly. "Is it serious, do I need to have an appendectomy right away?"
Naturally, he picked up the checklist and looked at it.
"Hey, judging from the B-ultrasound image, the patient's appendix lesion should not be serious. How could it hurt so much?" Luo Wenhao walked in front of the female patient and reached out to touch her forehead.
This is to see if there are any symptoms such as fever.
Then he pressed the female patient's abdomen again.
"The tenderness response is not particularly noticeable. Judging from the ultrasound of her abdomen, it should not have reached the level of removing the appendix. Why don't you infuse it to reduce inflammation first, and then observe it. ”
Dr. Luo Wenhao gave a treatment plan.
As a surgeon, he is obviously more professional than Dr. Wang in diagnosing the disease of appendicitis.
It also seems more certain.
"Doctor, don't you want to help my girl anymore. I've heard that acute appendicitis can kill people if they don't go through surgery. My daughter is not a squeamish girl, screaming like this, it must be unbearable. Let's take a closer look. ”
The female patient's father pleaded in a low voice.
"Can you let me take her pulse again?" Li Quan looked at the woman's father.
"Yes, please!" the woman's father remembered his reckless behavior towards Li Quan just now, and felt ashamed.
Li Quan squatted down again to check the woman's pulse, her teeth chattered in pain, and her bite "creaked".
The nails even pinched the skin and bleed.
"Ms. Zhang, please relax, I'll take your pulse, if you push too hard, I won't be able to take the pulse. Li Quan gently comforted the female patient.
The woman was in so much pain that she was a little unconscious.
I just want the doctor to save her quickly.
Hearing Li Quan's words, she really endured it and didn't grab the bed frame anymore.
"It's still a broken pulse, and the pulse is starting to change. There seems to be a tendency to be out of the pulse. ”
Li Quan couldn't help but be shocked.
If there is no error in his pulse diagnosis, it means that the patient's condition is deteriorating rapidly.
It was by no means a mild appendicitis diagnosed by Dr. Lo Man-ho.
And the patient's father also said that his daughter was not so squeamish. Don't yell at the slightest pain.
"Physician Wang, Physician Luo, I suspect that the patient's large intestine blood vessels are embolized. The patient's fingernails have broken the skin, and the pain level should be very high. In addition, the patient's pulse tends to become out of pulse, and the condition deteriorates dramatically. I recommend that the patient be given an abdominal CT immediately to determine the cause. ”
Li Quan said with a serious face.
Learning the lesson of being vetoed by Dr. Wang last time, Li Quan explained his own basis this time.
It's a pity that his pulse diagnosis technique has not been upgraded to the realm of Xiaocheng.
I only know that there may be embolism in the large intestine blood vessels, but I can't accurately lock down which specific blood vessels.
If it is not the vein that is embolized, there are only two arteries left. Regardless of which one is blocked, the patient's condition will be very dangerous.
"Just cutting a pulse, can you diagnose so much information?" Luo Wenhao's eyes narrowed slightly, staring at Li Quan.
Seriously, he didn't take Li Quan's pulse cut on the patient just now, and he didn't take it too seriously.
Although Li Quan not long ago, under his nose, he performed a bone correction technique and amazed him fiercely.
But now the situation is different.
The cause of the patient is in the abdominal cavity, and you can know that the blood vessels of the large intestine are blocked by taking a pulse?
If the pulse is really so magical, why do major hospitals have to spend a lot of money to introduce all kinds of advanced testing instruments?
Wouldn't it be enough to train doctors directly in the medical skills of pulse cutting?
Save money and effort, and don't have to spend money on maintenance and upgrading.
"I had a patient with acute gastroenteritis here, and it was Dr. Li who diagnosed the patient with acute pneumonia. In the end, under the guidance of Dr. Yang Yu, timely detection and decisive symptomatic treatment were done, so that no accident occurred. ”
Doctor Wang is deliberately giving Dr. Luo a reminder.
Don't underestimate Li Quan's skills.
This Gui Peisheng is definitely the best one he has ever seen.
At that time, I picked such a leftover person, and I was a little disappointed. I didn't expect the bottle to be full of sounds, but this most inconspicuous one is a demon.
Dr. Wang now has a deep belief in Li Quan's ability.
Doctor Luo thought about it for three or four seconds and decided to believe Li Quan.
There's nothing wrong with being careful.
The patient was given an additional request for an abdominal CT scan, which was fully in line with the process and regulations.
"That's fine, the family immediately took the patient to have an abdominal CT. Don't stand in line, just tell the doctor in the medical technology department. "Dr. Luo issued a request form with the word "urgent" on it.
I believe that colleagues in the medical technology department will understand it at a glance.
The woman's father took the checklist, pushed the emergency bed, and ran wildly.
Dr. Luo was very busy and went back to his post.
Not long after, the woman was pushed back by her father.
"Doctor, doctor, CT scan is out. At this time, Dr. Wang was actually taking on a new patient. However, in comparison, the woman's condition is obviously more serious.
He took the CT scan and looked at it.
There was a pang in my heart, and my face changed greatly.
"Physician Luo, Physician Luo......"
After calling twice, he simply stood up, "Doctor Li, hurry up and push the patient to the operating room with me, be quick!" Doctor Wang's expression was a little hideous, almost roaring.
Li Quan pushed the emergency bed and asked, "Doctor Wang, what is this patient's disease?"
He didn't even have a chance to look at the CT scan, so naturally he didn't know the cause.
"It is most likely mesenteric artery embolization. Doctor Wang gritted his teeth and spat out a few words with bitterness.
When Li Quan heard the name of this disease, he was stunned.
Immediately, the introduction of this disease in the book came to my mind.
This disease is very rare, it is easy to miss the diagnosis and misdiagnosis, and once delayed, the mortality rate is extremely high, and the case fatality rate is as high as 50%-80%. It is a disease that is not easy to detect, but it is extremely deadly.
No wonder Dr. Wang's expression was hideous like this.
They are not pushing the female patient to run now, but fighting with Lord Yama for the woman's life.
If you win, the woman will live.
If you lose, you will lose a living life.
Fortunately, under Li Quan's reminder, he did an abdominal CT in time. It was not treated as appendicitis. Otherwise, the consequences will be unimaginable.