Chapter 1670 Sewage System

When Zhou Litao was not idle at all, he chatted with Zheng Ren for a while and then went to see the patient again.

It is a patient with acute appendicitis and is estimated to be admitted to the hospital for surgery.

Zheng Ren accompanies Cui Lao to the doctor's office, and Lao He does not go home. It seems that this guy has recovered his strength and is ready to stalk him, and he will enter the medical team for anything.

Su Yun didn't care, he was sitting on a chair outside with his mobile phone in his hand, not knowing who he was chatting with.

At 3:20 in the afternoon, two family members of the patient walked in with the help of a male patient in his fifties.

He covered his stomach without exerting any force, and it was estimated that it would hurt as soon as he exerted force. He didn't dare to walk fast, so he moved into Old Cui's consultation room little by little.

This is a typical sign of peritonitis. Cui Lao immediately stood up and said, "Help him lie on the bed."

"Doctor, my stomach hurts." The patient was in severe pain. Seeing Mr. Cui was like seeing a relative, and his mood collapsed all of a sudden.

Looking at Old Cui with tears in his eyes, he spoke with a weeping voice.

"What's the matter? When did the pain start?" Mr. Cui saw the patient's family support the patient and gently lay down on the clinic bed.

The movement is very slight, but the abdominal wall muscles contract slightly, and the patient feels a sharp pain.

The sound of ooh ooh is incessant.

Zheng Ren saw that the patient's system panel was blood red, and several diagnoses were shocking - septic shock, acute peritonitis, intestinal rupture, etc. But what caught Zheng Ren's attention the most was the diagnosis of chemical colitis.

How can it be so heavy? And what the hell is chemistry?

The patient was completely unable to lie down, and was lying in a semi-recumbent position in the arms of a family member of the patient, which was still not enough.

The moment Cui Lao's hand touched the patient's stomach, his conditioned reflex became louder.

The septic shock is not severe, at least it is now, it is estimated that the intestinal rupture time is not long, Zheng Ren judges.

I'm not afraid of screaming pain, but I'm afraid of being silent and indifferent. That's really serious.

But whether it is heavy or not is relative.

The patient's plate-shaped abdomen didn't run away, and Mr. Cui hesitated for a while, and said, "Xiao Zheng, help me get an abdominal CT."

"Okay." Zheng Ren immediately made the doctor's order.

Cui Lao asked: "When did the pain start?"

"This morning... No, it was a little painful last night, and I thought it would be okay to endure it for a while," said a family member of a patient.

last night? The timing doesn't seem right. Such a serious intestinal perforation should last a long time.

Zheng Ren opened the list, thinking about it in his mind.

In a short period of time, Mr. Cui could not ask any too detailed medical history, so he left a family member of the patient who was said to know the situation, and asked Zheng Ren to take the patient for CT, and then sent to the gastrointestinal surgery hospital.

Because his symptoms of peritonitis were obvious, and the pain was severe when he moved slightly, it took a lot of effort to help the patient to the flat car.

Don't dare to run, you can only gently push the flat car forward to reduce vibration as much as possible.

"Have you eaten anything?" Zheng Ren asked as he walked.

"I haven't eaten for a day." The patient was in pain like a shrimp, curled up on the flat car, sweating from his temples.

The dark face, the black is much lighter.

Zheng Ren knew that this was a sign of aggravating septic shock.

Take the time to do an abdominal CT, and then open the abdomen is serious. Without auxiliary examination, it is possible to open the abdomen for exploration. But in that case, it's like looking for a needle in a haystack, which is incomparable to having a film before surgery.

Zheng Ren asked some questions that might lead to intestinal perforation, but the patient's answer was still no.

"Doctor, don't ask, he is dying, hurry up and help!" Another accompanying escort said anxiously.

Hearing the patient's moans, even if he wasn't a doctor, he could tell that he was in a wrong state, so An couldn't bear his irritable temper and spoke very aggressively.

"I'll be in the CT room soon." Zheng Ren said, "After the CT, emergency surgery is needed. You can sign before the surgery."

The patient's family did not speak.

Signing means taking responsibility. It's okay to help, don't take responsibility for yourself.

As long as they are not immediate family members, those who can inherit the inheritance are generally reluctant to sign, which is also human nature.

Zheng Ren suppressed the impatience in his heart and brought the patient to the CT room.

Give the order to the operator who is doing CT inside, line up directly at the door, and wait for the emergency room for examination.

There were a lot of people queuing outside the CT room, and the waiting time was a bit long. In addition, the family members were sick, so they were all a little impatient.

When someone saw that the flat car was about to cut in the queue, they came over to check the situation. When they saw that there was a doctor with them, and the people on the flat car were half dead, their impatience was suppressed.

Few people are still arguing about whether to queue up at such a time and rush to reason. There are many gangsters, but there are times.

The airtight lead door opened, and Zheng Ren immediately pushed the patient into the CT room.

Lifting him onto the bed and letting him lie down as flat as possible, Zheng Ren went to the operating room.

After the CT was done, Su Yun took the patient back. Zheng Ren directly found a machine in the reading room of the CT room and found the patient's film.

With just one glance, Zheng Ren knew that he was in trouble.

Dr. Liang saw Zheng Ren come in, and leaned close to him, wanting to learn something from Zheng Ren. He glanced at the film and was stunned.

In the distal end of the rectum and sigmoid colon, dense air bubbles can be seen on CT.

"Boss Zheng, this is..." Dr. Liang asked in surprise, having never seen such an image.

Zheng Ren thought for a while, and said helplessly: "It should be considered that the patient used or was given hydrogen peroxide enema to cause local intestinal chemical burns."

"..." Dr. Liang was speechless for a few seconds.

"Oxygen is formed when hydrogen peroxide damages the mucous membrane, so the existence of microbubbles can be seen." Zheng Ren continued to look at other images.

Just a chemical burn of the rectum and sigmoid colon is definitely not enough.

Looking at the frames of the film quickly, Zheng Ren noticed that the patient had diffuse peritonitis, plus rectal, sigmoid inflammatory congestion, white exudate and air sacs were classic signs, known as the "white snow" sign.

While watching the film quickly, Zheng Ren took out his mobile phone and called Su Yun.

"Su Yun, I highly suspect that the patient is using a hydrogen peroxide enema. Ask if this is the case." Zheng Ren said, "Apart from the hydrogen peroxide enema, what other methods were used?"

Speaking, Zheng Ren saw a high-density shadow near the patient's spleen, and there was a lot of exudate around the spleen.

I go... spleen ruptured! Zheng Ren was shocked.

Did this just happen?

Zheng Ren tried hard to recall that when he sent the patient away, he didn't look at the patient's system panel.

It is estimated that there is hemorrhagic shock, but what is that?

Could it be that the patient poured more than 1000ml of hydrogen peroxide into the intestine, which burned the intestine and burned the spleen?

Just thinking about it, Su Yun's phone came in.

"Boss, the patient reported that he was constipated for 1 month. He used three live loaches to defecate 7 days ago, and he used hydrogen peroxide enema at noon today."

MB! Really troublesome!

Is this taking your own intestines down the drain? !