Section 127

Hearing that Zhang Yi was a doctor, the family members nodded in relief.

It was too troublesome to queue up for registration and examination in this big hospital.

The old man had a stomachache and wanted to come for a checkup, but when he came out after the examination.

The clinic was almost closed.

It was so anxious!

"Doctor, can you help me look at this examination list?

My mother drank milk in the morning, and she felt uncomfortable in the stomach at noon after drinking it!

When I asked, she actually drank expired milk!

I really admire this old lady, she is so frugal every time!

She even drank expired milk!

Now, she has a stomachache, right?

She didn't even eat lunch and started to have diarrhea and vomited!

We immediately sent her to the hospital, but she was registered as an outpatient. After all the examinations, it was almost four o'clock!"

The family members complained about the troubles of the hospital system.

Zhang Yi stared at the old lady in front of him with a bad complexion.

Then he glanced at the examination list again.

Electrocardiogram:

P wave disappears, QRS group wave widens and deforms.

Like Xu Changyuan, it is atrial fibrillation.

Abdominal CT shows:

The intestinal tube above the obstruction segment is obviously dilated, and the intestinal tube below the obstruction segment collapses.

There are also some food residue shadows in the dilated area.

This is a typical CT manifestation of intestinal obstruction!

As a result, the diagnosis on this CT film is written:

Acute gastroenteritis?

This made Zhang Yi very confused!

The medical level of this First Hospital should be good, right?

How can the CT diagnosis of intestinal obstruction be wrong?

Then, Zhang Yi immediately looked up and said to the family:

"Take the old lady to the emergency room quickly. This is not an ordinary gastroenteritis. Infusion is useless!"

The family members were also anxious when they heard it, and asked quickly:

"What?! Not gastroenteritis? What's the situation? Oh my God, my mother won't be in trouble, right?"

Zhang Yi didn't answer this.

Intestinal obstruction, and the old lady is still strangulated intestinal obstruction.

It is a more serious type of intestinal obstruction.

Once complications occur, the old lady is likely to be in critical condition at her age.

(Critical condition means that the doctor notifies the family that the patient is in danger and may not be saved, and asks the family to be mentally prepared.)

Intestinal obstruction means that the intestinal contents are blocked.

There are many causes, such as intestinal inflammation, intestinal adhesions or tumors.

The clinical manifestations are also abdominal pain, vomiting, and vomiting and diarrhea are very similar to acute gastroenteritis.

However, intestinal obstruction is also divided into types.

Obstruction of the passage of contents caused by intestinal adhesions or tumor compression is called mechanical intestinal obstruction.

Paralytic intestinal obstruction or spastic intestinal obstruction caused by loss of intestinal motility or abdominal surgery is collectively called dynamic intestinal obstruction.

And the old lady in front of him.

None of the above.

It is vascular intestinal obstruction, also known as strangulated intestinal obstruction.

In other words, she not only has intestinal obstruction, but also intestinal blood obstruction.

In Zhang Yi's eyes, her intestinal blood obstruction has nothing to do with inflammation or compression.

It's a blood clot!

The blood clot just blocked the intestinal blood vessels!

This caused her intestinal obstruction and subsequent inflammation.

Just at this time, the old lady's face became paler and paler.

Her eyes rolled over and she fainted.

"Ah! Mom!"

The family members shouted in panic.

Zhang Yi hurriedly carried the old lady to the emergency department.

At the door of the emergency room.

Zhang Yi shouted:

"Hurry up and rescue! This old lady is in a coma due to intestinal obstruction! It will be dangerous if complications occur!"

Intestinal obstruction can cause intestinal inflammation and intestinal necrosis.

In particular, strangulated intestinal obstruction must be surgically removed immediately.

If it is delayed, not only will the necrosis area increase.

A large amount of inflammation exudates into the abdominal cavity, which will cause diffuse peritonitis and even sepsis.

So intestinal obstruction must be operated on as soon as possible.

Here in the emergency department, the doctors and nurses in the emergency room did not know Zhang Yi.

But seeing that he was carrying an unconscious old lady on his back, he hurried over with a stretcher.

The emergency doctor also came over to ask about the old lady's basic condition.

Then he took the examination form from Zhang Yi and took a look.

"Isn't this intestinal obstruction? Doesn't it say acute gastroenteritis?

Combined with the fact that the old lady drank expired milk in the morning, she had abdominal pain, vomiting and diarrhea, which is obviously acute gastroenteritis."

Then, the doctor turned around and told the nurse:

"Do a cephalosporin skin test first and prepare a large amount of fluid replacement."

But unexpectedly, Zhang Yi stopped him!

Chapter 99 This is not gastroenteritis, this is intestinal obstruction, stupid pig

Zhang Yi was anxious.

He pointed to the shadow on the CT film and said:

"It's not acute gastroenteritis! Please look at this position, if this is not obstruction, what is it? Do you only look at the CT diagnosis? Can't you make your own judgment?"

Faced with Zhang Yi's questioning, the emergency doctor was a little embarrassed.

He looked up at the family members around him.

He lowered his head and looked at the CT film carefully again.

It seems that it is not ordinary gastroenteritis...

But the signature on this examination form is from Li Youhui, the director of the imaging department!

How can Director Li's signature be fake?

The doctor immediately felt more confident.

After all, he is also the attending physician of the emergency department of Yundu First People's Hospital!

Can't you trust your own judgment? !

He quickly pointed to the signature on the CT form and said:

"This is the signature of Director Li from our Radiology Department. How can it be fake? Who are you? Are you a family member?"

Zhang Yi shook his head and said: