Chapter 66 Consultation

"He didn't do any checking. Xiao Qi replied.

"When he came, someone else sent him, and the main complaint was that there was only a trauma, and he himself couldn't smell any problems, so Dr. Zhang went to the infusion room to hang two bottles of anti-inflammatory drugs after giving him stitches. Xiaoqi continued, "At that time, he didn't have any special symptoms, but after hanging up the medicine, I found that he suddenly showed a very painful appearance. ”

"How long has this state lasted?" Jiang Zidao asked.

"It seems like there are only two times when I suddenly have abdominal pain like this, right?" replied Xiaoqi.

After a brief understanding of the situation, Jiang Zidao conducted a simple physical examination of the mentally handicapped teenager.

"How's it going, doctor?" Officer Chen asked, "can he still go back to the office with me in his current condition?"

"His condition should not only be a simple trauma, I guess there are also gastrointestinal or liver and gallbladder problems, and it is difficult to say what the specific situation is. Jiang Zidao replied, "If you can't go back to your office, it's best to decide after the results of the inspection come out." ”

"In this way, I'll prescribe a prescription first, Xiaoqi, you take him to do a B-ultrasound to take a look. Jiang Zidao said to Xiaoqi, "The police officer is waiting here, you take the green channel." ”

"Well, okay. Xiao Qi replied.

After speaking, Jiang Zidao went to the office to issue a prescription.

Officer Chen saw that the mentally handicapped teenager's mood was getting worse and worse, and it was difficult for Xiaoqi to deal with him alone, so he volunteered to help Xiaoqi take the mentally handicapped teenager to do a quick B-ultrasound examination.

Ultrasonography showed that a soft mass could form in the abdomen, and sonographic peristalsis of the intestinal lumen could be seen in it, and fluid retention could be seen. Intussusception can show concentric circle intestinal lumen sonography, strong echo in the center of the circle, and multilayer wall structure can be seen in the longitudinal plane. The diagnosis column is as follows: Intestinal root obstruction is considered, and further testing is recommended.

After Jiang Zidao saw the diagnosis, he frowned, and then hurriedly opened an X-ray examination and a blood examination, which also took the green channel, and the results came out quickly, and the final diagnosis was indeed intestinal root obstruction.

After this back and forth examination and tossing, seeing that night has fallen, judging from the current examination of the mentally handicapped teenager, he is no longer suitable for staying at the police station, as far as his situation is concerned, Jiang Zidao guessed that he should be hospitalized, once the intestinal root obstruction is not dealt with in time, the consequences are unimaginable, and the risk to life is not impossible.

So Jiang Zidao analyzed the current condition of the mentally handicapped teenager with Officer Chen, and briefly explained the problems that the teenager might be involved in surgery in the later stage, Jiang Zidao first arranged the mentally handicapped teenager to the observation room of the emergency department in front of Officer Chen, and Officer Chen signed the admission form of the hospital and left the hospital in a hurry.

Because Officer Chen at this time, his most important task now is to find out the parents of the teenager as soon as possible, because the subsequent situation of the mentally handicapped teenager may need surgery at any time, so it will be very troublesome if the legal guardian of the teenager cannot be found at that time, so it is urgent to find his family.

After Officer Chen left, Jiang Zidao also quickly contacted the doctor of the gastrointestinal surgery department to come down for consultation, and the intestinal root obstruction is a disease of gastrointestinal surgery, and the specific treatment method still needs to be confirmed by their specialists.

Jiang Zidao also took advantage of this time to have dinner, and Zhang Huafeng at this time was finally busy, seeing that Jiang Zidao was still in the office when he was not on duty today, he simply handed over the work with Jiang Zidao, and then asked Jiang Zidao to go back.

The doctor on duty in the gastrointestinal surgery department arrived 20 minutes after receiving the call from the emergency department, and it happened to be Meng Lianghua, who was on duty at night.

"Eh, second brother, have you come back from your hometown?" Meng Lianghua asked curiously.

"Hmm. Zhang Huafeng replied.

"When did you come back?" Meng Lianghua asked, "It seems that I haven't seen you for a few days." ”

"Came back this morning. Zhang Huafeng replied.

"Oh, it's your turn to be on duty again when you come back in the morning?" Meng Lianghua asked suspiciously.

"Yes, there are only a few doctors on duty in the emergency department, and it will be my turn all of a sudden. Zhang Huafeng replied helplessly.

"yes, hey... This emergency duty is so tricky. Meng Lianghua said helplessly, "It seems that you are going to end the emergency transfer by the end of this month, right?"

"Yes!" Zhang Huafeng sighed, "I will leave at the end of the month, and there are still a few days left, and I will finally be completely freed from the emergency department." ”

"That's good. Meng Lianghua replied, "You really can't stay in this emergency room for long! After a long time, people will become depressed." ”

"Hey... I didn't expect you to be on duty today!" Zhang Huafeng said with palpitations, "I now have a bit of a psychological shadow when the doctor I consult is someone I am familiar with. ”

"Don't say it, I'm a little scared when you mention it. Meng Lianghua smiled bitterly, "This patient is not very serious today, right?"

"The condition should not be very serious, it was me who received the first consultation, and at that time there was only trauma, and I didn't pay attention to other problems at all, and then I showed symptoms after the anti-inflammatory drugs, and then I was busy, and it was Director Jiang who saw it. Zhang Huafeng said in a deep voice, "It seems to be an intestinal root block." ”

Meng Lianghua knew that Zhang Huafeng was hit hard by the previous incident, so he quickly eased the atmosphere and said: "I was joking with you just now, where are there so many coincidences, it's okay." ”

"Hi ... The patient's affairs are not clear due to many external reasons, this patient is a mentally retarded teenager without a guardian, and if the problem is serious, it may not be easy to deal with it. Zhang Huafeng replied pessimistically.

After Meng Lianghua heard the patient's condition, he gasped and said helplessly: "Okay, I hope it's not a big problem." ”

"Where are the people now?" Meng Lianghua asked.

So Zhang Huafeng hurriedly led Meng Lianghua to the emergency observation room.

After Meng Lianghua saw the mentally handicapped teenager, he first looked at the examination report, and then conducted a simple examination on the patient.

"Tsk... This patient is indeed intestinal root obstruction, and it should be considered to be simple intestinal obstruction in terms of films. Meng Lianghua whispered to Zhang Huafeng, "But judging from his current symptoms, it is very likely that it will worsen." ”

"What then?" asked Zhang Huafeng.

"Judging from the current situation, it is estimated that surgery will be required, and if it is treated conservatively, I am afraid that it will become more and more serious. Meng Lianghua slowly analyzed.

"Are you sure you need surgery?" asked Zhang Huafeng.

"Well, it should be, how to deal with it depends on my boss's opinion when the income comes to our department. ”

"Tsk... If it were to be operated, it would have been a bit more troublesome, and the patient's legal guardian had not yet been found. Zhang Huafeng replied.

"It's so complicated?" Meng Lianghua replied. "It's really troublesome, oops... Ignore all of this for now, I'll report the situation to my boss first, and see how to deal with it. ”