I'm really an intern

Chapter 147 Shock stone hammer, family members are not here, what to do!

"Hurry up, sit down and talk."

Zhang Tianyang frowned, and quickly asked the patient to sit down.

The little brother in front of him showed pain on his face, hugging his belly with his hands, and there was a clear pause between walking.

Zhang Tianyang judged at a glance that this is because of the special walking posture caused by the pain involved when walking.

Zhang Tianyang took the basic characteristics of the little brother into his eyes while dropping the card.

The little brother looks about 20 years old, and he is dressed very pertinently, which is in line with the "office" background.

The body shape is a bit inappropriate, overweight, especially on the stomach.

Even though he is covering his stomach now, he can still see the spectacular size of his abdomen.

Two layers of light can be clearly seen on the face.

The first layer is a watery light made up of sweat that oozes from pain.

The other layer is due to the long-term indoors, the oil seepage and the oily sheen of the composition.

"Let me ask you to answer, let's hurry up, stomach hurts? Which part? How long has it been hurting?"

"Left, left, hurts, hurts for a long time, more than half a day, more and more, hurts"

Zhang Tianyang glanced at Dr. Chen who was opposite. He was still dealing with his own patients. He probably didn't have time to take care of this place, so he quickly started.

Helping the little brother slowly move to the white hospital bed in the innermost part of the consulting room and lie down, Zhang Tianyang's hand has already touched his stomach.

Pain on the left side, so touch the healthy side on the right side first to avoid misjudgment caused by pain involvement.

Zhang Tianyang's palm was warm and soft, from softness to deep pressure, after the little brother couldn't help howling a few times, he determined the location of the pain.

"Pain in the left ureter."

In an instant, possible illnesses flashed through his mind, and Zhang Tianyang quickly made additional inquiries.

"Let me ask you, is your pain colic?"

"Yes."

"Is there any hematuria? Not only now, but also recently."

"It seems to have."

"Have you ever had a urinary tract interruption before, and then returned to normal after a few movements?"

"Have."

"Ever tried pain like this?"

"It seems, yes, a few times, but not like this, it's amazing."

"Is there any nausea or vomiting?"

"Evil, disgusting."

"How much blood pressure did you just measure?"

"One hundred, seventy, it seems."

"Is the blood pressure the same as usual? Or is it higher than usual?"

"Usually, one hundred and one"

After quickly asking, Zhang Tianyang didn't even have time to type the medical records, and directly interrupted Dr. Chen who was working.

"Brother, my patient considers that the left kidney stone fell into the ureter, and the pain lasted for half a day. Now I suspect that he has early symptoms of shock!"

Kidney stones themselves are not terrible, and strictly speaking, they are not considered a particularly critical disease.

But the little brother's problem now is not whether the kidney stones hurt or not, but Zhang Tianyang suspects that he is in shock!

Shock is a serious thing.The effective circulating blood volume of a patient in shock decreases sharply, that is to say, the total amount of blood that can play a role in the body decreases sharply, and all vital organs of the body cannot be perfused with blood, and serious consequences follow.

Cell damage, metabolic disorder, and even organ dysfunction!

Patients diagnosed with shock may face death if they are not treated in time!

Without saying a word, Zhang Tianyang has already rushed out of the consultation room, snatched back the sphygmomanometer on the guidance desk, and then quickly put the cuff on the little brother's arm.

The little brother was in severe pain, his face was pale, he was sweating coldly, and his speech was weak.

"Doctor, I just measured blood, blood pressure, I, may be, kidney stones, you don't need it"

"Do not talk!"

Zhang Tianyang glared at him directly, and stared back at the words behind him.

Soon, the cuff began to make a "buzzing" sound and began to inflate.

Zhang Tianyang didn't want to waste every second, so he turned around and sent the white meat shield a task.

"Go find a nurse who can establish IV access! Find it in the emergency room!"

Dr. Chen greeted the patient who was seeing him, and moved over nervously.

"What's the matter with this patient? What's the reason for the shock?"

Doctor Chen looked serious and spoke much faster.

He did not question Zhang Tianyang's diagnosis of the patient's "shock" at all.

Experts will know if there is one as soon as they make a move. The solid professional ability of this junior has been fully verified within an hour yesterday.

To question his judgment is to waste the patient's rescue time.

What's more, this is the first patient that Junior Brother Zhang has asked him to see since he followed him to the emergency internal medicine department!

Not to mention serious, how is it possible!

"Isn't the shock serious?"

The patients that Dr. Chen was currently seeing also came up, showing doubts on their faces.

"But I think he's still awake and can walk, but it hurts a little?"

It is normal for patients to question.

Shock is a very serious disease, and everyone knows it.

Severe diseases generally have great reactions from patients, and everyone has agreed on this matter.

So he took it for granted that the little brother was not even in a coma, so how could it be shock?

But that's the way it is. Sometimes terrible diseases are peaceful in the moments before the outbreak.

You are standing still, but maybe you have gone into shock.

Zhang Tianyang stared at the sphygmomanometer, frowning.

"I don't know, it could be the pain, it could be the infection."

Hypovolemia, decreased cardiac output, severe infection, allergies, and neurogenic factors may all lead to shock.

There are many causes of shock, without the help of the test results, Zhang Tianyang has no way to judge.

He only knew that the little brother's painful face, pale complexion, profuse cold sweat, blood pressure that was lower than usual, and his sixth sense were all telling him—— Very serious!

The little brother's lips had lost their color, and his stomach was still cramping. Although he didn't believe that it was serious, the two white coats in front of him looked serious, and he didn't dare to say a word.

The sphygmomanometer was buzzing, and soon, black numbers appeared on the screen.

"93/65mmHg!"

"It's lower than before!"

The blood pressure has dropped significantly, which is a stone hammer!

Look at the heart rate displayed in the lower left corner of the screen, 102 beats per minute!

Faster pulse, stone hammer!

Then I touched my little brother's strong arm. Although the weather was quite hot, I could still clearly feel the dampness and coldness.

The skin is clammy, stone hammer!

Although the little brother's current state of consciousness is quite normal, the two white coats firmly believe that it will be soon!

The white meat shield called the nurse from the emergency room, and brought along with them a series of tools for establishing intravenous access.

In the emergency room, the nurse quickly established an intravenous channel for the younger brother.

The sodium chloride liquid enters the little brother's body along the pipeline of the syringe, as a rapid rehydration, and the drip speed is very fast.

But the symptoms of shock still came as expected.

The little brother climbed onto the flat car that was pushed by himself, but when the flat car gurgled into the emergency room, he began to have a disturbance of consciousness. After entering the emergency room, he became unable to respond.

Zhang Tianyang followed the car and the patient into the emergency room, and Dr. Chen automatically went to the waiting area to contact the patient's family.

"Li Yueban! Are Li Yueban's family members here?"

But after shouting more than a dozen times, no one responded.

"I guess he came alone."

Zhang Tianyang has already helped to take care of the comatose brother, and his eyes moved back and forth between the rapid infusion of saline and the beeping monitor of the little brother.

Then, he looked at Professor Yang behind him.

"Mr. Yang, the patient's consciousness is impaired, and he is not accompanied by his family members. It will take time to contact, but I think it needs to be dealt with immediately."

"How to do?"

(End of this chapter)