This Doctor is Great

When Zhou Mo rushed into the ward,

one look,

The actual blood pressure on the patient's ECG monitor is only 84/42mmhg!

"Hiss~~ah~hiss~~ah~"

The patient held his stomach and gasped for air.

And the patient's son was overjoyed to see Zhou Mo running in.

"Doctor, help me see my dad, what's wrong with him?"

Zhou Mo pushed him away, came to the bedside, and grabbed the patient Chen Dezu's hand on his stomach: "Your stomach hurts now?"

"Yes."

"Is your chest still hurting?"

"It didn't hurt just now!"

Why do you have abdominal pain?

Why didn't it hurt just now?

Zhou Mo's mind suddenly thought of abdominal aortic dissection.

But he quickly shook his head, the CT doctor had already diagnosed it, no aortic dissection. Moreover, abdominal aortic dissection rarely exists independently, and most of them are caused by the coexistence of thoracoabdominal aortic dissection or the downward extension of thoracic aortic aneurysm, which affects the abdominal aorta.

No, it's still possible.

Do not rule out CT missed.

"Xiao Lin, help me push B over!" Zhou Mo quickly said to the nurse in charge of the bed.

"Okay!" Nurse Xiaolin rushed out.

Zhou Mo quickly prepared to examine the patient.

Abdominal pain, it is natural to check the abdomen.

Lift the patient's top to expose the abdomen. The patient quickly clutched his stomach with his clothes removed.

"Where does it hurt? Tell me."

"Here (covering the upper abdomen)..." the patient said profusely in pain, his face pale because of the pain.

"Hey, that's not right!!"

As soon as Zhou Mo pulled away the patient's hand covering his upper abdomen, and pressed his upper abdomen, he suddenly felt something was wrong.

This abdomen is not like the abdomen of a healthy patient.

A little hard and bouncy.

liquid!

"I go!"

Zhou Mo was shocked, how could there be liquid!

crackling~~~~

At this moment, a bolt of lightning flashed through Zhou Mo's mind.

"Blood!"

"Could it be blood?!"

Abdominal aortic dissection ruptured?

Or broken organs?

Zhou Mo's heartbeat suddenly started beating fast.

impatient!

Shouting to the nurse's station not far away: "Quick, call the superior doctor for me, something has happened here, there may be massive bleeding!"

Then he asked the son of the patient Chen Dezu: "Has your father been injured recently, or hit something?"

I have asked before, no history of surgery.

The patient's son was also frightened by Zhou Mo's nervousness, and quickly said: "Yes, when I was riding in the car this morning, I suddenly saw a motorcycle rushing in front of me, so I hurriedly braked, and then my dad hit the chair in front of me. ..."

"Where did it hit?"

"My dad was holding a box, maybe it hit his chest or abdomen?"

When Zhou Mo heard this, he was so angry that he couldn't help cursing: "Why didn't you just say that!"

Zhou Mo suspected that the organs inside were hit and then bled.

The most likely is the most vulnerable - the spleen!

Moreover, there is another type of organ bleeding-delayed bleeding, which may occur after a few hours or a few days.

The patient's son was wronged: "I think it should be fine..."

Zhou Mo ignored the patient's son, searched in the nurse's car, and found a syringe.

The 20ml kind.

And narcotics.

While disinfecting and putting on gloves, Zhou Mo unpacked and quickly asked the patient's son.

"Has your father ever been allergic to anesthesia?"

"No."

Zhou Mo quickly drew the anesthetic, and then injected it into the patient's abdominal skin.

"Now I suspect that your father has a lot of blood in his stomach. I want to puncture him now to see if there is blood. I need your consent!"

"Huh?" The son was stunned.

"Ah what! Do you agree?" Zhou Mo said angrily.

"I agree!" the patient Chen Dezu shouted with difficulty.

"I agree." The patient's son shouted in panic.

Zhou Mo nodded, taking advantage of the time gap when the anesthetic took effect, he checked his blood pressure, 70/34...

Oh My God!

It fell too fast!

After Zhou Mo felt that the anesthetic had taken effect, he stabbed the patient's swollen stomach with an injection.

go down slowly

Soon, it felt light and passed through.

It's here.

and then a pump,

Blood!

The red blood was drawn into the syringe and displayed in front of Zhou Mo and the patient's son.

The patient Chen Dezu was so frightened that he almost fainted.

The son panicked even more.

At this moment,

It happened that Teacher Huang Li ran over: "What's wrong?"

Then he saw the tube of blood that Zhou Mo had inserted into his abdomen.

Suddenly his face changed.

Zhou Mo quickly said: "The patient is bleeding heavily, and his blood pressure drops rapidly. It should be that an organ ruptured, or the abdominal aorta dissection ruptured, causing massive bleeding, and surgery is needed immediately!"

"!!!"

"By the way, rehydration, let the nurse arrange the rehydration immediately, I'm afraid the patient is about to go into shock."

"Also, contact the surgeon for emergency consultation, cardiac surgery, and hepatobiliary surgery!"

The matter was urgent, Zhou Mo subconsciously gave orders to the patient.

Teacher Huang Li nodded sharply, thinking that Zhou Mo's handling was good, and he didn't feel unhappy that he was 'ordered'.

Soon, the nurse station hurriedly called the cardiac surgery and hepatobiliary surgery.

Another nurse rushed to get the medicine.

At this time, Xiao Lin pushed B over the bed.

Although it has been concluded at this time that there is massive bleeding in the abdominal cavity and the B-ultrasound is not needed, Zhou Mo can use the B-ultrasound to see if the spleen is ruptured.

While waiting for the surgeon to come, while waiting for bedside B-ultrasound.

Start-up, parameters, couplant...

(Medical coupling agent: composed of water-based polymer gel, with clear ultrasound imaging, suitable viscosity, non-greasy, easy to slide the probe...)

Zhou Mo pointed the probe at the patient's upper left abdomen.

sweep sweep sweep ~~~

"Hey, there's nothing wrong with the pancreas..."

It clearly shows the healthy shape of the pancreas, not broken.

"Is it another part?"

Zhou Mo adjusted the B-ultrasound parameters from time to time, and scanned other parts...

"Doctor, the three venous accesses are ready!" nurses Xiao Lin and Xiao Chen Qiqi shouted.

"good……"

soon,

Another nurse ran in with liquid crystal gel for rehydration.

Rapid rehydration.

At this time, several senior doctors from the Department of Cardiology came.

After learning about the patient's situation, they all thought that Zhou Mo's treatment was very timely, fast, and accurate.

"Huh……"

Suddenly, Zhou Mo noticed something was wrong in the liver area.

There is an organic change in the position of the left lobe of the liver in the left chest.

(Liver structure diagram, please upload a diagram, learn and learn!)

Zhou Mo breathed a sigh of relief:

"This, it should be the bleeding point!"

As long as the answer is found, the next thinking will be clear and less nervous.

Zhou Mo said to Director Niu who had just arrived: "The B-ultrasound found the left lobe of the liver. There is a problem. Where is the possible bleeding..."

Director Niu heaved a sigh of relief, smiled and nodded: "Okay, good, good, wait for the surgeons to come over, and let them open the abdomen to stop the bleeding..."

not long,

Stepping~~~~~

There were quick footsteps outside.

Cardiac surgery, hepatobiliary surgery,

coming! !

.

Four more sent to ~~~ After a day in the library, many people shocked me.