As the number one expert and the head of the expert group this time, it is impossible for her to accompany the patient to the examination.

But she didn't feel at ease when she sent someone else.

Only by sending Zhou Can to accompany the pregnant woman for an examination can she feel more at ease.

With Zhou Can's excellent rescue ability, pregnant women can be rescued as soon as possible if they are really in danger.

"Can I come with you?"

The female reporter Twilight Mantis seemed to smell the smell and followed.

"It's best not to go for non-medical staff, as it may interfere with normal resuscitation work. If you want to do an interview, you can do it afterwards. ”

Section Chief Tang said it politely, but in fact, he clearly told the female reporter that it was not okay.

The situation of this pregnant woman is scary to look at, and if she dies, God knows what these media reporters will report on.

As the head of the Xuan Traditional Warfare Section, he must guard against potential propaganda risks.

"Alright then!"

Although Twilight was unwilling, she had no choice but to give up.

……

The examination of pregnant women is expedited throughout the whole process, and the green channel is taken.

She was like this, and no one dared to let her line up for a test like an ordinary patient.

After the X-ray, the pregnant woman kept shouting that she couldn't breathe, which was very uncomfortable.

Fortunately, the chest X-ray and X-ray of the femoral head have been checked.

However, it will take a while for the X-ray results to be printed on the self-service printer.

"Let's give her one-nose oxygen first! The concentration is 28%, and the oxygen flow rate is 1.6L/min! Zhou Can saw that the blood oxygen of pregnant women has been very low, even if adults can survive, the fetus in the womb will be affected to a certain extent.

Give the pregnant woman oxygen to the single nose first, keep it up, and wait until the X-ray examination results come out, and then find Director Zhang Bihua for diagnosis.

While waiting for the results to come in, he took the patient's chest X-ray to look at it.

The patient's lungs were unexpectedly diffuse infiltrating shadows, but no obvious lesions were found in other areas.

Often, when diffuse infiltrates are detected in the lungs, infection is first considered.

For example, bacterial, fungal infections.

The pregnant woman had difficulty breathing the day after the fall, and the infection was possible, but it was relatively small.

Tumors can also cause diffuse infiltrating shadows in the lungs, such as in patients with advanced lung cancer.

Zhou Can's experience is limited, and after watching the film, he can't give an accurate answer.

Because there are too many causes of diffuse infiltrates in both lungs.

Lung infections caused by viruses, fungi, bacteria, lung tumors, carcinomatous lymphangitis, diffuse lung injury...... What is the specific reason, let alone Zhou Can, even the experienced Director Zhang Bihua may not be able to diagnose it.

At present, it is only determined that there is a problem with the lungs, and what exactly is causing the lung lesions, and further tests are needed.

After waiting for more than ten minutes, the X-ray results were finally printed.

The fracture of the right femoral head is evident.

This is consistent with Director Zhang's prediction. Is it any wonder that the patient is no longer able to stand and walk, and his femoral head has been broken by a fall, so how can he stand and walk?

I really admire this pregnant woman, and after falling and being injured, she fought hard at home for a night.

"You go and help this patient get the blood test results and send them directly to Director Zhang Bihua."

Zhou Can said to one of the nurses accompanying him.

"Okay!"

The nurse brought by Tuya is also considered to be her own family.

Zhou Can's orders can be executed well.

"Doctor Zhou, what are you going to do next?"

Section Chief Tang asked.

"I'm going to go directly to the outpatient hall and ask Director Zhang to diagnose the cause of her illness."

With such a high-risk pregnant woman, Zhou Can never dared to diagnose it alone.

He doesn't have the ability to do that, and he can't afford it.

"I'm just a little worried that pushing her over will affect the normal order of diagnosis and treatment in the consultation hall."

Chief Tang was obviously reluctant to push the pregnant woman to the outpatient hall.

Zhou Can understood his concern.

"If you think it's better to push it straight to the emergency room, I have no opinion. However, I think that by pushing her directly to Director Zhang, we can gather the experience of many experts in Tuya Hospital to complete a rapid diagnosis of her. This is the most time-saving option. ”

Zhou Can considered the safety of patients, but Section Chief Tang considered the prevention of the negative impact of the hospital.

