Chapter 494: Furious Huang Hanlin
Remember [New] in one second! Lu Chen was startled and hurried to the patient's bedside, touching the pulse of the patient's radial artery with his right fingertips.
Sometimes, the blood pressure measurement of the ECG monitor is not very accurate, and there is some discrepancy between the actual blood pressure.
However, by touching the strength of the radial artery pulse, the patient's blood pressure can be estimated.
This is also a little trick Lu Chen learned in clinical practice.
"The pulse is very weak!" Lu Chen's heart sank to the bottom.
It seems that the blood pressure measurement of the monitor is mostly correct.
"The patient has not urinated since admission, and the extremities are very cold." The nurse said again.
At present, all signs indicate that the patient's blood pressure is already in a state of shock.
"Open two more intravenous channels and quickly replenish fluids!" Huang Hanlin said immediately, "Notify the ultrasound department and apply for a bedside abdominal ultrasound!"
"Received!" The two nurses cooperated with each other, one gave the patient an injection, and the other called the ultrasound department.
Lu Chen was not idle either, he was checking the patient's blood pressure again.
"Teacher Huang, blood pressure recheck, with cap only about 82/50, bilateral symmetry!"
Huang Hanlin's face was frosty, "Damn, the emergency department, they didn't do any examinations, but pushed the patient to us!"
According to the patient's current condition, it is best to do a full abdominal CT.
The emergency CT clinic is right next to the emergency department, and the inpatient department is still some distance away from the emergency department.
Now letting the patient go for an emergency CT is equivalent to letting the patient go back.
"These doctors in the emergency department are really eating dry food!" Huang Hanlin cursed again, "All patients are pushed into our CCU, from head to toe, as long as they are in pain, they can be sent to us!"
It seems that the relationship between the CCU and the emergency department is not very friendly.
Lu Chen listened to Huang Hanlin complaining about the emergency department.
He can't care so much now. The emergency department may have taken the wrong patient, but the patient's current state of shock, in addition to fluid replacement and anti-shock, the most important thing is to find the cause of the shock.
Lu Chen saw the ultrasound machine on the side with his peripheral vision.
Before the ultrasound doctor came, he might be able to take a look at the patient's abdominal ultrasound in advance.
"Teacher Huang, can I do an ultrasound for the patient first?" Lu Chen asked.
After all, he is only a graduate student now, and all diagnosis and treatment behaviors need to be approved by the superior doctor.
Huang Hanlin was still complaining about the emergency doctor in his heart, and suddenly heard Lu Chen's words and was stunned.
He thought of the scene when Lu Chen did an ultrasound for the patient on the ecmo machine before, and nodded subconsciously.
Seeing Huang Hanlin agreed, Lu Chen immediately pushed the ultrasound machine.
...
At this time, Liu Han and Gao Rui came to Lu Chen after dealing with the newly admitted patients.
Seeing Lu Chen pushing the ultrasound machine, Liu Han was stunned at first, thinking that Teacher Huang Hanlin was going to do an ultrasound for the patient.
"But I remember that Teacher Huang Hanlin can't do ultrasound, right?" Liu Han thought to herself.
Just when she was confused, she suddenly saw Lu Chen's ultrasound probes next to the patient's bed.
And Huang Hanlin also stood aside and watched.
"Junior Brother Lu, he, he is here to do the ultrasound?" Liu Han was shocked.
Are they going to use patients to practice ultrasound?
Isn't this patient very critical?
While thinking, she walked behind Lu Chen.
...
Lu Chen took the ultrasound probe, applied the coupling agent, and gently placed the probe on the patient's abdomen.
When the probe touched the patient's skin, an image appeared on the ultrasound screen.
The moment they saw the image, Huang Hanlin, Liu Han, and Gao Rui did not react, but Lu Chen's pupils shrank slightly, and he said in a lost voice: "Liver rupture!"
Another patient with liver rupture and bleeding!
As soon as the voice fell, Huang Hanlin's face immediately became nervous.
"Are you sure?"
Lu Chen held the ultrasound probe and said in a deep voice: ""The continuity of the liver capsule disappears, and the echo at the fracture is enhanced. Secondly, there is a low echo area under the liver capsule. All these point to a diagnosis, that is, liver rupture!"
"Please consult the general surgery department for emergency consultation! Quick! Please come immediately! "Huang Hanlin shouted to Liu Han who was standing aside.
Liu Han was stunned, then ran to the nurse station and called the front desk to find the number of the general surgery department.
Gao Rui was behind Liu Han and was startled by Huang Hanlin's sudden roar.
At the same time, she was also a little surprised that this student in the same class as her could actually do an ultrasound?
She was from the Department of Gastroenterology and didn't know how to do an abdominal ultrasound!
How could this student from the Department of Cardiology do an abdominal ultrasound?
Gao Rui looked back at Lu Chen, her eyes full of confusion.
…
Huang Hanlin was extremely anxious at this time.
Liver rupture!
If it is not handled in time, it will be fatal!
After Lu Chen did a vascular ultrasound in front of everyone, he believed in Lu Chen's judgment.
This person is most likely a hemorrhagic shock caused by liver rupture and bleeding!
"This tm emergency department is really killing people!" Huang Hanlin clenched his fists in his sleeves, "If an abdominal ultrasound or abdominal CT can be done in the emergency department, the patient's condition can be clearly determined at the first time. "
He greeted the emergency doctors dozens of times in his mind.
At this time, Liu Han had finished the consultation call and returned to the bedside.
"Teacher Huang, I have called the general surgery department, and the emergency consultation doctor will be here soon."
"Okay!" Huang Hanlin nodded, and then said to Liu Han, "I'll go and communicate with the patient's family about the condition. You wait here for the doctor in the ultrasound department."
"Okay." Liu Han responded.
Then, Huang Hanlin took Lu Chen to the doctor-patient communication room.
...
Doctor-patient communication room.
"Family, think carefully, has the patient been injured before?" Huang Hanlin stared at the patient's family in front of him.
The most common cause of liver rupture is a bicycle accident, and some hidden bleeding is difficult to see from the appearance.
Zhou Xiaoping looked at a loss, "It shouldn't be."
"What do you mean it shouldn't be?" Huang Hanlin frowned, "Doesn't the patient live with you?"
The patient has always denied a history of falling injuries, so Huang Hanlin had to ask the family.
"I've been on a business trip recently and just got home this morning. I may not be very clear." Zhou Xiaoping paused and said.
"Are there no other family members?" Huang Hanlin said again. UU Reading www. uukanshu.net
"My sister usually lives at home, she should know." Zhou Xiaoping said, "I'll call her later."
"Okay, you go ask later." Huang Hanlin said, "Now we have basically confirmed liver rupture, and we may need surgery. Your family members should be prepared!"
"Liver rupture?" Zhou Xiaoping was stunned for a moment.
She originally thought that her father had a heart disease, but she didn't expect it to be related to liver rupture.
The name sounds like a bad disease.
"Doctor, is it serious? How is my father now?" Zhou Xiaoping asked nervously.
"He is currently in a state of hemorrhagic shock." Huang Hanlin said in a deep voice, "We have asked for a general surgeon consultation, and the patient may be pushed to the operating room at any time."
...
Just then, the door of the CCU was pushed open.
The ultrasound doctor and the general surgeon came at the same time.