Doctor Zhao, help!

Chapter 32 Sharp turn down
"Where do you feel uncomfortable now?"

Zhao Sheng asked the young woman lying on the rescue bed.

"Heart... panic, chest. Chest tightness..."

The young woman said intermittently.

"I see."

Zhao Sheng nodded.

"What was the situation like before you sent her here?"

After a pause, Zhao Sheng said to the two girls who sent the young woman here.

"After meeting the client, in the company, she said that her stomach started to hurt again. We gave her painkillers, but it didn't work. After a while, she was in pain so much that she couldn't straighten her waist and her head was full of pain. Dahan, we just sent her here."

One of the two girls, the taller one who looked calmer, said in a very logical manner.

Hearing what this calm girl said, Zhao Sheng was also filled with doubts.

Does this young girl really have acute gastroenteritis?
Why do I have such severe abdominal pain now?

Zhao Sheng was trying to recall the details of the girl's medical examination in the morning, as well as the results of the B-ultrasound and blood tests.

But Zhao Sheng still didn't think of the hidden problem that he missed.

There is no problem with the diagnosis of acute gastroenteritis!
It's the girl who has other hidden problems that haven't been discovered!
Zhao Sheng decided in his heart.

"Doctor Zhao, blood pressure 100/60mmHg, heart rate 130 beats/min."

Song Wei reported the young woman's blood pressure and heart rate data. Although there was a life monitor, direct measurement would be more accurate.

No wonder my chest feels uncomfortable. With a heart rate as fast as 130 beats/min, it must be uncomfortable.

But the blood pressure is normal.

Zhao Sheng took out his stethoscope and performed a lung auscultation on the young woman. He only heard a small amount of moist crackles in both lungs, and there was no other discovery.

"Doctor, can...can you give me some painkillers..."

The young woman was lying on the rescue bed, holding her stomach, and said very weakly.

"Yes, doctor, you can see that she is sweating in pain."

The tall girl also said.

"The condition of abdominal pain is unknown now, so you can't use painkillers, otherwise it will cover up the cause."

Zhao Sheng shook his head slightly.

Soon, Zhao Sheng checked the young woman's abdomen again.

The bowel sounds were active, indicating that the intestines in the abdomen were accelerating. There was tenderness throughout the abdomen, but there was no rebound tenderness and no abdominal muscle tension.

It’s not inflammatory acute abdomen!
Zhao Sheng finished the abdominal examination and judged in his heart.

"Notify the ICU that central venous intubation is needed here."

Zhao Sheng looked at the young woman whose heart rate was extremely fast, her limbs were cold, and she was still sweating. She had been vomiting and having diarrhea for a long time before, and said to Song Wei.

Although the young woman's blood pressure is still within the normal range, these symptoms indicate that she is already in a state of organ hypoxia, that is, she has gone into shock. If she really has to wait for her blood pressure to collapse before taking measures, it will be too late by then. .

Now it is necessary to perform central venous cannulation and directly inject fluid into the central vein to suppress shock.

"it is good."

Song Wei nodded.

While waiting for the ICU doctor to come, the young woman was sweating profusely and said to Zhao Sheng very weakly: "Doctor, I...will...will...will...die..."

As soon as the young woman said these words, the two girls standing next to her immediately covered their mouths and burst into tears.

Zhao Sheng looked at the young woman whose consciousness was starting to become semi-conscious. He felt even more urgent and asked this question. This was because he was feeling near-death, indicating that the shock was very serious.

Where did I miss it?

Zhao Sheng had no clue at the moment.

Everything that needed to be checked had been checked. In the morning, Zhao Sheng had even considered the acute abdomen caused by rupture and bleeding caused by ectopic pregnancy and checked HCG.

This situation is simply the first time Dr. Zhao Sheng has encountered it in his career!
"Have you had any other diseases before, or have you taken any medicine during this period?" Zhao Sheng repeated the question he asked in the morning.

"No...no...yes."

The young woman shook her head slightly.

After listening to the young woman's words, Zhao Sheng's expression became more solemn.

As a doctor, what you are most afraid of is encountering a situation like this. All the tests that can be done show that there are no major problems, but the patient's condition takes a turn for the worse.

Soon, Song Wei came over with Li Mujia, the attending doctor on duty in the ICU.

Li Mujia had just entered the emergency room and, together with Zhao Sheng, was about to perform central venous cannulation on the young woman.

At this time, the young woman began to tremble, her whole body, including her lips, began to tremble.

"Doctor, I'm dizzy. Look... I can't see."

The young woman suddenly said very frightened and weakly.

"Doctor Li, hurry!"

When Zhao Sheng saw this, he quickly said to Li Mujia.

Li Mujia also reacted quickly and completed the central venous intubation in a few clicks. This smooth and decisive action was very pleasing to the eye.

As expected of being the mainstay of the ICU, Li Mujia's level is still very high in difficult and severe rescue operations.

After the central venous cannulation was completed, Zhao Sheng gave the young woman blood pressure-raising drugs and a large amount of fluids.

After a while, the young woman's condition stabilized.

But the young woman kept saying that she felt uncomfortable, dizzy, had blurred vision, and was about to faint.

"Dr. Zhao, this is heart failure."

Li Mujia heard the young woman's main complaint and looked at the life monitor. The blood oxygen saturation was only 92%, and the partial pressure of oxygen was even as low as 70mmHg (normal is 90-100). She had rich rescue experience and looked a little solemn. Said to Zhao Sheng.

"Get an EKG."

After hearing what Li Mujia said, Zhao Sheng realized that the young woman's lack of oxygen, fast heart rate, and dizziness were indeed symptoms of left heart failure, so he immediately said to Song Wei.

"it is good."

Song Wei nodded, immediately pushed over and did a bedside electrocardiogram.

When the electrocardiogram came out, Zhao Heng and Li Mujia took a look together. Only the heart rate slowed down, to 90 beats/min, but there was no abnormality in the electrocardiogram.

Seeing the results of the electrocardiogram, the experienced Li Mujia was also confused.

Moreover, the young woman's breathing became louder and louder, which indicated that the lung water was increasing. Maybe, if respiratory failure occurred, tracheal intubation would be necessary.

Seeing the young woman's condition getting worse and worse for no reason, even the experienced Zhao Sheng and Li Mujia felt very troubled!

The current situation requires that the family be informed. The young woman's condition could be life-threatening at any time.

It's terrible!

Looking at the young woman who had fallen into a semi-conscious state, Zhao Sheng looked at the two girls and said: "The patient's current condition is very critical. In the future, some first aid measures may be required. Now I need you to sign for her."

Just in the morning, Zhao Sheng also chatted a lot with the young woman Zhang Xuan, knowing that she was alone in Zhongdu, and her parents were thousands of miles away from her hometown.

Therefore, in the current situation, Zhang Xuan has fallen into a semi-conscious state, so only colleagues can sign this word.

After hearing Zhao Sheng's words, both girls hesitated.

"Let me sign it. I'll contact my uncle and aunt later."

Just when Zhao Sheng thought no one signed, the tall girl stood up and said.

From the beginning when she accompanied Zhang Xuan, the tall girl was relatively calm and helped explain her condition.

In critical moments, he can act decisively and sign important matters.

This series of actions made Zhao Sheng look at the tall girl with respect.

(End of this chapter)