Now, the problem is getting more and more complicated!

Chen Cang shook his head!

Emergency doctors must have clear clinical thinking about diagnosis routes and regulations.

"I haven't eaten a mess recently, right? Or some special stimulation, how about the feces? Is there a lot of exhaust? Is there any life?"

Chen Cang asked several questions one after another.

The girl shook her head frequently.

The man also hurriedly said, "No, none of these. Since Tingzi got pregnant, I have been taking care of myself and eating very carefully. They are all those who can nourish the stomach and urinate normally. If you exhaust it... it's normal, but since you get pregnant... I have no life."

Chen Cang closed his eyes and kept thinking about various reasons in his mind, hoping to get a clue of breakthrough!

The car arrived at the hospital shortly after. After being sent to the emergency room, Chen Cang hurriedly greeted Xiao Ke.

"Routine blood tests, and..."

Because of pregnancy, many examinations are actually limited, and there is no need to think about abdominal CT.

Otherwise, Chen Cang wouldn't have been so troublesome.

After doing some blood tests, Chen Cang felt that he would give some relatively safe medicines to inhibit acid and protect the stomach.

These drugs are safe for children, and their main purpose is to solve the problem of gastroenteritis.

Chen Cang can only start from the most basic and common causes of abdominal pain.

The urine and defecation are normal, the exhaust is normal, and obstruction is eliminated!

There are no peritoneal irritation symptoms, and peritonitis can be ruled out!

Appendicitis... cannot be ruled out!

Gallbladder system diseases... cannot be ruled out!

The problem with the pancreas... cannot be ruled out either!

Gynecological problems... need to be observed!

At present, it seems that Chen Cang can only think of this.

"Do an abdominal B-ultrasound and a gynecological ultrasound."

Speaking of this, Chen Cang hurriedly found a doctor B-superior.

At this time, vital signs were also detected.

“Blood pressure: 95/65mmhg!”

“Blood oxygen saturation: 96.”

These are basically normal.

Chen Cang breathed a sigh of relief, it seemed that his life was not in danger?

At this time, Doctor B also hurriedly walked in and pushed the B-super machine: "Doctor Chen, what's the situation?"

Chen Cang frowned: "The cause of abdominal pain is to be examined for 20 weeks of pregnancy!"

One sentence scared the other party.

Pregnant patients can't afford to offend!

Have an abdominal ultrasound immediately.

Chen Cang stared at the ultrasound results, and the liver, gallbladder, pancreas, spleen and kidney were all normal!

oh!

There is a small renal cyst, but this thing will basically not affect the diagnosis.

"Check a gynecology!"

B-sup nodded.

Not long after, it turned out to appear.

"normal!"

One sentence stunned Chen Cang.

normal!

All are normal!

This is so abnormal!

All examinations were normal, but the patient's abdominal pain not only did not relieve it, but it worsened.

Is this too unreasonable?

Chen Cang took a deep breath.

Reflect on it.

Seeing the girl feeling uncomfortable, Chen Cang could only wait for the result.

The man was anxious: "Doctor, do you have any pain relief? Please use it!"

When the girl heard this, she shook her head and said, "No use!"

Chen Cang thought about it, looked at the girl who was sweating constantly, and said, "I'll give you a medicine, which may relieve it."

Chen Cang gave him some normal saline and glucose to rehydrate.

But……

The patient did relieve some abdominal pain!

Chen Cang was speechless. Is the placebo so strong?

Clinicians often use placebo to help patients relieve symptoms of unknown causes.

However, Chen Cang always felt that the situation was not that simple.

I simply returned to the office and started to consult books.

There is a bookshelves in the emergency office, full of reference books and guides.

After about an hour, Chen Cang thought about countermeasures and when he was looking up the books, Xiao Ke ran to the office: "Doctor Chen, the patient's vital signs suddenly abnormal!"

Chen Cang's face suddenly changed and he hurried in.

The electrocardiogram monitor rang out.

"Doctor Chen, his heart rate is 110 times per minute, his blood pressure drops to 85/55mmhg, and his breathing is rapid!"

After saying this, Chen Cang's face changed suddenly.

"Go and call Dr. Wang, hurry up and do another B-ultrasound to see the situation!"

It was almost three o'clock, and Doctor B had already gone to the duty room to sleep.

After all, they don’t need to be on duty all night, just shout if you have something to do.

Dr. Wang was also very comfortable. Not long after, the result came out!

"There is a lot of fluid in the abdomen and pelvis, which is likely to be blood!" Chen Cang was stunned!

It was almost three or four o'clock in the morning, and Chen Cang hurriedly greeted Xiao Ke: "Contact gynecology for urgent consultation!"

At this time, Team Leader Ma was on the operating table. Such an uncertain patient was another severe test for Chen Cang on duty!

The gynecologist always came soon after he was hospitalized. After asking clearly, he said, "Puncture examination!"

Abdominal puncture!

Chen Cang is familiar with it, so Xiao Ke used it to pierce the bag.

Chen Cang was very careful in his technique, and he pulled it out soon.

Seeing the liquid extracted, Chen Cang frowned immediately!

No coagulation is drawn!

Is this... the organ rupture?

Suddenly, Chen Cang and the gynecology hospitalization were always confused.

Now, there is only one possibility: "Open the belly and seek the cause!"

At this moment, a belly-opening examination is a necessary examination.

And do it as soon as possible!

but……

There was a problem before the two of them.

Abdominal Investigation is very simple, it means opening your stomach for examination, but... this abdominal opening may mean that the child cannot be protected.

Therefore, the family must be signed.
To be continued...