(Thanks to my friends for the encouragement of the night smoke, and thanks to the encouragement of my friends' self-pity poetry and wine slimming monthly pass)

With doubts in his heart, Liu Banxia spread out all the relevant diagnoses of the child and looked at them against each other.

Even if he looked at it again, the whole test result was normal. Then he called up the ultrasound image again, and after looking at it, it was still normal.

There are many causes of abdominal pain, but now that organic lesions have been ruled out, ultrasound and CT are normal. Parasites are also ruled out, and stool tests are normal.

Even the acute intermittent porphyria that he had diagnosed and treated could be ruled out, as could the results of the urine test and the fact that the child was not photophobic.

Median arcuate ligament compression syndrome can also be ruled out, not pain at the xiphoid process. And that kind of pain is also painful all the time, but it is not such an easy performance as it is now.

There is still a certain pattern in children's abdominal pain, and the blame is that it comes and goes quickly. According to the child's description, the pain peaked and then stopped abruptly.

"Doctor, am I terminally ill?"

Seeing that the expression on Liu Banxia's face was very serious, the child asked very scaredly.

"Don't think about it, these test results are normal, and now we have to find some neurological reasons. Liu Banxia said with a smile.

"Because painful disorders are either organic or neurological. Have you ever bumped into it lately?"

The patient shook his head, "No, physical education classes are rarely attended, and even if they do, they jog on the playground." Other people like to play football and basketball, but I can't play it well, at most I can play shuttlecock. ”

"When you say that, it also brings back memories of my student days. But we were better at the time, at least in the third year of high school, when the physical education teacher started to get sick. Liu Banxia said.

He said it easily, which amused the children.

It's true that PE teachers often get sick for no apparent reason.

"How long does it take to hurt each time?" Seeing that the child was relaxed, Liu Banxia asked again.

"It takes about an hour, and it hurts at first, but it really hurts later. The patient thought for a moment and said.

"It started to hurt when I came here today, and then it took a long time to do these tests, and now it doesn't hurt anymore. Could there be a tapeworm that grows on one side of the intestine?"

"Haha, if there is, the results of the test will come out. Come, lie down, and I'll give you another examination. Liu Banxia said with a smile.

At least now it is certain that the child is not lying. And if the child is not lying, the cause of the pain must be investigated slowly.

Carefully examined the child, the same situation as Wang Huan gave out, everything was normal. Even auscultation of bowel sounds is normal.

"Mr. Liu, how is it?" After Liu Banxia finished auscultating, Wang Huan, who rushed over, spoke.

"Let's stay and watch for now, the child is a sincere child. I have to talk to his dad about how I can wronged the child. Lie down here, and when you feel that pain again, you will call us, and we will understand what we have to understand. ”

Hearing his words, the child nodded with a relaxed expression.

Wang Huan was very curious, he didn't know what Liu Banxia had just talked about with the child, and he had recovered his spirit so well.

"Do you have eyebrows?" asked Wang Huan.

Liu Banxia shook his head, "So I can only wait and see what the next episode will be." When the time comes, I'll do an EEG again, and I'm now somewhat suspicious of neurological symptoms, similar to intestinal spasms. ”

Wang Huan frowned, "I also thought about it at the time, but there was nothing abnormal when I listened to the bowel sounds." I thought it would be my turn to show my face this time, maybe it was acute intermittent porphyria. ”

"What else do you need to show your face? The courtyard can send you and Brother Hui over, this is already a matter of showing your face. Liu Banxia said.

"I also learned later, except for our general surgery, the attending staff of the rest of the departments were carefully discussed and screened before they were determined. ”

"Actually, I'm looking forward to it now, when our departments here are built, so many floors can be used, tsk, don't look at it as an emergency center in the future, it's really no worse than the ordinary top three." ”

"Haha, when will the letter in the courtyard be built?" asked Wang Huan.

This is not clear, so I listened to Director Jiang of the anorectal department, and the dean's mind is very big, which is to strive for a national trauma emergency center. Liu Banxia said.

"So I don't think it will be long, this year, at least the provincial level can be taken down. Then we will build the discipline and invite some great powers to take charge, and this thing may be done. ”

"Let's not talk about it for a while, I saw another emergency patient pushing in, and I went over to take a look. Call me again if there is any situation here, especially when the child's abdominal pain occurs again. ”

Wang Huan nodded, and he also saw the first aid worker pushing the emergency bed in.

"30 weeks pregnant, abdominal pain, blood pressure 90/130, heart rate 110, oxygen already given in the ambulance. The first responder said.

