"Hurry up, sit down. ”

Zhang Tianyang frowned, and hurriedly beckoned the patient to sit down.

The little brother in front of him had a painful look on his face, his hands on his belly, and a noticeable pause could be seen between walking.

Zhang Tianyang judged at a glance that this was because of the special walking posture caused by the pain caused by the pain when walking.

Zhang Tianyang dripped the card while taking the basic characteristics of the little brother into his eyes.

The little brother looks about 20 years old, and he is dressed very pertinently, which is in line with the background of the "office".

The body shape is a bit impertinent, on the fat side, especially on the belly.

Even if he was holding his stomach now, he could still see the spectacular amplitude of his abdomen.

Two layers of light can be clearly seen on the face.

A layer of water glow made up of sweat oozing from pain.

The other layer is because of the long time in the room, the grease oozes and composes the shine.

"Let me ask you, let's hurry up, my stomach hurts, which part of the stomach hurts, and how long has it hurt?"

"Left, left, it hurts, it hurts for half a day, more than half a day, more and more, it hurts"

Zhang Tianyang glanced at Dr. Chen opposite, he was still dealing with his own patients, and it was estimated that he didn't have time to take care of here, so he quickly got started.

Helping the little brother slowly move to the innermost white bed in the consultation room to lie down, Zhang Tianyang's hand had already touched his stomach.

Pain on the left side, so touch the healthy side on the right side first to avoid misjudgment caused by pain involvement.

Zhang Tianyang's palm was warm and soft, from gentle to deep pressure, and after the little brother couldn't hold back a few howls in pain, the location of the pain was determined.

"Pain in the left ureter. ”

In an instant, a possible disease flashed in his mind, and Zhang Tianyang quickly added an inquiry.

"Let me ask you, is your pain colic?"

"Yes. ”

"Is there blood in the urine? not only now, but also in the recent past. ”

"Like, there is. ”

"Have you ever had a urinary tract interruption before, and then it was back to normal after two movements?"

"Yes. ”

"Have you ever tried to hurt like this?"

"Like, there were, a few times, but not so, amazing. ”

"Did you have nausea and vomiting?"

"Evil, disgusting. ”

"How much blood pressure did you just measure?"

"A hundred, seventy, like. ”

"Is your blood pressure the same, or is it usually higher than it is now?"

"Usually, one hundred and one ......"

After quickly asking, Zhang Tianyang didn't even have time to type the medical records, and directly interrupted Dr. Chen, who was working.

"Senior brother, my patient thought that the left kidney stone fell into the ureter, and the pain lasted for half a day, and now I suspect that he has early symptoms of shock!"

Kidney stones themselves are not terrible, and strictly speaking, they are not a particularly critical disease.

But the little brother's question now is not whether the kidney stones hurt or not, it is Zhang Tianyang who suspects him of shock!

Shock is a serious thing. Patients in a state of shock have a sharp decrease in the amount of effective circulating blood, that is, the total amount of blood that can play a role in the body is sharply reduced, and all important organs of the body cannot be perfused with blood, and serious consequences will follow.

Cell damage, metabolic disorders, and even organ dysfunction!

Patients diagnosed with shock may face death if they are not treated in time!

Leaving a word, Zhang Tianyang had already run out of the consultation room quickly, directly snatched back the blood pressure monitor on the guide table, and then quickly put the cuff on the little brother's arm.

The little brother was in severe pain, his face was pale, he was in a cold sweat, and he was weak to speak.

"Doctor, I just measured, blood, blood pressure, I, maybe, kidney stones, you don't have to ......"

"Don't talk!"

Zhang Tianyang glared at him directly and glared back at what he had said.

Soon, the cuff began to make a "buzzing" sound and began to inflate work.

Zhang Tianyang refused to waste every second, and turned his head to give the White Meat Shield Sect a task.

"You go find a nurse who can create intravenous access!

Dr. Chan said hello to the patient he was watching and nervously approached him.

"What's the matter with this patient, what's the cause of shock?"

Dr. Chen's face was serious, and he spoke much faster.

He did not question Zhang Tianyang's diagnosis of the patient's "shock" at all.

As soon as the expert made a move, he knew if there was one, and the solid business ability of this junior disciple had been fully verified in an hour yesterday.

To question his judgment is to waste the patient's time in resuscitation.

What's more, this is the first patient since Senior Brother Zhang followed him out of the emergency department to take the initiative to call him to come and see!

If it's not serious, how can it be!

"Isn't the shock severe?"

The patient Dr. Chan had been seeing also came up, looking suspicious.

"But I see he's still awake, and he can still walk, but it hurts, right?"

It's normal for patients to be skeptical.

Shock is a very serious disease, and everyone knows about it.

Serious diseases generally have a great reaction from patients, and this matter is also agreed upon.

So he took it for granted that the little brother was not even in a coma, how could it be shock?

But the truth is that terrible diseases are sometimes calm in the moment before the outbreak.

You're standing fine, but maybe you're in shock.

Zhang Tianyang's eyes stared at the blood pressure monitor, his brows furrowed.

"I don't know, it could be pain, it could be an infection. ”

Hypovolemia, decreased cardiogenic discharge, severe infection, allergies, and neurogenic factors may contribute to shock.

There are many causes of shock, and without the help of the test results, Zhang Tianyang has no way to judge.

He only knew that the little brother's painful face, pale complexion, cold sweat gushing out, and blood pressure lower than usual, and his sixth sense in the dark were all telling him that this matter was very serious!

The little brother's lips have lost their bloody color, and his stomach is still cramping, although he doesn't believe that he is serious, but the two white coats in front of him have serious faces, and he doesn't dare to say a word.

The blood pressure monitor was buzzing at work, and soon, black numbers appeared on the pip screen.

“93/65mmHg！”

"It's down again than just now!"

Blood pressure has dropped significantly, which is a bit of a stone hammer!

Then look at the heart rate displayed in the lower left corner of the screen, 102 beats per minute!

Pulse quick, stone hammer!

Touching the little brother's strong arm again, it was clear that the weather was very hot, but he could still clearly feel the feeling of dampness and coldness.

Clammy skin, stone hammer!

Although the little brother's current state of consciousness is quite normal, the two white coats firmly believe that it is almost there!

White Flesh Shield called the nurse in the emergency room, along with a series of tools to establish venous access.

In the emergency room, the nurse quickly established an intravenous channel for the little brother.

The sodium chloride liquid entered the little brother's body along the pipeline of the syringe, as a rapid rehydration, and the drip speed was very fast.

But the symptoms of shock still came as scheduled.

The little brother climbed on the flat car that was pushed by himself, but when the flat car gurgled into the rescue room, he began to have a consciousness disorder, and after entering the rescue room, it became a must-call.

Zhang Tianyang followed the car and the patient into the emergency room, and Dr. Chen automatically and consciously went to the waiting area to contact the patient's family.

"Li Yueban! Is Li Yueban's family here!"

But he shouted more than a dozen times, but no one responded.

"I guess it's a person who came. ”

Zhang Tianyang had already helped to take over the guardianship of the little brother who had fallen into a coma, and his eyes moved back and forth between the rapid dripping salt water and the little brother's dripping monitor.

Then, he looked at Professor Yang behind him.

"Mr. Yang, the patient is unconscious, he is not accompanied by his family, and it takes time to contact him, but I think it needs to be dealt with immediately. ”

"What should I do?"

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