Chapter 513: Crooked Strike

"I just think...... Stomach aches. When I did that, and when I urinated, it hurt faintly. Cheng Cheng didn't shy away from it, and the two big men stood next to him and said it directly.

As soon as she heard this, it was like saying that she was sick again, but Jin Jing didn't feel much surprise, and her expression didn't change at all, in fact, judging from Cheng Cheng's dress before, she probably guessed that this was a girl who was not very peaceful, she must have done a lot of things out of line, and a large part of it shouldn't happen at this age.

In fact, China is okay, girls like Cheng Cheng are an outlier, when he was in the United States before, there were too many adolescent boys and girls, some fought and brawled, some drank too much, some had drug accidents, and some underage driving accidents.

Of course, there are many cases of teenage pregnancy, or sexually transmitted diseases, and even AIDS, so Jin Jing's heart is still relatively strong, and she does not show a strange vision.

This kind of professional attitude still relieved Chengcheng Psychology.

In fact, to be honest, a girl of this age is not afraid of heaven and earth, she looks indifferent, and she is still pretending to be herself in her heart, hoping that others will not look down on her because of this kind of thing. Jin Jing did it.

"Tell me which part it is. Jin Jing said.

"Almost...... Over here. Cheng Cheng covered the left side of his lower abdomen with his palm.

"On the left, is it a piece?" Jin Jing was a little strange. This symptom shouldn't look like Cheng Cheng's own STD as he thinks it is?

Generally speaking, STDs are directly on or around the genital organs, causing rashes, inflammation and odors, itching or pain on the surface of the skin.

The place where the orange finger is formed, a little below the left side of the navel, and the genital area, which is often venereal diseased, is simply separated by 108,000 miles to a doctor, which is not the same thing.

Jin Jing frowned, "Is it convenient to pick up your clothes and show me?"

Cheng Cheng nodded, pulling up his T-shirt, revealing the painful area. There was nothing to see from the surface of the skin, the skin was very smooth, there was no rash or skin disease, and it was the white and tender skin that a fifteen or sixteen-year-old girl should have.

"This ...... It's not a disease or a manifestation of a related disease, so it can be basically ruled out. However, it is more safe to go for a blood check. Some diseases are asymptomatic in the early stages. Jin Jing said.

Cheng Cheng was a little surprised, he still wanted to come over to see the doctor, but he didn't expect this situation to have nothing to do with his boyfriend, and he had a fight yesterday because of this matter!

This man went out and got sick and came back, infected himself, and said that he was dirty, he was simply a scumbag. But I didn't expect it to be a sexually transmitted disease at all!

The pain in that part is actually reminiscent of a venereal disease, just because when the girl described it, it was painful when she said it was a snap, and the child's parents always felt that it was because the child was unclean outside, and subconsciously began to think about it.

Talking too much, Cheng Cheng himself is about to believe it.

Today, when I heard Jin Jing in front of me say that it was not a venereal disease, I really put down a stone in my heart.

After all, although Cheng Cheng dropped out of school, he didn't learn good things, but he learned a lot of messy knowledge. She knows that 9 out of 10 infectious STDs are difficult to cure, and some can only be controlled, and they will recur. A stubborn disease such as syphilis may even affect the mind in the later stage, and even cause systemic infection and death!

She sighed secretly in her heart, but it was okay, and she got up and wanted to leave.

"Don't be in a hurry, move lightly, sit down!" Jin Jing still found something strange on her belly, "Stomach pain, it always has to be solved, and the cause must be found." ”

"It's not a venereal disease, isn't it? I guess it's gastroenteritis, don't look at it, just go back and take some medicine." "Cheng Cheng is still not honest.

Wang Ge can't listen to it anymore, don't respect yourself, forget it, don't respect the doctor, and then Jin Jing will definitely say if he finds a problem, not like a joke, and quickly said, "Are you a doctor or is she a doctor?"

Wang Ge was still quite fierce when he spoke, because Jin Jing's tone was very serious just now, and he probably found something.

Cheng Cheng looked up at the appearance of the king pigeon, and he was actually scared, and the cheap big brother, who was very gentle and gentle just now, was actually quite scary when he started the fire, and suddenly wilted on the chair.

Wang Ge's brother-in-law was even more impressed with him. This child has been disobedient since she was a child, and the family has no choice but to let her mess around, but the family has three chapters with her, don't break the law and commit crimes, don't endanger society, don't take drugs, and these three points have been done.

This child has been close to her since she was a child, and she can listen to her words, and her father, who is her brother, asked her to bring someone to see a doctor. In fact, he couldn't control this child, but he didn't expect Wang Ge's words to come out, and his fierce appearance really scared people.

Jin Jing's hand pressed on the skin on the left side of Chengcheng's navel, and the index and middle fingers felt very rhythmically beating. Using the index and middle fingers does not reflect your own pulse, and the beating must be from the patient.

This kind of pulse can only be manifested in arteries, such as the carotid artery in the neck, the radial artery and ulnar artery in the wrist, and doctors usually use it to determine whether the patient is alive or not, or to judge the patient's physical condition according to the pulse.

In any case, it is definitely not normal to appear here.

Jin Jing let go of her hand and asked Cheng Cheng to breathe as slowly as possible and reduce the amplitude of her movements to facilitate her own observation.

Sure enough, after looking at it for a few seconds, I found that a little place on the lower left side of the patient's navel could see a clear rhythmic beating with the naked eye.

Jin Jing took out the stethoscope again, listened carefully around the fluctuation, and found obvious vascular bruits and tremors.

"Doctor, what's the situation...... "The little sister-in-law vaguely felt that something was not right, this doctor's expression was too serious, wasn't it? Isn't it just a small symptom of a stomachache, and it can be used as if it were a great enemy?

Wang Ge also found out about Jin Jing's concern, and he also felt that something was not right. He seemed to have seen this situation before, but he couldn't remember what it might be.

Jin Jing picked up the phone on the desk in the consultation room and pressed a number, "Send me a wheelchair, be quick." ”

"You just sit here, don't move, don't move too much, try not to talk, never cough. Jin Jing comforted Cheng Cheng, although he has not yet been diagnosed, but now he is judging that there are eight or nine of them, and the symptoms are too obvious.

"King pigeon, go and go through the formalities for this child. First hang up the emergency department, get a medical card, and I asked him to check it immediately. If you don't have enough money with you, you can go through a green channel first. After Jin Jing finished speaking, she turned her head and said to Wang Ge's sister-in-law.

"Are you the father of the child?"

The sister-in-law shook his head, "I'm her uncle." ”

"Contact her family and ask them to come to the hospital right away. ”

Several people were confused, but now Jin Jing didn't dare to say what the specific illness was, in case it scared others, it would be bad.

Cheng Cheng was also panicked, his mood had just turned from cloudy to sunny, and now it was pouring rain.

How could such a small problem with a stomach ache become the appearance of a dying person?

The nurse sent the wheelchair here, and Wang Ge and the little brother-in-law also went to do their own things, and only a few minutes later, the king pigeon completed the formalities, and the little brother-in-law also called the child's father.

The doctor's expression was very serious and anxious, and neither of them dared to slack off.

Jin Jing took the child's diagnosis and treatment card in Wang Ge's hand, put it in the induction of the computer, and began to select the operation on it, the diagnosis card will record what kind of medicine the patient needs, what kind of examination is carried out, it is an electronic record, and the results of the diagnosis will also be recorded in it, put the card on an electronic device, you can print it directly, and the printer from the computer is also out of the payment form, "Go to the payment office, handle the arrears, we will go directly to the emergency imaging department and wait for you, the list is back, check it quickly, I will follow it personally." ”

"There's too much radiation, I'll just go. The king pigeon looked at Jin Jing's slightly uplifted belly.

"Radiation-proof apron. Jin Jing pulled out a corner of his coat from under his white coat and said indifferently.

Wang Ge glanced down at the items on the payment slip. Abdominal X-ray, abdominal CT angiography, color Doppler ultrasound, and then he raised his head again and looked at Jin Jing suspiciously. All kinds of inspection items reminded the king pigeon of the knowledge in books.

"Suspicious of an aneurysm, such a child?" he also found it unbelievable, the ratio of men to women in this disease is about 10 to 3, and it is more common in older men over 50 years old, and it is relatively rare for little girls to have this condition. After all, the cause of the disease is atherosclerosis, excessive smoking and drinking, accompanied by three high symptoms, all of which may be the cause of the disease.

