Signing in at the hospital, the first operation shocked the whole country!

Zhang Qingquan continued to ask.

"Come here, a week ago~"

"When did you throw up in the morning?"

"Before a class~"

The girl clutched her belly, the painful muscles on her face trembling.

The girl's menstrual period is normal, and it does not seem to be menstrual dysmenorrhea, ectopic pregnancy and other problems.

"Is there anything else besides the pain?"

Zhang Qingquan asked.

"Doctor, she really has a bloated stomach these past two days, and she can't eat anything. She feels sick when she drinks water, and she feels sick when she eats."

The mother next to him said quickly.

"Did you eat anything else?"

"No, no, I've been at home these two days, and I eat the same as usual!"

"Is the exhaust normal?"

......

"The doctor asked you something, tell me."

The mother looked at the girl and urged.

"No...no~"

The girl was a little embarrassed, shook her head and spoke softly.

"What about defecation? Is it normal?"

"No...no, my stomach hurts and I haven't eaten anything in the past two days, so there's no big...big thing."

"You lie on the bed, and I'll check you up."

Zhang Qingquan pointed to the hospital bed next to him.

The girl was helped to the bedside by her mother, and she lay down with difficulty.

"Does it hurt here?"

"It hurts~"

"What about here?"

"It hurts too~"

"What about this?"

"Sigh~"

When Zhang Qingquan saw the lower part of the abdomen, the little girl couldn't help trembling, and cold sweat fell off her forehead instantly.

There is no plate-shaped abdomen, and it is not a problem of the appendix. Peritonitis can also be basically ruled out. There is no major pain in the liver, gallbladder and stomach, which should be joint.

But the belly is obviously bloated, it should be gas.

Listened for bowel sounds, no.

"Come and listen."

Zhang Qingquan said to the resident doctor next to him.

The young doctor put on a stethoscope and listened, his expression changed a little.

"What did you find?"

"No bowel sounds."

Zhang Qingquan nodded upon hearing this.

When Qin Feng on the side heard this, a strange color flashed in his eyes.

Judging from Zhang Qingquan's pressing degree and feedback just now, the judgment obtained is basically the same.

But there is no bowel sound, this finding is very important, because the stomach of a normal person will have bowel sounds about 3-5 times per minute.

This is also a normal feedback of bowel activity, indicating that the bowel is digesting and moving.

But if the bowel sounds go away and you add a distended belly, the problem is obvious.

The problem of abdominal pain can basically be determined to be an intestinal problem.

And this phenomenon usually occurs in a disease.

intestinal obstruction!

Intestinal obstruction: Obstruction of the passage of the contents of the intestinal lumen due to various causes.

The main clinical manifestations are four major symptoms: pain, vomiting, swelling, and closure. It is a common emergency in clinical practice, and the condition is complex and changeable.

The etiology of intestinal root obstruction mainly includes three aspects, mechanical intestinal obstruction, dynamic intestinal obstruction and ischemic intestinal obstruction.

Mechanical intestinal obstruction refers to non-intestinal lesions such as adhesive bands, volvulus, extraintestinal tumor compression, internal and external hernias, or intra-abdominal abscesses.

There are also some including intussusception, Crohn's disease, colon adenocarcinoma, etc., which will cause mechanical intestinal obstruction.

Dynamic intestinal infarction is the disorder of intestinal motility, which prevents the normal operation of intestinal contents, and there is no organic change in the intestinal wall itself.

This kind of situation mostly occurs after abdominal surgery, because nerves, body fluids, etc. stimulate the muscles of the intestinal wall, thereby losing the ability to peristalsis and causing obstruction.

This is why after all laparotomy, doctors will pay attention to whether the patient exhausts normally.

Called paralytic ileus.

And the last ischemic intestinal obstruction, which is directly caused by mesenteric vascular disease.

In Qin Feng's view, the little girl in front of him is most likely to have paralytic ileus.

