Chapter 1725 Poisoning with a Sharply Accelerated Progression of the Disease (Leader Albinism Hacker Plus 3)

Large areas of skin and mucous ecchymosis appeared on Chen Zehui's chest and abdomen. On the pale skin, these bruises and bruises are so dazzling.

"A blood system disease is suspected, and blood tests are drawn immediately, including routine blood tests, coagulation, and liver and kidney function. Contact the ICU, and the tests confirm that they are ready to be sent to the critically ill." Zheng Ren said in a deep voice.

After speaking, Zheng Ren looked at Chen Zehui and asked, "How long has this been the case?"

Chen Zehui raised her head hard, and was stunned to see the changes in her body with a very strange posture.

She shook her head in a trance, indicating that she didn't know.

"Did you hit the table when you fainted?" a female colleague beside her guessed.

"It shouldn't be." Another said: "I remember she was lying on the table directly, so she shouldn't be able to touch her stomach."

"It looks scary."

Zheng Ren guessed that it should be the symptoms that just appeared today, and even the patient himself did not notice it.

"Do an abdominal CT, hurry up." Zheng Ren stood in the emergency room seriously and gave the doctor's order.

Zhou Litao, who was supposed to be the owner here, has turned into a servant and ran wildly.

On ECG monitoring, blood pressure was measured once every 5 minutes, and the value dropped significantly between the two times.

It may be that Chen Zehui struggled too violently just now, and emotional fluctuations led to an increase in blood pressure, which led to the fermentation and deterioration of an unknown disease, followed by this series of changes.

After arranging for someone to issue a laboratory test sheet for the patient, Zhou Litao took a look at his blood pressure, took out the deep vein puncture bag without hesitation, put on gloves, and started deep vein puncture.

In a short period of time, the patient's blood pressure dropped sharply, which was considered to be hypovolemic shock, and hemorrhagic shock could not be diagnosed for the time being.

Regardless of the diagnosis, however, rehydration is a must.

There is a deep vein puncture channel, and the patient is equivalent to an additional insurance.

"What are you thinking about?" Su Yun leaned over and asked in a low voice.

Zheng Ren's eyes flickered slightly, and then he said: "The hematuria can also be considered to be caused by rectal tumors and appendicitis, but combined with ultrasound and CT examinations, it can also be preliminarily ruled out.

Urinary calculi should be considered for hematuria accompanied by colic; hematuria accompanied by waist bulge and dull pain should be considered infection; asymptomatic gross hematuria should be considered tumor; hematuria accompanied by irritation symptoms should be considered urinary tract infection. "

"To say it means not to say it." Su Yun curled his lips contemptuously, and said, "Can you talk to me without explaining the patient's condition, so that there can be no trust between people?"

"I'm considering poisoning." Zheng Ren said helplessly, solemnly.

"Poisoned?" Su Yun looked at Chen Zehui's clothes and had some doubts about Zheng Ren's judgment.

Pesticide, even if the little white-collar workers in the imperial capital want to drink it, it is difficult to buy it.

If you want to buy online like Zhou Chunyong's son, it will take a few days to get home. The fire in my stomach has already been vented, and if I think about it again, I will go straight to Xiao Han, pick up the pesticide and drink it, I am afraid it will not be so easy.

Therefore, among urban white-collar workers, it is difficult to see cases of drinking pesticides.

Other poisonings are quite rare.

But Zheng Ren finally formally stated the question of the doubt, and Su Yun did not refute it, and began to quickly ponder the possible situation of the patient.

There are many possible situations. In the face of this unexplained disease, if you want to think about it, you have to transform into the great detective Polo.

Zheng Ren was also very distressed, and the big pig's hoof gave a diagnosis - food poisoning. But what the poison was, it didn't say.

Zhou Litao completed the deep vein puncture, put it on the drip, first gave the patient fluids, and collected the blood samples and sent them to the laboratory.

"Boss Zheng, CT..." Zhou Litao hesitated.

"Let's make one." Zheng Ren said, "Prepare the defibrillator and other emergency medicines, and go to the ICU, it will be even more difficult to do the examination."

Both Su Yun and Zhou Litao understood what Zheng Ren meant.

The patient's condition is unknown, and once he goes to the ICU, he is likely to be on a ventilator to assist breathing.

Now seize the time to do a CT of the abdomen and chest, which can point the way for future diagnosis and treatment.

Then go, Zhou Litao is a little distressed, this is a critical illness, and it is very likely that he will have a cardiac arrest on the way.

Whether it is in the CT room or on the way, if emergency rescue is required, if you use a defibrillator or chest compression all the way to the ICU...

Now is not the time to tangle, there must be countless opinions, each with its own pros and cons. As for the trade-off...what trade-off.

When the situation is urgent, you can only follow the advice of the superior doctor in charge of the rescue.

When Boss Zheng came to the emergency department, Zhou Litao habitually regarded his opinion as the opinion of his superior doctor and unconditionally implemented all the doctor's orders.

This is not the obscenity of administrative positions, but the halo deterrence brought by the crushing of the technical level.

He hurriedly carried the patient onto the flat car, Zhou Litao carried the first aid kit, the nurse held the defibrillator, and ran all the way to the CT room.

The risk of doing so is relatively large, but for the patient, the benefits outweigh the risks.

Just other risks, to the doctor to bear.

This heavy burden rested on Zhou Litao's shoulders, as if he was carrying a mountain.

The flat car ran all the way and started to do CT. Zheng Ren and Su Yun stood in the operating room, watching the images on the screen.

There was fluid in the pelvis and a hematoma in the upper left abdomen. A small amount of fluid in both lungs of unknown origin.

At this time, a call from the emergency department called and said that the four blood coagulation tests were reported: PT and APTT exceeded 50 times the normal value, and a coagulation disorder must have failed.

Blood routine, white blood cells are still high, hemoglobin has dropped from 9G two days ago to 5.5g.

Go to the ICU, it must be something that induces hypovolemic shock caused by coagulopathy.

As for whether it can be rescued or not, Zheng Ren did not dare to say.

At this point, the big pig's hoof is extremely hateful. If you can give a simple and clear treatment plan, you can lie down and win.

Don't even have a treatment plan, just state what the chemical poisoning is.

Alas... Zheng Ren sighed.

"What are you literature and art?" Su Yun asked.

"What kind of poison is the patient? Do you know?" Zheng Ren was obviously in a bad mood, and he spoke a little too much.

"Why are you losing your temper? Ask a little bit. Boss, do you think it's a pity to see other girls look good." Su Yun asked in a low voice.

"Don't talk nonsense." Zheng Ren looked serious.

"Cut~" Su Yun said contemptuously, "Hypocritical, go!"

"Su Yun, let's go to the ICU, and the patient is sent in, just in time to find out about the situation with the patient's colleagues and friends who brought her here." Zheng Ren said.

"Yeah." Su Yun thought so too.

After the CT was done, Zhou Litao and the patient's friends lifted her on a flat car and pushed her directly to the ICU. Zheng Ren typed out the film and ran away without reporting it.