After arranging him, Wu Jiang came over to find him.

"Brother Yi, there is a female patient in the ward, you can go over and take a look, there is a problem."

Wu Jiang looked at Lin Yi and said.

"Can't you handle it?"

Lin Yi couldn't help but ask.

"Hmm...... It's a little difficult, let's go! ”

Afterwards, Wu Jiang led Lin Yi to a ward.

A young woman in the ward, lying on a hospital bed, looked depressed.

Oxygen has been infused and intravenous drips have been given.

Wu Jiang pulled Lin Yi to the patient's bedside and said:

"The patient, a 26-year-old man who lives in the suburbs, reported dizziness, nausea and palpitation after applying pesticides in the field today."

"I did an electrocardiogram, but there was nothing, but the cholinesterase decreased, and it was considered to be pesticide poisoning absorbed through the skin."

Speaking of this, Wu Jiang paused, then frowned and said,

"The problem is that her blood routine red blood cells and hemoglobin are relatively low, but pesticide poisoning can't explain the problem of low blood routine, but she has no other symptoms except dizziness, nausea, and palpitation."

Wu Jiang briefly told the situation of the female patient.

Then he looked at Lin Yi to see what he had to say.

In today's weather, if pesticides are applied at noon, it is easy to cause pesticide poisoning through skin absorption.

The female patient, after applying pesticides at noon, experienced dizziness, nausea, palpitation, and cholinesterase also decreased, which indicated that she may have been poisoned by organophosphate pesticides.

There is another key point that Wu Jiang can't understand.

That is pesticide poisoning, which will not cause a decrease in blood routine red blood cells and hemoglobin!

How can this be explained?

The female patient looked very poor and her face was a little pale.

After a moment of silence, Lin Yi asked, "Did you ask her if she had her period?" ”

Wu Jiang nodded and said:

"I asked, her menstruation has just been a week."

"But she said that her menstrual flow or something is normal, and this problem of low red blood cells and hemoglobin should not be caused by heavy menstruation."

The reason why this patient made Wu Jiang feel difficult.

It is because this patient goes to spray pesticides at noon, when he sweats the most, which is easy to cause pesticide poisoning.

And her symptoms are only dizziness, nausea, and palpitation, which are also consistent with the manifestations of pesticide poisoning.

But this female patient's anemia is very abnormal.

Pesticide poisoning, on the other hand, does not cause anemia.

So these various circumstances made Wu Jiang a little clueless.

Lin Yi didn't speak, turned around and went to the nursing treatment room, and took a five-milliliter syringe.

Seeing Lin Yi take back a syringe, Wu Jiang couldn't help but be puzzled.

He couldn't guess what Lin Yi was doing?

Lin Yi first used iodine to eliminate the poison in the patient's left lower abdomen and the anti-microphone point.

Then he said to the patient: "I'm going to do a paracentesis on you now, don't be nervous." ”

The female patient nodded slightly.

Wu Jiang immediately understood.

"Lin Yi, do you suspect her ectopic pregnancy? It can't be, menstruation has just passed. ”

Lin Yi smiled.

"Look it up, and you'll know!"

Lin Yi said, and made a puncture in the patient's left lower abdomen.

As the syringe piston pulled out, dark red blood was immediately drawn from the syringe.

Lin Yi pumped about four or five milliliters, and then pulled out the syringe.

Shaking at the light, the blood in the injection did not clot.

Wu Jiang was immediately stunned!

"Abdominal cavity pumping does not coagulate!"

"She turned out to be an ectopic pregnancy!"

In the abdominal cavity of a normal person, there is a small amount of lubricating fluid.

But with a syringe, it is impossible to draw out at all, let alone draw blood.

There is only one possibility that blood can be drawn from the abdominal cavity, and that is if the patient has intra-abdominal bleeding.

The patient is not injured, so a ruptured liver or spleen can be ruled out.

Then there is only one possibility, which is ectopic pregnancy.

Because if a patient has an ectopic pregnancy, it is usually accompanied by menopause.

And this patient has just passed a week of menstruation, so he will be ignored by Wu Jiang.

At this time, Wu Jiang saw the tube of blood that Lin Yi was holding in his hand, and he was secretly glad in his heart.

Fortunately, Lin Yi took a look, otherwise he wouldn't take this patient's anemia seriously.

Then the patient's ectopic pregnancy will continue to bleed, causing a missed diagnosis, thus making her condition critical.

Wu Jiang glanced at Lin Yi gratefully, and secretly wiped a handful of sweat.

Now the patient's situation has been basically clear.

However, further examination is needed to refine the evidence.

Lin Yi handed the non-clotting blood to the nurse on the side and said:

"Give her a dose of uterine adnexal color ultrasound, check blood HCG, do blood type and blood preparation, and prepare for surgery."

Wu Jiang immediately said:

"Okay, I'm going to do these tests for her now, and you can ask the family to sign the consent form for the operation."

Ectopic pregnancy can only be treated surgically, and there is no other way.

What Lin Yi has to do now is to communicate with the family as soon as possible and ask him to sign the consent form for surgery.

The family that came with her was a young man, her husband.

When her husband heard that he was going to have surgery, he became nervous.

"Doctor, what is an ectopic pregnancy? Why do I need surgery? ”

It is normal for ordinary people to not understand ectopic pregnancy.

Lin Yi patiently explained to him.

In this case, if this situation is not explained to the family, then he will not sign the consent form for surgery.

Preoperative conversations, this is the norm at work.

Lin Yi stood beside the patient's bedside and said to her husband:

"Ectopic pregnancy is an abnormal pregnancy process in which a fertilized egg implants outside the uterine cavity. It is the fertilized egg that is supposed to implant and develop in the uterus, but it has run away to other places. ”

"The most common place where ectopic pregnancy occurs is in the fallopian tubes. That is, the fertilized egg implants in the fallopian tube and develops. ”

"As the fertilized egg develops, it causes the fallopian tubes to rupture. Patients often experience abdominal pain, dizziness, and shock. ”

"Your wife's situation is special, the abdominal pain is not obvious, mainly dizziness and palpitation. We now need surgery to remove the fallopian tube on the affected side, which would be life-threatening if we didn't do surgery. ”

Lin Yi said in such detail, and directly informed the man of the dangers of this disease.

If he doesn't agree to the surgery again, it means that he doesn't want his wife to live.

As soon as he heard that he would die without surgery, the man immediately nodded.

"Agreed, I agreed to have surgery, doctor! Then you should hurry up and arrange for my wife to have surgery. ”

"yes, okay."

Lin Yi nodded, and said to him again:

"There are two options for ectopic pregnancy surgery, and I need to tell you which one you choose."

"Well, you name it."

The man nodded.

Provide you with a popsicle for reasoning diagnosis: Big brother, your wife is drugged! Fastest update, in order for you to see the fastest update of this book next time, be sure to save your bookmarks!

Chapter 244: Abnormal Poisoning! Free to read.