Doctor: It's reasonable to perform surgery on yourself.

Along the way, Mo Wan had a brand new feeling.

The doctors in the clinic all exuded a fighting spirit, and each of them was like a desperate man. Although they looked tired, their eyes were bright.

"Doctor Xu!"

"The patient in the No. 4 emergency room was hit by a hoe in the right upper abdomen an hour ago. The pain quickly spread to the whole abdomen. The nature is continuous dull pain, radiating to the right shoulder..."

Zhou Hua, who came to meet him, immediately reported the situation.

The more Mo Wan listened, the more familiar it sounded. This patient... seemed to have just collided with her professional knowledge?

...

In the emergency room, Xu Qiu saw the dying patient.

His lips were chapped and pale, his dark face was bloodless, the bed sheet under him was soaked with a mark by his sweat, and his expression was distorted by the severe pain.

This scene reminded Xu Qiu of Qiu Qinghu, who had endured the pain of bone destruction caused by intestinal cancer.

Later, the clinical doctor gave him painkillers for free. As a result, the first-level non-steroidal anti-inflammatory drugs were completely useless, and the second-level weak opioids such as codeine were not very effective. It was not until the highest level, the strong opioid morphine against severe cancer pain, that the pain was relieved a little.

The working people seemed to be born with the characteristics of endurance. Whether it was Qiu Qinghu or the man in front of him, they still did not say a word under extreme pain, but just gritted their teeth and did not cause trouble to the people around them.

Xu Qiu walked closer and quickly examined the body.

The patient's surname was Luo, Luo Zhongshi.

As soon as he touched him, Xu Qiu felt Luo Zhongshi's cold limbs and a lot of fine cold sweat on his skin.

Lifting the clothes, the patient's abdomen bulged outward, and the tortuous veins on the abdominal wall could still be vaguely seen.

There were also clear bruises and hematomas on the right upper abdomen where the hoe hit.

The most terrible thing was that the patient had a percussion sound on his abdomen and positive mobile dullness!

Positive shifting dullness means that the patient has ascites, and usually the amount of fluid must be greater than one thousand milliliters to be percussed out... Coupled with the history of trauma, it is very likely that the bleeding is caused by liver rupture!

"Prepare for puncture."

As Xu Qiu finished speaking, he disinfected and put on gloves in one go.

Swish --

Under slow suction, a tube of uncoagulated blood rose from the syringe.

Uncoagulated blood usually means bleeding in the chest cavity, which just verified Xu Qiu's previous speculation.

"It should be a ruptured liver." At this time, Mo Wan was a little eager to try.

She never expected that she would come to the clinic as soon as she came to the clinic and a patient who bumped into her specialty field came. Isn't this a good opportunity for her to show her skills?

She is different from Shi Lian. She is the first of the younger generation of hepatobiliary surgery in Daxia. She is definitely not a little intern who can only shout 666 behind Xu Qiu!

"Prepare blood immediately."

"Prepare for abdominal puncture and peritoneal lavage, call for bedside B-ultrasound, and expedite abdominal CT."

"Monitor urine volume, central venous pressure, hemoglobin and hematocrit."

"Notify the operating room..."

For patients with liver rupture, they must actively fight shock upon admission. After completing various examinations, they must undergo abdominal exploration under general anesthesia.

The liver is large in size, fragile in texture, extremely rich in blood supply, and complex in structure and function. Therefore, a specific surgical plan cannot be formulated based on a few imaging reports alone. It is necessary to open the abdominal cavity and see the real abdominal situation before making a decision.

…

After formulating the rescue process for patients with liver rupture, Xu Qiu was called away by other rescue rooms before he had time to rest.

A car accident just happened at noon. It was not serious, but it was enough to keep the emergency department busy.

"Keep him in the emergency observation room, and give him 1000ml of 5% glucose, 0.5g of hemostatic and 0.1g of hemostatic aromatic acid, and 2000U of thrombin if conditions permit..."

"This patient should have a bedside X-ray of the skull, and a routine blood test, head CT scan, etc. Shave his head between examinations, and be ready to perform emergency intracranial hematoma removal at any time."

Xu Qiu's voice seemed to have magic. Every time he went to a place, the hearts of other medical staff in the emergency room were immediately at ease.

A lunch passed like this.

In the blink of an eye, the afternoon surgery was also arranged.

Xu Qiu took the freshly heated lunch box from Yunmei. Inside were fried meat with ginger, braised eggplant, and fried chicken gizzards, all of which were suitable for big mouthfuls of rice, and the temperature was just warm enough to be eaten.

He sat at the nurse's station and ate hurriedly.

He still has three surgeries in the afternoon. If nothing goes wrong, he may have to add an emergency liver rupture repair surgery after the results of Luo Zhongshi's examination come out, a total of four.

I can't hold on without food in my stomach.

Although physical potions are good, eating too much of them is also bad. It's like a fairy who is fasting, how can you get the fullness and satisfaction brought by fireworks in the world.

"Doctor, I found you!"

Just then, a female patient came over from the outpatient building.

Xu Qiu looked up and saw that it was Xun Yu in the morning.

"The results are out?"

"Yeah!"

Xun Yu has changed into a new set of clothes, and her body is faintly fragrant after taking a bath.

Xu Qiu sighed. For a woman who is at the age of beauty, having this problem is a blow to her self-confidence, which is far greater than the physical damage caused by the disease.

"Let me see."

Xu Qiu freed his left hand and took the list.

In the urine routine test, the urine specific gravity, red blood cells and white blood cells in the urine are all at normal levels, which means that the patient has no urinary tract infection.

Moreover, in the renal function test, the levels of blood creatinine and urea nitrogen were normal.

Xu Qiu then looked at the CT and MRU of the urinary system.

These examinations can more intuitively display the thickness of the renal cortex, the morphological changes of hydronephrosis, the degree of ureteral dilation, etc.

However, there were no meaningful positive findings except for slight perirenal fascia, suggesting suspected inflammation and infection.

The urine routine is obviously better than CT in indicating whether there is infection, which directly denies the infectious cause of perinephric fascial thickening.

"The kidney problem is not serious."

"No stones were found in the ureter."

After listening to Xu Qiu's words, Yunmei came over and asked, "Dr. Xu, is this another case of rare disease?"

"uncertain."

Xu Qiu put down the list, looked at Xun Yu, and walked towards the observation room.

Yunmei reminded: "Follow me quickly."

Xun Yu quickly chased after him.

After Xu Qiu and the other party were the only ones left in the observation room, he asked: "Have you ever been exposed to any illegal drugs?"

"Illegal... illegal drugs? No!"

Xu Qiu looked at Xun Yu: "Are you sure?"

"What are illegal drugs..."

"For example, laughing gas."

"No, no, they are all drugs. There is no way I would touch those things!"

Xu Qiu saw that Xun Yu didn't look like he was lying, so she nodded.

This type of incontinence without organic disease is clinically more common in drug addicts. If Xun Yu was not the cause, the diagnosis would suddenly have reached a dead end.