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At 2:17 in the morning, the automatic door of the emergency room of the No. 1 City Hospital was knocked open.
"Doctor! Doctor! My husband has unbearable stomach pain!"
The woman dragged a middle-aged man in. The man was pressing his upper abdomen with one hand. His face was as white as if it had been soaked in water, beads of sweat were rolling down his forehead, and the back of his shirt was soaked.
Behind the triage table, Nurse Zhao raised her head and glanced.
"What did you eat?"
"We had some barbecue and drank two bottles of beer at night." The woman's voice trembled with anxiety, "He said his stomach felt like a knife."
Sun Zhiqiang, the senior doctor on night shift, had just come out of the observation room with half a cup of cool tea in his hand.When I heard "barbecue", "beer" and "stomach ache", I frowned at first.
"First measure your blood pressure, order an electrocardiogram, and draw blood to check for amylase and troponin."
After he finished speaking, he looked at Lin Ye who was standing next to him.
"Lin Ye, please take this. Don't panic. Acute gastritis and pancreatitis are common. Follow the procedure."
Lin Ye nodded, picked up the medical record folder and walked over.
The first page of the medical record folder contains a copy of his name tag.
Lin Ye, in the third year of regular training in the first hospital of the city, is rotating in the emergency department.
Tonight I work the night shift independently for the first time.
He said he was independent, but Sun Zhiqiang was right next to him.If it really comes down to it, it's not his turn.
The man was helped to the examination bed, and as soon as his body touched the bed, he curled up.
"Where does it hurt?"
"Here." The man pointed to his upper abdomen, his lips trembling, "My back also hurts, like it's being torn apart."
Lin Ye paused.
"Like tearing it apart?"
Sun Zhiqiang heard from the side and said casually: "Don't take the description of pain too seriously. You will also say the same thing about stomach cramps after drinking."
Lin Ye didn't answer, but reached out and touched the man's wrist.
The skin is cold and the pulse is beating fast.
At this moment, a line of light blue writing suddenly popped up in front of his eyes.
[Emergency warning activated.】
Lin Ye's fingers froze.
The line of words was not projected on the screen, nor did it appear on the medical record folder, as if it was directly attached to his field of vision.
[Patient: Chen Jianguo, male, 49 years old.】
[Main Complaint: Upper abdominal pain with tearing pain in the back.】
[High risk: Stanf Ord type A aortic dissection.】
[Misdiagnosis probability: 83%.】
[Death countdown: 42 minutes and 17 seconds.】
Lin Ye's Adam's apple moved.
He thought he was hallucinating after staying up all night, so he closed his eyes and opened them again.
The countdown is still ticking.
42 minutes and 9 seconds.
"What's your blood pressure?" Lin Ye suddenly asked.
Nurse Zhao glanced at the machine: "One hundred and eighty-nine, one hundred and two for the right arm."
"Measure your left arm again."
Sun Zhiqiang frowned: "One measurement is enough, let's do an electrocardiogram first."
"Sister Zhao, measure your left arm as well." Lin Ye didn't raise his head and touched Chen Jianguo's left radial artery again.
Nurse Zhao saw something wrong with his expression, so she changed the cuff to his left arm without asking any questions.
The machine beeped several times.
"One hundred and forty-three, eighty-eight."
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