Xia Xueting said: "This patient went to the outpatient clinic of our hospital a few days ago, because of nausea and vomiting, the outpatient diagnosis was stomach ulcer, and she was required to be hospitalized. She was busy with work and did not want to be hospitalized and wanted outpatient treatment. This morning, she ate a tube of ice cream and felt that her stomach hurt even more, and after coming to the hospital for examination, the outpatient clinic said that it was gastric cramps, and she was considering a gastric ulcer and perforation, and asked for relevant examinations. These are outpatient test reports, and there is no free air in the abdominal cavity. But the patient's stomach pain is getting worse and worse, and there is no problem with the test, I don't know what to do, you can help me come up with an idea. ”

Gu Jianqiu was a little strange: "Didn't she see her in the outpatient internal medicine department?" How did you come to our TCM department? ”

"People believe in traditional Chinese medicine, and the internal medicine department hospitalized her, saying that she has a stomach ulcer, which may be perforated. She said that she was very busy with work and had no time to be hospitalized, and she heard that Chinese medicine can be treated conservatively, and you can take medicine, so she came to the Chinese medicine department, and you can take a look. ”

Gu Jianqiu sat down, glanced at the patient, and saw that the patient's face was pale, holding his stomach and moaning. A man next to him looked at him anxiously, and only after asking did he know that the man was her husband.

Gu Jianqiu briefly asked about the medical history, which was indeed the same as what we said just now, and asked the patient how he felt, that is, vomiting, nausea, vomiting coffee-colored things, and cold sweat all over his body.

Gu Jianqiu pondered for a moment, then took her hand and began to cut her pulse.

There is no change in the inch ruler of the left hand, and the pulse is stable, but when the right wrist is touched, there are not obvious pulse halo spots in the current Guan pulse, indicating that the patient does have some problems with the stomach, but it is far from being as strict as the perforation of the stomach.

It seems that suspicion of gastric perforation can be ruled out.

Immediately, he felt the ulnar pulse in his right hand, and now there is a strong and obvious pulse halo point!

Because the ulnar vein of the right hand belongs to the positioning of the three cokes.

The thoracic cavity and abdominal cavity of the human body are bounded by the diaphragm and navel and are divided into three parts: upper, middle and lower. above the diaphragm is the upper coke, including the heart and lungs; below the diaphragm to the umbilicus is the middle focus, including the spleen and stomach; Below the umbilicus to the second yin is the lower focus. Including liver, kidney, large and small intestines, bladder, female cells, etc. Among them, the liver originally belonged to the middle focus according to its position, but because it is closely related to the kidney, the liver and kidney are classified as the lower focus.

Although the three focal points encompass the entire thoracic cavity and abdominal cavity of the patient, because the inch-guan ulnar veins of the left and right hands have already positioned the main organs such as the heart, liver, spleen, lungs, and kidneys, the three focal points here are actually other organs other than the heart, liver, spleen, lungs, and kidneys.

Because she was a female patient, Gu Jianqiu focused her attention on her bladder and the woman's cell, that is, the uterus and the corresponding appendages.

Gu Jianqiu carefully checked the patient's face again, and now the patient's face was pale, and even his lips were bloodless. I couldn't help but feel moved and asked, "Are you menstruating normally?" ”

The woman groaned in pain, and said slowly, "It's not normal...... lately, it's always been ...... Keep coming......

Gu Jianqiu turned his head to look at Xia Xueting: "You take her to the back of the screen to check." ”

Hearing Gu Jianqiu say this, Xia Xueting of course knew what Gu Jianqiu asked her to take her daughter to check.

She took the young woman behind the screen and asked her to take off her pants to check, and her panties were bright red, and not only the sanitary napkins on the panty pads were completely soaked. Even the panties and outer pants were dyed red.

Xia Xueting was taken aback, seeing this scene, she already understood a little in her heart, and hurriedly asked, "Which part of your pain is exactly?" How to hurt? ”

"It's the left lower abdomen, and the pain is ....... It was a bit sour, it was like this for ......the other few days, but this morning it hurt so badly that it seemed like it was going to crack......"

The woman retched as she spoke. Squatted down and vomited at the spittoon next to him, spitting out some coffee-colored liquid.

Xia Xueting asked, "Have you had sex before menstruation?" Have you ever used contraception? ”

The woman smiled wryly: "I have had intercourse, but there is no contraception." We were married for several years. Always wanted to have children, so never took measures. ”

Xia Xueting said: "You are not a perforated stomach ulcer, but it is likely to be an ectopic pregnancy!" I will immediately send you to the obstetrics and gynecology department for a detailed examination, if the diagnosis is ectopic pregnancy, you must operate immediately, otherwise, it may be life-threatening. Therefore, you must cooperate with the doctor, and you must not treat your life as a child's play because of work! ”

As soon as the woman heard that she was going to have surgery, she was dumbfounded, and was about to say that she was busy with work and had no time, but when she heard Xia Xueting say that it might be life-threatening, she was afraid, and nodded hurriedly and said, "Okay......, I'll listen to the doctor." ”

Xia Xueting took the woman and her husband to the obstetrics and gynecology department of the emergency center.

After a while, Xia Xueting came back. There was a slight sweat on his forehead, and he didn't know if he was busy or scared.

