The patient snorted and opened his eyes.

Tao Le and the nurses pushed the flat car and struggled to the elevator entrance, and Geng Hongwen also trotted all the way to the side, asking the patient about the situation.

"The last monthly event was probably the twentieth of last month." The patient replied, "It's a few days late, but it's not accurate in the past two years." ”

Geng Hongwen nodded. For middle-aged women in their forties and four-fives, it is common for them to have inaccurate menstruation, and it is nothing.

"So you and your husband are planning to have children in the near future?" Geng Hongwen glanced at Tao Le, and still asked more.

The patient shook his head: "It's too late for me to have a child, and it's very difficult to take Beibei with me." His dad wanted it, but I didn't agree. ”

So it's not the result of a joint effort between the husband and wife – there is one less reason to confirm Tauler's diagnosis.

Geng Hongwen sneered in his heart, but his face was silent.

"Then what underlying diseases do you have in the past, and do you have any genetic diseases in your family?"

"I myself have chronic gastritis, my mother has diabetes, and I've been worried about it for years," the patient struggled to recall.

By this time, they had reached the elevator.

There were already a lot of people at the elevator door, but when they saw the medical staff pushing the flat car, they all gave way.

Have a family history of diabetes. Geng Hongwen caught what he wanted to hear: "Did you eat lunch normally today?" ”

"Not really." The patient said weakly: "Today I took leave to bring my child to the hospital to see a doctor, and Beibei has been having a stomachache recently"

If you haven't eaten and have a family history of diabetes, then the coma just now is most likely hypoglycemia.

Geng Hongwen completely put Tao Le's judgment behind. Of course, it depends on the results of the blood sugar test for a while, but according to his thoughts, it is already eight or nine.

"You came to the hospital, not because of your own problems, but for the sake of the child?" Tao Le noticed the second half of her sentence and said in surprise.

She hadn't taken a serious look at Beibei, but now she did notice that she was pale and looked a little tired.

She was so busy at the moment that she didn't have time to inquire carefully, so she directly opened the golden finger.

The interface is grass green, indicating that the child is not a big problem, which makes Tao Le feel relieved.

"Age: 11 years old. Health: 89

Etiology: Functional abdominal pain 50%, elemental deficiency (calcium) 50%

Serum calcium was 2.15 mmol/L

Functional abdominal pain in children mainly refers to the recurrence of unexplained abdominal pain around the umbilicus without organic lesions.

This kind of abdominal pain is often related to psychological factors, in terms of children's learning and life, when they are under a certain amount of pressure, they often do not need to do more treatment, as long as they relax their emotions and do more rest, they will naturally improve.

The problem of calcium deficiency in children is not serious, the normal serum calcium content is between 2.23mmol/L ~ 2.80mmol/L, Beibei is only slightly lower than the standard value, as long as it is slightly supplemented, it can be raised soon.

In contrast, the child's mother is the one whose life hangs by a thread, and she is in critical condition.

A short time later, the elevator arrived, and the group took the patient to the emergency department.

"Don't go to the emergency room first, move to that bed." Geng Hongwen pointed to a bed in the emergency hall.

Tao Le helped move the bed, and watched the trained nurse do the monitoring.

She was very anxious, and said: "Dr. Geng, this patient needs to be admitted to the emergency room immediately, and my acupuncture to stop bleeding will not last long."

Before she finished her words, she was interrupted by Geng Hongwen.

"Doctor Tao, it's not that I can't trust you. It's just that I said just now that the rescue room is full now, and if you want to send her in, you have to move one person out, so you have to coordinate it, right? ”

"The patient relied on you to report it today, so that he could be found in time, and I will truthfully explain this matter when I report it to the medical department - now that we have taken over, you can go back with confidence."

"By the way, didn't the patient's daughter come to see you? You just brought her back, gave her a good look, and let the patient be treated with peace of mind. ”

Although the tone is gentle, it is full of soft bones.

Tao Le naturally heard that Geng Hongwen was teasing people.

In fact, what the other party said was right, this patient should be sent to the emergency department no matter what, and now that the emergency department is next, there is really nothing to do with her.

How many things have the emergency doctors gone through, and a small ectopic pregnancy can still be detected?

Thinking of this, Tao Le took Beibei's hand and said to Geng Hongwen: "Doctor Geng, then I'm bothering you, you must hurry." ”

The latter waved his hand, turned around, and threw down two words: "Don't worry." ”

As soon as Tao Le and Beibei's figures disappeared, the results of the bedside monitoring came out.

Blood pressure 89/60, heart rate 115, oxygen saturation 98%.

With such low blood pressure, it's no wonder that people are in a coma. Geng Hongwen was a little strange, so he asked the patient:

"What is your usual blood pressure?"

"It's always 120/80." The patient's expression began to languish again, and it was obvious that he could not hold on anymore.

The patient does not have low blood pressure, and this sudden drop in blood pressure is very abnormal.

Whatever the cause, fluids and epinephrine injections must be given immediately to prevent shock.

As soon as Geng Hongwen gave the doctor's order, the nurse finished collecting the fingertip blood and returned a blood sugar of 5.8.

This fasting blood sugar is normal, so it won't cause hypoglycemic coma?

Could it be that it was really an ectopic pregnancy, so that little Tao Meng couldn't be hit?

He shook his head. It was simply impossible, the patient himself did not wake up at that time, and there was no examination equipment, who could come up with a definite diagnosis.

Coma accompanied by low blood pressure is also possible in many ways, such as anaphylactic shock, such as bleeding from internal organs, and myocarditis, cardiomyopathy, heart failure, acute myocardial infarction, which will cause the patient's immediate symptoms, so it is necessary to investigate carefully.

Geng Hongwen personally performed a deep venous catheter on the patient and began to give fluids.

As the rehydration progressed, the patient's blood pressure quickly rose to 100/65, and his energy was much stronger than before.

"Have you notified the family?" He asked the nurse. On the elevator just now, he had already asked for the contact information of the patient's husband.

"Notice, her husband is rushing here, it will take about forty minutes to arrive, let us rescue as much as we want, and he will come over to pay the money later."

It is a good thing to get the approval of the family, but after all, the early medication and the later examination have not been signed by the family, and there is still the possibility of not admitting the account.

Xie Hongwen thought about it, and asked the nurse to report to the medical office, and got permission, so he placed a color ultrasound order.

Nowadays, the relationship between doctors and nurses is strained, and things that can cause trouble should be avoided as much as possible.

I heard that the big hospitals in Beijing and Haishi are equipped with bedside ultrasound machines, which is particularly convenient - but Yunshi, as a third-tier city, even the best hospitals, do not have such a thing.

As the nurses prepare to move the bed, the millistitches on the patient's wrist and legs get in the way.

In the two bed moves just now, Tao Le silently made a strong effort, so the others moved very easily.

Now it's different. The nurse asked, "Doctor Geng, look at this needle."

"Pull it out." Geng Hongwen almost forgot about it.

If someone is sent to the color ultrasound room with a needle, the doctor in the imaging department will not laugh at himself when he sees it.

The nurses pulled out the needles one by one, carefully threw them into the medical garbage bin, and then moved the patient to the bed with all hands and feet.

As soon as he got into the flat car, the patient suddenly tilted his head and passed out without warning.

(End of chapter)