May be misdiagnosed

Ring ring ring!

"Hello."

"Doctor Qin, no, it's Director Qin."

On the phone, a familiar voice rang.

Qin Feng heard a smile on the corner of his mouth, and this young lady can still remember him.

"Miss Yun is very well informed, why did you call me so suddenly?"

"I'm in the capital, have a meal together?"

Yun Ruochu said.

"Okay, wait until I get off work."

Qin Feng glanced at the time and agreed.

"Okay, then I'll wait for you."

After speaking, the phone hung up.

Yun Ruochu was discharged from the hospital last month.

Her systemic lupus erythematosus has basically been cured, and all the butterfly lines on her face have faded, but she needs to take medicine for a long time.

Of course, Qin Feng arranged these medicines for her directly.

As for Qin Feng, through Yun Ruochu's drug experiments, he found a new way to overcome lupus erythematosus.

Currently, the Jinling Life Research Center is already developing drugs for five types of lupus erythematosus.

It is estimated that it will be resolved soon, and the most important thing is that the price is lower!

This is undoubtedly the greatest boon for millions of patients.

…

In the first consultation room, Zhang Qingquan got the girl's CT.

CT results showed that the intestinal cavity in the abdominal cavity was obviously dilated, and the liquid level was seen.

Confirmed intestinal obstruction is undoubtedly!

"Your daughter has an intestinal obstruction."

Zhang Qingquan said affirmatively to the girl's parents.

"Intestinal obstruction?"

Hearing this, both of them were dumbfounded.

"How could this be? How could she have had an intestinal obstruction?"

"Has your daughter had any abdominal surgery before?"

"Abdominal surgery? She had appendicitis removed only a few years ago!"

Appendicitis removed!

Hearing this, Zhang Qingquan and the resident doctor behind him were even more certain.

This is basically a complete diagnosis.

People who have had abdominal surgery are at risk of developing adhesive ileus.

In this case, the damaged intestinal serosa after surgery may adhere to each other. As time goes by, the degree of adhesion becomes tighter, which can easily induce intestinal root resistance.

Hearing Zhang Qingquan's explanation, the girl's parents also looked distressed and helpless.

How could such a thing happen?

"You go to the hospital first. I'll prescribe some medicine and rehydration fluid for her. The operation can be arranged in the afternoon. Don't eat at noon, and don't eat or drink."

Zhang Qingquan glanced at the time, it was almost 12 o'clock.

After finishing speaking, he handed the list to the two of them to arrange the beds.

Soon, the operating room was arranged, and the girls were observed first, and then sent to the corresponding department after the operation.

…

In the afternoon, after eating, Qin Feng didn't sleep, so he went around in the emergency room to have a look.

After checking the general ward, he went to the observation ward. As soon as he walked in, he saw the girl with blocked intestines in the morning.

Her clothes had been changed and she was wearing a hospital gown.

After replenishing the fluid, the pain on her face has also subsided a lot, and the parents sitting next to her are full of distressed eyes.

"How is it? Are you feeling better?"

Qin Feng stopped by the hospital bed and asked with a smile.

"You are..."

The girl's parents raised their heads and looked at the young doctor in front of them curiously.

But when he saw the nameplate on Qin Feng's chest in the next second, he was stunned.

Deputy Director, Qin Feng!

So young to be the deputy director?

"This is the deputy director of our emergency department."

The nurse Xiaoya who followed behind him quickly explained his identity.

What a director!

"Hello, Director Qin."

Hearing this, the girl's father quickly got up and shook hands with a smile.

"Thank you for your concern, it's much better, and she doesn't hurt as much as before.

The doctor had already arranged surgery for us, and we will have surgery in a while. "

"That's good, don't worry, it's not a big problem."

Qin Feng nodded and consoled, then took out his stethoscope,

"I'll check it for you again, just lie down and don't move."

After speaking, he gave the girl a simple physical examination.

But this time, he frowned slightly after getting up.

Something is wrong!

"Show me her CT."

After receiving the CT image from Xiaoya, Qin Feng observed it carefully.

Although no matter from the symptoms or CT point of view, it is consistent with intestinal obstruction.

But the girl had obvious pulmonary rales, had difficulty breathing, and needed to open her mouth.

This point may have been covered up by the girl's performance when she was in severe pain, and no one discovered it.

"Is the blood sugar level?"

Qin Feng put down the image and asked.

"Blood sugar? It doesn't seem to be there."

The girl's parents heard the words, thought for a while and shook their heads.

"Well, let me test it for her."

Qin Feng was still a little worried, another possibility floated in his mind,

"Xiaoya, measure her blood sugar."

"OK."

Xiaoya nodded, and was about to walk back when suddenly a familiar figure appeared in the observation room.

Zhang Qingquan!

"Zhang Jiajia, get ready, the operation is about to begin."

Zhang Qingquan also saw Qin Feng next to him, but he didn't pay attention at all, and went straight to the hospital bed and said.

"Okay, okay."

The girl's parents nodded repeatedly when they heard the words, and wanted to help their daughter up.

"Wait a minute!"

Before the words fell, Qin Feng who was at the side suddenly said in a deep voice,

"Doctor Zhang, I think there is something wrong, can you wait a moment?"

"What's your problem?"

