bookmarkrole Chapter 223
Chapter 223
Chapter 223
the next day,
Lin Feng entered the emergency department of Harmony Hospital as quickly as possible.
Director Zhang Guofeng called all the doctors and introduced Lin Feng to all the doctors and nurses, smiling, kind and kind.
“Fuck! Lin Feng really came to the emergency room!”
“The director is too kind to him, right?”
“MMP!!!”
A group of young doctors have a complicated heart at this time. Think about the appearance of Director Zhang Guofeng with a cold face and an iron face in the emergency department when he came to the emergency department.
Why can Lin Feng be treated like this?
Looking at the appearance of the nurse sisters seeing Lin Feng guilty of peach blossoms, the young doctors became even more jealous.
…
“It’s really complicated~~~”
Lin Feng also felt the difference in the surrounding atmosphere, and many doctors rejected him.
However, he can also understand.
The bigger the place, the more contradictions.
In the City No. 1 Hospital, each doctor is far behind Lin Feng’s strength, so he will be willing to be Lin Feng’s assistant.
And harmony, these doctors are all elites, geniuses, arrogant, self-confident, and naturally will not easily bow to the “Nine-Five-Three” Lin Feng.
so,
If Lin Feng wants to gain a foothold in the emergency department and convince the doctors, he needs to use the strength of the crushing class.
This process may be one month, or three months, or six months…
but,
Lin Feng is not afraid of this challenge!
With his strength, these doctors in front of him are all fighting the five scums! !
…
Lin Feng feels that these young doctors are all five scumbags.
These young doctors also look down on Lin Feng.
“This is not those local small hospitals (the first hospital in the city), it’s harmony!”
“This Lin Feng is so valued when he first came up. It’s too much!”
“Find time, give him some mawei?”
One by one young doctors thought so secretly in their hearts.
but,
They haven’t had time to disarm Lin Feng,
Lin Feng gave them a good start.
…
10 o’clock in the morning,
When Lin Feng was in the consultation room,
In the emergency department, a 14-year-old girl came.
My parents came with me.
The doctor who consulted her was Wang Yi, the attending physician in the emergency department, and it was one of the doctors who had previously said that Lin Feng would be dismissed.
“Doctor, help my daughter. She has a pain in her stomach, vomiting, and her stomach is swollen.”
The parents looked nervous.
“How long has it been painful?” Wang Yi asked.
Patients with abdominal distension and vomiting are most likely to:
·intestinal obstruction……
·Acute peritonitis…
“It’s been painful for a day or two. This morning was so severe that I almost couldn’t straighten my waist.”
“When did Moon J come?”
“Ten days ago.”
In other words, it is not dysmenorrhea.
All young women with abdominal pain must be alert to gynecological diseases.
Such as pain j, ectopic pregnancy, torsion of ovarian pedicle…
and many more!
Must be excluded first.
“Doctor, I’m so distended now, my stomach is bulging, I feel like vomiting when I drink water, and I feel like vomiting when I eat…”
“Have you eaten any different food?” Dr. Wang Yi asked.
“None. The child happened to be at home on vacation these past two days. It was all my cooking, nothing special.”
“Did you fart?”
“No, I usually fart less.” The girl was a little bit embarrassed.
“What about the stool? Have you had any stool these days.”
“I haven’t had a bowel movement in these two days, and my appetite is not good. I didn’t eat anything, so I didn’t have a bowel movement.”
Next, Dr. Wang Yi gave the little girl a physical examination.
·The belly is indeed bulging, it is full of air, not like liquid.
This can rule out peritonitis, because peritonitis is the manifestation of a flat, hard abdomen.
· There is tenderness.
Then listen to bowel sounds with a stethoscope.
No!
A normal person’s stomach will have bowel sounds 3-5 times a minute, which means that the intestines are moving, digesting and absorbing food.
If you can’t hear bowel sounds for a minute, and your stomach is so full, there must be a problem.
In other words,
Abdominal pain is caused by the disease of the stomach itself!
Gynecological diseases such as ectopic pregnancy can be ruled out.
Therefore, it is most likely an intestinal obstruction!
In addition, it is paralytic intestinal obstruction, and the intestines seem to be less peristaltic. This is a red flag. Maybe the intestines will soon be ischemic necrosis. If that is the case, the problem will be serious.
