nausea?

Want to vomit?

This high probability is due to a problem with the digestive tract.

"Give him a saline and glucose rehydration solution..."

Then draw blood.

Do basic blood routine, urine routine, liver function, kidney function, electrolytes and other routine items.

In addition, there are B-ultrasound, CT...

Moreover, the patient Huang Zheng will not be blocked because he does not need to pay.

And Chen Zheng would not stop it, because he was really afraid of death.

At this time, the leaders of the school also came.

I wanted to find Lin Feng about the condition, but Lin Feng was too busy, so I could only find Lin Feng's student Xiao Ru to understand the condition.

All the way to the CT room.

Patients, students, school doctors, and school leaders are all worried.

CT can be seen on the spot.

The result is a scan.

Lin Feng watched the operation of the CT teacher.

·Liver: No problem...

·Spleen: No problem...

·Heart: No problem...

No rupture as imagined, no bleeding.

Now, half relieved.

Leave the CT room and prepare to return to the emergency department.

On the way,

Suddenly, the patient Huang Zheng's mouth bulged, as if uncomfortably.

"What's wrong?"

"Woohoo..."

The patient Huang Zheng wanted to speak, but as a result...

"Oh~~~~"

A bite of blood,

Spit it out!

The sheets suddenly turned bright red...

Lin Feng: "………………"

Xiaoru, nurse: "………………"

The surrounding patients and family members were so scared that they were scattered, and then looked over.

Lin Feng frowned, looking at the blood on the bed...

At least 200ml!

"Are you coughing up blood or vomiting blood?"

Lin Feng asked seriously.

After all, Huang Zheng is a high-achieving student at a prestigious university, so it is natural to distinguish the difference between these two words.

"It's hematemesis..."

"Hematemesis, in other words, it is a problem with the digestive tract!"

Lin Feng concluded.

And the bright red blood should be the upper digestive tract, not the small intestine, colon, rectum, etc...

"Have you ever had chronic diseases such as gastric ulcer and duodenal ulcer?"

"No……"

Lin Feng stretched his brows.

Eliminate all impossible.

The remaining answer is:

Mechanical trauma to the stomach and duodenum!

The reasoning is as follows:

·Patient was beaten (bruise at the xiphoid process)——>Injury to the patient’s stomach and duodenum——>Hemorrhage+pain——>Hematemesis...

"Xiphoid process": below the junction of the left and right ribs, there is a bone that is the same as the tip of the sword.

Where it is, there are stomach, cardia...

Therefore, the high probability should be that the stomach is injured.

Of course, the possibility of gastric ulcer and gastric cancer cannot be ruled out.

But it must be related to the stomach.

Push the gastroscope room directly.

Do a gastroscopy.

However, before that, try to stop the bleeding.

The conservative method is to use medicine.

·Frozen saline

·2 Norepinephrine

Oral it directly and let it reach the stomach directly.

Norepinephrine is a commonly used rescue medicine that can raise blood pressure. It was often used in Lin Feng's previous operations.

And its principle is to shrink the peripheral blood vessels.

Stomach bleeding, the vasoconstrictor function of the detoxification is definitely useful.

In addition, freezing salt water can also constrict blood vessels.

This is also a common method of hemostasis in emergency departments.

All the way to the gastroscope...

The patient Huang Zheng no longer vomits blood, and I don't know if hemostasis has been effective.

...

Get sedation and anesthesia...

Then go deep into the gastroscope...

Before reaching the stomach, just out of the esophagus, when it came to the cardia...

I found the bleeding mouth!

cardia!

Cracked!

There is still blood flowing out slowly.

It's not gastric bleeding, not gastric cancer, gastric ulcer, but gastric cardia bleeding!

However, the opening is not big.

"Give him a blood vessel contraction medicine..."

And at this time,

The results of the blood test also came out.

Hemoglobin: low, only the lowest value of normal levels.

Corresponds to cardia bleeding.

What happened should be:

The cardia (xiphoid) was punched and then it cracked——>then bleeding——>abdominal pain, vomiting

"Congratulations, it's just a torn and bleeding cardia mucosa..."

"Doctor Lin, do you need surgery?"

"No surgery is needed. After some time, these torn mucous membranes will gradually heal..."

Everyone at the school was overjoyed.

"Thank you Dr. Lin, thank you Dr. Lin!"

Go back to school happily...

The wounded Chen Zheng also breathed a sigh of relief. If he really beats his classmates into the operating room, it would be really daunting, and neither the school nor his parents would let him go.

However, if his girlfriend is ‘smashed’ next time, he will beat him again.

It's just that the start will be lighter.

...

The next patient.

"` "Doctor Lin..."

A young patient came in.

Liu Duoyuan, 28 years old.

He looks very healthy, but his complexion is tired.

"What's wrong?"

Liu Duoyuan sat down and began to talk about his experience.

"I don't know why these days, I've been crushed by a ghost..."

"Ghost press? Is it the kind that can't move after getting up?"

"Yes."

"Oh, that little thing..."

Lin Feng said with a smile.

"what?"

The patient Liu Duan was taken aback.

Ghost press!

Very scary,

When I wake up, I find that my whole body can’t move. Although I can see the surrounding images and hear the surrounding sounds, I can’t make any sound. Sometimes I have hallucinations...

It's so scary!

I feel like a vegetative!

The feeling of fear and suffocation of being unable to move makes him feel lingering when he thinks about it.

Lin Feng smiled.

"The ghost press is not as scary as you think. (Due Li's)"

Whether in the East or the West, in the past few centuries, almost every culture has stories of evil creatures terrorizing mankind.

Many people have experienced the so-called "ghost press".

Many people feel scared, and intuitively think that it was caused by being suppressed by some unknown object, so there is the term "ghost press".

but!

"Ghost presses the bed" means "the brain is awake but the body is not awakened."

Medically known as "sleep paralysis"!

It refers to the horrible experience of hallucinations when a person has woken up, but a part of the body and brain is still asleep, and does not listen to the command of the consciousness, and the panic during the attack leads to the horrible experience of hallucinations.

It can happen when you just fall asleep or when you are about to wake up, or it can happen at night or in the morning.

——————

ps: The update is over... I made it to the top list yesterday, thank you guys for appreciating the food... Adhere to the quality and not find the shooter, this is my persistent tick.

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