I Can See Health

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"Junior sister, take good care of this patient." Lu Chen stood up with a solemn expression, "I'm going to find Senior Brother Wang."

"Okay." Chi Jia still didn't quite understand what happened.

However, the patient's blood pressure was indeed a little low.

According to his body type, his blood pressure should definitely not be this!

Lu Chen jogged all the way to the emergency ward.

In front of the burn patient's bed, he found Wang Xiaodong.

"Brother, the patient just now had an abdominal CT scan."

When Wang Xiaodong saw Lu Chen's anxious expression, he knew something might be wrong.

"What is the problem?"

"Brother, let's take a look at the CT image of the patient's abdomen first." Lu Chen found a computer and pulled up Cheng Lin's image in the imaging system. He pointed at the low-density liver lesion he found.

"Senior brother, look, what is this position...?"

Wang Xiaodong didn't notice anything wrong at first. It wasn't until he saw where Lu Chen was pointing that he realized something was different.

"This is...a low-density lesion of the liver..."

In fact, low-density lesions in the liver are seen in many conditions. Benign diseases include liver cysts, heterogeneous fatty liver, liver abscess, hepatic hemangiomas, hepatic adenomas, cirrhotic nodules, etc.

Malignant tumors include primary liver cancer and metastatic liver cancer.

These diseases all appear as low-density shadows on CT scans of the upper abdomen.

However, at this moment, Lu Chen was not thinking about these situations!

"Brother, the patient's blood pressure is low and he may be prone to shock."

Shock, which everyone often refers to, refers to blood pressure less than hg.

But this is not an accurate definition.

Many patients' blood pressure is not lower than hg, but they may also be in shock.

This needs to be compared with the patient's usual blood pressure. Some people's usual systolic blood pressure is 180mmhg, and suddenly drops to 130mmhg, they may be in shock.

"Junior brother, what do you mean, the patient is at risk of liver rupture?" Wang Xiaodong thought of this, and a thin layer of sweat broke out on his forehead.

If the liver is ruptured, the situation will be serious.

"Yes! It's very possible!" Lu Chen nodded, "Although this low-density lesion is not large and there is a possibility of cysts or nodules, we cannot take this risk."

The liver is the largest digestive gland in the human body and an important organ for metabolism and detoxification of substances in the body.

Normal liver is soft and easily ruptured by violent blows.

Under normal circumstances, closed liver rupture is divided into three categories from an anatomical perspective: central rupture, subcapsular rupture and true rupture.

Clinically, death cases due to acute massive hemorrhage due to liver rupture are common. Deaths due to mild violent blows and delayed liver rupture are less common.

Violent blows or minor falls do not attract attention, and neglecting to go to the hospital for medical examination can easily delay the opportunity for treatment. Chronic blood loss is very likely to lead to acute massive bleeding.

"I'll call the CT room first and ask them about the results of the film."

The CT scan has just been done and the report will not be out so quickly.

Wang Xiaodong immediately took out his mobile phone and called the CT room.

In less than a minute, he hung up the phone.

"The teacher in the CT room said that this low-density lesion does not rule out the possibility of bleeding, and it is recommended to do enhanced CT." Wang Xiaodong looked at Lu Chen solemnly, "Junior brother, let's go and see the patient first."

…

Emergency observation room.

"What? Do you want me to do an abdominal CT scan?" Cheng Lin wanted to get up from the bed, but Lu Chen pushed him back.

At this time, the patient should maintain absolute bed rest to avoid secondary injury.

"We found that there is something wrong with your abdominal CT, and we cannot rule out the possibility of liver rupture." Wang Xiaodong said solemnly, "So, this enhanced CT must be done!"

"Liver... ruptured liver?" Cheng Lin's face turned pale.

His stomach already hurt a little, but at this time, he felt even more painful.

"But...but it's been two or three hours since I was injured. If it was a ruptured liver, I should have reacted long ago, right?" Cheng Lin still couldn't believe that his liver had been ruptured.

When I hear this name, I feel terrible.

Chi Jia on the side also widened his eyes.

Is this patient at risk of liver rupture?

There was obviously nothing wrong with the abdominal CT scan just now!

She is a graduate student in gastroenterology, so she still knows how to do abdominal CT scans.

Why did a liver rupture and bleeding suddenly occur?

"If it is a subcapsular rupture, which is a small ruptured wound, symptoms will not appear immediately. We call it delayed liver rupture and bleeding." Wang Xiaodong explained.

But the more he explained, the more frightened Cheng Lin became.

He felt that his stomach pain was getting worse and worse.

"What’s wrong with you?"

Lu Chen immediately noticed the pain on Cheng Lin's face.

Moreover, the health value on his head suddenly dropped from 60 to 54!

"I, my stomach hurts..." Cheng Lin suddenly felt a cramp in his abdomen.

Wang Xiaodong and Lu Chen's expressions changed.

"Hurry and call for emergency consultation from the general surgery department!" Lu Chen shouted to Chi Jia, "Tell me that there is a patient who is highly suspected of liver rupture and bleeding and is prone to shock. Hurry!"

