"What's going on?" Lu Gang was stunned for a long time, and finally asked suspiciously.

Meng Qingfei sighed deeply.

Ji Xiang's performance is more sophisticated than that of an experienced emergency doctor, especially the last step of jumping up, kneeling on the patient's abdomen, and doing chest heart compressions with both hands.

But the question then came to Meng Qingfei's side, what is the situation of the patient!

"Director Lu, you didn't have a diagnosis either?" Meng Qingfei asked cautiously.

Lu Gang shook his head, indicating that he didn't know.

He wanted to follow along, but as soon as he lifted his leg, he stopped again, staring blankly at the end of the empty corridor in the distance, bewildered.

"Dr. Meng, do you know the patient's condition?" Lu Gang asked.

In his spare time, Meng Qingfei told Lu Gang about the patient's condition.

Middle-aged men, oral administration of a large amount of toilet water, half an hour after oral nausea, vomiting, abdominal pain and other symptoms.

Everything is evidenced by flower water, as long as the stomach is lavage, and there is no abnormality in the physical examination.

Similar patients are common.

Wrong!

Meng Qingfei crossed a meteor in his mind and tore through the black curtain.

"The patient's body temperature is high! It's red and hot! Meng Qingfei said in a deep voice.

He remembered a sentence that the emergency physician said in passing, so it was!

"Body temperature...... Irritable ......" Lu Gang muttered to himself in confusion.

"Director Lu, remember ......" Meng Qingfei only said one beginning, and Lu Gang continued, "Three years ago, there was an emergency department in the gastrointestinal surgery. ”

"Yes!"

That was three years ago.

A patient with abdominal pain came to the emergency department with a temperature above 40 degrees Celsius, nausea and vomiting with tenderness, and no rebound tenderness.

Considering that it is an acute abdomen, the gastrointestinal surgeon does not know what the diagnosis is, because the abdominal pain is getting worse and worse, and can only be explained to the patient's family and then performed laparotomy.

Outcome!

I opened my stomach and found that there was no problem, and I went through the intestines to make sure that there was no strangulated intestinal obstruction and that there were no other internal organs.

Please consult on the stage, since it has been opened, then take advantage of this time to quickly let all departments take a look, so as not to explain some things unclearly after going down.

The final problem was solved by Lu Gang – the patient was diagnosed with adrenal crisis. After symptomatic treatment, the patient's condition improved and he was finally discharged from the hospital.

The "medical accident" was not technical enough, and the communication between the gastrointestinal surgery department and the patient's family was also very smooth, and the family did not pursue responsibility, and the matter was so peaceful.

Meng Qingfei and Lu Gang thought of this at the same time.

The patient has a fever, an increased heart rate, and signs of irritability.

Anorexia, nausea, and vomiting are often early symptoms in the digestive system.

Right! And blood pressure!

Meng Qingfei and Lu Gang thought at the same time that the patient's heart rate was rising and blood pressure dropped, and when they finally pushed it away, the patient's high pressure had reached about 85 mm.

Drinking toilet water does not produce hemorrhagic shock, and the shock manifestations of increased heart rate and blood pressure, plus other symptoms, are increasingly consistent with the diagnosis of adrenal crisis.

"I see!" Lu Gang clenched his fist with his right hand and smashed it on the palm of his left hand, with a snap.

"It's Addison's disease!" Meng Qingfei said at the same time.

"Yes, it's Addison's disease, and the sudden death just now is Addison's sudden death!"

The two looked at each other and smiled, as if they had solved an extremely difficult math problem.

But in an instant, both of them were a little embarrassed.

This is not an exam, but a clinical emergency first aid. The diagnosis of hindsight has no significance for the patient, and Ji Xiang has just defibrillated for the first time, chest heart compression, and contact the ICU bed in advance, which are the key to solving the problem.

If there is no Ji Xiang, not to mention whether he can get a correct answer, even if there is a correct diagnosis of Addison's sudden death, the patient is estimated to be hopeless.

Meng Qingfei smiled wryly, "Xiao Ji is really powerful." ”

Lu Gang was still a little unconvinced, but the successive blows in a few months made him feel a little lonely.

The only strand of hair on the top of his head drooped down, listless.

The bald head was also shiny and gray.

Lu Gang pondered for a few seconds, and said hatefully, "This time I came late, and the patient had a condition just after arriving at the emergency room, next time, definitely!" ”

Meng Qingfei glanced at Lu Gang in a little surprise, he understood that Lu Gang was competitive and wanted to compete with Ji Xiang.

Does it make sense?

Lu Gang's approach doesn't make any sense at all.

"Director Lu, forget it." Meng Qingfei smiled, "Rest, rest, I seem to have a little pain all over my body now." ”

This is a side effect after stress, and Lu Gang also understands it.

"Wait a minute, I'll make an appointment for a B-ultrasound." Lu Gang said, "Since it is an adrenal crisis, then there must be a problem with the adrenal glands." Xiao Ji, he may not be able to know. ”

As he spoke, Lu Gang took out his mobile phone to make a call.

"ICU."

There was a noise on the other end of the phone, apparently in the emergency room.

Lu Gang understood that this was not a good time to be verbose, and he had to make a long story short.

"The patient who was just sent in, I thought it was an adrenal crisis, and immediately called a bedside ultrasound."

"Director Lu, B-ultrasound is being done, and the patient is ...... Oh oh oh, the patient has calcifications in the right adrenal gland, and adrenal tuberculosis is considered. The doctor in the ICU replied.

It was clear that he was answering the phone while watching the rescue.

"Then hurry up." Lu Gang hung up the phone in a daze.

Lu Gang, the critical care force of the Second Affiliated Hospital, knows in his heart, and it is indeed second to none in the province, but when a patient with an inexplicable cardiac arrest is sent, they can detect an adrenal crisis as soon as possible......

Ahem, a figure appeared in Lu Gang's heart.

No, if you want to say that the rescue is timely, it can be explained by Ji Xiang's youth and quick response.

However, adrenal crisis is very rare in clinical practice, and it is basically misdiagnosed every time it occurs. Every misdiagnosis will eventually lead to the death of the patient.

Few family members in China agree to an autopsy, so patients who die inexplicably are not diagnosed, which leads to a lack of clinician experience.

It was also because of the incident 3 years ago that Lu had just established a general understanding of adrenal crisis, so he and Meng Qingfei were the first to ...... The diagnosis can be given at the second time.

What about Ji Xiang?

Where did his diagnosis come from!

Where did his clinical experience come from!

Lu Gang crossed his bald head, and the strands of hair that fell down became more and more listless.

"Is it really diagnosed by Xiao Ji? That's too fast, isn't it? Meng Qingfei was a little surprised.

Although Lu Gang didn't speak, his expression spoke for itself.

Ji Xiang made a correct diagnosis at the moment of lightning, and the emergency first aid was successful.

It's really special, Meng Qingfei also scolded in his heart.

A patient who suffered cardiac arrest after drinking flower water, Ji Xiang actually judged an adrenal crisis at the same time as rescue, which can only be done with deep clinical experience.

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