The car is moving fast!


    Chen Cang was also worried.


    "Dr. Chen, the patient''s temperature is now 39 degrees Celsius!"


    Fever!


    Chen Cang immediately frowned.


    Inflammation?


    Or infection?


    This is a problem.


    No, maybe both are problems!


    At this time, the patient began to vomit again.


    A large amount of undigested content poured out continuously, mixed with blood.


    Xiao Ke reacted quickly and caught a bag quickly.


    The smell of sour rot permeates this small space. Xiao Ke Li''s face has not changed recently.


    It seems that this is her job.


    Chen Cang picked up the stethoscope and listened to it on his stomach. The bowel sound disappeared and knocked slightly. Chen Cang found a problem!


    The liver voiced boundary disappeared?


    Chen Cang immediately frowned!


    Thought of a more serious problem!


    Thinking of this, he hurried to knock on Lance''s stomach.


    The sound area of gastric vesicle and drum disappeared.


    This is


    Chen Cang, who is proficient in physical examination, knows the human body like the back of his hand.


    The four-dimensional model map continues to deduce, and various clues are clear enough.


    Although there was no laboratory examination and imaging examination, Chen Cang could guess the results.


    Because the key clues are clear.


    Diagnosis does not need to do everything. A successful emergency doctor must use limited diagnostic techniques to obtain effective diagnostic results.


    Chen Cang thought of a very possible disease: "gastric perforation!"


    If so, it all makes sense.


    Severe abdominal pain is the most intuitive and main manifestation, and it is also the most important symptom.


    The pain site is at the perforation site, often showing knife cutting or burning pain, which is generally persistent, but there are also cases of aggravation of rence''s array.


    Moreover, the patient''s vomiting was caused by bacterial peritonitis and intestinal paralysis.


    Now the performance is "poisoning" symptoms!


    After all, a large amount of contents enter the abdominal cavity. Bacterial peritonitis is possible. Although the patient is not in shock, Chen Cang probably won''t last long.


    After all, intestinal paralysis has occurred, which indicates a serious infection in the abdominal cavity.


    Chen Cang put his hand on rence''s abdomen at this time, and immediately felt like touching a board!


    "Total abdominal tension, plate abdomen!"


    This is Chen Cang''s first impression.


    Eight or nine is ten!


    Thinking of this, Chen Cang looked at the fat blonde woman in her forties and said directly: "the patient is most likely due to acute peritonitis and intestinal paralysis caused by gastric perforation. Now the situation is relatively crisis. After the emergency, we need to improve the diagnosis and hand surgery as soon as possible."


    "Can you sign?"


    Tracy quickly nodded and explained, "no problem, I can. I''m rence''s aunt and agent. I have the right to sign."


    "Doctor, you must save Lance. God, she''s only 24!"


    "Don''t take part in such a bad game again!"


    Tracy was very worried and prayed to God with both hands.


    In fact, Chen Cang didn''t know much about the big stomach King competition. He couldn''t help asking, "does she often participate in such competitions?"


    Tracy shook her head: "no, in fact, although the big stomach King competition is often held, players like rence basically participate in the competition less than ten times a year."


    "This time it''s just commercial. It may have something to do with her attending twice in the last month."


    "I didn''t expect it to be like this! God, bless lance!"


    Chen Cang nodded.


    In fact, Dawei Wang is not born. He needs continuous practice in the later stage to practice a relaxation ability of the stomach.


    In Chen Cang''s opinion, this ability has no effect except to damage the gastric mucosa!


    Because the stomachs of adults are almost the same!


    It''s not that your stomach is big and others'' stomach is small.


    The stomach itself is "bone amazing" and has super elasticity, just like a "top matching balloon".


    If you inflate the balloon, the capacity of the balloon will increase. Similarly, the capacity of the stomach will change according to food.


    However, the elasticity of the stomach is very good. After all, it is a top match. It is a biological structure, so the stomach itself will not be much different. As long as you empty your food, the stomach will return to its original state.


    It''s like a pair of one size elastic pants. The people who wear them are fat and thin, and the upper body looks like different sizes.


    But once you take it off, the elastic pants will return to their original size.


    The stomach capacity of normal adults is only about 50ml on an empty stomach and up to 1.5L after a meal. When the stomach is filled, it is mainly the expansion of the greater curvature of the stomach.


    The volume of stomach increases with age.


    Of course, a child''s stomach is actually very small.


    After a full meal, the newborn is about 7ml, 300ml at the age of one year, 600ml at the age of three, and 3000ml for adults.


    The big stomach king is not a special function. It can be trained the day after tomorrow.


    However, generally, no one trains the capacity of the stomach. After all, it''s useless for you to have such a large capacity.


    Generally speaking, only sumo wrestlers are typical. They need special training and can even reach 10 to 20 times the diet of ordinary people.


    But... If the balloon blows so big, it will explode!


    The stomach is not infinite expansion, but has limits. The amount of food always exceeds the limit of gastric capacity, and the stomach wall muscles will be thinner and thinner, causing acute gastric expansion.


    If there is peptic ulcer itself, coupled with acute gastric dilatation, gastric perforation will naturally occur!


    Because an ulcer is like a wound in the stomach!


    Without words, Chen Cang stared at the monitor. The decrease of blood pressure should be caused by electrolyte and internal bleeding.


    Thinking of this, Chen Cang picked up the phone and hurriedly contacted the hospital to open the green channel and prepare the operating room as soon as possible.


    Before long, the car stopped steadily at the emergency door. Someone was waiting at the door below!


    Chen Cang and Xiao Ke push the car down!


    The staff who came with the car helped with the formalities.


    Chen Cang began to issue various medical orders in a hurry:


    "Blood routine, liver and kidney function, blood type, coagulation function..."


    "Infectious disease inspection!"


    "Abdominal CT!"


    "Chest film!"


    ……


    The emergency center is really a 24-hour non-stop hospital, and any department will work in an instant.


    The preoperative examination and preparation have already been completed, and the blood matching department also transported the required blood to start heating up.


    Everyone is busy in an emergency!


    Chen Cang pushed lance into the rescue room and said to Xiao Ke, "get ready to wear it!"


    Now we still need to make a clear diagnosis through abdominal puncture.


    Sure enough, after Chen Cang''s successful abdominal wear, he wore yellow turbid digestive juice or food residue!


    At this time, it can be basically diagnosed!


    Soon, X-ray and abdominal CT results came out, which can be diagnosed intuitively, and everything will wait for physiological and biochemical results.