Chapter 889: : Overwhelmed stomach!

The car is fast!
Chen Cang was also anxious.
"Dr. Chen, the patient's temperature is now 39 degrees Celsius!"
Fever!
Cang Cang frowned suddenly.
Inflammation?
Or infection?
this is a problem.
No, maybe both are problems!
At this time, the patient started to vomit again.
A large amount of undigested contents poured out continuously, mixed with blood.
Xiao Xiaoke reacted quickly and quickly caught a bag.
The smell of sour rot is permeated in this small space. Xiao Keli's recent expression has not changed.
It seems that this is her job.
沧 Cang Cang picked up a stethoscope and heard it on his stomach. The bowel sounds disappeared, and a slight percussion, Chen Cang found a problem!
Liver dullness disappeared?
Cang Cang frowned instantly!
I thought of a more serious problem!
After thinking about it, he hurriedly examined Lons's stomach.
Gastric bubble drum area disappeared.
this is……
Chen Cang, who is proficient in physical examination, can be said to know the human body.
The four-dimensional model map is continuously deduced, and the various clues are clear enough.
Although laboratory inspection and imaging inspection were not carried out, in fact, Chen Cang could already guess the result.
Because the key clues are already clear.
Diagnosis does not need to do everything. A successful emergency doctor must use limited diagnostic methods to obtain effective diagnostic results.
沧 Cang Cang thought of a very possible disease: "Stomach perforation!"
If that's the case, it all makes sense.
Abdominal pain is the most intuitive and major realization, and the most important symptom.
Pain is in the area of ​​perforation, often with knife-cutting or burning pain, which is usually persistent, but there are also cases of exacerbations such as Lens.
Also, the patient's vomiting is caused by bacterial peritonitis and intestinal paralysis.
The current performance is the symptoms of "poisoning"!
After all, a large amount of content enters the abdominal cavity. Bacterial peritonitis is both possible. Although the condition of the patient is not in shock, Chen Cang estimates that it will not last long.
After all, intestinal paralysis has occurred, which has already shown that a serious infection in the abdominal cavity.
Chen Cang put his hand on Lens's abdomen at this time, and it felt like touching a wooden board!
"Tense whole abdominal muscles, plate-shaped abdomen!"
This is Chen Cang's first impression.
Eight or nine are inseparable!
Thinking of this, Chen Cang looked at the fat blonde woman in her forties and said directly: "The patient is most likely due to acute peritonitis and intestinal paralysis caused by gastric perforation. The situation is now in crisis. After the emergency department, , You need to complete the diagnosis and perform the operation as soon as possible. "
"Can you sign?"
Yun Trixi quickly nodded and explained: "No problem, I can. I am Lens's aunt and agent. I have the right to sign."
"Doctor, you must save Lens, God, she is only 24 years old!"
"Don't participate in such a bad game again!"
Yun Cuixi was very anxious, her hands kept praying to God.
Cang Cang actually didn't know much about Daweiwang, and couldn't help asking: "Does she often participate in such games?"
She Cuixi shook her head: "No, in fact, although the Big Stomach competition is often held, players such as ours, basically participate in the competition less than ten times a year."
"This time it's just a commercial one, and it may have something to do with her attending twice a month."
"I didn't expect it to happen! God, bless Lens!"
Chen Cang nodded.
In fact, Big Stomach King is not born, and it needs continuous practice in the later stage to practice a relaxing ability of the stomach.
This ability, in the view of Chen Cang, has no effect except to damage the gastric mucosa accidentally!
Because the stomachs of adults are almost the same!
I do n’t mean your stomach is big, others ’stomachs are small.
The stomach itself is "bone surprised" and has super stretchability, just like a "top balloon".
充气 You inflate the balloon, and the balloon's capacity will increase. Similarly, the capacity of the stomach will change according to eating.
However, the stomach is very flexible. 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 obey its original shape.
Is like a one-size stretch pants. The person wearing it is fat and thin. It looks like a different size behind the upper body.
Once you take it off, the stretch pants will return to their original size.
The capacity of the stomach of a normal adult on an empty stomach is only about 50ml, and it can reach 1.5L after meals. When the stomach is full, it is mainly the expansion of the stomach curvature.
The stomach's volume gradually increases with age.
Of course, the child's stomach is actually very small.
After a full meal, the newborn child is about 7ml, 300ml at one year old, 600ml at 3 years old, and 3000ml at adult.
And the big stomach king is not a special function, it can be trained the day after tomorrow.
However, in general, no one is going to train the capacity of the stomach, after all, you have no use for such a large capacity.
Generally speaking, only sumo wrestlers are required. After special training, they can even reach 10-20 times the diet of ordinary people.
But ... the balloon blows so big, it will definitely burst!
The stomach is not infinitely swollen, there are limits. If the amount of food always exceeds the limit of the stomach capacity, the muscles of the stomach wall will become thinner and thinner, causing acute gastric dilation.
If you have peptic ulcers ~ EbookFREE.me ~ plus acute gastric dilation, this will naturally lead to gastric perforation!
Because the ulcer is like a wound on the stomach!
I was speechless all the way, Chen Cang stared at the monitor. The lowering of blood pressure should be caused by electrolytes and internal bleeding.
I thought of this, Chen Cang picked up the phone, contacted the hospital quickly, opened the green channel as soon as possible, and prepared the operating room.
It didn't take long for the car to stop at the emergency room entrance, and someone was waiting at the entrance below!
沧 Cang Cang and Xiao Ke pushed the car down!
The staff who came with the car helped with the formalities.
Cang Cang is busy starting to issue various medical orders:
"Blood routine, liver and kidney function, blood type, blood coagulation function ..."
"Check for infectious diseases!"
"Abdominal CT!"
"Chest X!"
Uh ...
The emergency center is really a non-stop hospital that is available 24 hours a day, and any department will be put into work instantly.
前 The pre-operative examination and preparation have already been completed, and the blood matching department also sends the required blood to start to warm up.
Everyone is busy busy!
After Chen Cang pushed Lens into the rescue room, he said to Xiao Ke: "Be ready to wear!"
A clear diagnosis is still needed through abdominal puncture.
Sure enough, just after Chen Cang's belly was successfully worn, she wore a yellow turbid digestive juice or food residue!
At this time, the diagnosis can basically be confirmed!
Soon, the X-ray and abdominal CT results came out, and the diagnosis can be performed intuitively.