CT of the mesenteric artery?

Huang Ping reacted, "Doctor Li, do you suspect that he is a mesangial artery embolism?" ”

However, mesenteric artery embolism generally occurs in middle-aged and elderly people, and the patient in front of him is only in his twenties, so he shouldn't be.

Li Xiyang shook his head and said, "Now the boundaries of diseases according to age have become more and more ambiguous, most people's bodies have become increasingly aging, many diseases are no longer the patent of the elderly, and I never think too much about age when diagnosing." ”

Huang Ping groaned slightly, "Excluding age, the signs that the patient is currently exhibiting are indeed very similar to mesenteric artery embolism, but... Worse than a decisive symptom. ”

Li Xiyang asked rhetorically, "You mean nausea, vomiting, and blood in the stool?" ”

Huang Ping nodded, "That's right!" ”

Li Xiyang smiled, "Doctor Huang, you probably forgot that the medicine that patients take every day has the effect of stopping bleeding. ”

Huang Ping was stunned, he really forgot about this stubble.

In this case, there is a real good chance that the patient has a mesenteric artery embolization.

Dr. Lee, that's amazing.

Huang Ping has always had a high opinion of Li Xiyang.

But the aunt on the side was not happy, she listened to the conversation between the two, her brows became more and more wrinkled, "I said you wait first, we Komatsu was fine before, and the operation of this car accident has also been completed, didn't it mean that you can be discharged from the hospital if you recuperate, why is the disease cured more and more now?" ”

Huang Ping frowned, "What do you mean that the more you are cured, the more you are cured?" ”

"Isn't it?"

The woman pointed to Qian Min, who had just left, and said, "The person who said before that Xiao Song was a venous thrombosis caused by long-term bed rest, I felt something was wrong at the time, you are fine, and now he says that Xiao Song's intestines are broken." ”

"I said that your hospital wants to make money, so don't let us Komatsu be alone, aren't there other patients next to him?"

The woman's words were extremely harsh, and she was sarcastic about the hospital's money.

When Huang Ping heard this, his face immediately turned gloomy.

Li Xiyang patted Huang Ping and motioned for him to settle.

Then he said to the woman, "This family member, the patient was hospitalized due to a car accident, and the ruptured spleen and fractured right leg did complete the operation very well.

But you see, the patient's legs are obviously asymmetrically swollen, so it is no problem for our Dr. Qian to diagnose venous thrombosis.

Now the patient has abdominal pain, and it is indeed a problem with the intestines, but the necrosis of the intestines is very serious, and it does not happen in a day or two.

In short, these diseases have been there for a long time, but they just happened to occur when the body's immunity was weakest after surgery, so you misunderstood. ”

The woman pursed her lips, "Everything is what you say, what is good and bad is what you say, don't think that I am not a medical student, you just make fun of me, I can tell you that I also have doctors I know." ”

Li Xiyang was also helpless, "That's it, Dr. Qian has already made an appointment for a CT examination, and he will take the patient over for a check-up to know if it is what I said." ”

After speaking, Li Xiyang glanced at Huang Ping, and the two left together.

In the face of this kind of patient's family, as long as the patient's condition is clearly explained, it is up to them to discuss whether they are treated or not, and there is no need to continue to stay there and argue with her.

But this scene fell in the eyes of the woman, but she was proud, "Look, scared away, I just said that these doctors don't have a good thing, it's just for money, no matter how big or small the illness is, whoever comes to this hospital, doesn't toss you once, he won't let you out, whatever." ”

……

After coming out of the ward, the two returned to the office.

Huang Ping looked indignant, "This woman is simply unreasonable!" ”

Li Xiyang nodded and said, "Many times it is said that doctor-patient problems are a matter of communication, but when encountering this kind of patient's family, it is really not something that ordinary people can communicate." ”

The more Huang Ping thought about it, the more angry he became, and complained, "When the test results come out later, if it's really mesenteric artery embolism, I won't touch that bad luck." ”

Li Xiyang smiled, "Don't worry, I'll do this surgery!" ”

Huang Ping sighed, "Doctor Li, your temper is really good!" ”

Li Xiyang smiled bitterly, what else can be done, when encountering this kind of patient's family, there is a way to cure the patient as soon as possible and discharge them from the hospital as soon as possible.

If there is really a stir, public opinion will only stand on the side of the patients.

The more times like this, the calmer the doctor becomes.

But

Li Xiyang remembers that the patient has a history of atrial fibrillation, and the risk of surgery is a bit big!

……

About 20 minutes later, Qian Min walked into the office with the patient's CT film.

Li Xiyang and Huang Ping hurriedly stepped forward and took the film to take a look.

It's really a mesenteric artery embolization.

And the situation is already very serious.

"Let's go, hurry up and inform the patient, the sooner this surgery is done, the better!"

Huang Ping opened his mouth anxiously, Li Xiyang glanced at him and quipped, "What?" Aren't you afraid to see that bad luck again? ”

Huang Ping pouted, "Now that the film has come out, human life is at stake, I don't believe that woman is still so crossy!" ”

Li Xiyang nodded, "Then let's go!" ”

Coming to the ward again, Li Xiyang said directly, "The examination report has come out, the patient is indeed a mesenteric artery embolism, and the condition is very bad, the patient must undergo surgery immediately." ”

Hearing Li Xiyang say this, the patient and his mother were all terrified, and the aunt rolled her eyes, "It's quite scary, if we don't have surgery, will we die?" ”

Huang Ping snorted coldly, "You're right, the patient's small intestine is necrotic in a large area, which directly endangers his life!" ”

As soon as these words came out, the patient's mother could no longer be determined, "Doctor, that... Let's do the surgery now! ”

"Wait, wait!"

The aunt grabbed her sister and said to Huang Ping, "Who are you scaring about, a stomach ache can still kill someone?" Why don't I believe it so much, and besides, didn't I say that Komatsu vein embolism was mentioned earlier, and now why is it an arterial embolism again?

You don't have a preface to the end, how can I hear you like nonsense? ”

Huang Ping was speechless.

"This venous embolism is because the patient has a leg injury and sits for a long time, and the mesenteric artery embolism is an intestinal obstruction problem, which is basically two diseases, have you heard it?"

"For example, if a person has a cold, can't he have diarrhea?"

Now you ask me why I have a cold and diarrhea, do you listen to the words of people at this time?

"You..."

The woman's face was red and her neck was blue.

But I couldn't think of anything to refute it.

At this time, "Oops, it hurts, it hurts me!" ”

The patient on the hospital bed suddenly howled, and his whole body twisted.

"Son, what's wrong with you?"

"Komatsu!"

Li Xiyang said quickly, "The patient needs to operate immediately now, otherwise his life will definitely be in danger." ”

After saying this, Li Xiyang looked at the aunt again, "Of course, you can also refuse the operation, but if the rescue is delayed, you will be responsible." ”

My aunt finally panicked and said anxiously, "Okay, okay, I agree to the operation!" ”