As soon as the nurse entered the emergency room, she immediately handed over the three examination reports to Bai Mingming.

Bai Mingming took the report. The first time, he didn't look.

Zhou Zhou and Liu Zhengqing were there, and he wanted to show the report to these two people first.

"Team Leader Zhou, Team Leader Liu, why don't you watch it first. ”

Zhou Zhou said: "You look first." ”

Liu Zhengqing also nodded.

It was all a routine inspection report, and both of them thought that it was enough for Bai Ming to see it.

Bai Mingming lowered his head and began to read the report.

The top is the epigastric color ultrasound report, everything is normal.

This was followed by a report on the identification of urinary amylase, in which there was no sign of elevated amylase values. Everything looks perfectly normal.

From these two reports, the possibility of acute pancreatitis can be basically ruled out.

Bai Mingming raised his head and said to Zhou Zhou and Liu Zhengqing with a little disappointment: "The color ultrasound of the upper abdomen and the identification of urine amylase are normal. ”

Liu Zhengqing was slightly surprised.

It's not acute pancreatitis, this chest pain is really weird!

Monday already knew about this outcome.

He said quietly: "Look at the results of the chest CT." ”

"Hmm. ”

Bai Mingming immediately began to look through the third inspection report.

He just glanced at it, and immediately showed joy.

Zhou Sheng knew that this chest X-ray would definitely have an effect, so he was as steady as Mount Tai.

Liu Zhengqing didn't know, seeing that Bai Mingming's expression had changed, he didn't see the report, and immediately said in a hurry: "Doctor Bai, what's wrong?"

"There is a large accumulation of gas shadows in the middle mediastinum on chest x-ray. It's a manifestation of mediastinal gas!" Bai Mingming said as he handed the chest X-ray to Liu Zhengqing.

Liu Zhengqing got his hands on it and couldn't wait to look at it, "There is no main lung lesion in both lungs, the structure of the two hila is normal, the trachea and the large branches of the main trachea are unobstructed, and only the mediastinum has pneumo, which is ......"

Liu Zhengqing also has more than ten years of medical experience, and he immediately thought of a disease, but he couldn't be sure. Because this disease is so rare.

He looked at Zhou Ming with inquiring eyes.

At this moment, in the rescue room, in Liu Zhengqing's eyes, Bai Mingming is a young man who has just started, not to mention Cao Xin, who is not even a resident doctor, and in Liu Zhengqing's eyes, he is not a doctor.

The only one who deserves Liu Zhengqing to take seriously is Zhou Yisheng.

Zhou Zhou nodded at Liu Zhengqing and said, "That's right." Spontaneous esophageal rupture is most likely. ”

Hearing this name, Cao Xin didn't feel much.

He had only seen it twice from books.

Bai Mingming has not personally dealt with it clinically.

It's just that I once witnessed a case of following the substitute teacher's butt during my internship.

Over the years, the situation has long been forgotten.

Bai Mingming said: "Spontaneous esophageal rupture? This is too rare, no wonder I can't find the cause after checking for a long time." ”

Zhou Zhou said: "It's really rare, arrange for esophageal photography, and at the same time notify the person outside the chest to come for consultation." ”

CT scan of the chest can only show the impact of esophageal rupture on the chest cavity.

Specifically, whether the esophagus is really ruptured, where it is ruptured, and how big the ruptured wound is.

This thing can only be done with esophageal photography.

After getting the instructions for the next step, Bai Mingming acted immediately.

The nurse, who had just returned not long ago, was in a hurry to take the boy to have an esophagiogram.

At the same time, Bai Mingming began to arrange the consultation.

The condition has been largely diagnosed, and Liu Zhengqing feels that there is no need to stay.

He said hello and took his leave.

Monday has no intention of leaving.

This is exactly what Bai Mingming wants.

This kind of spontaneous esophageal rupture is not very familiar to him, and he can feel more at ease when he participates in the consultation on Monday.

Of course, it is better to have Monday directly preside over the consultation.

As for Cao Xin, he will not leave.

Outside the heart, the people who come into contact with them all day long are those who have heart disease.

When I came to this emergency center, I was amazed that there was a spontaneous esophageal rupture.

The perforation of the esophagus caused by a foreign body, he is to know something.

It's strange that the esophagus ruptured on its own for no apparent reason.

While the patient had not returned for the angiogram, the consultation had not begun.

Cao Xin began to search the Internet for knowledge about spontaneous esophageal rupture, and began to make up for it frantically.

……

Esophagography is relatively fast of all the imaging procedures.

Take a barium swallow and the effect will be effective in a few minutes.

The imaging of the digestive tract often takes more than half an hour, and the imaging of some parts of the body even takes longer, such as observing the lesions of the small intestine may take up to 5 or 6 hours at the latest.

When the boy's esophagus was revealed, the chest doctor also arrived.

It's past twelve o'clock in the morning.

At this point in time, most of the people who come for consultation are doctors of this level.

But because Bai Mingming was on the phone, he had already said that the patient's condition might be spontaneous esophageal rupture.

So this time, there was a big battle in the chest.

A deputy chief physician in his forties led the team, followed by two resident doctors, and three other interns.

There were six people at once.

This is more than the number of people who are involved in the consultation at the emergency centre as a landowner.

The consultation room in the emergency center is not large, only more than 20 square meters, which is about the size of an ordinary family's bedroom.

There are only six chairs inside, except for a round desk.

So many people came at once.

Not even enough chairs.

Monday was ready to move chairs.

Bai Mingming said: "You can preside over this consultation, and I will do the little things." ”

Don't wait for Monday to speak.

Bai Mingming beckoned Cao Xin to move chairs in the rest together.

Chairs moved.

The deputy chief physician who took the lead explained slightly apologetically: "My surname is Lin. I'm really sorry to bring so many people here without informing you in advance. Not even enough chairs to sit on. ”

Zhou Zhou said: "It's okay, the main thing is that our venue here is too small and there are too few chairs. ”

Dr. Lim went on to explain, "The main reason why so many people bothered me was that the patient had a spontaneous esophageal rupture. This disease is relatively rare in clinical practice, and it is important to bring these young people over to experience it. ”

Speaking of this, he glanced at Zhou Zhou, and secretly wondered in his heart, how could such a rare serious illness be presided over by a young person to preside over the consultation. Depending on the age, at most it is a resident doctor.

Could it be that the emergency center talent has withered to such a point?

Don't you have a director on the night shift?

I don't think about it.

The emergency center is a new central hospital.

Although in the hospital, it is not treated by doctors with old qualifications, but there should still be a few indications.

Could it be that this young man is a little special?

At this time, he suddenly remembered that the last time the director of the chest department came back from a meeting, he said that there was an intern named Zhou Zhou in the emergency center, who was turned into a regular worker. And this intern is very powerful, and many people at the meeting praised him.

Could it be that he is Zhou Yisheng?

……