After Lin Yi checked it, he frowned and said:

"You've got a noticeable tenderness now, and you have reflex pain, and your stomach is so tight, it's muscle tension."

"Oh, yes, it hurts me!"

The patient continued to wail.

On the side, his wife didn't quite understand these professional terms that Lin Yi said, so she just asked anxiously:

"That......... Doctor, is my husband's illness complicated? How do I treat it? ”

Lin Yi looked at her, shook his head, and said to her:

"Looking at it now, your husband's current situation is not so simple."

"My initial speculation is that it may be acute cholecystitis or perforated stomach ulcer, and by the way, acute pancreatitis is also possible."

"Let's do a check-up first."

After speaking, Lin Yi looked at Wu Jiang next to him and said to him:

"Let's take the patient for a check-up first, and be in a hurry."

"Okay!"

Wu Jiang agreed, and immediately greeted the surrounding nurses.

"Madam, tell me again, what was the condition of your husband when he became ill today, was it a sudden pain?"

After they left, Lin Yi turned to look at the patient's wife and asked her.

The woman nodded, frowned, and said:

"A few of his friends asked us to go to dinner today."

"Then when we arrived at the restaurant, less than an hour after the meal began, he ate some dishes and drank a glass of wine, and then suddenly he covered his stomach and said that his stomach hurt."

Then, he took a mouthful of it and spit directly to the ground, his expression was painful and his whole body was sweating.

"At first, the friends at the table thought he had drunk too much, and they laughed at him for not being in the right state today, and he couldn't do it just after drinking."

But after vomiting, he directly sat on the ground with his stomach covered and paralyzed, his expression was painful, and he was sweating all over his body, saying that his stomach hurt and he couldn't stand it.

"We were all frightened when we saw this, and we all came around to ask him how he was, and he said that the pain was not good, and we had no choice but to call the emergency number."

"And then it's sent here."

"Doctor, do you think my husband may have acute gastroenteritis?"

After finishing speaking, the woman looked at Lin Yi and asked.

"No way."

Lin Yi shook his head directly,

"Where can there be such a severe acute gastroenteritis!"

"Muscle tension, and there are abdominal tenderness and rebound tenderness, it is impossible to have gastroenteritis."

"Okay............"

The woman nodded, a worried expression.

"Okay, you sit here and wait for a while, and we'll wait for the results to come back."

Lin Yi pointed to the seat next to him and said to her.

"yes, okay."

"By the way, doctor, my husband had an experience of overeating a few years ago, will it have anything to do with this?"

As soon as the woman sat down, she suddenly remembered, looked at Lin Yi and asked.

"Overeating?"

Lin Yi thought for a moment after listening, and then said:

"Based on the current situation, I think acute pancreatitis is the most likely."

"Let's wait for the inspection report first."

"Okay, okay."

After listening to this, the woman nodded again and again, and looked up the information about acute pancreatitis on her mobile phone.

After a while, Wu Jiang walked back in a hurry.

"How?"

Lin Yi immediately looked at him and asked.

"First I drew blood from the patient, and then I took him directly for a CT scan!"

Wu Jiang gasped slightly and said,

"Now the CT results are out, the liver and gallbladder are fine, but the pancreas is obviously enlarged!"

"And the pancreas can be seen scattered in low-density areas, and the surrounding boundaries are not clear."

After listening to Wu Jiang's report, Lin Yi immediately said affirmatively:

"It seems that my guess is correct, he must have acute pancreatitis!"

"And......... It can be regarded as severe pancreatitis. ”

"This part of the low-density area is likely to be a necrotic foci!"

Severe disease? Necrosis?

The wife of the patient next to her heard these key words in Lin Yi's mouth, and she was immediately frightened!

"Doctor...... Doctor, what do you say is wrong with him, where is necrotic? Isn't it serious? ”

Lin Yi hurriedly turned his head and reassured:

"Madam, don't be in a hurry first, calm down, after all, it's useless for you to be anxious now."

"Okay, okay, I'll calm down."

The woman clutched her chest, trying to calm her emotions, and could feel her heart beating violently.

Then, she forcibly suppressed the panic in her heart and asked Lin Yi:

"Doctor, tell me quickly, what the hell is going on?"

Lin Yi looked at her and said:

"Severe pancreatitis, also called acute hemorrhagic necrotizing pancreatitis."

"In addition to obvious inflammation of the pancreas, there will also be partial necrosis, and the low-density lesions seen on your husband's CT may be necrotic foci."

"Of course, if you want to make a diagnosis, you have to wait for the results of the blood test. If the blood test results show a significant increase in amylase, the diagnosis can be confirmed! ”

The woman nodded nervously as she listened, then looked at Lin Yi and asked:

"If my husband is diagnosed with this severe disease...... Pancreatitis, so good to treat? ”

"If you are diagnosed, you will have to be hospitalized."

Lin Yi thought for a moment, and then said,

"The only way to do this is to give him a fast and water (he can't eat or drink) first, and then carry out relevant conservative treatment to see how it works."

