Emergency Department.

As soon as Xu Qiu arrived, he met Director Jiang, who had been waiting here for a long time.

"Doctor Xu!"

Director Jiang was happy when he saw Xu Qiu and quickly jogged over.

"What's wrong?"

"There is a patient with blood sugar of 57 on the ICU and his blood pressure is also very low. You can see it!"

Xu Qiu's expression was solemn.

57 blood sugar?

A normal person's fasting blood sugar is around 3.9~6.1, and he can already report a critical value in his or her 20s. What does it mean to be more than 50s?

There was no drop of blood in the blood, it was all sugar!

“What’s the situation?”

While Xu Qiu asked, he took the abdomen CT scan handed over by Director Jiang.

Just a glance, his expression became a little more serious.

Death Conquest!

"Director Zhang from the Imaging Department called to ask, and he confirmed that it was a sign of death..."

Seeing Xu Qiu's expression, Director Jiang also understood that the other party could see it and continued: "This is a female patient. The main symptoms are dizziness, abdominal pain, and blood signs were checked. There were more than 20,000 yuan. After being admitted to the hospital, he immediately issued a critical illness notice. The condition is progressing very quickly!"

Xu Qiu nodded and his eyes fell on the film.

Within the abdominal CT scan, there are dead branches-like low-density shadows that are shaped along the portal vein of the liver, and the entire liver is like a hornet's nest.

This is a sign of abnormal accumulation of gas in the portal vein and intrahepatic portal vein branches due to various reasons. There is also an nickname in the Imaging Department: Death Sign.

It is not a separate disease.

It is often accompanied by digestive tract diseases, such as intestinal obstruction, mesenteric vascular disease, inflammatory bowel disease, etc.

However, the clinical mortality rate of liver portal vein gas accumulation is very high, with intestinal necrosis combined with gas accumulation exceeding 75%, and even the overall mortality rate is more than 50%.

When I encountered a clinical case, I basically declared death, so it was called the Death Symbol.

"I thought it was a biliary gas accumulation at first..." Director Jiang sighed twice.

Sure enough, these clinicians have far worse abilities in diagnosing images than professional imaging physicians.

“It’s very simple.”

Xu Qiu pointed two fingers and said, "The accumulation of gas in the portal vein of the liver is a gas-like low-density area like dead branches. Most of the gas is distributed on the edge of the liver and near the left lobe of the liver.

It is also possible that the blood flow in the direction of centrifugal in the hepatic portal vein can cause gas to be distributed around the periphery.

However, the location of the bile duct gas accumulation is relatively fixed, most of which are located in the liver hibernation area, and it is manifested as a dispersed and discontinuous gas shadow.

In addition, bile flows centripetal, so gas accumulation in the intestines will accumulate in the center of the liver.”

Director Jiang was in awe of grace.

This is too detailed...

He really understood this disease, not just remembering the signs!

At that time, Director Jiang also called a doctor in the imaging department, and the other party also explained the difference between biliary qi accumulation and portal vein gas accumulation.

However, when Director Jiang continued to investigate why most of the accumulation of gas in the portal vein of the liver is in the peripheral area, and the biliary tract gas is in the center of the liver, the doctor in the imaging department was stunned for a long time.

But Xu Qiu said it casually!

It is precisely because the former is blood vessels and centrifugal flow; the latter is bile ducts and converges centripetal!

However, clinically, few doctors can tell the truth, and most of them only know it.

"Doctor Xu, Dr. Xu!"

At this time, Ma Qin finally arrived late.

Xu Qiu looked back and said, "Old Ma, what else is there?"

"Is it convenient? You guys finish the conversation first." Ma Qin said.

Director Jiang is ICIU's man. He came to find Xu Qiu, probably what kind of emergency it was.

"Then I won't waste time...Doctor Xu, the family members have a strong desire to perform the operation and want to try it. Can this operation be performed?"

Director Jiang’s purpose is exactly this.

In Linhai First Hospital, the first person who thinks of high-difficulty and high-risk surgery was Xu Qiu.

"The surgery needs to be evaluated..."

Xu Qiu did not give a clear answer.

Faced with the sign of death, most patients can only wait for their lives to run out in vain.

A few people who can undergo surgery have extremely high mortality rates. If the necrotic intestinal duct can be found, successfully removed, and then the infection is controlled, then the death rate can be exchanged for this life from the King of Hell.

Every step is like walking on the tip of a knife.

Without a clear understanding of the patient's overall condition, he was not sure whether he had the conditions for surgery.

"What is the patient's situation now?" Xu Qiu asked briefly.

"We were unconscious before. After rescue, we woke up. However, the oxygen saturation in the room was only about 80%. We are inhaling oxygen, and our vital signs are very poor."

The oxygen saturation is only about 80?

Xu Qiu frowned and then asked, "Are there any symptoms of the central system?"

"Central? I didn't see any squirting vomiting, and I couldn't tell whether I was anxious or uneasy. The patient's mental state was very depressed... But if I put it carefully, it seemed to be a little convulsive, do you think it was a bit convulsive?"

"Calculate!"

Xu Qiu's guess has been verified by seven or eight points.

The oxygen saturation is 80, which is far lower than the 95~100 for normal people.

Convulsions are even more a manifestation of cerebral hypoxia.

If these two can occur at the same time, it is probably not just dyspnea, but... pulmonary embolism!

"Please ask Director Wang Ping to evaluate it over, there is a possibility of embolism."

"This..." Director Jiang was stunned.

How did the patient judge it?

However, pulmonary embolism is an acute and severe disease, and the mortality rate is even more exaggerated than the "hepatic portal vein accumulation" known as the God of Death. He did not dare to delay any delay and rushed to the ICU. On the way, he asked Wang Ping to go to the emergency room.

Pulmonary embolism...

This disease was indeed an existence that once scared Linhai First Hospital.

However, after Xu Qiu treated many patients with pulmonary embolism, he led Wang Ping and joined forces with Baiyun Provincial Medical Association to establish an extremely advanced and powerful chest pain center in the emergency department, and opened a green chest pain channel in the emergency department.

Coupled with the funding and rewards from the previous Famous Knife Competition, the state departments came forward to negotiate with foreign companies to purchase instruments, equipment, etc. at a low price. Now all departments of Linhai First Hospital have been armed, and their diagnosis and treatment capabilities have been greatly improved.

Now, the treatment rate of pulmonary embolism has also increased significantly. Wang Ping has encountered four in the past few months, and all four have been saved.

It's not a big problem to ask him to deal with this matter.

"Is death a sign? Few people know that it can also cause pulmonary embolism."

Ma Qin walked up and was not surprised when he spoke.

This is Xu Qiu!

"Yes." Xu Qiu nodded.

Gas accumulation in the portal vein of the liver is already a rare fatal disease, and it is even rarer for the more fatal pulmonary embolism it causes.

The pathogenesis is actually quite clever and must be combined with a cause to cause it!

That is, necrosis of the intestines, etc.!

Only when gas accumulation occurs, the intestinal and portal vein systems are necrotic and then disintegrate, causing gas to enter the heart along the portal vein, a large amount of gas enters the blood, and is dispersed into foam by a powerful impact force, which can cause pulmonary embolism.

Clinically, not many patients can get so many classical manifestations.
Chapter completed!