Along the way, Mo Wan gained a new feeling.

The doctors who are treating patients all exude a sense of fighting spirit, and each one of them looks like a desperate man. Although their expressions are tired, their eyes are bright.

"Doctor Xu!"

"The patient in the emergency room No. 4 was hit by a hoe on the right upper abdomen an hour ago. The pain quickly spread to the entire abdomen. It was a persistent dull pain that radiated to the right shoulder..."

Zhou Hua, who came to meet him, immediately reported the situation.

The more Mo Wan listened, the more familiar it became. This patient... seemed to have coincided with her professional knowledge?

…

In the emergency room, Xu Qiu saw the dying patient.

His lips were chapped and pale, his dark face was bloodless, the sheets underneath him were stained by his sweat, and his expression was distorted by severe pain.

This scene reminded Xu Qiu of Qiu Qinghu, who endured the bone-destroying pain of intestinal cancer.

Later, the clinical doctor gave him free painkillers. As a result, the first-level non-steroidal anti-inflammatory drugs were completely useless, and the second-level weak opioids such as codeine had little effect until he was treated.

At the highest stage, strong opiate morphine, which was used to combat severe cancer pain, was able to alleviate the pain somewhat.

Working people seem to be born with the characteristic of patience. Whether it is Qiu Qinghu or the man in front of him, they still do not make a sound despite the extreme pain, they just grit their teeth and do not cause trouble to the people around them.

Xu Qiu walked closer and quickly checked her body.

The patient's surname is Luo, Master Luo Zhong.

As soon as he touched it, Xu Qiu felt Master Luo Zhong's cold limbs, and there was a lot of fine cold sweat on his skin.

When he opened his clothes, the patient's abdomen bulged outwards, and tortuous veins were still vaguely visible on the abdominal wall.

There are clearly visible bruises and hematoma on the right upper abdomen where the hoe was hit.

The most terrible thing is that the patient's abdominal percussion sound was positive for shifting dullness!

Positive moving dullness means that the patient has ascites, and usually the fluid volume must be greater than 1,000 milliliters to be detected by percussion... Coupled with the history of trauma, it is very likely to be bleeding caused by liver rupture!

"Prepare to pierce."

As Xu Qiu finished speaking, he disinfected and put on gloves in one go.

laugh--

After slowly sucking, a tube of non-coagulated blood came up from the syringe.

No blood coagulation usually means bleeding in the chest, which just verified Xu Qiu's previous speculation.

"It should be a ruptured liver." At this time, Mo Wan was a little eager to give it a try.

She never expected that as soon as she came to the doctor, a patient in her field of expertise would come. Wouldn't this be a chance for her to show off her talents?

She is different from Shi Lian. She is the number one in the younger generation of Hepatobiliary Surgery in Daxia. She is definitely not a little intern who only calls 666 after Xu Qiu!

"Prepare blood immediately."

"Prepare for abdominal puncture, peritoneal lavage, bedside B-ultrasound, and expedited abdominal CT."

"Monitor urine output, central venous pressure, hemoglobin and hematocrit."

"Notify the operating room..."

Patients with liver rupture must actively fight shock when admitted to hospital. After completing various examinations, they must undergo abdominal exploration under general anesthesia.

The liver is large in size, fragile in texture, extremely rich in blood supply, and has complex structure and function. Therefore, the specific surgical plan cannot be formulated based on just a few imaging reports. The abdominal cavity must be opened and the real abdominal cavity conditions can be seen.

Make a decision again.

…

After formulating the rescue procedure for patients with liver rupture, Xu Qiu was called away by another rescue room before she could take a break.

There was a car accident just at noon. It wasn't serious, but it was enough to keep the emergency department busy.

"We will stay in the emergency observation room for observation. In addition, we will inject 1000ml of 5% glucose intravenously, 0.5g of hemostatic sensitivity, 0.1g of hemostatic aromatic acid, and if possible, take 2000u of thrombin orally..."

"This patient should quickly have a bedside skull x-ray, anteroposterior and lateral, urgent blood tests, head CT, etc. During the examination, the patient's head should be shaved, and emergency intracranial hematoma removal should be performed at any time."

Xu Qiu's voice seemed to have magic power. Everywhere he went, other medical staff in the emergency room immediately felt at ease.

Noon passed like this.

In the blink of an eye, the afternoon surgery schedule also came.

Xu Qiu took the freshly heated lunch box from Yun Mei, which contained stir-fried pork with ginger, braised eggplant and fried chicken gizzards. They were all suitable for big bites, and the temperature was just right enough to be eaten.

He sat at the nurse's station and ate hastily.

He has three more surgeries in the afternoon. If nothing goes wrong, when Master Luo Zhong's test results come out, he may have to add another emergency liver rupture repair surgery, for a total of four surgeries.

There is nothing in my stomach and I can't hold it down.

Although stamina potions are good, eating too much of them can also have disadvantages. Just like the immortals who are fasting, there is no way to satisfy the satiety brought by fireworks on earth.

"Doctor, I've found you!"

At this moment, a female patient came over from the outpatient clinic building.

Xu Qiu looked up and saw that it was Xun Yu in the morning.

"The results are out?"

"Um!"

Xun Yu had already changed into new clothes, and her body smelled faintly of the fragrance after taking a bath.

Xu Qiu sighed. For a woman of the age who loves beauty, having this kind of problem would have a greater impact on her self-confidence than the physical damage caused by the disease.

"Let me see."

Xu Qiu freed up his left hand and took the order.

According to the urine routine, the urine specific gravity, red blood cells, and white blood cells in the urine were all at normal levels, which meant that the patient did not have a urinary tract infection.

Moreover, in the renal function test, the levels of blood creatinine and urea nitrogen were also normal.

Xu Qiu then looked at the CT and MRU of the urinary system.

These examinations can more intuitively display the thickness of the renal cortex, the morphological changes of hydronephrosis, the degree of ureteral dilation, etc.

However, except for the slight fascia around the kidneys, suggesting suspected inflammation and infection, there were no meaningful positive findings.

The urine routine is obviously better than CT in indicating whether there is infection, which directly denies the infectious cause of perinephric fascia thickening.

"The kidney problem is not serious."

"No stones were found in the ureter."

After listening to Xu Qiu's words, Yunmei came over and said, "Dr. Xu, is this another case of rare disease?"

"uncertain."

Xu Qiu put down the list, looked at Xun Yu, and walked towards the observation room.

Yunmei reminded: "Follow me quickly."

Xun Yu quickly chased after him.

When Xu Qiu and the other party were the only ones left in the observation room, he asked: "Have you ever been exposed to any illegal drugs?"

"Illegal... illegal drugs? No!"

Xu Qiu looked at Xun Yu: "Are you sure?"

"What are illegal drugs..."

"For example, laughing gas."

"No, no, they are all drugs. There is no way I would touch those things!"

Xu Qiu saw that Xun Yu didn't look like he was lying, so she nodded.
Chapter completed!