"What doesn't feel right now?"

Zhao Sheng asked the young woman lying on the rescue bed.

"Heart... Panic, chest. Chest tightness. ”

The young woman said intermittently.

"I see."

Zhao Sheng nodded.

"What was the situation like before you sent her?"

After a pause, Zhao Sheng said to the two girls who sent the young woman over.

"It's just that after seeing the customer, in the company, she said that her stomach began to hurt again, we gave her painkillers, but it didn't work, and after a while, she couldn't straighten her waist in pain, and she was sweating profusely, so we sent her over."

One of the two girls, the taller girl who looked more calm, said in an organized manner.

Hearing this calm girl say this, Zhao Sheng was also full of doubts.

Is this young girl really acute gastroenteritis?

Why is there such severe abdominal pain now?

Zhao Sheng was trying to recall the details of the girl's visit in the morning, as well as the results of the B-ultrasound examination, and the results of the blood test.

But Zhao Sheng still didn't think of something that was a hidden problem that he had missed.

There is no problem with the diagnosis of acute gastroenteritis!

Yes the girl has other hidden problems that have not been discovered!

Zhao Sheng asserted in his heart.

"Dr. Zhao, blood pressure 100/60mmHg, heart rate 130 beats per minute."

Song Wei reported the young woman's blood pressure and heart rate data, although she has a life monitor, but it will be more accurate to measure it directly.

No wonder it is said that the chest is uncomfortable, and the heart rate of 130 beats per minute is definitely uncomfortable.

But the blood pressure is normal.

Zhao Sheng took out a stethoscope and gave the young woman a lung auscultation, but only heard a small number of crackles in both lungs, and nothing else was found.

"Doctor, yes. . . Can you give me some painkillers? ”

The young woman was lying on the rescue bed, clutching her stomach, and said very weakly.

"yes, doctor, you see she's sweating in pain."

The tall girl also said.

"Now the abdominal pain is unknown, and painkillers cannot be used, otherwise, the cause will be covered up."

Zhao Sheng shook his head slightly.

Soon, Zhao Sheng examined the young woman's abdomen again.

Bowel sounds are active, suggesting accelerated bowel activity in the abdomen, and tenderness throughout the abdomen, but no rebound tenderness and no abdominal muscle tension.

Not an inflammatory acute abdomen!

Zhao Sheng finished his abdominal examination and judged in his heart.

"Inform the ICU that a central venous cannula is going to be done here."

Zhao Sheng looked at the young woman who had an extremely fast heart rate, cold limbs, and was still sweating, and had been vomiting and diarrhea for so long before, and said to Song Wei.

Although the young woman's blood pressure is still in the normal range, these symptoms indicate that she is already in a state of organ hypoxia, that is, she has gone into shock.

A central venous cannula is now necessary to give fluids directly to the central vein to suppress the shock.

"Okay."

Song Wei nodded.

While waiting for the ICU doctor to come, the young woman was sweating profusely and said to Zhao Sheng very weakly: "Doctor, I... Yes.. Yes.. Will.. Dead. ”

As soon as the young woman said this, the two girls standing next to her immediately covered their mouths, and tears flowed out of their eyes.

Zhao Sheng looked at the young woman whose consciousness had begun to be semi-blurred, and his heart was even more urgent, he would ask this, this is a sense of near-death, indicating that the shock has been very serious.

What is missing?

Zhao Sheng didn't have a clue at the moment.

The ones that should be checked have been checked, and in the morning, even the ruptured hemorrhagic acute abdomen caused by ectopic pregnancy, Zhao Sheng took it into account and checked the HCG.

Now this situation is the first time that Dr. Zhao Sheng has encountered it in his career!

"Have you had any other illnesses before, or have you taken any medicine during this time?"

Zhao Sheng repeated the question he had asked in the morning.

"No. Not.. Yes. ”

The young woman shook her head slightly.

Listening to the young woman's words, Zhao Sheng's expression became more solemn.

As a doctor, what I am most afraid of is to encounter the situation in front of me, and there is no major problem with all the tests that can be done, but the patient's condition is taking a sharp turn for the worse.

Soon, Song Wei came over with Li Mujia, the attending doctor on duty in the ICU.

Li Mujia had just entered the emergency room, and together with Zhao Sheng, he was about to give a central venous cannula to the young woman.

At this time, the young woman began to tremble, and her whole body, including her lips, began to tremble.

"Doctor, my head. Dizziness, look. It's out of sight. ”

The young woman said suddenly, frightened and weak.

"Dr. Li, quick!"

Seeing this, Zhao Sheng hurriedly said to Li Mujia.

Li Mujia also reacted quickly, and completed the central venous cannulation in three or two clicks, which was very pleasing to the eye.

It is worthy of being the mainstream pillar of the ICU, and in terms of difficult and critical rescue operations, Li Mujia's level is still very high.

After the central venous cannulation was completed, Zhao Sheng gave the young woman another medication to raise blood pressure and rehydrate a large amount of fluids.

It took a while for the young woman's condition to stabilize.

But the young woman kept saying that she felt very uncomfortable, dizzy, blurred vision, and was about to faint.

"Doctor Zhao, this is heart failure."

Li Mujia heard the young woman's complaint, and looked at the life monitor again, the blood oxygen saturation was only 92%, and the partial pressure of oxygen was even as low as 70mmHg (normal is 90-100).

"Pull an ECG."

Hearing Li Mujia's words, Zhao Sheng realized that the young woman's lack of oxygen, fast heart rate, and dizziness were indeed very similar to the manifestations of left heart failure, so he immediately said to Song Wei.

"Okay."

Song Wei nodded, immediately pushed over the bedside ECG, and made a bedside ECG.

When the electrocardiogram came out, Zhao Heng and Li Mujia got together to take a look, only the heart rate slowed down, 90 beats per minute, but the electrocardiogram did not have any abnormalities.

Seeing the results of the electrocardiogram, the experienced Li Mujia was also blindsided.

Moreover, the young woman's breathing is getting louder and louder, which indicates that the lung water is increasing, and maybe if the lower breathing fails, she will have to be intubated.

Seeing that the young woman's situation is getting worse and worse, and for no reason, Rao is very experienced Zhao Sheng and Li Mujia feel very tricky!

In the current situation, it is necessary to inform the family, and the situation of the young woman will be in danger at any time.

What a curse!

Looking at the young woman who had fallen into a semi-comatose state, Zhao Sheng looked at the two girls and said: "The patient's current condition is very critical, and in the future, some first aid measures may be used, and now you need to sign her." ”

In the morning, Zhao Sheng and the young woman Zhang Xuan also chatted a lot, knowing that she was a person in Zhongdu and her parents were thousands of miles away.

Therefore, in the current situation, Zhang Xuan has fallen into a semi-comatose state, so only a colleague can sign this word.

Hearing Zhao Sheng's words, the two girls hesitated.

"I'll sign it, and I'll contact my uncle and aunt later."

Just when Zhao Sheng thought that no one had signed, the tall girl stood up and said.

From the beginning, when she accompanied Zhang Xuan, the tall girl was relatively calm, and she had been helping to explain her condition.

At a critical moment, he can take the opportunity to sign with great stakeholders.

This series of actions made Zhao Sheng look at the tall girl's eyes with respect.