After sitting down, Gu Dong poured several large saliva of water, sat a little distracted, stayed for a while, and then whispered to Gu Jianqiu: "Thank you!" ”

"Why thank me? What's wrong? ”

"Fortunately, you showed up in time, otherwise, the life of that woman just now would probably be gone!" Xia Xueting recalled the experience just now, and her heart palpitated, "As soon as I sent them to the obstetrics and gynecology department, the woman began to bleed profusely, and in a minute, her entire lower body was soaked, and there was blood on the ground, which was really like spring water." It's scary! It had been judged in advance that it was an ectopic pregnancy, and the doctors of the obstetrics and gynecology department immediately sent her to the operating room for surgery, and it was not easy to save her life. Her husband was frightened and thanked him vigorously. The obstetrics and gynecology department said that we should be thanked, if we didn't accurately judge that it was an ectopic pregnancy and send it to the emergency center in time, and change to another place, such a heavy hemorrhage, it would be too late to rescue. ”

"Count her fate." Gu Jianqiu said with relief.

"It's not her fate, it's her fate that meets you!" Xia Xueting looked at Gu Jianqiu gratefully, "If you hadn't reminded me that it might be an ectopic pregnancy, I wouldn't have thought of it at all, I only thought about it towards the stomach ulcer, as soon as you asked me to take her to the back of the screen for examination, I immediately reacted, and I really woke up from a dream." You're amazing, even good at gynecology. ”

Gu Jianqiu smiled, in fact, he also felt a little lucky.

He just passed the pulse and dizziness and there might be a problem with the patient's woman's bag, so Xia Xueting took a closer look at the bleeding situation, and she was right, and Xia Xueting reacted very quickly and immediately sent her to the obstetrics and gynecology department of the emergency center, so that she could be rescued in time.

Of course, it's a fluke to say it, the woman also thought of Chinese medicine to see if it would work to see if it would be okay to take medicine, if she was busy with work and didn't want to be hospitalized, she would go home directly from the internal medicine outpatient department, and if there was this kind of acute hemorrhage at home, the gods would not be able to save her.

When I was about to leave work at noon, the patients in front had already finished reading, and the patients in the back had already seen and had no time, so I decided to come back in the afternoon.

The two were about to get off work, when a pretty figure appeared at the door. Gu Jianqiu turned his head to look, but it was Feng Wei, a trainee nurse, who saw her looking at her with a smile, and quickly got up and said, "Xiao Feng, come in, is there something wrong?" ”

Feng Wei walked in with her hands behind her back, bowed to Xia Xueting first, called "Teacher Xia", and then said to Gu Jianqiu: "Teacher, fortunately you reminded me in the afternoon, I went in to talk and chat with that woman, and I asked her if she was menstruating?" She didn't admit it at first, but I saw that the drawer of her bedside table was ajar, and there was a pack of sanitary napkins in the drawer, which had been opened and used, and I asked what was going on? She still didn't admit it, so I told her about the disadvantages of having surgery during menstruation. Only then did she admit that the amount of people who came this morning was relatively large. I immediately took the situation to the doctor. The doctor canceled the operation. The operation was postponed and she was upset and said I was troubled. However, the doctor praised me and said that I was conscientious and found out in a timely manner. So I came to thank Mr. Gu, but fortunately you reminded me, otherwise I wouldn't have been able to show up. ”

Xia Xueting's eyes widened when she heard this, and she looked at Gu Jianqiu: "How do you know that someone is coming to the moon?" ”

Gu Jianqiu smiled: "How would I know?" I just reminded Xiao Feng that for female patients who have to go to the operating table in the afternoon, it is best to ask if it is menstrual before going to the operation. If the menstrual period had to postpone the operation, she went to ask and sure enough, it came, which is also a coincidence. ”

Xia Xueting said with a smile: "I didn't expect you to be so careful as a big man, you have thought of this kind of thing." ”

Feng Wei said: "That's it, Teacher Gu is careful, the wife of Director Niu of the Archives Bureau of our Nephrology Department, a strong praise Gu doctor said that he is patient and meticulous in treating patients, and his medical skills are very high, but he has no ...... at all."

Feng Wei was talking, and when she saw the two of them packing up their things and preparing to get off work, she quickly stopped and said, "Teacher Gu, Teacher Xia, you are busy, I'm going back, I have to be on duty at noon." Goodbye, teacher! ”

Feng Wei bowed, turned around and hurried away.

Feng Wei walked to the elevator entrance, quietly looked back, and saw Gu Jianqiu and Xia Xueting talking side by side and walking out, she couldn't help but feel a little gloomy in her heart, thinking to herself, Doctor Gu and Doctor Xia are a talented and beautiful couple, don't dream about it, an intern, can get the same care as Teacher Gu's big brother, this is enough.

She sighed faintly and returned to nephrology.

I sat in the nurse's office for a while, remembered Gu Jianqiu's previous words, asked her to pay attention to the young woman's situation, persuade her more, and had nothing to do, so she quietly came to the young woman's ward, looked in through the window, and saw that the young woman was still facing away from the door, looking out of the window, not knowing what she was thinking. She did not dare to go in, because the young woman was angry and did not speak to her.

Feng Wei returned to the nurse's office.

In this way, she remembered Gu Jianqiu's advice, and from time to time took the time to go outside the young woman's ward to see the situation.

In the evening.

Feng Wei pushed a small cart to deliver medicine to the wards.

When she was sent to the young woman's room, she took the initiative to talk to the young woman, but the young woman still looked at the scenery outside the window as if she was in the air.

Feng Wei put the medicine on the bedside table, told her to take the medicine, pushed the cart and walked out, and just arrived at the door, a tall and sturdy man came in. (To be continued!)

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