But he absolutely believes in Jin Jing's level and judgment.

"The symptoms are more obvious, and the examination is only an auxiliary diagnosis, it should be an abdominal aortic aneurysm, but it has not ruptured yet, and there may be problems at any time. Jin Jing knew that the severe pain of the aneurysm, the radiating pain, indicated that the aneurysm was about to rupture.

Once ruptured, it causes massive abdominal hemorrhage and peritoneal irritation.

Patients with acute rupture may have sudden, severe pain in the lower back, and may go into shock due to excessive blood loss and severe pain, or even die before admission. If it breaks into the posterior peritoneum, the bleeding is localized to form a hematoma, severe pain or excessive blood loss, which may last for several hours or even days, although there is a certain chance of rescue, but the hematoma often ruptures again into the peritoneal cavity and may die. The aneurysm can also rupture into the inferior vena cava, producing an aortic venous fistula, which can lead to heart failure and death. Occasionally, tumors may rupture into the duodenum and cause massive gastrointestinal bleeding.

In aneurysms, there is also a high chance of blood clots, which can break off and cause embolism in the arteries of the lower extremities. Intestinal obstruction can occur due to duodenal compression.

The consequences of the rupture are severe, and each of them is fatal.

Of course, Jin Jing did not tell this matter in front of the patients and their families, this king pigeon knows how terrible this disease is.

It is actually too late to talk to the patient and family members after the diagnosis can be confirmed.

"Do what I say. Jin Jing said.

It is not troublesome to handle the arrears of the emergency department of the Second Affiliated Hospital of Yaxiang, and Wang Ge is still an acquaintance, so it is enough to get a stamp at the window over there. In order to avoid delaying the examination, Wang Ge trotted all the way to the emergency radiology department, Cheng Cheng was shivering in a wheelchair, she didn't know what was waiting for her.

Although she couldn't understand what the doctor said to her cheap brother, there seemed to be some "tumor" in the name of this disease.

Any combination of words is not a good word, and it is easy to conjure up images of tumors and cancer.

After several inspections, due to the urgency of the patient's condition and the presence of Dr. Jin Jing, it only took about 40 minutes. The girl's parents have all arrived at the hospital.

At this time, Cheng Cheng begins to become quiet, and her parents are also anxious. All family conflicts disappear in front of life.

"This is Xiao Wang! I'm really bothering you today. If I hadn't found you, I really wouldn't have found such a big problem. The consequences are unimaginable!" As soon as the child's father saw the king pigeon, he shook his hand.

"If you go to the outpatient clinic, the doctor will not look good, and he will recommend you to have it checked. Let's go and hear what the doctor has to say. Wang Ge said.

After the examination, Jin Jing prioritized the transfer of the patient to the emergency observation ward, and used some drugs to stabilize the condition to reduce the possibility of a ruptured aneurysm during this time.

Jin Jing met the child's parents, and at the request of the child, explained the condition and treatment method in front of everyone in the ward.

She has seen the results of her diagnosis and has consulted with doctors in the Department of Neurosurgery, as well as in the Department of Thoracic and Abdominal Surgery and the Department of Vascular Surgery, to determine the treatment method.

"The patient's age is relatively young, and in the future, the placement of a stent to solve the problem of aneurysm will not last too long, and it is mainly suitable for the elderly. After all, the child still has a long time to live, and the body recovers quickly, so we advocate traditional surgery to replace the aneurysm blood vessel through artificial blood vessels for complete healing. Jin Jing said,

"It's going to be an operation, it's ...... dangerous" Hearing this, the child's mother frowned.

This made Cheng Cheng feel a little surprised, in her eyes, her parents were busy making money every day and didn't care about her at all, once she was outside, she caused any trouble, opened her mouth and closed her mouth, how much trouble she caused, how much money she spent, and she didn't care at all.

But now, my mother didn't even mention a word of money, but asked about the success rate of the operation.

Wang Ge yawned, half a morning passed, and while no one paid attention to him, he quickly slipped out of the ward, set an alarm clock on the way, turned off his mobile phone, and went directly back to the apartment.

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