The patient was lying on the bed closest to the door of the emergency room.

The belly was raised high as if she was pregnant with a child and ten treasures.

The pants with obvious mud marks have been unstrapped, and they have been pulled to the bottom of the kamp.

The patient's belly is simply too big.

The big ones can only see the belly!

Zhang Tianyang quickly leaned in front of the two parts, and finally saw the patient's face and arms.

The patient was supposed to be very dark.

Because the skin on the face and arms takes on a weather-beaten, sun-and-rain color.

Only the belly is white.

Zhang Tianyang's mind inappropriately remembered the colorful balloons that had been blown up.

"Whew-whew-"

As they got closer, they could hear each other's faint and difficult exhalations.

Zhang Tianyang turned his head, and then he saw a face with his eyes closed, his brows furrowed deeply, and his muscles trembling slightly unconsciously.

Painful countenance.

"Didi! Didi!"

The monitor continued to scream piercingly.

The red symbol flashes wildly on the screen.

Pulse 119 beats per minute, breaths 30 breaths per minute, oxygen saturation 96%, blood pressure ...... Only 84/54mmHg!

The patient is already in shock!

Zhang Tianyang stretched out his hand without hesitation and began to conduct a physical examination at a rapid pace.

However, as soon as the palm of the hand touched the patient's belly, the patient suddenly trembled before he could start to exert force.

Change the position and touch again.

Another shake.

Switch positions again.

Still shaking.

But except for the ears becoming slightly shorter, but still exhaling weakly, the patient's pain was not heard.

The patient is, there is no strength to cry out for pain!

This is an extremely dangerous omen!

Zhang Tianyang's face was calm, and his palms moved quickly.

With the patient's whole body shaking, he quickly came to the result -

Whole-abdominal tenderness with rebound tenderness, positive Murphy's sign, positive moving dullness!

Mobility dullness is only positive if there is a large amount of fluid in the stomach.

It is usually only tested in patients with large amounts of ascites.

But now......

Is it ascites in the patient's stomach?

I'm afraid not......

It's all blood!

"Hum—"

The door of the rescue room opened again, and the white coat that was pushing the machine in a hurry began to yell at the top of his throat.

"Which critically ill patient is going to do B-ultrasound!"

"Here!"

"There!"

Zhang Tianyang and another young doctor raised their hands at the same time.

"Come!"

The ultrasound doctor pushed the machine and rushed over, "Take a hand!"

Zhang Tianyang didn't respond, but his hand had already stretched out, caught the machine with momentum, and let it stop steadily beside the bed.

Then, he picked up the couplant from the small basket next to the machine and squeezed it directly onto the patient's belly.

The clear, viscous liquid is evenly and gently applied to the belly, and the amount of couplant is greatly increased because the patient's stomach is stretched out.

But Zhang Tianyang's hands were fast, and he didn't delay much.

"Plug it in! Where's the socket?"

The ultrasound doctor pinched the plug and went to find the socket with another young doctor, and when he turned around, there was already a figure of Zhang Tianyang in front of the machine.

"Didi"

The machine is already turned on.

"What are you doing?!"

The B-ultrasound doctor subconsciously scolded.

As a B-ultrasound doctor, this B-ultrasound instrument is his most important thing, the machine is there, the machine is broken, and he has enough to choke.

And this kind of machine that requires a specialization in the surgical profession will not be used by ordinary clinicians!

"Don't spoil my ......"

Before he could shout the words, he was swallowed by the ultrasound doctor.

Because Zhang Tianyang has skillfully begun to debug the interface, and accurately adjusted the module required for abdominal B ultrasound.

"Give!"

The probe smeared with a layer of couplant was handed over by Zhang Tianyang.

The ultrasound doctor looked up at him.

There are three types of probes hanging next to the machine!

He didn't even ask?

And then got it right?

Don't...... Is it a peer?

"What are you waiting for?"

The ultrasound doctor deserted for a moment and was stunned for a moment.

Zhang Tianyang frowned, and directly reached out and took the probe back.

The patient's condition is very critical to the naked eye, and the whole hospital will be consulted after half an hour, and it is inevitable that the CT will need to be improved after the B ultrasound.

If surgery is to be performed, the anesthesiology department will also conduct an evaluation.

But with each delay, the patient's condition gets worse.

Soldiers, you are fast!

When you need to race against time, where is the time to desert?

When the probe arrived, Zhang Tianyang pressed it directly on the patient's belly, his eyes staring at the screen tightly.

"Huh?"

The ultrasound doctor only felt that his hand was loose, and when he turned around, the white coat next to him had already copied the probe and started to do it!

"How are you!"

It was also a subconscious reprimand, and after blurting out half a sentence, he automatically swallowed it consciously.

Because he found that the doctor who snatched the probe seemed to really do it.

Also, the image displayed on the screen doesn't seem to be good.

The only one present who couldn't understand the situation was the little doctor in the emergency department, who looked at the B-ultrasound doctor, and then at Zhang Tianyang, blinking.

Are these two doctors together?

Their faces were so serious...... And it's getting more and more serious!

So did the ultrasound find something bad?

"Massive effusion in the abdominal cavity. ”

Zhang Tianyang opened his mouth lightly and stated what he saw.

Next to him, the ultrasound doctor nodded involuntarily.

"The abdominal organs are blurred, but the kidney outline is faintly visible on the right side, and the left side is ......"

The probe moves to the patient's left side and begins to move little by little.

The patient's belly is swollen and large.

So compared to normal B-ultrasound, this kind of movement lasted for a long time.

Zhang Tianyang's hand was very steady.

Qi is also very stable.

But I couldn't help but tremble in my heart.

Because......

"I can't see the contour of the kidneys on the left side at all......"

I can't see a single thing!

Although there must be a large amount of fluid in the abdomen, the corresponding right kidney can still be seen to be ......

So......

Left kidney, gone?

Zhang Tianyang suddenly turned his head and stared at the little doctor in the emergency department.

"Has this patient had a kidney removed before?

Or was there something wrong with his left kidney?"

"This ......"

The little doctor in the emergency department was asked, but he quickly reacted, turned around and walked out.

"I'm going to ask the family!"

The door of the emergency room opened and closed, and the little doctor hurried.

"The patient had never had abdominal surgery before, and I had never heard of kidney problems when I was examined in other hospitals before!"

"So ......"

Zhang Tianyang's heart sank.

Where did the patient's "disappeared" left kidney go?

Fell from 3 meters.

Hit the ground on the left side of the waist and abdomen.

Bulging abdomen.

Full-abdominal tenderness and rebound tenderness.

Positive for mobile dullness.

Plus, the left kidney "disappears"......

A terrible guess appeared in Zhang Tianyang's mind.

"Didi! Didi!"

The monitor is screaming wildly.

The heart rate increased again, jumping to 122 beats per minute.

One and another.

The hearts of the doctors present gradually sank.

————————————

I've been so tired lately.

Well, and the health is not good again. It seems that the nervous system is wrong again.

During the Chinese New Year, I talked about facial paralysis in the book, and recently it recurred, and then this time it was not limited to the face, and the whole body was tactile reduced.

I made an appointment for MRI and EEG, and I had to wait.

alas