Doctor Peerless

Chapter 628 Is He Zhou Sheng?
As soon as the nurse entered the emergency room, she immediately handed over three inspection reports to Bai Mingming.

Bai Mingming accepted the report.For the first time, he didn't look at it.

With Zhou Sheng and Liu Zhengqing around, he wanted to show the report to them first.

"Group leader Zhou, group leader Liu, why don't you watch it first."

Zhou Sheng said: "Look at it first."

Liu Zhengqing also nodded.

They were all routine inspection reports, and both of them thought it was enough for Bai Mingming to read them.

Bai Mingming lowered his head and began to read the report.

The top one is the upper abdominal color ultrasound report, everything is normal.

Next is the urine amylase identification report, in which the amylase value also shows no signs of increase.Everything looks very normal.

From these two reports, the possibility of acute pancreatitis can basically be ruled out.

Bai Mingming raised his head, and said to Zhou Sheng and Liu Zhengqing with a little disappointment, "The color ultrasound of the upper abdomen and the identification of urine amylase are all normal."

Liu Zhengqing was slightly surprised.

It's not acute pancreatitis, this chest pain is really weird!

Zhou Sheng already knew this result.

He said calmly, "Look at the results of the chest CT."

"Ah."

Bai Mingming immediately began to read the third inspection report.

He just glanced at it, and immediately showed joy.

Zhou Sheng knew that the chest x-ray would definitely be effective, so he was as firm as Mount Tai.

Liu Zhengqing didn't know it, seeing Bai Mingming's expression changed, he didn't see the report, and immediately asked anxiously: "Doctor Bai, what's wrong?"

"There are a lot of gas shadows gathered in the middle mediastinum on the chest X-ray. It's a manifestation of pneumatosis in the mediastinum!" Bai Mingming said while handing the chest X-ray to Liu Zhengqing.

Liu Zhengqing got it in his hand and couldn't wait to look at it, "There is no main lung disease in both lungs, the structure of the hilum of both lungs is normal, the trachea and the large branches of the main trachea are unobstructed, only the mediastinum has gas accumulation, this is..."

Liu Zhengqing also has more than ten years of experience in practicing medicine. He immediately thought of a disease, but he couldn't be sure.Because this disease is so rare.

He looked at Zhou Sheng with questioning eyes.

In the emergency room at this moment, in the eyes of Liu Zhengqing, Bai Mingming is just a young man who has just started. Not to mention Cao Xin, he is not even a resident doctor, and in Liu Zhengqing's eyes, he is not a doctor.

The only person Liu Zhengqing should take seriously is Zhou Sheng.

Zhou Sheng nodded to Liu Zhengqing and said, "That's right. It's most likely a spontaneous rupture of the esophagus."

Hearing this name, Cao Xin didn't feel much.

He had only seen the disease twice in the book.

Bai Mingming has never personally dealt with it clinically.

It's just that I once witnessed a case when I followed the substitute teacher's ass during the internship.

Over the years, the situation at that time has long been forgotten.

Bai Mingming said: "Spontaneous esophageal rupture? This is too rare. No wonder after searching for a long time, we couldn't find the cause."

Zhou Yisheng said: "It's really rare, let's arrange for a photo of the esophagus, and at the same time notify the person outside the chest to come for consultation."

Chest CT can only see the impact of the ruptured esophagus on the chest cavity.

Specifically, is the esophagus really ruptured, where is it ruptured, and how big is the ruptured wound.

This thing can only be done by esophageal radiography.

After receiving the next instruction, Bai Mingming acted immediately.

The nurse who had just returned not long ago rushed to take the boy for an esophagogram again.

At the same time, Bai Mingming started to arrange the consultation.

The illness has been generally diagnosed, and Liu Zhengqing feels that there is no need for him to stay.

He said hello and said goodbye first.

Zhou Sheng had no intention of leaving.

This was exactly what Bai Mingming wanted.

He was not familiar with this kind of spontaneous esophageal rupture, and he could feel more at ease when Zhou Sheng participated in the consultation.

Of course, it is best to let Zhou Sheng directly preside over the consultation.

As for Cao Xin, he will not leave.

Outside the heart, those who come into contact with all day long are those heart patients.

When I came to this emergency center, it was an eye-opener. There was still spontaneous esophageal rupture.

He knows a little about esophageal perforation caused by foreign bodies.

For no reason, the esophagus ruptured on its own, which is really strange.

Before the patient came back from the angiography, the consultation did not start.

Cao Xin began to search the Internet for knowledge about spontaneous esophageal rupture, and began to make up for it crazily.

……

Esophagography is relatively fast among all radiography.

Take a barium meal, and it will be effective in a few minutes.

The imaging of the digestive tract often takes more than half an hour, and the imaging of some parts even takes longer. For example, it may take 5 or 6 hours at the latest to observe the lesions of the small intestine.

When the results of the boy's esophagus photogram came out, the consultant doctor from the chest also came.

It's already past twelve midnight.

At this point in time, most of the people who come for consultation are attending doctors of this level.

But because Bai Mingming had already mentioned that the patient's condition might be a spontaneous esophageal rupture on the phone.

So this time, there was a big battle outside the chest.

A deputy chief physician in his 40s led the team, followed by two residents and three interns.

Six people came all at once.

This number is more than the number of people who participated in the consultation as the landlord's emergency center.

The consultation room in the emergency center is not big, only more than 20 square meters, which is about the size of an ordinary family's bedroom.

In addition to a round desk, there are only six chairs.

So many people came all at once.

Not even enough chairs.

Zhou Sheng is going to move the chair.

Bai Mingming said: "You can preside over the consultation, and I'll take care of small things."

Don't wait for Zhou Sheng to speak.

Bai Mingming called Cao Xin to move the chairs in the rest room together.

The chairs are brought in.

The deputy chief physician who took the lead explained with a little apology: "My surname is Lin. I'm really sorry that I didn't inform you in advance. I brought so many people here. There are not even enough chairs."

Zhou Sheng said: "It's okay, the main reason is that our venue is too small and there are too few chairs."

Dr. Lin went on to explain: "So many people disturbed me, mainly because I heard that this patient had a spontaneous rupture of the esophagus. This disease is relatively rare in clinical practice. Let me bring these young people here to gain experience."

Speaking of this, he glanced at Zhou Sheng, and thought to himself, how could a young person preside over such a rare and severe disease.Depending on age, at most it is a resident doctor.

Could it be said that the talents of emergency centers have withered to such an extent?
Is there no attendant on the night shift?
Don't even think about it.

The emergency center was newly established in the Central Hospital.

Although veteran doctors are not welcome to see them in the hospital, there should still be some attending doctors.

Could it be that this young man is a little special?
At this time, he suddenly remembered that the last time the director of chest surgery came back from a meeting, he mentioned that there was an intern named Zhou Sheng in the emergency center who was exceptionally promoted to a regular position.Moreover, this intern is very powerful, and many people at the meeting praised him highly.

Could it be that he is Zhou Sheng?
……

(End of this chapter)