Severe blood turbidity and blood clotting can lead to serious biochemical interference, resulting in an inaccurate test result on your blood when the test is performed.

That is, it is impossible to check at all!

Even if you recheck it once, it won't show accurate results.

Unless a few more days to see and do a check-up?

But when a patient comes to the emergency department, where can you wait for a few days?

Guo Hui came to see Ruan Bin because he experienced Ruan Bin a few times last time, so now he wants to ask Ruan Bin for help. The main thing is that if it is really a gastrointestinal perforation, it will also be handed over to these surgeons to deal with at that time.

"Did you get an X-ray?" asked Ruan Bin as he walked.

"I did, and I'll be out later. Guo Hui said.

"This blood lipid is so high that it can't be detected, and the condition is very serious. Ruan Bin said solemnly.

High blood lipids are very dangerous.

Especially when it is so cloudy that it is impossible to check this blood test.

"But no, there was a similar example in the obstetrics department last month, the mother who suddenly had epigastric pain at 34 weeks of pregnancy was hyperlipidemia, and the blood drawn in the hospital was flesh pink fat and turbid blood, and the relevant results could not be done, and the last cesarean section of the newborn was generally good, the mother underwent abdominal CT acute pancreatitis, and was transferred to the department for treatment in January and finally died of infection, her first pregnancy was also pancreatitis, and the newborn died of lung infection after cesarean section, and the mother was cured, and the second pregnancy, the maternal death ......" Guo Hui shook his head and sighed.

"How do you know?" asked Ruan Bin curiously.

"Hehe, my girlfriend is the doctor in obstetrics. Guo Hui said with a smile.

"No wonder. ”

With that, the two came to Guo Hui's consultation room.

Inside, the middle-aged man leaned back in a chair and cried out in pain, obviously in a serious condition.

A middle-aged woman next to her was in a hurry.

At that moment, an intern brought in an X-ray report.

Guo Hui took it and looked at it, and his brows immediately wrinkled: "It's not a gastrointestinal perforation!"

"It's not a perforation of the stomach and intestines, and the blood is so turbid, is it arteriosclerosis? No, the patient has abdominal pain, and it doesn't look like arteriosclerosis!" Guo Hui was a little unsure for a while.

"Diagnosis!" Ruan Bin directly threw a general diagnosis to the middle-aged man.

Patient: Zheng Dali

Age: 45 years old

Medical records: hyperlipidemia, hypertension, hepatitis B.

"It turned out to be hepatitis B, no wonder the blood was so muddy. Ruan Bin was suddenly relieved.

Hepatitis B can also cause abdominal pain, nausea and vomiting.

"Old Ruan, what do you think?" Guo Hui looked at Ruan Bin and said with a look of asking for help.

"I think it's possible hepatitis B! Give him a liver ultrasound. After confirming the diagnosis, liver function tests and five tests for hepatitis B are done. Ruan Bin said.

"Hepatitis B?" Guo Hui's eyes lit up after hearing this, and he suddenly had the feeling of opening the clouds and looking at the sunny sky.

If the patient's blood is cloudy and has abdominal pain, but it is not a perforated stomach and intestines, then it is likely to be hepatitis B!

"Okay!"

Soon, when the B ultrasound came out, it was indeed hepatitis B, but the most authoritative diagnosis of hepatitis B was that it was HBSAG positive!

"Lao Ruan, you are really too godly, your clinical experience is simply the same as that of our chief doctor of internal medicine!" Guo Hui gave Ruan Bin a thumbs up.

He admires Ruan Bin very much now.

So young, so clinically experienced and terrifying.

Hehe, if you have any incurable diseases in the future, you will find him, Guo Hui said cheaply in his heart.

"It's okay, I'll go first. ”

"Okay, I'll treat you to a late-night snack next time. ”

"You've said it three times, but you haven't seen it once!" Ruan Bin pouted.

"Oh, I'll go, don't talk about it, wait until after 2 o'clock in the morning, what do you want to eat, I'll give you some takeout!" Guo Hui said magnificently.

After 2 a.m. in the general emergency department, everyone will be idle.

Unless there are many patients who come after the early hours of the morning.

"Bullwhip, pig whip, kidney, functional porridge, leeks, apple cider vinegar! "Ruan Bin will not be polite to this old Guo.

"When did you call your girlfriend?"

Ruan Bin: ......

Believe it or not, I'll beat you to death!

............

It's past 12 o'clock in the evening.

There was good news from the Department of Cardiology, that is, Director Liu was successfully catheterized with an aortic balloon, his blood pressure rose and his consciousness was completely restored. At the same time, the occluded coronary artery was reopened, and Director Liu was conscious, his blood pressure, heart rate, and breathing were stable, and he returned to the ward.

Hearing the news, the people in the emergency department were relieved.

This tiring and unforgettable night shift is finally over.

Ruan Bin returned to the dormitory exhausted.

I slept with my head covered, and slept until more than four o'clock in the afternoon.

He was still sleeping, but was woken up by a phone call.

At first glance, it was Lin Yatong calling!

He thought he had a job to pick up today, so he hurriedly called over.

"Miss Lin, are you looking for me?" Ruan Bin asked with a smile.

"You're finally free, just got off work?"

"Uh, I just woke up from the night shift last night. ”

"No wonder! I have a matter I want to ask if you can fix it. Lin Yatong said.

"What's the matter?"

"I have a client here, a client who has been treated by another plastic surgery hospital. Her nose used to have a mantebo prosthetic rhinoplasty, but then her nose was blown up by her husband due to domestic violence, and the prosthesis was punched out. Later, I went to a plastic surgery hospital to do my rib cartilage rhinoplasty. But after doing it, the effect was very unsatisfactory, and she was almost disabled by this plastic surgery hospital! Now she comes to me to ask if she can fix it! I wonder if you had a particularly good prosthetic rhinoplasty last time, so I want to ask you if there is a way. Lin Yatong explained.

"Disabled?" Ruan Bin was slightly surprised.

But it's not uncommon.

"I'll have to go over and see if there's a way and a certainty. Ruan Bin said lightly.

This customer is considered to have had a second rhinoplasty, and has also experienced a traumatic prosthesis, and I believe that the nose is estimated to be ugly, and the degree of damage to the nose is estimated to be outrageous.

There is also the second time that the other party has performed an autologous rib cartilage rhinoplasty, which is the most difficult among many different rhinoplasty, and of course, the fee is also the most expensive!

In particular, this surgery will cause great damage to the nose trauma, especially the fascia, and it is unknown whether it can be operated on at that time!

Anyway, let's see first.

To be honest, he wouldn't have this autologous rib cartilage rhinoplasty!

At the moment he only does a general prosthetic rhinoplasty.

After washing his face, he soon came to the 'Metamorphosis' Plastic Surgery Hospital.

When he saw this female customer, he was also thundered!

The bridge of the nose, the asymmetry of the nose tip, the asymmetry of the nostrils, and even the wings of the nose are all of different thicknesses.

This is so completely mutilated!

：。 : I want to talk about "Krypton Doctor" with more like-minded people, pay attention to "excellent reading literature" on WeChat, talk about life, and find confidants~