He was afraid that something would happen to the patient in the outpatient hall.

I am even more worried that the cause will not be found, and many Tuya experts will become nothing in front of the media.

The best thing to do is to get the patient into the emergency room.

It's just that the cause is still unknown, and sending it directly to the emergency room will undoubtedly make the pregnant woman wait for a long time to get a diagnosis. Because she looks scary now, her physical signs are quite stable.

The experts on the scene discussed it yesterday, and if there is a crisis situation, the crisis team will handle it.

It was impossible for the experts to stop their work and go to the emergency room to diagnose the pregnant woman.

"The doctor in the emergency room can actually diagnose it." Chief Tang is still at a stalemate.

Zhou Can didn't refute him face-to-face, looked at the patient's husband and father-in-law, and quietly winked.

Although the husband of the pregnant woman is a peasant barbarian, he is not stupid, and he has a bit of cunning and cleverness unique to farmers. During the War of Resistance Against Japanese Aggression for many years, the peasant brothers made the Japanese army suffer enough.

There are many brave peasants who are good citizens on the surface, but secretly drug and stab the Japanese soldiers stationed in the town.

"Can a general practitioner be the same as a specialist? My daughter-in-law is an expert, and she must let the expert treat the disease! ”

With that, the pregnant woman's husband pushed the flatbed cart and walked to the outpatient hall.

Section Chief Tang was able to 'discuss' with Zhou Can, but there was nothing he could do with his family.

I could only watch as the patient was pushed into the outpatient hall.

At this time, nurse Ji You had already taken the patient's blood test report and arrived.

"Director Zhang, this pregnant woman's femoral head is really as you expected, she fell and broke it. Chest x-ray shows diffuse infiltrates in both lungs. ”

Zhou Can was afraid of delaying the patient's condition, so he hurriedly reported to Director Zhang.

"There's nothing wrong with the heart, right?"

After listening to this, Director Zhang immediately took the inspection report and checked it.

"My level is still shallow, and I haven't found any problems for the time being." After Zhou Can answered, he took the opportunity to look at the blood test report, and there were no abnormal white blood cells, indicating that the possibility of lung infection with bacteria and viruses was relatively low.

This suggests that the patient's lung lesions are likely to be related to a fall.

He secretly thought, could it be that the pregnant woman had lung cancer in the first place, and this fall happened to show itself?

This is true in clinical practice.

Some patients have a strong endurance and endure in silence even if they are unwell.

It wasn't until I had a cold or a fall or other illness that I was completely crushed and couldn't afford to get sick, so I thought about going to the hospital to see a doctor.

"Have you ever had trouble breathing or lung discomfort before?"

Zhou Can asked the patient.

As the deputy head of the crisis management team, he must play his due role.

Help the attending specialist to find the cause of the patient's illness and avoid tragedy as much as possible.

"I didn't ...... Yes! I feel my baby is constantly moving, does it matter? ”

Abnormal fetal movements occur after a pregnant woman receives oxygen.

Normally, noticeable fetal movements can be felt in the third trimester of pregnancy, and by five months, the fetal movements are quite noticeable.

"Yang Chan, measure her fetal heartbeat!"

Director Zhang was still frowning, thinking about the reason for the appearance of diffuse infiltrates in the lungs.

This is the main cause of breathing difficulties in pregnant women.

Only by finding the cause of the lung lesions can it be solved.

Zhou Can stood by and watched.

When Yang Chan lifted the pregnant woman's clothes, Zhou Can found that the pregnant woman's abdomen was full of bruises. Not just in one place, but everywhere.

At first, he thought that a pregnant woman had suffered domestic violence and was beaten like this.

Upon closer inspection, it was revealed that these ecchymoses were irregular in size and varied in shape.

And spread all over the upper body.

"I'll take a look at your back for anything unusual!"

After Zhou Can explained, she pulled up the neckline of her dress to check the patient's back.

As a result, there are bruises everywhere as on the chest and abdomen.

Seeing this situation, he was immediately highly vigilant.