The so-called intestinal obstruction refers to a certain section of intestinal obstruction, and the contents of the intestine (digested matter) cannot pass, then this section of intestine will become more and more dilated, and the patient will have abdominal pain, vomiting, abdominal distension, and the anus will stop exhausting and defecation.
In particular, it is very important to stop exhausting and defecation. The girl has not had any bowel movements or fart for 2 days, which can’t help but make people suspect that there is an intestinal obstruction.
At this time, Dr. Wang Yi discovered another incident.
·Patient girl with cold hands and feet
·Dry skin, do not want the skin of little girls, obviously severe water shortage.
Intestinal obstruction can cause lack of water.
In this case, it is necessary to quickly replenish water and instill saline…
“Go and be a CT…”
As soon as CT does it, all results will be found.
…
It took an hour,
11:00…
The CT is done.
Dr. Wang Yi got the CT results.
·CT results: the intestinal cavity in the abdominal cavity is obviously dilated, and the liquid level is seen.
This is a typical manifestation of “intestinal obstruction”!
It’s really an intestinal obstruction!
“intestinal obstruction?”
“My girl is so good, how come her intestines are blocked?”
“Have you had any surgery before?”
Mother: “I had appendicitis surgery when I was in elementary school.”
“Appendicitis removed?”
Dr. Wang Yi was overjoyed.
Found the cause!
Patients who have had abdominal surgery have a high possibility of adhesive intestinal obstruction!
Adhesive intestinal obstruction: After surgery, the intestinal serous membrane will be damaged, and some damaged serous membranes may adhere to each other. Over time, it may tighten the local intestine and cause intestinal obstruction…
Dr. Wang Yi is very happy 0 ……..
In the emergency department, efficiency is important.
Now that the cause is found, and there is CT evidence, the disease must be intestinal obstruction.
Moreover, the little girls are suffering from severe water shortages, which is a sign of serious illness. They may be prone to shock, so the operation should be speeded up.
“Go to pay the money, be admitted to the hospital, and then an hour later, start the operation!”
Dr. Wang Yi began to make arrangements quickly.
Soon, the operating room was arranged, and the queue was cut…
Then the money was paid…
The admission surgery was done…
…………
Lin Feng’s side,
He happened to be sitting in the consulting room next to him, but not many people hung up on his number, because he was still Doctor Gui Pei, not even a small attending officer, and many patients in the Imperial Capital did not believe in his strength.
Therefore, Lin Feng is very idle.
At this time, the little girl changed her medical clothes to prepare for the operation.
Sudden,
She saw Lin Feng.
“Wow~~ Doctor Lin!!”
She looked at her idol Lin Feng in surprise.
Originally she was from Fenhuaze, but in the airport later, she was infected by Lin Feng’s handsomeness, heroism, and life-saving!
Suddenly became a fan of Lin Feng, and he was particularly fanatical.
“You are?”
“Doctor Lin, my name is Jarvan, I am your fan!”
“Oh oh oh~~~~”
“Can you sign me?”
“sure!”
Lin Feng happily signed the little girl Jiawen, very beautiful.
“What are you?” Lin Feng looked at her medical gown curiously.
“I have stomach pain and vomiting for the past two days, and the doctor just diagnosed me with intestinal obstruction, so I was admitted to the hospital, and I will have surgery later…”
2.2 Lin Feng nodded.
Anyway, he has no patients to see, so he just talked about the cause.
but,
Listening, Lin Feng frowned.
Intestinal obstruction?
It doesn’t feel like~~~
“Wait… I look at your CT…”
CT is no problem, it’s intestinal obstruction.
Lin Feng, who was idle, did a physical examination for the fan Jiawen, and it sounded not quite right.
A doctor with extensive clinical experience, Lin Feng’s intuition is still very accurate.
“Has blood sugar been measured?”
Lin Feng feels,
This fan Jarvan is struggling to breathe, maybe there is a lack of oxygen or other problems.
There may be a problem with blood sugar!
“Blood sugar? No measurement…”
“Let me take a blood sugar test for you…”
Lin Feng called the nurse Xiao Ai.
“Xiao Ai, help me get a blood glucose meter…”
“okay!”
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ps: I was late, I changed the plot, and it took a lot of time.
. .