The contents of a certain section of the intestine cannot pass through, and the contents continue to accumulate and increase, and at the same time, gas is continuously produced, and this section of the intestine will expand more and more.

The patient will have obvious symptoms of intestinal obstruction!

In particular, the girl said that she had not exhausted or defecated in the past two days, and the possibility is greatly increased.

"Go for a CT first."

Zhang Qingquan gave the girl a checklist.

As long as the CT is out, the result will be clear.

"Okay, thank you doctor."

The girl's mother finished the checklist, thanked her repeatedly, and her father helped the girl out.

"Director Qin, what advice do you have?"

Zhang Qingquan raised his head and looked at Qin Feng.

"It's nothing, just come and have a look, you are busy first."

Qin Feng smiled, turned and left after speaking.

In the second consultation room, Han Xiaoxiao was receiving treatment, and there was no problem after a brief inspection.

For these veteran doctors in the emergency department, the basic diagnosis is sure.

Then I walked around the emergency room, looked at the daily emergency and first aid, and chatted with the head nurse for a while.

It has to be said that for a third-class hospital of the Xiehe level, both in terms of process specifications and medical care level, it is quite high.

Coupled with Qin Feng's medical skills, it can be done in minutes.

It even made him feel a little relaxed~

'The emergency department of a big hospital is just fine! '

Qin Feng couldn't help sighing in his heart.

bell bell~

"Hey."

"Doctor Qin, no, it's Director Qin."

On the phone, a familiar voice rang.

Qin Feng heard a smile on the corner of his mouth, this young lady can still remember herself.

"Miss Yun is very well informed, why did you call me so suddenly?"

"I'm in the capital, have a meal together?"

Yun Ruochu said.

"Okay, wait until I get off work."

Qin Feng glanced at the time and agreed.

"Okay, then I'll wait for you."

After speaking, the phone hangs up.

Yun Ruochu was discharged from the hospital last month.

Her systemic lupus erythematosus has basically been cured, and all the butterfly lines on her face have faded, but she needs to take medicine for a long time.

Of course, Qin Feng arranged these medicines for him directly.

As for Qin Feng, through Yun Ruochu's drug experiments, he found a new way to overcome lupus erythematosus.

Currently, the Jinling Life Research Center is already developing drugs for five types of lupus erythematosus.

It is estimated that it will be resolved soon, and the most important thing is that the price is lower!

This is undoubtedly the greatest boon for millions of patients.

......

first clinic,

Zhang Qingquan got the girl's CT.

CT results showed that the intestinal cavity in the abdominal cavity was obviously dilated, and the liquid level was seen.

Confirmed intestinal obstruction is undoubtedly!

"Your daughter has an intestinal obstruction."

Zhang Qingquan said affirmatively to the girl's parents.

"intestinal obstruction?"

Hearing this, both of them were dumbfounded.

"How could this be? How could she have had an intestinal obstruction?"

"Has your daughter had any abdominal surgery before?"

"Abdominal surgery? She had appendicitis removed only a few years ago!"

Appendicitis removed!

Hearing this, Zhang Qingquan and the resident doctor behind him were even more certain.

This is basically a complete diagnosis.

People who have had abdominal surgery are at risk of developing adhesive ileus.

In this case, the damaged intestinal serosa after surgery may adhere to each other. As time goes by, the degree of adhesion becomes tighter, which can easily induce intestinal root resistance.

Hearing Zhang Qingquan's explanation, the girl's parents also looked distressed and helpless.

How could such a thing happen?

"Let's go to the hospital first. I'll prescribe some medicine and rehydration fluid for her. The operation can be arranged in the afternoon. Don't eat at noon, and don't eat or drink."

Zhang Qingquan glanced at the time, it was almost 12 o'clock.

After finishing speaking, he handed the list to the two of them to arrange the beds.

Soon, the operating room was arranged, and the girls were observed first, and then sent to the corresponding department after the operation.