I Can See Health

  Chapter 498 Huang Hanlin who went crazy

   Lu Chen was startled, he quickly walked to the patient's bed and touched the pulse of the patient's radial artery with the tip of his right finger.

  Sometimes, the blood pressure measurement of the ECG monitor is not accurate, and there are some discrepancies with the real blood pressure.

   However, the patient's blood pressure can be estimated by palpating the pulse strength of the radial artery.

   This is also a small skill that Lu Chen learned in clinical practice.

   "The pulse is very weak!" Lu Chen's heart sank to the bottom.

   It seems that the blood pressure measurement of the monitor is mostly correct.

   "The patient has been without urine since admission, and the extremities of the limbs are very cold." The nurse said again.

   At present, there are various indications that the patient's blood pressure is already in a state of shock.

   "Open two more venous channels for quick rehydration!" Huang Hanlin said immediately, "Notify the ultrasound department and apply for a bedside abdominal ultrasound!"

   "Received!" The two nurses cooperated with each other, one punctured the patient, and the other went to call the ultrasound department.

  Lu Chen was not idle either, he was reviewing the patient's blood pressure.

   "Mr. Huang, blood pressure review, only about 82/50 with the cover, bilaterally symmetrical!"

   Huang Hanlin's face was frosty, "TMD, **** emergency department, don't do any examinations, just push the patient to us!"

  According to the current state of the patient, it is best to do a full abdominal CT.

   The emergency CT clinic is right next to the emergency department, and the inpatient department is still some distance away from the emergency department.

   Now asking the patient to go to the emergency CT is equivalent to letting the patient go back.

   "This group of doctors in the emergency department really eats dry food!" Huang Hanlin scolded again, "Every patient is pushed into our CCU, from head to toe, as long as it hurts, he can receive us here!"

   It seems that the relationship between the CCU and the emergency department is not very friendly.

  Lu Chen listened to Huang Hanlin complaining about the emergency department.

   He can't handle so much now. The emergency department may have made a mistake, but the patient's current state of shock, in addition to fluid replacement and anti-shock, the most important thing is to find the cause of the shock.

   Lu Chen saw the ultrasound machine beside him.

   Before the sonographer arrives, he may be able to take a look at the patient's abdominal ultrasound.

   "Mr. Huang, should I do an ultrasound on the patient first?" Lu Chen asked.

   He is only a graduate student after all, and all diagnosis and treatment needs to be approved by the superior doctor.

  Huang Hanlin was still complaining about the emergency doctor, when he heard Lu Chen's words suddenly, he was stunned.

   He thought of the scene when Lu Chen performed an ultrasound on the patient who was on the ECMO machine before, and nodded subconsciously.

   When Lu Chen saw Huang Hanlin's agreement, he immediately pushed the ultrasound machine.

  …

   At this time, Liu Han and Gao Rui also came to Lu Chen's side after dealing with the patients they had just received.

   Seeing Lu Chen pushing the ultrasound machine, Liu Han was startled at first, thinking that it was Mr. Huang Hanlin who wanted to perform an ultrasound on the patient.

   "But I remember that Mr. Huang Hanlin can't do ultrasound?" Liu Han thought.

   Just when she was wondering, she suddenly saw Lu Chen's ultrasound probes, which were at the patient's bedside.

   And Huang Hanlin also stood by and watched.

   "Junior Brother Lu, he, he came for an ultrasound?" Liu Han was shocked.

   This is to use the patient to practice ultrasound?

   Isn't this patient very critical?

After thinking about it, she walked behind Lu Chen.

  …

  Lu Chen got the ultrasound probe, applied couplant, and gently placed the probe on the patient's abdomen.

   When the probe touches the patient's skin, an image appears on the ultrasound screen.

   Huang Hanlin, Liu Han and Gao Rui did not react at the moment when they saw the image, but Lu Chen's pupils shrank slightly, and he lost his voice: "Liver rupture!"

   I met a patient with liver rupture and bleeding again!

   As soon as he finished speaking, Huang Hanlin's face immediately became tense.

"you sure?"

  Lu Chen held the ultrasound probe in his hand and said solemnly: "" The continuity of the liver capsule disappeared, and the echo of the rupture increased. Second, there are hypoechoic areas under the liver capsule. These all point to a diagnosis, which is liver rupture! "

   "Please call for an emergency consultation of general surgery! Hurry up! Immediately!" Huang Hanlin shouted to Liu Han who was beside him.

  Liu Han was stunned for a moment, then ran to the nurse's station and called the front desk to find the number of the general surgery department.

  Gao Rui was taken aback by Huang Hanlin's sudden roar behind Liu Han.

   At the same time, she was also a little surprised that this student in the same class as her could actually do an ultrasound?

   She was born in gastroenterology, and she doesn't know how to do abdominal ultrasound!

   This cardiology student, how can he do abdominal ultrasound?

   Gao Rui looked back at Lu Chen, his eyes full of confusion.

  …

   Huang Hanlin was extremely anxious at this time.

   Liver rupture!

  If it is not handled in time, it will kill people!

   After Lu Chen's vascular ultrasound in front of everyone, he believed in Lu Chen's judgment.

   Most of this person is hemorrhagic shock caused by liver rupture and hemorrhage!

   "This TM's emergency department really kills people!" Huang Hanlin clenched his fist in his sleeve, "If an abdominal ultrasound or abdominal CT can be done in the emergency department, the patient's condition can be clearly judged at the first time."

   He now greets the emergency doctor dozens of times in his mind.

   At this time, Liu Han had finished the consultation call and returned to the bedside.

   "Mr. Huang, I have called the general surgery department, and the emergency consultation doctor will be here soon."

   "Okay!" Huang Hanlin nodded, then said to Liu Han, "I'm going to communicate with the patient's family about the condition. You wait here for the ultrasound doctor."

   "Hmm." Liu Han responded.

   Then, Huang Hanlin took Lu Chen to the doctor-patient communication room.

  …

   Doctor-patient communication room.

   "Family, think about it again, has the patient suffered any injuries before?" Huang Hanlin stared closely at the patient's family in front of him.

  The most common cause of liver rupture is a bicycle crash, and some occult bleeding is difficult to see from the appearance.

   Zhou Xiaoping looked dazed, "Probably not."

   "What is supposed to be?" Huang Hanlin frowned, "Does the patient usually live with you?"

   The patient has always denied any history of falls, so Huang Hanlin had to ask his family.

   "I was on a business trip recently, and I just came home this morning, so I may not be quite sure." Zhou Xiaoping said after a pause.

   "Are there any other family members?" Huang Hanlin asked again.

   "My sister usually lives at home, she should know." Zhou Xiaoping said, "I'll call and ask her later."

   "Okay, you can ask later." Huang Hanlin said, "Now we are basically diagnosed with liver rupture, and surgery may be required. Your family members should be psychologically prepared!"

   "Liver rupture?" Zhou Xiaoping was stunned.

   She thought that her father was suffering from a heart disease, but she did not expect to have a ruptured liver.

The name    sounds like that kind of bad disease.

   "Doctor, is it serious? How is my dad now?" Zhou Xiaoping asked nervously.

   "It is currently in a state of hemorrhagic shock." Huang Hanlin said solemnly, "We have invited a general consultation and may push the patient to the operating room at any time."

  …

   At this moment, the CCU gate was pushed open.

   The sonographer and the general surgeon came at the same time.

   (end of this chapter)