I can see health

Chapter 498
Startled, Lu Chen hurried to the patient's bed and felt the patient's radial artery pulse with the tip of his right finger.

Sometimes, the blood pressure measurement of the ECG monitor is not accurate, and it is somewhat different from the real blood pressure.

However, by feeling the pulse strength of the radial artery, the patient's blood pressure can be estimated.

This is also a little skill that Lu Chen learned in clinical practice.

"The pulse is very weak!" Lu Chen's heart sank to the bottom.

It seems that the blood pressure measurement of the monitor is mostly correct.

"The patient has not urinated since he was admitted to the hospital, and the extremities are very cold." The nurse said again.

At present, there are various indications that the patient's blood pressure is already in a state of shock.

"Open two more venous channels and quickly replenish fluids!" Huang Hanlin immediately said, "Notify the ultrasound department to apply for a bedside abdominal ultrasound!"

"Received!" The two nurses cooperated with each other, one gave the patient the needle, and the other went to call the ultrasound department.

Lu Chen was not idle either, he was checking the patient's blood pressure.

"Mr. Huang, check the blood pressure, it's only about 82/50 with the cover, and both sides are symmetrical!"

Huang Hanlin's face was as frosty as frost, "TMD, the damn emergency department, don't do any tests, just push patients to us!"

According to the current state of the patient, it is best to do a full abdominal CT.

The emergency CT room is next to the emergency department, and the inpatient department is still some distance away from the emergency department.

Asking patients to go for emergency CT now is equivalent to asking them to go back.

"This group of doctors in the emergency department really have nothing to eat!" Huang Hanlin cursed again, "All patients are pushed into our CCU, from head to toe, as long as they are in pain, he can receive us here!"

It seems that the relationship between CCU and emergency department is not friendly.

Lu Chen listened to Huang Hanlin complaining about the emergency department.

He can't control so much now, the emergency department may have received the wrong patient, but the patient's current state of shock, in addition to rehydration and anti-shock, the most important thing is to find the cause of the shock.

From the corner of his eye, Lu Chen saw the ultrasound machine beside him.

Before the sonographer arrives, he may be able to take an early look at the patient's abdominal ultrasound.

"Ms. Huang, should I do an ultrasound for the patient first?" Lu Chen asked.

After all, he is only a graduate student now, and all diagnosis and treatment actions need to be approved by the superior doctor.

Huang Hanlin was still complaining about the emergency doctor in his heart, when he suddenly heard Lu Chen's words, he was startled.

He thought of the scene where Lu Chen performed ultrasound on the patient on the ECMO machine before, and nodded subconsciously.

Seeing that Huang Hanlin agreed, Lu Chen immediately pushed over the ultrasound machine.

……

At this time, Liu Han and Gao Rui also came to Lu Chen's side after dealing with the newly admitted patients.

Seeing Lu Chen pushing the ultrasound machine, Liu Han was startled, thinking that it was Mr. Huang Hanlin who was going to do an ultrasound for the patient.

"But I remember that Mr. Huang Hanlin doesn't know how to do ultrasound, right?" Liu Han thought.

Just when she was wondering, she suddenly saw Lu Chen's ultrasound probes near the patient's bed.

Huang Hanlin also stood aside and watched.

"Junior Brother Lu, he, is he here for an ultrasound?" Liu Han was startled.

Is this for practicing ultrasound with patients?
Isn't this patient very critical?

While thinking, she walked behind Lu Chen.

……

Lu Chen took the ultrasound probe, applied gel on it, and gently placed the probe on the patient's abdomen.

When the probe touches the patient's skin, an image appears on the ultrasound screen.

The moment they saw the image, Huang Hanlin, Liu Han, and Gao Rui didn't respond, but Lu Chen's pupils shrank slightly, and he lost his voice: "The liver is ruptured!"

I met a patient with liver rupture and bleeding again!

As soon as the words fell, Huang Hanlin's face immediately became tense.

"you sure?"

Lu Chen held the ultrasound probe in his hand, and said in a deep voice: "" The continuity of the liver capsule disappeared, and the echo at the rupture increased.Second, there is a hypoechoic area under the liver capsule.These all point to a diagnosis, that is liver rupture! "

"Please call for an emergency consultation from the general surgery department! Hurry up! Please!" Huang Hanlin shouted to Liu Han who was beside him.

Liu Han was taken aback for a moment, then ran to the nurse's station and called the main station to find the number of the general surgery department.

Gao Rui was behind Liu Han, startled by Huang Hanlin's sudden roar.

At the same time, she was also a little surprised. This student in the same class as her actually knew how to do ultrasound?
She was born in gastroenterology, and she doesn't even know how to do abdominal ultrasound!

How can this cardiology student do abdominal ultrasound?

Gao Rui looked back at Lu Chen, his eyes were full of bewilderment.

……

Huang Hanlin was extremely anxious at this moment.

Liver rupture!

If it is not handled in time, it will be fatal!

After the time when Lu Chen performed blood vessel ultrasound in front of everyone, he believed in Lu Chen's judgment.

This person is probably hemorrhagic shock caused by liver rupture and bleeding!
"This fucking emergency department is really killing people!" Huang Hanlin clenched his fists in his sleeves, "If an abdominal ultrasound or abdominal CT can be done in the emergency department, the patient's condition can be judged clearly in the first place."

Now he has greeted the emergency doctor dozens of times in his heart.

At this time, Liu Han had already finished the consultation call and returned to the hospital bed.

"Ms. Huang, I have already called the general surgery department, and the emergency doctor will come soon."

"Okay!" Huang Hanlin nodded, and then said to Liu Han, "I'm going to discuss the condition with the patient's family. You wait here for the ultrasound doctor."

"En." Liu Han responded.

Afterwards, Huang Hanlin brought Lu Chen to the doctor-patient communication room.

……

Doctor-patient communication room.

"Family, think about it again, has the patient suffered any injuries before?" Huang Hanlin stared closely at the patient's family in front of him.

The most common cause of liver rupture is a bicycle injury, and some occult bleeding is difficult to see from the appearance.

Zhou Xiaoping looked blank, "Probably not."

"What do you mean should not be?" Huang Hanlin frowned, "Didn't the patient live with you?"

The patient has always denied any history of falls, so Huang Hanlin had no choice but to ask his family members.

"I've been on a business trip recently, and I just came home this morning, so maybe I'm not sure." Zhou Xiaoping paused.

"Are there no other family members?" Huang Hanlin asked again.

"My younger sister usually lives at home, she should know." Zhou Xiaoping said, "I'll call her later and ask her."

"Okay, you can ask later." Huang Hanlin said, "Now we are basically diagnosed with liver rupture and may need surgery. Your family members should be mentally prepared!"

"Liver rupture?" Zhou Xiaoping was stunned for a moment.

She originally thought that her father had a heart disease, but she didn't expect that it was related to a ruptured liver.

The name sounds like that kind of bad disease.

"Doctor, is it serious? How is my father doing now?" Zhou Xiaoping hurriedly asked nervously.

"It is currently in a state of hemorrhagic shock." Huang Hanlin said in a deep voice, "We have invited a general surgery consultation, and the patient may be pushed to the operating room at any time."

……

At this moment, the door of CCU was pushed open.

The sonographer and general surgeon came at the same time.

(End of this chapter)