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!

"Hah~~ahhhhhhhhh~"

The patient clutched his stomach and gasped for a while.

The patient's son was overjoyed when he saw 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."

"Does your chest still hurt?"

"It didn't hurt just now!"

Why do I get abdominal pain?

Why didn't it just hurt?

Zhou Mo suddenly thought of abdominal aortic dissection.

But he shook his head quickly, the CT doctor had already diagnosed it, and there was no aortic dissection. Moreover, abdominal aortic dissection rarely exists independently, and it is mostly caused by the coexistence of thoracoabdominal aortic dissection or the downward extension of thoracic aortic aneurysm, affecting the abdominal aorta.

No, there is still a possibility.

Do not rule out CT leak.

"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 shirt to reveal the abdomen. The patient quickly covered his stomach with his clothes removed.

"Where does it hurt? Tell me."

"Here (covering his upper abdomen)..." the patient said, sweating 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 flash of lightning struck Zhou Mo's mind.

"Blood!"

"Is it blood?!"

Abdominal aortic dissection ruptured?

Or a broken organ?

Zhou Mo's heartbeat, bang bang bang ~ jumped quickly.

impatient!

He shouted to the nurse station not far away: "Quick, help me call the superior doctor, there is an accident here, there may be heavy bleeding!"

Then he asked the son of the patient Chen Dezu, "Has your dad been injured or hit or anything recently?"

I have asked before, and there is no history of surgery.

The patient's son was also frightened by Zhou Mo's nervousness, and quickly said: "Yes, when I was in the car this morning, suddenly I saw a motorcycle rushing in front of me, and it braked urgently, 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 stomach?"

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

Zhou Mo suspected that the organs inside were hit and bleed.

Most likely the most vulnerable - the spleen!

Moreover, there is another type of organ hemorrhage-delayed hemorrhage, which is possible for several hours and several days.

The patient's son was aggrieved: "I think this should be fine..."

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

20ml kind.

And narcotics.

While disinfecting and wearing gloves, Zhou Mo quickly asked the patient's son while unpacking.

"Has your dad ever had anesthesia allergy before?"

"No."

Zhou Mo quickly took out the anesthetic and injected it into the patient's abdominal skin.

"I suspect that there is a lot of blood in your father's stomach now. I'm going 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.

"Agree, agree." The patient's son shouted in a panic.

Zhou Mo nodded, and took advantage of the time interval for the anesthetic to take effect, and checked the blood pressure in his eyes, 70/34…

Oh my God!

It fell too fast!

After Zhou Mo felt that the anesthetic took effect, he stabbed the patient's bulging stomach with a needle.

Go slowly,

Soon, it felt light in the hand and went through.

to the location.

and then swipe,

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 was even more panicked.

At this moment,

Just as Mr. Huang Li ran over: "What's wrong?"

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

His face suddenly changed.

Zhou Mo said quickly: "The patient is bleeding profusely, and the blood pressure drops very quickly. It must be because an organ has ruptured, or the abdominal aortic dissection has ruptured, causing massive bleeding, and surgery is needed immediately!"

"!!"

"By the way, rehydration, immediately ask the nurse to arrange rehydration immediately, I am afraid that 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 'issued orders' to the patient.

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

Soon, the nurse station rushed to call the cardiac surgery and hepatobiliary surgery.

The other nurses rushed to get the medicine.

At this time, Xiaolin pushed B over by the bed.

Although it has been concluded that there is a lot of bleeding in the abdominal cavity at this time, and the b-ultrasound is not needed, Zhou Mo can check whether the spleen is ruptured through the B-ultrasound.

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

Start-up, parameters, couplant...

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

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

Sweep Sweep~~~

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

The healthy form of the pancreas is clearly displayed, not broken.

"Is it another part?"

Zhou Mo adjusts the B-ultrasound parameters from time to time and scans other parts...

"Doctor, the three venous accesses have been opened!" Nurse Xiaolin and Xiaochen shouted together.

"it is good…"

soon,

Another nurse came running in with rehydration liquid crystal colloids.

Rapid rehydration.

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

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

"what…"

Suddenly, Zhou Mo found something 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, ask the boss for the previous picture, learn and study!)

Zhou Mo breathed a sigh of relief:

"This should be the bleeding spot!"

As long as the answer is found, the next thinking will be clear, and it will not be so nervous.

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

Director Niu breathed a sigh of relief, smiled and nodded: "Okay, not bad, not bad, wait for the lower-level surgeons to come over and give them an abdominal opening to stop the bleeding..."

Soon,

ta ta tao~~~~~~

There were rapid footsteps outside.

Cardiac surgery, hepatobiliary surgery,

coming!

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