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The car is moving fast!

Chen Cang’s heart was also anxious.

“Dr. Chen, Patient’s body temperature is now 39 degrees Celsius!”

fever!

Chen Cang frowned immediately.

Inflammation?

Still infected?

this is a problem.

No, maybe both are problems!

At this time, Patient started vomiting again.

A large amount of undigested contents continuously poured out, mixed with blood.

Xiao Ke responded quickly and quickly caught a bag.

The smell of sour rot is permeating in this small space, but Xiaoli’s expression has not changed recently.

It seems that this is her job.

Chen Cang picked up the stethoscope and listened on his stomach, the bowel sounds disappeared, and slightly percussed, Chen Cang found a problem!

Liver dullness disappeared?

Chen Cang frowned immediately!

I thought of a more serious problem!

Thinking of this, he quickly percussed in Lens’ stomach.

The gastric bubble drum area disappeared.

this is……

Chen Cang, who is proficient in physical examination, can be said to be very familiar to the human body.

The four-dimensional model diagram is continuously deduced, and the clues are clear enough.

Although no laboratory examinations and imaging examinations were performed, in fact, Chen Cang could have guessed almost.

Because the key clues are already clear.

Diagnosis does not need to be done for every item. A successful emergency doctor must use limited diagnostic methods to obtain effective diagnostic results.

Chen Cang thought of a highly probable disease: “Stomach perforation!”

If this is the case, all this is explained.

Abdominal pain is the most intuitive and most important symptom.

The painful area is often perforated with a knife-cut or burning-like pain, which is usually persistent, but there are also cases where Lens’s exacerbation increases.

Moreover, Patient’s vomiting is caused by bacterial peritonitis and intestinal paralysis.

Now the performance is “poisoning” symptoms!

After all, a large amount of content enters the abdominal cavity, and bacterial peritonitis is both possible. Although the situation of the Patient is not going to be shocked now, Chen Cang can’t believe it will last long.

After all, intestinal paralysis has occurred, which has shown that a serious infection has occurred in the abdominal cavity.

Chen Cang put his hands on Lens’s abdomen at this time, and it felt like he was touching a wooden board!

“The whole abdominal muscles are tense and platy!”

This is Chen Cang’s first impression.

pretty close now!

Thinking of this, Chen Cang looked at the fat blonde woman in her 40s and said directly: “Patient is most likely due to acute peritonitis and intestinal palsy caused by gastric perforation. The situation is now more crisis. After the emergency department, Need to complete the diagnosis as soon as possible and perform the operation.”

“Can you sign?”

Tracy quickly explained: “No problem, I can. I am Lens’s aunt and agent. I have the right to sign.”

“Doctor, you must save Lawrence, God, she is only 24 years old!”

“Don’t ever participate in such a bad game again!”

Tracy was very anxious, her hands kept praying to God.

Chen Cang actually didn’t know much about the Great Appetite King competition. Unable to bear asked: “Does she often participate in such competitions?”

Trish shook her head: “No, in fact, although the Great Appetite King competition is often held, players like our Luns basically have less than ten competitions a year.”

“This time it is only commercial in nature and may have something to do with her having participated twice in the last month.”

“Didn’t expect is like this! God, bless Lens!”

Chen Cang nodded.

In fact, Great Appetite King is not born, it needs continuous practice in the later period to practice a diastolic ability of the stomach.

This ability, in Chen Cang’s view, has no effect except for accidents that damage the gastric mucosa!

Because the stomachs of adults are almost the same!

It’s not that your stomach is bigger, others’ stomachs are smaller.

The stomach itself is “skeleton amazed” and has super elasticity, just like a “top balloon”.

When you inflate the balloon, the capacity of the balloon will become larger. Similarly, the capacity of the stomach will also change according to eating.

However, the stomach’s elasticity is very good. After all, it is a top match. It is a biological structure, so the stomach itself will not be much different. As long as your food is empty, the stomach will return to its original state.

It’s like a pair of one-size stretch pants. The people they wear are different in fat and thin. Looking behind them, they look like different sizes.

But once you take it off, the stretch pants will return to their original size.

The stomach volume of a normal adult is only about 50ml on an empty stomach, and it can reach 1.5L after a meal. When the stomach is full, it is mainly the expansion of the large curved stomach.

The volume of the stomach gradually increases with age.

Of course, the child’s stomach is actually very small.

After a meal, the newborn is about 7ml, 300ml at one year old, 3ml at 600 years old, and 3000ml for adults.

The Great Appetite King is actually not a special function, it can be trained the day after tomorrow.

However, under normal circumstances no one is going to train the capacity of the stomach that’s all, after all, it is useless to have such a large capacity.

Generally speaking, only sumo wrestlers are typical, they need to be able to achieve a diet of 10 to 20 times the ordinary person through special training.

But… the balloon blows so big, it will definitely burst!

The stomach does not expand indefinitely, there is a limit. The amount of food always exceeds the limit of the stomach capacity, and the muscles of the stomach wall will be stretched thinner and thinner, causing acute gastric expansion.

And if there is a peptic ulcer itself, coupled with acute gastric dilatation, this will naturally lead to gastric perforation!

Because the ulcer is like a wound in the stomach!

All the way, Chen Cang’s eyes were fixed on the monitor, and the blood pressure reduction should be caused by electrolytes and internal bleeding.

Thinking of this, Chen Cang picked up the phone, quickly contacted Hospital, opened the green channel as soon as possible, and prepared for the Operation Theatre.

It didn’t take long for the car to stop at the emergency door, and someone was waiting at the door!

Chen Cang and Xiao Ke pushed the car down!

The staff who came with the car helped with the formalities.

Chen Cang started to issue various medical orders without hesitation:

“Blood routine, liver and kidney function, blood type, coagulation function…”

“Check for infectious diseases!”

“Abdomen CT!”

“Chest radiograph!”

……

The emergency center is really a 24-hour non-stop Hospital, and any department will immediately start working.

The preoperative examination and preparation have been completed long ago, and the blood distribution department has also delivered the required blood and started to heat up.

Everyone is in a hurry!

After Chen Cang pushed Lens into the rescue room, he said to Xiao Ke, “Prepare for abdominal wear!”

It is still necessary to confirm the diagnosis by abdominal puncture.

Sure enough, just after Chen Cang’s abdominal piercing was successful, he wore yellow turbid digestive juice or food debris!

At this time, the diagnosis can basically be confirmed!

Soon, the x-ray and ct results of the abdomen came out, and the diagnosis can be intuitively performed, and everything is waiting for the physiological and biochemical results.


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