"This ...... This kind of weight is not healthy, isn't it!" the king pigeon was amazed. Less than 80 catties, more than 1.6 meters tall, it's just a bamboo pole.

In fact, Wang Ge has not seen particularly thin girls before, he has lived for more than 20 years, and he has seen a lot of people, but he always looked at them from a distance before, and felt that those people were too thin and terrible, but today I observed them up close, and I knew what was going on.

"The pupils are fine, but it is not ruled out that there is a problem with the brain, there is no obvious trauma, the heartbeat, pulse and breathing are not good, and I feel ......" Cao Shan took off the stethoscope and used a word often used in traditional Chinese medicine, "Very empty." ”

"Look at this face, I know what the situation is without measuring my blood pressure. Shi Cuiping put away her blood pressure monitor, her arms were immeasurable, and her legs were not convenient to operate, how could this public take off other girls' pants, besides, even if she took off her pants, this Chen Lu was too thin, and her legs were estimated to be unable to tie the cuffs of the blood pressure monitor.

Everyone actually has a number in their hearts, Cao Shan did not find any obvious symptoms, if there is no problem in the skull, then a large part of the reason for fainting is because of this body type.

"Chen Lu is my roommate, we share a house, she was a fat person before, more than 150 pounds, and then dieting to lose weight, the effect is really good, in less than two years, people have lost weight, and they have become beautiful, and there are many men chasing her around. We all persuaded her that it would be almost enough, but she didn't listen, and she didn't lose weight until two months ago. "The girl still knows Chen Lu's situation better, so it will help the people in the hospital a lot!

"You mean she's on a diet, how is her diet?" asked the king pigeon.

"It's not good, she may have eaten it before, but since she lost weight, she forced herself not to eat, and it was uncomfortable not to eat at first, but over time she got used to it. Later, I didn't want to eat. She should be happy herself, so I persuaded her to go to the hospital, and she never went. She couldn't eat any delicious food, and she vomited everything when she forced herself to eat a little, and she couldn't drink too much water. The girl's tears were rolling in her eyes, seeing that her good friend Chen Lu was not feeling well, she was also uncomfortable, and it seemed that the relationship between the two was very good.

"How long has it lasted?" Cao Shan had a number in his heart, and his judgment was correct.

When a person faints with a very thin person, it cannot be simply assumed that she is too thin and malnourished to faint. As a doctor, you should be able to deduce in your mind countless possibilities that cause symptoms as soon as you see the patient and the symptoms, and associate them, think differently in a comprehensive way, and eliminate them step by step through the examination of the patient, and then leave all the doubts. We must not be self-righteous and subjectively judge the patient's condition and cause, otherwise it is easy to misdiagnose.

Misdiagnosis in the emergency department can be a big problem. This is the beginning of diagnosis and treatment, one wrong step, one wrong step, it is easy to mislead the direction of subsequent examination and treatment, although it may be corrected in the follow-up process, in the end there are still many detours.

Therefore, Cao Shan immediately reacted after seeing that the patient's body was so thin and weak, and after learning that he had been dieting for a long time to lose weight, it was very likely that there was a big problem with the patient's digestive system!

Sure enough, Chen Lu's friend, the person who called the police, confirmed his point of view.

"It's been about seven or eight months, I haven't eaten well, and the situation is getting worse and worse, even ......" The girl's face blushed, but considering the safety of her friend, she still said this privacy. "Her aunt hadn't been here in months, she was with me every day, she didn't have a boyfriend at all, I know, it couldn't be pregnant. ”

"Nonsense! It's all like this, don't hurry to the hospital. Cao Shan was a little annoyed, what's wrong with the young people now, thinking that they are so young and great that they can't die, and they don't take their bodies seriously, right?

Taking advantage of the youth to toss this point of view, it is really necessary to think about it.

"Contact her family immediately, she needs to go to the hospital for a full check-up. Cao Shan said to the policeman.

Now he is almost certain that Chen Lu's two-year bad weight loss habits have caused very serious damage to his digestive system, so it will lead to inability to eat and vomit, because there is no way for food to be digested and absorbed in the stomach and intestines!

Long-term malnutrition not only makes people thinner and thinner, without fat and muscle, but also may cause irreversible damage to the patient's blood, heart, liver, kidneys and other organs, causing them to slowly fail.

Multiple organs fail at the same time, and the result is death, which the gods can't save.

According to the preliminary examination at this stage, the symptoms of organ failure are not obvious, but this does not mean that Chen Lu's fainting and coma are only due to the lack of energy in the body, and everything will have to wait until the hospital for examination.

"Take your blood sugar. As soon as Cao Shan's words came out, Shi Cuiping had already taken out the results, the two had been cooperating for so long, and they had already had a tacit understanding, Cao Shan's thoughts, Shi Cuiping had already guessed almost.

"Two and a half millimeters did not rise, and it was three hours after the meal. Shi Cuiping looked at the values displayed by the portable blood glucose meter and said.

"I must have not eaten anything at noon, and my blood sugar is so low. Epinephrine is injected intramuscularly with one milligram of epinephrine, and a bag of high sugar can be fastened. Cao Shan said as he beckoned to the king pigeon beside him, "Come, take a hand, and send it to the hospital immediately." ”

Chen Lu's friend put down the phone, she had just notified Chen Lu's parents and asked them to rush to the emergency department of the Second Affiliated Hospital of Yaxiang.

Her parents are both in Xiangsha City, but they live far away, and it still takes a little time to come over. The girl's face was worried, "Doctor, she's ...... You're not going to die, are you?"

"At least not yet, I just hope that the long-term malnutrition has not caused a particularly big damage to her body. But...... It must have been hospitalized for a period of time, and the damage to the digestive system cannot be recovered overnight, as for whether it can be completely recovered, and to what extent, I really can't say. Cao Shan said, "We'll do our best, let's get in the car first!"

Shi Cuiping held the bag of glucose injection high above her head, and the drip regulator on the infusion tube was almost opened to the maximum, and 25% of the glucose quickly entered Chen Lu's body, Cao Shan hoped to use this method to replenish the energy needed for the normal operation of the patient's body as quickly as possible and protect the organs in her body.

"Not surprisingly, the patient won't be in a coma for too long, it's just ...... This lip is definitely going to hurt. Cao Shan smiled, which was a comfort to the policeman.

The group sent the patient to the ambulance, and the cart was particularly light to push, because the patient's weight was very small, and the king pigeon paid special attention when pushing, and it was very easy to get on the car.

"High flow oxygen, pay attention to humidity. ECG monitoring. Cao Shan glanced at the patient's arm again. "Use a wrist blood pressure monitor, good thing there's this thing in the car. ”

Wang Ge looked around, and found no trace of death nearby, the patient's condition is not serious, and it is not right to say that it is not serious, but it is not life-threatening at this point in time.

Who knows what will become of the deterioration of the physical condition?

He turned the car around and picked up the intercom, "This is the No. 0110 of the Second Affiliated Hospital of Yaxiang, Xiang AGZ689, and I have received a patient from the east gate of Wangfujing Department Store near Wuyi Square, and I will arrive at the hospital within ten minutes." ”

"Alas, so is my daughter, who has only been in college for a little more than a year, and she knows that she loves beauty, loses weight every day, loses weight, and skips dinner. Fortunately, she didn't have much perseverance. Shi Cuiping thought of her daughter, the school had not yet opened at this time.

"Everyone has the weight that suits them best, and it's a genetically determined body type. In other words, some people will grow meat when they drink cold water, and some people will not get fat no matter how much they eat. Of course, when you exceed your suitable weight, you should also lose weight appropriately and maintain good health. But if you lose too much weight, or take extreme measures, the end is very miserable. I've seen a lot of cases like this, and two years ago, there was a person who took illegal drugs to forcibly speed up his metabolism. Good guy, it's going to eat a puffing heart, it's too much burden on the body, that little girl is about the same age as this patient, almost died at home, heart failure. Cao Shan shook his head, and then said to the patient's friend.

"Whether it is during her hospitalization or after she is discharged from the hospital, as friends or family members, you must communicate with her well and establish a correct concept. She can be so ruthless that she will not eat lunch for a few years, and there must still be a little bit of a problem in her psychological aspect, excessive self-preparation, when necessary, I will consult a psychiatrist and intervene with her psychologically in time. Otherwise, even if you are discharged from the hospital, your body will not be well recuperated, and it will be useless. ”

The girl nodded seriously, looking at her friend Chen Lu lying on the hospital bed, her hand actually moved slightly.

