Think about it yourself, how long has it been since you last practiced? "
Wu Jian reflected on himself and realized that he was a special recruit and could not compare to Xie Wan and others who were regular recruits and had undergone rigorous physical training.
"Although I am a soldier, my main job is a doctor. Why do I need to train so hard?"
Xie Wan said sarcastically: “It’s nothing, it’s just that I can’t even carry a patient across the bed, it’s embarrassing enough.”
Wu Jian suddenly came to his senses and shouted, "This is a 200-pound fat man. Let others try, and they won't be able to do it either.
Xie Wan, you are not a human being! "
Bickering has become a habit for the two of them, and they can still do their work while bickering.
The patient's temperature has risen to thirty-nine degrees.
Xie Wan asked about the family’s situation.
The family member who brought the patient here was the patient's wife.
She said anxiously: "My husband came home today and complained of stomach pain. He started vomiting at night. I thought he would be fine after vomiting, but he still complained of pain."
Xie Wan asked: "What is the patient's occupation, age, and what did he eat tonight?"
The patient is 43 years old and works as a cook in the canteen of a nearby glass factory.
The patient's wife said: "He brought back dinner from the cafeteria, including shredded potatoes, Swiss chard, and braised pork.
I'm fine after eating it."
He is indeed a cook.
These days, everyone is short of food, and only the cooks in the cafeteria have this convenience and can eat themselves into fat.
Since his wife was fine after eating it, the possibility of food poisoning was basically ruled out.
Could it be acute pancreatitis?
Or acute cholecystitis?
Because eating too much food needs to be digested and absorbed, which increases the burden on the digestive glands?
At this time, the patient began to vomit again.
The contents of the stomach poured out, mixed with red blood.
The nurse on duty caught it in a container, and a sour smell filled the treatment room.
Wu Jian listened to the patient's stomach with a stethoscope, his face solemn, and asked Xie Wan to listen as well.
Xie Wan didn't hear any bowel sounds, so she tapped her abdomen with her fingers and found that she couldn't even hear any liver dullness.
I tapped my stomach and the gastric tympanic sound disappeared...
Wu Jian asked Xie Wan: "Did you hear what it was?"
Xie Wan deduced: "Gastric perforation!"
This is a very difficult disease.
The patient had severe abdominal pain when he was awake, which was probably caused by perforation.
The disappearance of bowel sounds is likely due to gastric perforation, which causes gastric contents to invade the abdominal cavity, causing bacterial peritonitis accompanied by intestinal paralysis.
The patient also had a high fever.
This indicates that there is a serious infection in the abdominal cavity.
Xie Wan placed his hand on the patient's abdomen and it felt like he was touching a piece of wood. The abdominal muscles were tense and the abdomen was like a board!
A board-like abdomen is a typical feature of acute diffuse peritonitis caused by acute gastrointestinal perforation or organ rupture.
Although it was the first time Xie Wan encountered a patient with gastric perforation, she had already memorized these characteristics from the information Zhou Aimin gave her.
Wu Jian nodded. "The diagnosis is correct. It's acute gastric perforation. Prepare the operating room. Quickly ask someone to call Lao Zhou for support. I can't do this operation alone."
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