Following Lu Chen's instructions, Chi Jia immediately took action, ran to the nurse's station, and started contacting the general surgery department.

At this time, Wang Xiaodong was conducting an abdominal examination on Cheng Lin.

"There is tenderness and rebound pain in the abdomen!" Wang Xiaodong said solemnly.

Lu Chen's expression became more serious.

There is tenderness and rebound tenderness in the abdomen, which indicates that there is peritoneal irritation. The diagnosis of liver rupture and bleeding is almost 100% confirmed, and the amount of bleeding continues to increase!

"Brother, let's move the patient to the emergency room first!"

Wang Xiaodong nodded, and the two of them worked together to push the bed in the observation room to the emergency ward.

The general surgeon came soon.

He was startled at the sight of the patient.

"Liver rupture and bleeding, combined with shock, and peritoneal irritation, require emergency laparotomy!"

Wang Xiaodong immediately said: "Take the emergency green channel and push him directly into the operating room! We have contacted his family members."

"Okay." The general surgeon nodded, "I will contact the operating room to prepare. You can push it to the operating room now!"

Lu Chen immediately joined Chi Jia and another nurse, and the three of them pushed the bed directly to the operating room of the surgical building.

"Xiaodong, you are lucky to have done an abdominal CT scan in advance." The general surgeon sighed, "If the diagnosis cannot be made in time and we wait until the patient is sick to do the CT scan, it will waste a lot of time! Last time, a liver The ruptured patient died on the way to the operating room.”

Wang Xiaodong nodded with lingering fear.

This kind of hidden severe patient is the most fatal.

There are no special symptoms at first. Once the condition changes, it will be too late to provide rescue!

This time, Junior Brother Lu Chen had to be careful, otherwise the consequences would be disastrous.

…

When Lu Chen pushed the hospital bed into the operating room, he breathed a sigh of relief.

"Congratulations, the system upgrade completion rate has increased by 10%!"

"Congratulations, I received a +1 thank you from Cheng Lin!"

"Congratulations, I received a +1 thank you from Wang Xiaodong!"

Senior Brother Wang Xiaodong was really interesting and also gave him some gratitude points.

"Let's go back to the emergency department." Lu Chen said to Chi Jia. There were dozens of patients waiting for them in the emergency department.

"Yes." Chi Jia nodded, "Senior brother, how did you find out that the patient's liver was ruptured?"

There were so many patients in the entire emergency observation room, why did this young man have to have an abdominal CT scan?

Lu Chen paused and said, "Injuries caused by falling while riding a bicycle or being hit by handlebars are the most likely to cause liver rupture. The patient also has symptoms of abdominal pain. Although it is not obvious, we cannot ignore it. The most important thing What’s more, there is a low-density shadow on the abdominal CT scan, which makes us highly suspicious of the risk of liver rupture!”

Of course, Lu Chen still had one very important thing he didn't say.

That is the patient's health value, which was only 63 at the beginning!

This is why Lu Chen focused on Cheng Lin.

"There are still low-density shadows on the abdominal CT scan?" Chi Jia was stunned, but she found nothing!

"I'll show you when I get back to the emergency room."

"Okay, thank you, senior brother." Chi Jia nodded.

The senior brother in front of me is quite powerful and willing to teach others.

At this time, another prompt popped up on Lu Chen's system panel.

"Congratulations, I received a thank you value +1 from Chi Jia!"

He looked back at Chi Jia. This intern was not bad either.

…

Return to the emergency ward.

Lu Chen was surprised to find that Wang Xiaodong was checking the patients whose health points were between 60 and 70 that he had selected in the emergency department.

Seeing Lu Chen come back, Wang Xiaodong immediately waved to him.

Lu Chen came to Wang Xiaodong's side.

Wang Xiaodong handed the examination results of several patients in his hand to Lu Chen and said, "Junior brother, I found that you have a very vicious vision! After you selected these patients and asked them to do examinations, they all found some more or less question."

Lu Chen smiled, took the reports, and said, "I would rather do one more examination than let go of a patient with problems."

That's what he said, but Lu Chen really didn't do any more checks.

The middle-aged woman who had always wanted to have a check-up was suppressed by Lu Chen.

"Junior brother, you did a good job." Wang Xiaodong said, "You can continue to the emergency observation room. If the patient's condition changes, if you are sure, deal with it directly first, and then ask the junior brothers and sisters to come to me."

"Okay." Lu Chen nodded, and then returned to the emergency observation room with Chi Jia.

…

It was already two o'clock in the afternoon. UU Reading www.uukanshu.net

Kyoka Medical University Headquarters.

Skills Assessment Center.

Wang Zihao came out of the examination room and searched throughout the examination center, but could not find Lu Chen.

After looking at the rankings on the screen, Lu Chen's completed projects had not changed at all, and his rankings were also declining!

"What did Lu Chen do? He didn't come, right?" Wang Zihao couldn't help but think, "Did he overdo it during his nap?"

He called Lu Chen several times.

But no one responded.

"If he didn't come, what should we do with the assessment?" Wang Zihao was a little anxious, "I remember that he still has more than 20 items that he has not yet taken the exam!"

…