At this time, Yang Chan had already finished measuring the fetal heartbeat.

"The fetal heartbeat is generally normal."

Her words also made everyone breathe a little relieved.

It's fine that the child is fine.

The fetus in the womb is not as fragile as we think, and sometimes the fetus can be safe even if the abdomen of a pregnant woman is hit by an accident or other accidents.

There was even a pregnant woman who was in a car accident and was knocked out five or six meters away.

By the time paramedics arrived, the pregnant woman was seriously injured and dying. Pulled back to the hospital for rescue, but could not be rescued. The doctor detected that the fetal heart rate of the pregnant woman was still there, but it was a little weak, and a cesarean section was performed.

A premature baby was removed, and after examination, everything was normal.

After living in the incubator for nearly a month, the baby survived.

It can be seen that the fetus is actually very safe in the mother's womb.

With the cushioning of the mother's abdominal fat layer, coupled with the protection of amniotic fluid, the fetus can make it feel like wearing two thick cotton clothes.

"Squad leader, let her check if there are such bruises in her armpits and chest!"

It was inconvenient for Zhou Can to check directly, so he could only let Yang Chan do it for him.

After looking at it, she confirmed, "There are ecchymoses in both areas. It is especially noticeable in the armpits. ”

"Okay!"

Zhou Can's discovery has also attracted Zhang Bihua's attention, and she also walked to the patient's side to take a closer look.

At this time, the condition of the pregnant woman is deteriorating.

Even with the single-nose oxygen supply, her breathing was still heavy as if she was pulling a bellows.

It looks very worrying.

To put it mildly, in this case, as long as you can't get up in one breath, it is likely to be one corpse and two lives.

"Come, open your mouth and let me see the oral mucosa."

Zhou Can put on a mask and let the pregnant woman open her mouth.

Her reaction was already a little sluggish, and Zhou Can said it several times before she slowly opened her mouth.

Because his mouth was not wide enough, Zhou Can could only shine a small flashlight into his mouth to check the situation inside.

"The oral mucosa also has similar ecchymosis."

Zhou Can reported to Director Zhang.

Suddenly thinking of something, he subconsciously rolled over the patient's eyelids.

"There is also ecchymosis in the conjunctiva."

There were no external injuries in these places, and it certainly could not have been caused by domestic violence.

Then her bruising is a major diagnostic direction.

"Could it be aspiration pneumonia?" Yang Chan provided her own diagnosis on the side.

"It's possible. However, her consciousness seemed to be starting to be a little blurred, which was a very bad sign. It shows that the disease progresses very rapidly, and if the cause cannot be found as soon as possible, the person is likely to disappear in an instant. ”

Director Zhang's expression was particularly solemn.

Deputy Director Shi, the leader of the crisis management team, has also come over to help diagnose together.

He only specializes in diseases in the field of gastroenterology, and is somewhat helpless against the pregnant woman's disease.

After diagnosing the patients in their hands, two more experts joined the consultation camp.

The experts of Tuya Hospital carry out expert outpatient activities here, and everyone is prosperous and lossy.

When you meet a patient whose cause the specialist can't find the cause, go side by side.

Solidarity is very important at this time.

"Director Zhang, will it be too little less to only give a chest X-ray examination to the patient?"

Deputy Director Shi looked at the patient who was already taking in more air and less breathing, and he was as anxious as an ant on a hot pot.

The leader of this crisis management team is not so good.

No, on the first day of his new appointment, he has to die a sick man in his hands.

"X-rays of the lungs show snowstorm-like changes in the lungs, which must be vigilant and can easily lead to death."

One more expert commented.

"There are so many ecchymoses on the body, which means that the subcutaneous punctate bleeding is serious."

Not to be outdone, a specialist in obstetrics and gynecology is not to be outdone.

Director Jiang stepped forward at this time, focused on checking the patient's consciousness and head, and then looked at all the examinations.

"Her head was not obviously injured, but she had some nervous symptoms such as chest tightness and palpitation, and the diagnosis direction should be locked to the heart and lungs. The chances of having a brain problem are extremely low. ”

Director Jiang is a doctor in the Department of Neurology and has a certain authority in the field of neurology.

