Section 129

This is a misdiagnosis!

If you encounter a young doctor again who cannot see the correct result.

Then the old lady may have to die in the hospital today. "

Gu Hongtao frowned and took the checklist from Liao Zhu's hand.

With just one glance, he already knew.

What the young man in front of me said was true.

He turned to look at Liao Zhu with some warmth and anger:

"Go to the imaging department immediately for investigation! Director Li should not be able to make such a low-level mistake. One of his apprentices should have made a misdiagnosis."

Liao Zhu nodded and hurried to the imaging department.

Then, he turned to look at Zhang Yi and asked:

"You haven't answered me yet, how can you be sure it's strangulating intestinal obstruction?"

There are many types of intestinal obstruction.

The specific situation will only be known after an enterogram.

Some even have to go to the operating table for a laparotomy to find out what is going on.

This young man...

How could he be so sure?

Chapter 100 Let me strangle you! It's really strangulating intestinal obstruction.

“Looking at it with my eyes, first of all, I didn’t see any shadows on the patient’s CT scan, which means it’s not adhesion.

Secondly, there is no mass-occupying manifestation, so there should be no tumor.

Not to mention volvulus, external abdominal hernia, intra-abdominal hernia or anything like that.

The only possibility is inflammation.

If the doctor who diagnosed acute gastroenteritis was not Director Li, he should be a young doctor.

I found some signs of inflammation and without considering anything else, I immediately made a diagnosis of acute gastroenteritis.

This is definitely wrong.

In fact, if you look carefully, you will see this location, which is right here. "

Zhang Yi stretched out his hand and pointed at a section of the intestinal wall on the CT sheet.

"Dean Gu, look carefully here. Do you feel that the intestinal wall is a little thickened? I suspect it is an embolism."

Gu Hongtao stretched his neck to look hard.

But this is an ordinary CT film, not an enhanced CT film...

Not easy to see clearly.

Then, Gu Hongtao looked at Zhang Yi in surprise.

This guy’s eyes are so good!

Can you see this clearly? !

Then, Zhang Yi said again:

“As for the cause of the embolism, it can also be found.

Looking at the electrocardiogram, the old lady has atrial fibrillation, right?

Looking at cholesterol, it is also high.

Dean Gu, you are also a medical student, so you naturally know that cholesterol cannot stand out alone.

When it rises, several others will rise with it.

If you don’t believe me, you can check your blood lipids again now.

So to sum it up, I suspect that this old lady has blood clots.

The location of the thrombus was exactly within the two atria.

A common thrombus in the atrium is atrial appendage plug.

So, I'll venture a guess.

It is the left atrial appendage plug or the right atrial appendage plug that falls off during atrial fibrillation.

Have you seen the thickening of the intestinal wall? I suspect that this is where the dislodged thrombus fell.

The expired milk drunk by the old lady does have an impact.

But inflammation may just be the trigger.

The real cause of her intestinal obstruction was this blood clot! "

Zhang Yi finished speaking.

There was silence all around!

Several leaders and doctors around him looked at Zhang Yi with wide eyes.

I'll be a good boy!

Why did this young man say what he saw with his own eyes? !

Just at this moment, the results of the old lady's enterography came out.

Gu Hongtao took a look!

What the hell!

What a strangulating intestinal obstruction!

And it does show that there is an embolism!

Gu Hongtao looked shocked!

Quan Te Miao was right by this young man!

At that moment, Gu Hongtao didn't even have time to take another look at Zhang Yi.

He immediately ordered:

"Hurry to the operating room! Where are the family members? Where are the family members? Inform them that this patient needs surgery immediately!"

"OK!"

Liao Zhu glanced at Zhang Yi in shock and quickly went about his business.

Only Wang Hao.

He looked at Zhang Yi with surprise.

Then, he silently stretched out his thumb and said two words towards Zhang Yi:

"Awesome!"

Zhang Yi glanced at him calmly.

Later, when he saw the old lady being taken to the operating room, he felt relieved.

Intestinal obstruction, especially intestinal obstruction caused by embolism.

It is best to have surgery as early as possible.

The longer it is delayed, the larger the area of ​​necrosis will be.

If too much intestine is removed at that time, it will also affect the digestion and absorption function, which may lead to short bowel syndrome.

Of course.

If this is the case, then there is nothing Zhang Yi can do.

If Zhang Yi hadn't discovered this old lady here today.

It is estimated that this family is still waiting at the outpatient clinic.

Or rather.

Because of the misdiagnosis in the laboratory department, it is not necessarily possible for the patient to die in the emergency room.

Why.

Sighing, Zhang Yi turned around to look for his uncle and aunt.

I was so busy just now that I forgot about it.

Wang Hao chased after him:

"Hey little brother! Which hospital are you a trainee in? You're pretty awesome.

Many young doctors can't even make a diagnosis, but you can already read CT scans? "

"Tianhe People's Hospital, have you heard of it?"