Font
Large
Medium
Small
Night
Prev Index    Favorite Next

Chapter 37 Misdiagnosis

"Stop, what are you doing?"

Qin Ze turned around and said in a deep voice: "The patient's face is red, his lips are chapped, and his plate-shaped abdomen are wrong. Your diagnosis is wrong, and the patient cannot operate!"

"Qin Ze, what are you doing? Don't mess around here. This is Xinhua Hospital!" Cheng Wei was a little scared.

Although he knew what Qin Ze said made sense, Cheng Wei was still a little scared. In addition, they were all students who had just graduated. Although they said that in theory, there were very different clinical and theoretical differences, and he didn't know whether Qin Ze was right or wrong.

"Fuck, my diagnosis is wrong!" Qin Ze's words made the surgeon furious, and his face was dark and dark: "Where are you from? Are you talking nonsense! Get out of here!"

"Don't let it go!" Qin Ze shook Zheng Wei away, stretched out his hands, and stood directly in front of the cart.

"You dare to stop a surgical car and prevent the doctor from treating patients. You are illegal, do you know?"

The surgeon was full of anger. His patient's abdominal cavity is now unknown. It is very likely that he was bleeding in the abdominal cavity and was stopped. If the patient has an accident, then he will be mainly responsible.

As he said that, the surgeon took a step forward and grabbed Qin Ze, but Qin Ze did not move at all.

"Xiaojuan, why are you still standing there? Ask the security guard to go!"

It is now time to get off work, and there are very few patients in the hospital. When the security department saw someone on the third floor causing trouble, it was already rushing up.

"Qin Ze, stop making trouble, come here quickly!"

Cheng Wei was so scared that he couldn't do it. If this patient had an accident because of him, then Qin Ze would have to bear legal responsibility.

"What are you doing, why should you prevent the doctor from performing surgery on my child?" The two elderly men behind came over.

"Yes, young man, why are you? Our family has no grudges and grudges against you!"

"Uncle, aunt, I'm for your own good. Your children really can't..."

Qin Ze was explaining to the patient's family, and the hospital's security guard had arrived quickly. The surgeon pointed at Qin Ze and screamed loudly.

"He is here to stop me from rescuing the patient, arrest him!"

The atmosphere in the hall became tense instantly, and some doctors who were about to get off work also surrounded.

But a few small security guards were not Qin Ze's opponent. He shook his body slightly and then threw the security guard who came to stop him a few meters away.

The security guards behind were startled and had to retreat to the back. The scene was in a stalemate, and the man on the cart twitched violently.

Seeing this scene, everyone was shocked. The man was in an extremely dangerous state when he had this situation.

"Doctor Gu, the patient has had convulsions, what should I do?"

"Doctor Gu, hurry up!" The two nurses were so scared that they lost their temper when they saw the patient's condition worsening.

"Doctor, doctor, save my child..."

The two old men held their son's hand and watched everyone begging.

"What should I do? Why are you two still standing there? Just push the patient into the operating room!" Dr. Gu shouted sternly at the two young nurses.

"I said I can't go in. The patient's abdominal cavity has no bleeding at all. He is just edema and suppuration caused by acute inflammation in the gastrointestinal tract. The inflammation stimulates the peritoneum and shows tenderness, rebound pain, and muscle tension. Didn't you notice that his systemic symptoms are severe? The high fever is now at least 40 degrees, and there are already high fever convulsions. If you check the laparotomy now, the inflammation will spread and the patient will die soon!"

Qin Ze said it right. Peritonitis is divided into primary and secondary. The primary is mostly single-consistent bacterial infection, and secondary peritonitis is almost all mixed infections.

At this time, Qin Ze found that the patient was sweating profusely and his whole body was dry and hot. Although his abdomen was bulging and his abdominal muscles were tense, his eye sockets collapsed and his face turned red. The nurse had just said that he was admitted to the hospital with acute gastroenteritis at the beginning, so acute gastroenteritis was a secondary peritonitis caused.

The pathogenesis of acute peritonitis is that the abdominal organs are invaded by inflammation, and the bacteria entering the abdominal cavity will reproduce rapidly due to appropriate conditions. The organs and serosal congestion, edema, fibrous exudation, infiltrate inflammatory cells, form a large amount of pus, which is caused by stimulating the peritoneum.

Qin Ze said it well and was well-founded. The surgeon involuntarily lowered his head, feeling that he had really misdiagnosed.

"No bleeding in the abdomen?" An old man in a white coat next to him frowned and exclaimed.

If there is no bleeding in the patient's abdominal cavity, if it is suppurative peritonitis caused by acute gastroenteritis, as the young man said today, then the patient's abdominal cavity is opened and the pus inside spreads rapidly, causing sepsis, then the patient probably will not even be able to get off the operating table.

Qin Ze's words stunned everyone present. For a moment, the hall was extremely quiet.

Qin Ze ignored everyone, took out the silver needle and began to treat the middle-aged man.

In the treatment of acute peritonitis, the first priority is to control the spread of inflammation, reduce body temperature as much as possible, restore the patient's body to its best state, and perform elective surgery.

Now that the patient has had convulsions, it means that inflammation has affected the brain, controlling infection and alleviating convulsions, and is the first to bear the brunt.

"Xiao Gu, please inform your director quickly!"

The old man on the side said to Dr. Gu that although Qin Ze diagnosed the disease, will it be treated and whether the patient can be turned into danger? It is hard to say. The patient's condition is very dangerous at the moment. As the director of the medical department, Meng Qingming dared not take a try.

"But...but, good!"

The surgeon was a little panicked and had a bad premonition in his heart at this moment.

After several silver needles penetrated the patient's body, Qin Ze took a deep breath, raised his head and said, "I have controlled the inflammation. From now on, the patient must fast, semi-lying, gastrointestinal decompression, and intravenous fluid replenishment..."

This patient with peritonitis is actually not serious, just control the infection. What really killed the man today was entering the operating room, and the old man understood.

He stepped forward and saw that the patient's face was rosy and his body twitched stopped. He was surprised and looked at Qin Ze with a serious expression. Even the two nurses beside the patient were completely shocked.

Qin Ze did not say anything, then glared at the surgeon's surgeon and left with Cheng Wei.

The others stood there stupidly, standing for a whole minute. The doctor in charge woke up and hurriedly checked the patient's body.
Chapter completed!
Prev Index    Favorite Next