A number of experts gathered around, and you and I discussed every word.

A few reporters were like flies that smelled the stench, and they all came up and took pictures of everything.

Section Chief Tang looked at it with a dark face, and he had already said that he couldn't pull the patient to the outpatient hall, and now if something happens, how can it end?

Just when the experts were anxiously making a joint diagnosis, Zhou Can picked up the patient's blood test report again to check it.

The white blood cell count is normal, but blood tests suggest several abnormalities.

Now there is subcutaneous punctate hemorrhage, and the blood picture is also an important reference.

Her blood test results showed thrombocytopenia, which may be related to subcutaneous punctate bleeding and bruising on the upper body. I looked at her leg and it didn't show bruising. Instructions are likely to focus primarily on the upper body. ”

Zhou Can, the deputy team leader, is also working hard to contribute his own strength.

"In addition, the patient's serum lipase is significantly elevated, and I think the free fat in the blood should be checked. It's also a good idea to do a urine test to check for urine fat. ”

At this time, Zhou Can obviously had a major diagnostic breakthrough.

He has the diagnostic bonus of the special medical skill of first aid and intelligence, which is especially effective when rescuing some critically ill patients.

It can make his brain become extremely clear, and his mind is more flexible than ever.

"What does Dr. Zhou suspect is the cause of the patient's illness?"

After listening to Zhou Can's diagnosis opinions, Director Zhang's eyes brightened slightly.

"Judging from the various symptoms of the patient and the current examination data, I personally prefer the disease fat embolism. When I was in orthopedic training, I had the privilege of hearing from a senior physician once that traumatic fractures should be especially vigilant for this disease. The patient suffered a fracture of the femoral head due to a fall, and the onset time was about 48 hours. ”

"In general, the likelihood of fat embolism syndrome within 72 hours of a traumatic fracture is highest."

Every time Zhou Can enters a department, he can learn from one or more chief physicians, and sit and operate together.

And he was able to be appreciated by those chief physicians and taught him everything.

This gave him a practical knowledge that ordinary doctors could not match.

To put it bluntly, these are the valuable clinical experiences summed up by the predecessors.

"Give the patient a blood free fat test right away! Then the urine is aspirated for an emergency laboratory test. ”

The pregnant woman is now unable to urinate on her own.

Consciousness almost fell into a coma.

Here I stripped her pants and got a urinary catheter, and the family would not agree to it at first. Nor can a doctor do such a thing without regard for the privacy of his patients.

"I sent her to the emergency room first, inserted a urinary catheter to take urine samples, and then sent her for testing immediately. Explain that the laboratory gives priority to the examination of urine fat. ”

In fact, the current examinations are all highly intelligent automated instrument analysis, and the results of urine tests and blood tests can be released quickly.

It's just that there are often a lot of patients queuing up for the examination, so it feels like a long time.

"Director Zhang, wouldn't it be a bit hasty to confirm that the patient has fat embolism syndrome?"

Du Leng didn't know what kind of wind he was pumping.

I was also enthusiastic to come over and help diagnose together.

It's a pity that I couldn't use the force.

He had two quarrels with his family members yesterday, and he was obviously affected a lot when he sat for the clinic today. Although the new patient didn't know that he was a silver-like wax gun head today, he was afraid that he would be slapped in the face again during the consultation, so as long as the case was slightly difficult to diagnose, he immediately pushed it to other doctors.

As a result, fewer and fewer patients came to see him.

Everyone was not stupid, standing there waiting in line, watching Du Leng diagnose and treat the patients in front of them. This can't be cured, and that can't be found. They immediately understood in their hearts that this returnee doctor was just like that.

In addition to gimmicks, the ability to diagnose diseases is far worse than that of other real experts.

As a result, some patients who originally hung up Du Leng's diagnosis number quietly changed to the diagnosis number of other experts.

Anyway, there is no money for registration.

They don't want to put their lives in the hands of a returnee doctor. For patients and their families, the titles of doctor and professor are certainly attractive, but what they really need is someone who can cure them.

This one is the most important.

(End of chapter)