"Doctor!

"It's not a big problem, I'm waking up. Shi Cuiping said.

The mission was really thrilling, and the ambulance of the king pigeon also arrived at the hospital very smoothly, in the corridor before sending the patient to the emergency room, the patient had already woken up, and had responded to external stimuli, knowing that he was in the hospital and knew his friends. I have to say that the important clues provided by her friend, coupled with Cao Shan's careful analysis and accurate judgment, allowed the patient's condition to recover so quickly.

Before the patient's family rushed to the hospital, all the formalities were handled by Wang Ge and Chen Lu's friends.

The hospital opened a green channel for Chen Lu, so that she could carry out normal examinations and treatments when she was in arrears. But even so, a number of inspection and printing documents still made the king pigeon run for more than half an hour.

When he returned to the door of the third emergency room, he was stopped by a group of middle-aged couples who looked anxious and panicked.

"Comrade, may I ask, is there a girl named Chen Lu in this third emergency room? We are her parents, and the nurse over there just said she was here. The man was wiping the sweat from his head, apparently running all the way from the gate.

"Uncle, auntie, you're here!" Chen Lu's friend hurriedly ran over before Wang Ge could answer.

"How is Chen Lu now?" asked Chen Lu's mother, who quickly took her hand.

"I ...... I don't know. The girl shook her head and looked at the king pigeon.

"I'm the ambulance driver who brought the patient to the hospital, and I just went through some check-up procedures for her, and you have to wait outside now, and you can't go into the emergency room. Before the patient enters the emergency department, the rescue on the ambulance has already been effective, and the person gradually becomes conscious. Later, if there is a situation, the doctor will come out to communicate with you, don't go around. In addition...... "Wang Ge looked at the slips in his hand, "these are fees that need to be paid, the hospital has opened a green channel, and there is still money owed." I went and handed them over to the people in the emergency department. ”

"This ...... People haven't been cured yet, why do you want money first!" Chen Lu's mother took the slip and looked at it carefully, there were more than a dozen inspections on it alone, and the cost of the inspection was several thousand.

"It's just that I haven't eaten for a few days, how can I check so much!"

"It's not just a matter of not eating for a few days, the doctor suspects that her digestive system and internal organs have been severely damaged, and she must be examined to understand the details and make a treatment plan. I'm not a doctor, and I don't understand, but a doctor will come out and explain to you later. Wang Ge frowned, this parent is probably not a master who is easy to handle, and Cao Shan may have to talk a little later. He didn't want to talk to the patient's family more, nor did he answer the question of money, he left straight away, knocked on the door of the emergency room, Shi Cuiping opened the door, but did not take the receipt, Cao Shan walked out from behind her.

"The formalities are pretty much the same. Wang Ge said to Cao Shan.

"Thank you, the patient is now in stable condition and can be examined immediately. Cao Shan looked at a few people not far away, "The family is here?"

"Well, it's pretty fast, but ...... It might be a little tricky. The words of the king pigeon have a little bit of a warm hint.

Cao Shan smiled bitterly, it was normal to be confused, "Is it Chen Lu's family?" he shouted at the two.

The middle-aged couple hurriedly trotted over, "Yes, yes." It's our daughter, how is she doing now?" said Chen Lu's mother.

"The person is already sober, in a few minutes we will arrange for her to go for a detailed examination, and we will go back to discuss the follow-up situation, now the child needs parents, and you can go in after a while. Cao Shan said.

Chen Lu's mother patted her chest and knelt in front of Cao Shan with an ordinary sound, which startled Cao Shan, but Cao Shan was just about to reach out to help, but saw the middle-aged woman fold her hands, close her eyes, and start chanting at the door of the emergency room.

"Thank God bless my daughter, thank God!"

Cao Shan's face was full of embarrassment, and he let go of his body, after all, he was not God, just a doctor, and this situation was not very good for people to photograph.

Wang Ge leaned next to him, "Doctor Cao, you are lucky today." If it is not cured, it will be counted as God, but if it cannot be cured, it will be enough for you to drink a pot. ”

Cao Shan scolded him, "Say a few words, don't let people hear!"