Zhou Yewu looked at Li Heiyun with some regret.

Another wave of heart comfort.

The most painful thing about being a doctor is actually just like watching the patient suffer. Zhou Yewu also wants to deal with it, but any disease must be handled based on it.

This is to protect patients and the doctor themselves.

Otherwise, he would just want to take a wave of painkillers for Li Heiyun, but that would not only cover up the condition, but also if it was pancreatitis or something, it might also cause oddi sphincter spasm.

For example, doctors in many rural private clinics do not care about the cause of the disease and intramuscular injections. No matter what fever, they directly add antibiotics.

In fact, this is quite dangerous! It is also irresponsible to patients. For example, some students often abuse antibiotics by private clinic doctors when they were young, resulting in hearing loss and bone stunting.

Zhou Yewu looked at Li Heiyun and sighed, and finally remained silent.

He was guarding Li Heiyun on the side.

Not long after, the surgeon arrived.

"The emergency consultation efficiency is really high. Without much time, our surgical comrades came." Chen Riyuan greeted.

The surgeon came to the critical isolation area and had protective clothing all over his body. Fortunately, it was written with surgeon Xu Xiaoyang, otherwise it would be too difficult to recognize who it was.

Xu Xiaoyang is the attending surgeon from Shanghai to support Wuhan, speaking with a strong Shanghainese accent.

After he asked Chen Riyuan, he immediately began to check Li Heiyun's condition.

He reached out and touched Li Heiyun's belly, and then started to operate.

"Although the patient's stomach is painful, the abdominal wall is not tense and there is no rebound pain. It is probably not intestinal perforation, cholecystitis and other conditions. There are still intestinal rumbling sounds, and it is not like intestinal obstruction, whether there is pancreatitis or other conditions. It is difficult to say. It is recommended to have an abdominal CT first and further clarify. If there are surgical indications, then ask us for surgery."

Xu Xiaoyang was not sure about the specific situation. Murphy's sign was a little positive, but he still wanted to wait for another CT of the abdominal area.

As soon as he finished speaking, his cell phone rang. There was a rescue operation in the department, so Xu Xiaoyang withdrew again.

"If you have a abdominal CT, just call our department or the operating room, so I don't have to come." He said as he walked out of the ward.

...

"We are the only one left again." Li Heiyun looked at Chen Riyuan and Zhou Yewu and suddenly laughed.

"Uncle, stop laughing. Not only has the cause of the fever not been found, but your abdominal pain has appeared again." Zhou Yewu quickly reviewed the medical history of the hardcover man in front of him.

But I still couldn't find Bei anyway.

The patient has fever, chest tightness, shortness of breath, and suddenly has abdominal pain. Since he does not have a special medical history, it is indeed hard to say what it is.

Now the only hope can be placed on abdominal CT, let’s see if we can achieve any different results!

However, the patient's current situation is quite serious. If you take a CT scan directly, it may not be safe on the road. But it is not possible to not have CT scan. Fortunately, the blood pressure is still stable now. Please communicate with your family. Go and go back quickly. See if you can find anything special about CT scan. Brother Hua gave advice. If necessary, the ICU will have a bed ready to wait.

As soon as he finished speaking, the patient's breathing became even more rapid. This scared the patient's wife and almost cried. He pulled the doctor on duty and said to take medicine quickly. If he didn't use medicine, he would die.

Seeing this, Brother Hua was not good at leaving first. The patient's breathing difficulties further aggravated, so he quickly checked his lungs with a stethoscope. The breathing sounds of both lungs are symmetrical and do not support pneumothorax. There was no myocardial infarction in the electrocardiogram. Although his breathing is rapid, his blood pressure is still good, but this may be an illusion. The patient is now excited with sympathetic nerves, and it is of course high blood pressure. If the patient calms down, his blood pressure may have fallen severely.

The most urgent task is to solve the patient's respiratory problems first. As for the diagnosis, let's talk about it later. Brother Hua had an idea in his heart. So he told the doctor on duty that he would not transfer to the ICU first, and connect the ventilator to stabilize his life signs.

The doctor on duty and Brother Hua wanted to go together. Such a patient would be a bomb if he was placed in the respiratory department. Maybe his heartbeat would be over.

Brother Hua told his family that the patient was in critical condition, had poor breathing, and had hypoxia, so he had to transfer to the ICU to continue treatment. Do you agree?

The family members were confused and panicked. They kept nodding, crying and saying that they would be willing to treat them, and they could spend as much as possible.

The patient's consciousness was a little blurred at this time and his eyes were empty.

Brother Hua made up his mind and said that he couldn't wait to go to the ICU, so he directly inserted the tracheal intubation here to ensure the insurance. It would not take a minute to delay it. So he asked the ICU nurse to send the intubation box down and communicated with his family while preparing. As soon as the family agreed to intubation, Brother Hua's tracheal catheter was sent into the patient's tracheal tube.

The whole ward was noisy.

Brother Hua successfully inserted the tracheal intubation, quickly connected the balloon to press and deliver air to the patient. Then several people worked together to transport the patient to the ICU.

That night, I was exhausted. The patient finally arrived at the ICU safely.

Several doctors in the ICU are also discussing why the patient's condition suddenly worsens, why does the breathing suddenly become poor, and what went wrong? Is the pneumonia worsening? Or are there other problems, such as pneumothorax, pulmonary embolism, and pulmonary edema?

The next day, the overall situation of the patient became more stable. Brother Hua pushed the ventilator and took the patient to undergo a CT scan of the chest and abdomen. He thought he could find some information, but unfortunately there was no. The patient had no pulmonary embolism, no pneumothorax, and the pneumonia did not worsen much, but there was some pulmonary edema.

How does pulmonary edema come about? Is it caused by pneumonia? Or heart failure? Everyone has disagreement. If the patient's heart function is poor and the blood cannot be pumped out, it will accumulate in the lungs, and pulmonary edema will occur. The entire alveoli should have been filled with air, but now it is filled with water. Of course, the patient will feel hypoxia and will of course breathe rapidly. The question is, why does the patient have heart failure? You must know that the patient was in good health before, without the basis of heart disease such as coronary heart disease. He is not old and suddenly has heart failure, which is unreasonable. Unless the patient has severe myocarditis.

Brother Hua’s concern is not unreasonable.

If it is really severe myocarditis, then the previous examination should be reflected. Or it is suddenly progressing from ordinary myocarditis to severe myocarditis? Then why does myocarditis occur? Is it really caused by viral infection?

Several doctors from the ICU discussed together and finally set the murderer on the side of the heart. Pneumonia may be just a bystander.
Chapter completed!