"In this case, let Dr. Wu take you through the hospitalization procedures and other matters first."

The woman nodded and asked:

"So, my husband is definitely going to be hospitalized, right?"

"Of course, in this case, he will definitely not be able to leave."

Lin Yi said directly.

Although Lin Yi had already said it very clearly just now, the woman couldn't help but ask Lin Yi with a hint of luck.

It's really hard for her to accept the facts in front of her!

His husband was eating and drinking together a few hours ago, talking and laughing at the table, but now he is suddenly going to be hospitalized, and the situation is still very serious!

This was too big a blow to her heart!

"Let's go, ma'am."

Wu Jiang on the side interrupted her thoughts and said to her.

"yes, okay."

She came back to her senses, nodded, and walked out with Wu Jiang.

At this time, the sailors in the live broadcast room couldn't help but discuss:

"In this way, this patient's condition is quite dangerous."

"Severe pancreatitis, I've learned about this disease!"

"The mortality rate of this disease can reach 30%!"

“30%？ The mortality rate is so high, is it really fake? ”

"Of course it's true!"

"At first, I thought he had a stomachache and he ate something to spoil his stomach!"

"There are so many possibilities for stomach pain, a patient came in with a stomach ache some time ago, isn't it quite serious!"

"So, if you have a stomachache in the future, you have to pay attention to it!"

After they left, Chen Qiang looked at Lin Yi and asked him for advice:

"Brother Yi, you just said that you need to look at the amylase in the blood test to confirm the diagnosis, what's going on?"

Lin Yi turned his head to look at him.

Looking at his serious face, he nodded slightly.

Well......... The young man is very studious, not bad!

Subsequently, Lin Yi opened his mouth and explained to him:

"Amylase is a digestive enzyme stored in pancreatic cells and is secreted into the digestive tract to digest food.

"And if there's significant inflammation in the pancreas and the cells are destroyed, then these amylases flow into the blood circulation."

"In this way, in the blood test results, you can see that the amount of amylase in the blood circulation is significantly increased."

"So, if we find that the level of amylase in the blood is elevated, then we can in turn infer that the pancreatic cells are destroyed and there is pancreatitis!"

Hearing this, Chen Qiang nodded in understanding, and couldn't help but say:

"Oh, I see, I see!"

Not only Chen Qiang, but also the sailors in the live broadcast room also understood the principle.

Because what Lin Yi said is indeed very easy to understand.

"In general, an increase in amylase can be detected a few hours after the onset of pancreatitis."

"We'll see the results later."

After Lin Yi finished speaking, he sat down at the table and quietly waited for the result.

"Brother Yi!"

After a while, Wu Jiang barged in through the door.

"The patient has been put into the ward, and then his blood test results are in."

After speaking, Wu Jiang handed the report to Lin Yi's hand.

Lin Yi looked at it fixedly, and said:

"Sure enough! In addition to the increase in blood leukocytes, blood amylase is also significantly increased, reaching 800U/L! Looks like I guessed right! ”

"It has been confirmed that it is acute pancreatitis!"

After Lin Yi finished speaking, the sailors in the live broadcast room couldn't help but sigh.

Wu Jiang immediately asked Lin Yi:

"Brother Yi, what should we do now?"

"Let's go, let's go to the ward first!"

"Good!"

After saying that, the three of them went straight to the ward.

"Doctor, you're here, what's the result?"

The patient's wife was packing up the bedding by the bedside, and when she saw Lin Yi and them coming in, she hurriedly asked.

"It's confirmed."

Lin Yi walked inside, staring at her,

"Your husband has acute pancreatitis, and it is possible that he has severe pancreatitis."

"Ah......... This ........."

The woman looked back at her husband lying on the hospital bed, and then at Lin Yi, so anxious that tears fell directly.

Although Lin Yi had already said just now, she was very sure, but now that the diagnosis results really came out, she couldn't help but be stunned!

"But......... Why is that? My husband has always been in good health, why did he suddenly get this acute pancreatitis? ”

She stared at Lin Yi unwillingly and shook her head and asked.

I fantasized in my heart that it could be a mistake, that his husband was just ordinary enteritis.........

Lin Yi frowned and said slowly:

"Your husband has had the experience of overeating and drinking a lot of alcohol before, and overeating will increase the burden on the pancreas, causing it to secrete too many digestive enzymes, and these digestive enzymes cannot be excreted in time, and will remain in the pancreas."

"When they stay in the pancreas for a long time, they digest the tissues of the pancreas, and as a result, the pancreas becomes more overwhelmed, so pancreatitis develops."

After Lin Yi explained, a barrage was issued in the live broadcast room:

"Damn, that's how it works!"

"The anchor is so detailed, I actually understand!"

"To put it simply, overeating stimulates the secretion of a lot of digestive enzymes, and then the digestive enzymes cannot be excreted, and it will regurgitate the pancreas."

"This pancreas is also miserable enough, it is injured by the substance it secretes........."