"Rescue room, even monitor, fetal heart rate monitor, bedside ultrasound. Qi Wentao, who was in charge of the reception, said.

Although the patient's life is not obviously in danger, because she is pregnant, the risk level will be directly increased. Now all that needs to be done is to find out if the cause of the abdominal pain is because of the fetus or because of the organs in her abdomen.

Qi Wentao was also a little nervous, and he was also very worried about the condition of the fetus.

After a few sweeps, his brows furrowed, and he looked back at Liu Banxia, "Mr. Liu, it seems that the spleen is wandering and the spleen is twisted, and the current twisting angle is not big, do you want to go to CT?"

Liu Banxia's brows were also furrowed tightly, "Let's make one and assess the condition of the spleen." Otherwise, this operation will also be difficult, and the patient and family will not have a good time. ”

Qi Wentao nodded, and directly pushed the patient to the CT room.

"Dr. Liu, isn't this a very routine operation? We can avoid uterine surgery, and pregnancy is also a major cause of spleen migration. Xu Yinuo said.

"It's not the surgery that's hard, it's the patient and the family. Because you're still a girl, you don't feel it that deeply now. Liu Banxia said.

Xu Yinuo frowned, still not understanding.

"If it is not a critical illness, many pregnant women will choose to postpone interventional treatment. Su Wenhao said.

Liu Banxia nodded, "That's it, after all, anesthesia still has an impact on the fetus." It's not about giving birth, it's about keeping the fetus in the body. ”

"Let's see what the results of the CT examination are, if there is no ischemia and exudate, the swelling is not serious, and we have to think about a reduction method. ”

This is also a common occurrence in emergency rooms, where pregnant women are resistant to X-rays for the sake of their fetus, let alone surgery with anesthetics.

Usually there will be a headache, and today's patient also has to look at the spleen assessment.

At this time, another emergency bed was pushed in from outside.

"The right arm was crushed and injured, and the bleeding has been stopped, and the vital signs are stable. There is a broken blood vessel and an open fracture of the radius. The first responder said.

"In the second room, call Dr. Wu of the orthopedic department, and Wang Chao will receive the consultation first. Liu Banxia said after taking a look at the situation.

Wang Chao on the side hurriedly led them to the second emergency room.

"Officer Xu, why are you still here?"

After seeing Officer Xu, who had handled his dispute with the patient, Liu Banxia responded.

"I touched porcelain, but I didn't expect it to be too porcelain this time. Thanks to his quick reaction, he tried his best to avoid the driver as if he didn't brake the car, otherwise his head would have been crushed. Officer Xu said.

"Have you contacted the family?" asked Liu Banxia with a smile.

"I've been contacted and I'm rushing over now. Officer Xu said.

"That's fine, or we'll have another deficit here. Liu Banxia was a little relieved.

"There's no way, it's the closest to you, so I can only send it over. Otherwise, as long as the injury is not too serious, we will send it to the city hospital. Officer Xu said.

also knows what Liu Banxia is worried about, that is, the settlement of medical expenses.

If it is a traffic accident and you can go to the insurance claim, you don't have to worry about this, it is a matter of time. But what if you touch porcelain like this? You really can't collect this money.

And it's still first aid, you have to treat it first. It is not uncommon for patients to refuse to give if they cheat, and this money is really out of time.

"How much are you in arrears now?" asked Officer Xu curiously.

"Many, not much. There are also two work-related injuries lying down, although there is no danger to life, but it seems that there is no negotiation with the compensation in the factory. Liu Banxia said.

"And then all sorts of things, this kind of money alone is a lot of money every month. People only see the hospital collecting money, but they don't see the time to lose money. The hospital is not a good hall, if you don't collect money, what will you pay for? ”

"Otherwise, the reason why many hospitals don't have emergency departments now is because the cost is too high. If you don't do it well, you will lose money, and the personnel expenses and drug expenses will be in arrears. ”

"But this guy is really unlucky, I just looked at it, the radius is comminuted and fractured, and the tendons and blood vessels are also broken. ”

"Although it can be repaired, this arm is also useless. It's an exaggeration to say that it's a decoration, but it's good to retain 40% of the functional performance. This time, not only did it cost so much money to treat the arm, but it also had to put the arm in. ”

"It's not good to have hands and feet to do something, you have to do such a dangerous job. Isn't it much more dangerous than a stuntman?"

Officer Xu was happy, "It's almost, not every driver can react so quickly." ”

This means that it's a matter of playing, and it's risky to do anything, but this guy's life is too risky, and no one will insure him.

The cost of surgery and medicine this time will really be a lot of money.