Large patches of skin and mucous membrane had appeared on Chen Zehui's chest and abdomen. On his pale skin, the bruises and bruises were so glaring.
"We suspect a hematological disease. Get a blood test immediately. Check the blood routine, blood coagulation, liver and kidney function. Contact the ICU and prepare to send her to the intensive care unit, "Zheng Ren said in a low voice.
He looked at Chen Zehui and asked, "How long has this been going on?"
Chen Zehui tried to raise her head and was shocked to see the changes in her body in a strange posture.
She shook her head absentmindedly, indicating that she did not know.
"Did she knock her head on the table when she fainted?" a female colleague guessed.
"I don't think so," another person said, "I remember her lying on the table. She shouldn't have hit her stomach."
"It looks scary."
Zheng Ren guessed that the symptoms had only appeared today. Even the patient herself had not noticed it.
"Do an abdominal CT scan. Hurry up," Zheng Ren ordered sternly in the emergency department resuscitation room.
Zhou Litao, who was supposed to be the master of the place, had become a manservant and was running frantically.
The blood pressure was measured every five minutes on the ECG monitor. The drop in blood pressure was obvious between the two readings.
Perhaps Chen Zehui had struggled too hard just now, and her emotions had caused her blood pressure to rise, causing her unknown condition to ferment and worsen, resulting in this series of changes.
After arranging for the patient's blood pressure to be checked, Zhou Litao glanced at the blood pressure. Without hesitation, he took out a venous catheterization kit, put on gloves and started the venous catheterization.
The patient's blood pressure plummeted in a short period of time. It was considered hypovolemic shock and could not be diagnosed as hemorrhagic shock for the time being.
Regardless of the diagnosis, fluid replacement was necessary.
The presence of a venous catheterization was equivalent to an additional insurance for the patient.
"What are you thinking about?" Su Yun asked softly.
Zheng Ren's eyes flickered and he said, "Hematuria can still be considered as a result of a rectal tumor or appendicitis, but combined with ultrasound and CT scans, it can be ruled out.
Hematuria with colic should be considered as urinary calculi. Hematuria with lumbar distention and dull pain should be considered as infection. Hematuria with naked eyes without symptoms should be considered as a tumor. Hematuria with irritation should be considered as urinary tract infection. "
"That's as good as not saying anything." Su Yun curled his lips in disdain and said, "Can you not talk to me like you're talking to a patient? Can't there be some trust between people?"
"I'll consider poisoning," Zheng Ren said helplessly.
"Poisoned?" Su Yun studied Chen Zehui's attire, doubting Zheng Ren's judgment.
Even if the white-collar workers in the Imperial Capital wanted to drink pesticides, it was very difficult to buy them.
If he wanted to buy it online like Zhou Chunyong's son, it would take him a few days to get home. The anger in his stomach had long since been vented. If he wanted to rush to the heavens again, pick up the pesticide and drink it, it would probably not be that easy.
Therefore, it was rare to see a case of drinking pesticide among the urban white-collar workers.
Other poisons were quite rare.
However, in the end, Zheng Ren formally stated his suspicions. Su Yun did not refute and quickly began to think about the possible situation with the patient.
There were many possibilities, and in the face of this unknown disease, the only way to understand it was to become the great detective Polo.
Zheng Ren was also very distressed. The System gave a diagnosis — food poisoning. However, it did not say what kind of poisoning it was.
After Zhou Litao finished the deep vein puncture, he connected the intravenous drip and first gave the patient a fluid replacement. The blood sample was also collected and sent to the laboratory.
"Boss Zheng, CT …" Zhou Litao was a little hesitant.
"Let's do one," Zheng Ren said. "Prepare the defibrillator and other emergency drugs. It'll be more difficult to do the examination when we go to the ICU."
Su Yun and Zhou Litao understood what Zheng Ren meant.
The patient's condition was unknown. Once he went to the ICU, there was a high chance that he would have to use a ventilator to assist him in breathing.
Now that he had the time to do an abdominal and chest CT scan, it could point the way for future diagnosis and treatment.
Then let's go. Zhou Litao was a little distressed. This was an acute and critical illness. It was very likely that his heart would stop on the way.
Whether it was in the CT room or on the way, if he needed emergency treatment, he would have to use a defibrillator or chest compressions all the way to the ICU …
Now was not the time to be conflicted. There would definitely be countless opinions, each with its own pros and cons. As for how to weigh the pros and cons …
In an emergency, he could only listen to the advice of the senior doctor who presided over the rescue.
When Boss Zheng came to the emergency department, Zhou Litao habitually regarded his advice as that of a senior doctor and unconditionally followed all medical advice.
This was not the tyranny of an administrative position, but the aura of superiority brought about by the overwhelming technical skills.
They hurriedly carried the patient onto the stretcher trolley. Zhou Litao carried the first-aid kit and the nurse held the defibrillator as they rushed to the CT room.
The risk was relatively high, but for the patient, the benefits outweighed the risks.
However, the other risks had to be borne by the doctor.
This heavy burden was on Zhou Litao's shoulders, as if he was carrying a mountain.
The stretcher trolley sped along and began the CT scan. The two stood in the control room and looked at the image on the screen.
There was fluid accumulation in the pelvic cavity and a hematoma on the left upper abdomen. There was a small amount of fluid in both lungs, the source of which was unknown.
At that moment, the emergency department called to report the results of the four blood coagulation tests: PT and APTT were 50 times higher than normal. It was definitely a coagulation disorder.
The blood routine showed that the white blood cells were still high and the hemoglobin had dropped from 9 grams two days ago to 5.5 grams.
Let's go to the ICU. Something must have triggered a coagulation disorder, causing hypovolemic shock.
As for whether he could be saved, Zheng Ren did not dare to say.
Regarding this, the System was extremely hateful. If he could give a simple and clear treatment plan, he would be able to win without doing anything.
He did not even need a treatment plan. He just needed to explain what chemical poisoning it was.
Sigh … Zheng Ren sighed.
"What are you talking about?" Su Yun asked.
"What are you talking about? What kind of poisoning did the patient get? Do you know? "Zheng Ren was obviously in a bad mood, so his words were a little harsh.
"Why are you throwing a tantrum? Just ask a little. Boss, are you thinking that it's a pity that the girl is so good-looking? "Su Yun asked softly.
"Don't talk nonsense." Zheng Ren's face was serious.
"Tsk ~" Su Yun said disdainfully, "Hypocrite, let's go!"
"Su Yun, let's go to the ICU and send the patient in. We can also understand the situation from the patient's colleagues and friends who sent her here," Zheng Ren said.
"Okay." Su Yun thought so too.
After the CT scan, Zhou Litao and the patient's friend carried her onto the stretcher trolley and pushed her directly to the ICU. Zheng Ren typed out the radiographic films and ran after them without asking for a report.
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