Chapter 1527 【1527】It's Not Abdominal Pain

Passengers, including possibly ill ones, ended up accusing the captain of making a fuss over a molehill. No one asked to land and you want to land? Delayed my urgent itinerary.

People fly to pay attention to speed. The delay caused by the temporary landing of the plane to passengers is much more serious than that of trains and cars.

What the flight attendant said was equivalent to warning Xie Wanying that her judgment might affect the captain's decision.

Thinking of this, Xie Wanying kept her focus, first did what a doctor should do, and carefully analyzed the patient's condition to make a clear diagnosis as soon as possible.

As mentioned above, without instrumental examination, it is basically difficult for doctors to identify and diagnose acute abdomen 100%. At this time, the doctor can not immediately determine which organ in the patient's body is sick by palpating the abdomen. In the hospital, doctors have to prescribe various inspections and check them step by step. How can we be sure by palpation alone. The first thing that can help doctors through abdominal palpation is to initially check whether it is an acute abdomen.

This is probably something that people inside and outside the industry have never thought of.

Abdominal pain is not necessarily acute abdomen, it may be similar symptoms caused by other diseases in the whole body.

Like Teacher Tan, Xie Wanying quickly pressed several key areas of the patient's abdomen, and found that the patient's abdomen was soft as a whole. Pressing down, the patient did not have any tenderness and rebound pain, and no back radiating pain or referred pain at all.

This abdominal pain is not obvious at all, and it may not be abdominal pain at all.

In fact, when Xie Wanying came to the scene, the first time she saw the patient, she didn't think it was abdominal pain. If there is abdominal pain, the patient will at least cover his stomach with his hands, but this patient did not. Therefore, her first step must be to check whether it is acute abdomen.

It's not an acute abdomen. Experienced doctors immediately check whether it is cardiopulmonary disease or cerebrovascular accident. These two types of diseases are the most common clinical critical and fatal diseases and must be dealt with immediately.

Observe the patient's breathing, feel the patient's pulse, and determine the patient's heart rate.

Seeing this, nurse Lu Xin went back to the first-class cabin to get a sphygmomanometer, came back to measure the patient's blood pressure, and thought that she might need to bring a defibrillator to give the patient an electrocardiogram.

Occasional symptoms of heart disease can manifest as acute abdomen, which together with acute gastroenteritis confuses the doctor's judgment.

There is no blood glucose meter on board, otherwise you can test the blood glucose level of the patient again. Hypoglycemia is also a common occurrence in such underweight students. However, the patient's family members said that the patient had eaten while waiting for the plane, and had no vomiting or diarrhea, so it is unlikely to be hypoglycemia.

After the sphygmomanometer was taken, the patient's blood pressure was measured. The blood pressure was 90/55mmHg, which was low, but not in a state of shock.

"Can you let her lie down?" The flight attendant asked Xie Wanying and the others for their opinion.

According to the experience of the flight attendants, the emergency patients they see most on the plane are generally called by medical staff to take the measures to make the patients lie down. For patients with hypoglycemia and dizziness, lying down can undoubtedly improve these symptoms of patients.

To this end, some flight attendants are ready to take blankets and find a place on the plane to lay down the cabin floor to make room for patients to lie flat for treatment.

Xie Wanying didn't say it was absolutely necessary, but carefully observed the patient's face and posture with her eyes, and she couldn't make a mistake in judgment or speak lightly, otherwise the impact would be too great.

A passenger in the back row muttered, very dissatisfied with her slow response, and said, "Is she okay? Is she really a doctor?"