He called the blood transfusion department. Chen Cang hurried to the nurse Xiao Ke and said, "check a blood glucose quickly!"
Xiao Ke immediately reacted and hurried to check his blood sugar.
After the blood glucose value came out, several nurses staring at the blood glucose meter were stunned!
"Dr. Chen! Burst the watch..." Cheng Yi couldn''t help saying.
Chen Cang''s heart sank to the bottom of the valley!
Sometimes, when a doctor guesses the patient''s situation correctly, he really doesn''t know whether he is happy or worried!
What are you really afraid of!
"Insert a catheter, check urine routine urgently, and pay attention to urinary ketone body."
"You go and call a B-ultrasound doctor to check your abdomen."
……
Chen Cang arranged in an orderly manner, and Lao Ma was not idle.
The patient''s situation, old Ma also guessed a 7788.
Chen Cang''s professional knowledge is solid and reliable, which allows Lao Ma to get out and prepare for other things.
Because the amount of oil in the little girl''s blood is ridiculously high, the blood presents a pink coagulation state!
This situation is a very dangerous thing. We must "clean up" the excess fat and other garbage in his blood through instruments and extracorporeal circulation!
Chen Cang is preparing for hypoglycemic work and injecting insulin.
Most of the patients are diabetic ketoacidosis, but are there any other diseases?
After all, the patient has obvious abdominal pain before entering the clinic, and the abdominal pain is unbearable during the onset of infusion!
This indicates the possibility of acute abdomen!
appendicitis?
Or cholecystitis?
Or... Pancreatitis!
All three are possible. The B-ultrasound doctor here is also in a hurry.
Check it quickly.
With this inspection, the situation has changed again.
Only under B-ultrasound, the pancreas is obviously enlarged, the edge is blurred, irregular, echo enhancement, uneven and other abnormalities. There can also be a small piece of hypoechoic area or anechoic area in the pancreas!
Acute pancreatitis!
Obvious lesions of pancreas can be seen under ultrasound, but the diagnosis of pancreatitis by B-ultrasound is not clear, especially for the development of pancreatitis.
After all, we should also consider whether there is bile duct obstruction. Should we improve the examination?
"Dr. Chen, the blood pressure is only 8040mmhg!"
In a word, Chen Cang''s thinking was interrupted.
Now, Chen Cang has 70-80% confidence that the patient is severe acute pancreatitis.
But can grasp is the acute reaction period!
forget it!
It is urgent to correct shock, supplement plasma and maintain water and electricity balance.
Thinking of this, Chen Cang began to prepare nervously.
After the laboratory department learned about the patient, it sent someone to take blood samples in person.
This kind of patient is too rare.
Chen Cang has been in the emergency department for such a long time, and this is the first time he has encountered this situation.
The rescue work is carried out in an orderly manner!
At this time, Chen Cang said to the bedside doctor, "look, call me if there is anything. I''ll go to the patient''s parents to ask about the situation!"
At this time, there was a mess outside the rescue room.
Wei Yayu and her husband Ge Xingye are blaming the clinic doctor Miao gaojun.
Ge Xingye stared at Miao gaojun and shouted, "you quack! Don''t open a clinic without ability. Do you have a conscience!"
Miao gaojun saw Ge Xingye like this and sat aside with a sigh.
"You don''t have to scold me. If something goes wrong, I will be responsible for everything that should be responsible. It''s my responsibility, and I won''t shirk it. I won''t leave the hospital today."
Wei Yayu held her hands in front of her chest and paced back and forth at the door.
The little girl''s family situation is very good. Her mother is an executive of a foreign enterprise. She often travels on business. She has an office in the Philippines and often runs abroad. She has just returned from staying there for half a year.
My husband Ge Xingye is also a manager of a private enterprise. He is in charge of 20 or 30 people and has great momentum.
After Chen Cang came out, he took a look at GE Xingye and Wei Yayu: "family members, come here. I have questions for you!"
Wei Yayu hurried over: "doctor, what''s the matter?"
Chen Cang took a deep breath: "the situation... Is not optimistic!"
"We extract a lot of unhealthy blood in the patient''s blood, the specific laboratory index has just been sent, and the patient''s blood sugar is very high. It is a coma caused by diabetic ketoacidosis."
"However, at the same time, the patient has severe acute pancreatitis. In a word, the situation is still very dangerous. Now I see that the liver is also wrong. Under ultrasound, we can only see that it is fatty liver. We can''t be sure whether there is hepatitis. I need to ask your family some questions!"
Wei Yayu hurriedly called Ge Xingye: "come here, the doctor will ask some questions."
Ge Xingye came over angrily.
Chen Cang sighed when he saw Ge Xingye scolding Miao gaojun.
"Do you two have any genetic diseases or infectious diseases?" Chen Cang asked directly.
Here, Wei Yayu shook her head: "no, I just did the examination back home. Everything is all right."
"I was abroad some time ago. I came back on Friday. The physical examination reports are here. Everything is very good."
At this time, Ge Xingye was suddenly stunned. When he first came over, he didn''t listen to it all, but only heard the last half sentence.
At this time, the bed doctor Xiao Zhao suddenly said, "Dr. Chen, the patient''s blood pressure has reached 90!"
Chen Cang nodded: "you can ask, this... Is still very necessary. I''ll come out and tell me later."
Wei Yayu nodded quickly.
Ge Xingye''s eyes were in a trance: "I... I''ll ask."
Wei Yayu gave him a white look.
……
Ge Xingye suddenly gave a click in his heart. The doctor asked very clearly just now. Is there any sexual disease? Or infectious diseases?
Thinking of this, Ge Xingye panicked a lot.
He picked up his cell phone, ran outside where there was no one and dialed a phone.
"Hello? Let me ask you something? Are you sick?"
There was a silence!
"Did you find out?" then a female voice came.
Ge Xingye trembled with fear!
"What''s the disease? Hurry up!" Ge Xingye asked anxiously, looking around, very vigilant.
The woman sighed, "syphilis!"
Ge Xingye hung up.
I''m so angry that I can''t wait to drop my cell phone.
Can... Syphilis also be infected?
He brought someone back when his wife went abroad. For fear of being found, he was in his daughter''s room
But!
He let the housekeeping clean up?
Can this also be found?
Ge Xingye trembled at the thought.
Chen Cang adjusted his plan. After coming out, he took a look at Wei Yayu: "do both parents have any genetic diseases?"
Wei Yayu nodded. "My side is nothing. His father has diabetes and hypertension. Oh! And cerebral infarction. Doctor, what''s wrong?"
Chen Chan sighed: "it should be genetic diabetes."