"Yes! That's embarrassing. ”

After listening to Lin Yi's words, the woman then asked:

"So to put it that way...... Was his illness caused by overeating? ”

"Well, yes, that's the main reason."

Lin Yi nodded in affirmation.

The woman immediately turned around and looked at the patient on the hospital bed with hatred, and said loudly:

"Look at it! You did it all yourself! ”

"In the past, you went out to eat and drink every day, and drank until midnight at night, no matter what I said about you, you didn't listen!"

"You think you're young and in good health, and you're better now, right?!"

"Well deserved!"

When the woman finished speaking, she covered her mouth and began to cry.

The patient on the hospital bed was tormented by pain, and naturally he didn't care about arguing with her.

"Now is not the time to talk about this, we need to treat patients quickly."

Lin Yi's face was grim and said directly.

Then, he immediately turned his head to look at Wu Jiang and ordered:

"Give him fasting water first, so as not to increase the burden on the pancreas and cause the condition to worsen."

"Then he was given pain relief, parenteral nutrition, and somatostatin."

"There is also the need to improve other inspections and find out all the relevant indicators!"

After Lin Yi finished speaking, Wu Jiang immediately nodded and said:

"Well, okay, Brother Yi, understand!"

………………

Early the next morning.

Lin Yi walked into the office, patted Wu Jiang on the shoulder and said:

"You worked the night shift all night, go back and rest, Yin Liang will be here in a while, just let him assist me."

Wu Jiang was checking the inspection report, and when he was slapped by Lin Yi, he suddenly raised his head and said to Lin Yi:

"What about you............ Didn't you stay up all night and not go back? ”

"I'm fine, I'm more energetic."

Lin Yi smiled and said to him.

I have a physical energy bonus, and I really didn't feel too sleepy or tired after staying up this night.

"That'...... All right. ”

Wu Jiang looked at Lin Yi's face, and he really couldn't see a trace of fatigue.

And his own eyes were already bloodshot, after all, he had been busy all day the day before, and he couldn't bear it at night.

This Brother Yi is simply an iron man!

He couldn't help but sigh again in his heart.

Lin Yi looked at him in amazement, thinking that he couldn't be on the night shift tonight anyway, not because he couldn't bear it, but because he was afraid that they would treat him as a monster!

"Oh, by the way, Brother Yi, I was about to tell you!"

Wu Jiang suddenly thought about it, took the inspection report in his hand, and held it up to Lin Yi,

"Look! The patient's blood lipid was abnormally elevated, and the triglycerides reached 21 mmol/L (normal level was 1.7).

mmol/L), this is too high! ”

"I'll see!"

When Lin Yi heard this, he immediately became nervous and hurried over.

After a while, Lin Yi couldn't stop nodding and said:

"I see! No wonder patients have such severe pancreatitis! From this point of view, overeating and heavy drinking are only part of the reason, and the main reason is that his triglyceride level is too high! ”

"I really didn't expect this at first, but it was caused by two reasons."

"The main cause of acute pancreatitis is biliary stones, which can account for more than 50%."

"Then there are the two causes of hyperlipidemia and overeating and drinking."

"Brother Shen!"

"Hmm!"

Shen Changqing walked on the road, and when he met someone he knew well, he would say hello to each other or nod his head.

But it doesn't matter who it is.

There was no superfluous expression on everyone's face, as if they were very indifferent to everything.

on this.

Shen Changqing is used to it.

Because this is the Demon Suppression Division, it is an institution that maintains the stability of Great Qin, and its main responsibility is to kill demons and monsters, and of course there are some other side jobs.

Arguably.

In the Demon Suppression Division, everyone has a lot of blood on their hands.

When a person is accustomed to seeing life and death, then he will become indifferent to many things.

When he first came to this world, Shen Changqing was a little uncomfortable, but over time he got used to it.

The Demon Suppression Division is huge.

The people who can stay in the Demon Suppression Division are all powerful masters, or people who have the potential to become masters.

Shen Changqing belongs to the latter.

Among them, the Demon Suppression Division is divided into two professions, one is the town guard and the other is the demon exterminator.

Anyone who enters the Demon Suppression Division starts with the lowest level of demon slayer.

Then step by step, he is expected to become a town guard.

Shen Changqing's predecessor was a trainee demon slayer in the Demon Suppression Division, and he was also the lowest level of the demon slayer envoys.

Have memories of the predecessor.

He is also very familiar with the environment of the Demon Suppression Division.

It didn't take long for Shen Changqing to stop in front of an attic.

Unlike other places full of slaughter, the attic here seems to stand out from the crowd, and in the bloody Demon Suppression Division, it presents a different tranquility.

At this time, the attic door is open, and there are occasional people entering and exiting.

Shen Changqing only hesitated for a moment, and then stepped in.

Access to the attic.

The environment has changed in vain.

A burst of ink fragrance mixed with the faint smell of blood came to his face, making his brow furrow instinctively, but quickly stretched.

The smell of blood on everyone's body in the Demon Suppression Division is almost impossible to clean.