Chapter 500: Shock

Remember [New] in one second!     Liu Han was startled, and then looked at Lu Chen in confusion.

She didn't know why Lu Chen said that suddenly.

Just now, we analyzed the causes of chest tightness for most of the day, but didn't come to any conclusion?

"Senior sister, I used to work in the dermatology department." Lu Chen said slowly, "Your skin is a very characteristic manifestation."

Liu Han blinked and looked at Lu Chen nervously.

Lu Chen said: "Itchy skin, red or pale wheals of varying sizes appear in the itchy area, round, oval or irregular, can be isolated or expanded and fused into pieces, the skin surface is uneven, similar to the appearance of orange peel, and is often accompanied by redness around it."

Liu Han was stunned. The characteristics of the wheals on her neck were exactly the same as what Lu Chen said.

"What is this?"

"Urticaria!" Lu Chen looked at Liu Han's neck and said word by word.

Liu Han was a little surprised when he heard this, but he still asked back: "Urticaria can also cause chest tightness?"

"Yes!" Lu Chen nodded affirmatively.

In the acute stage of urticaria, a lot of inflammatory mediators will be released, causing vasodilation and increased vascular permeability, smooth muscle contraction and increased glandular secretion, leading to a series of local or systemic allergic symptoms such as skin, mucous membranes, respiratory tract and digestive tract.

"In short, it may cause laryngeal edema. In severe allergic reactions, it may even cause airway obstruction and the risk of suffocation."

The reason why Lu Chen was impressed by the symptoms of urticaria was that he encountered a similar case in the emergency department.

At that time, a middle-aged male patient had urticaria. Because he happened to be on a business trip in another place and his medical insurance was also in another place, he could only wait until he had a break and went home to see a doctor.

Unexpectedly, the patient suddenly became ill on the way home, with laryngeal edema, airway obstruction, and suffocation.

"Then I have to take anti-allergic medicine?" Liu Han said.

She glanced at Lu Chen, and her liking for him increased.

This junior brother is really amazing!

After a simple physical examination, he diagnosed the cause of his symptoms at once.

"Yeah." Lu Chen nodded slightly, "Let's go to the dermatology department tomorrow and let the dermatology teacher confirm it again."

"Okay."

"Sister, wait a moment." Lu Chen suddenly said, and then walked out of the doctor's office.

Liu Han was stunned and looked at Lu Chen strangely.

Why did the junior brother suddenly run out again?

She looked out the transparent glass window of the doctor's office.

Lu Chen ran to the nurse station and was talking to a night nurse.

After a while, Lu Chen came back with a smile on his face.

He was holding a box in his hand, which looked like medicine.

"Sister, this is the medicine that the nurse station of the ccu ward always has." Lu Chen handed a loratadine tablet to Liu Han.

"This... this is not good." Liu Han hesitated a little. Although she felt her neck was getting more and more itchy, this medicine was from the ccu ward after all.

"It's okay, senior sister, this is the medicine prepared by the CCU." Lu Chen smiled, "You can return a box tomorrow."

"Okay."

Liu Han then took the medicine box with a smile, and scratched her neck, "It's really itchy."

"Senior sister, try not to scratch." Lu Chen said, "The more you scratch, the more itchy it gets."

"Oh, okay."

Liu Han narrowed her eyes and smiled.

She handed out a glass of water and took a tablet of loratadine.

Although the body was "injured", it was not a particularly bad thing to get the comfort of the junior brother in time.

"Congratulations, received a gratitude value of +5 from Liu Han!"

Lu Chen was also a little surprised. Received 5 points of gratitude at one time. This senior sister is really unusual!

...

After the episode, the night continued.

It was just nine o'clock in the evening. Lu Chen had already admitted two patients and dealt with the changes in the conditions of many patients in the ward.

"Doctor, bed 46 has defecated black stools!"

The nurse trotted over again.

Seeing Lu Chen in the doctor's office, the nurse repeated: "Doctor Lu, go check on bed 46."

"Okay!" Lu Chen nodded immediately, grabbed the stethoscope, and walked to the ward at the back.

The ccu ward is divided into three areas.

The first twenty beds are in the first area, and the back twenty wards are close to the ccu catheter room.

Before he reached bed 46, Lu Chen smelled a strange smell.

To be more precise, it should be a bad smell!

Lu Chen frowned and squeezed the mask tightly, but he continued to walk towards bed 46 without any pause.

As soon as he reached bed 46.

Lu Chen saw the nurse cleaning the patient's feces.

"Doctor, come and help!"

The nurse saw Lu Chen coming and waved.

Lu Chen looked at it intently.

The patient was an old woman about 70 or 80 years old, lying on her side on the bed.

The life value on the old woman's head was only 46 (---).

Suddenly, Lu Chen saw the old woman defecating a large pool of feces again!

The color of the feces was no longer black, but was accompanied by bright red blood!

This was not defecating again, but bleeding again!

The nurse put on gloves and pressed the patient's anus with her bare hands.

Seeing this, Lu Chen immediately put on gloves, found a diaper, and placed it on the patient's buttocks to help the nurse press together.

But just pressing can't solve any problems.

Lu Chen hurriedly said: "I'll press, you go inform Teacher Huang, maybe we need to ask the gastroenterology department for consultation!"

"Okay!"

The nurse also knew that the situation was urgent, and after she let go, Lu Chen took her place.

Lu Chen held the patient's buttocks with his left hand and the anus with his right hand, holding the pass tightly and trying to press the bleeding area.

But this is just a drop in the bucket!

At this time, all of Lu Chen's senses were mobilized.

Although a foul smell came to his nose, Lu Chen resisted the physical discomfort.

"Beep, beep..."

The ECG monitor at the head of the bed was "screaming" crazily.

The old woman groaned in pain, and the life value on her head was also rapidly decreasing.

Huang Hanlin also rushed over with Cheng Liangli, Liu Han and others as soon as he learned the news.

"Quick, notify the Department of Gastroenterology and the Department of General Surgery for an emergency consultation!"

"Balanced saline, full-speed fluid rehydration!"

Lu Chen's forehead was already covered with sweat, and because his hands were in the air, he had to use more energy!

"Thank you for your hard work."

Huang Hanlin patted his shoulders gently.

"Leave the rest to us."

"Yes." Lu Chen was not trying to be brave, he should have done everything he could.

Huang Hanlin looked at Lu Chen in front of him and sighed in his heart.

It's not easy to persist in such harsh conditions!

This kind of stench is unbearable for most people.

What's more, it's such a close contact.

Lu Chen was able to persist for so long, and he was not afraid of dirt and fatigue at all. With this point, he has surpassed most people.

If Lu Chen's previous performance brought him surprise, then what he did now made him feel a little shocked!

For a doctor, the most important thing is to maintain a kind heart, and then medical skills.