Hearing this, a sneer appeared on Zhang Qingquan's face,

"Hehehe~ Director Qin, you mean my diagnosis is wrong?"

"Well, come out and say."

Qin Feng didn't continue talking after hearing the words, but motioned him to go out.

After all, Zhang Qingquan was already in a bad mood on the first day he arrived in the emergency department, and this was his patient.

What's more, the patient is still in front of him, and some things are difficult to say.

If there is a problem, it's not good!

"Don't! Deputy Director Qin, if you have anything to say, just say it here. I would like to ask you to give me advice."

Who would have thought that Zhang Qingquan raised his hand to interrupt, and looked at him angrily,

"The patient has such obvious intestinal obstruction symptoms and CT, even if the internal medicine doctor came, I dare say there is no problem!

I wonder if Deputy Director Qin thinks there is a problem? "

Qin Feng frowned slightly, this guy!

A little arrogant~

"Have you measured the patient's blood sugar?"

Since you don't want to save face, don't blame me for being rude.

"What blood sugar?"

After Qin Feng finished speaking, Zhang Qingquan was stunned for a moment, and glanced at the well-proportioned and even a little thin girl on the hospital bed, his face was full of disdain,

"Director Qin, you're not joking, are you?

The patient is only 15 years old this year, and all preoperative examinations have been done. "

"Have you read the test results?"

As soon as the voice fell, Qin Feng asked back.

"The inspection report is now handed over to the chief surgeon. Is there any problem?"

Zhang Qingquan still felt that Qin Feng was looking for trouble on purpose, but he was not afraid.

He has seen this disease many times, how could he go wrong?

"In this case, let's test one now."

Qin Feng shook his head and said helplessly.

"Comprehensive assessment already has surgical intervention, you are really wasting the patient's time like this!"

Zhang Qingquan's face suddenly turned gloomy, and he said displeasedly

"Now I have the final say, for the patient and for you."

Qin Feng stood with his hands behind his back, and he didn't give in at all.

The movement here has already alarmed the nurse's desk next to it, and the doctors who passed by also heard the voices of the two people.

They came over curiously and looked inside.

It turned out that it was Qin Feng, the newly appointed deputy director, and Zhang Qingquan, a senior doctor in the emergency department, and they seemed to be in conflict.

Anger rose in Zhang Qingquan's heart, he opened his mouth but held back.

"Okay, let's see!"

At this moment,

Xiaoya has already run in with the blood glucose meter.

"Director Qin, the blood glucose meter is here."

"Test it."

Qin Feng nodded.

The parents of the girl next to her looked at the scene in front of her with a dazed face and a bewildered look.

What's the situation?

Didn't you say that the child is going to have an operation?

It seems that two doctors are arguing because of their daughter's illness. What do you mean?

Is something wrong?

Thinking of this, the two looked at each other, their expressions became a little weird and complicated.

If the diagnosis is wrong, then...

Zhang Qingquan watched Xiaoya test Zhang Jiajia's blood sugar, and sneered in his heart.

Although Qin Feng is really famous in the hospital, he also admits that the other party's surgery is really good.

After all, he can't do the difficult surgeries in various departments, but based on his qualifications and emergency experience, that's just two words.

Not convinced!

"Let it go, let it go!"

While the two were waiting for their blood sugar results, there was a rushing sound at the door.

Immediately after, a figure squeezed in, it was the resident doctor brought by Zhang Qingquan, rushing in hastily with a few pieces of paper in his hand.

"Doctor Zhang."

"What's wrong?"

Zhang Qingquan frowned and asked in a deep voice.

"Look at this examination report, the doctor from the gastrointestinal surgery just said that the operation cannot be performed!"

"What?!"

Hearing this, Zhang Qingquan took the inspection report, glanced at the indicators on it, and suddenly stopped, trembling all over, and his expression changed.

"Director Qin, look."

At this time, Xiaoya quickly brought the blood glucose meter over and handed it to him.

It's red!

The moment Qin Feng saw it, his expression froze.

Sure enough!

It shows [HI! ]

Blood sugar is seriously over the limit!

This portable blood glucose meter has a capped value, which means that the little girl's blood sugar has exceeded the maximum value of the instrument.

The fasting blood sugar of ordinary people generally does not exceed 6mmol/L, but now Zhang Jiajia's blood sugar is at least 5 times that of ordinary people!

"Let me ask, has she had diabetes now or before?"

"Huh? Diabetes?"

Hearing Qin Feng's words, the girl's parents were also dumbfounded, and then shook their heads again and again,

"No, I can't!"

"Xiaoya, add arterial blood gas, blood ketones, and urine sugar to her immediately..."

Qin Feng immediately arranged.

"Doctor, my daughter...what's the matter?"

Hearing that the inspection would continue, the child's mother panicked and asked quickly.

"Don't worry, there may have been a change in her condition, we need to make sure."

Qin Feng explained calmly,

"Now she doesn't need surgery for the time being, and we'll talk about it after the results come out. Don't worry."

After finishing speaking, he turned around and left, motioning for Xiaoya to pull Zhang Qingquan, who was standing there with an ugly expression, out of the observation ward.

Misdiagnosed!

The girl may not be as simple as simple intestinal obstruction, it may be caused by another disease.

[Diabetic ketoacidosis]!