There is a big difference between feeling full and bloating. Sun Lien suddenly had an idea. Although there was no direct evidence, he felt that this was probably the correct answer to all questions.
"Do you feel that satisfied feeling of fullness, or do you feel that your stomach is a little bloated?" Sun Lien asked, "There is a big difference. Please feel it carefully before answering me."
Sun Lien's questioning aroused the curiosity of the experts who were watching. They did not take the initiative to ask Li Fengmin how he was feeling now. In fact, they did not even ask Li Fengmin if he had any problems in the past. All examinations and inquiries were for choking.
Water and lumbar disc herniation are performed.
"It's a bit high." Li Fengmin thought about it for a long time and replied hesitantly, "Does it matter?"
"Measure the blood pressure again." Sun Lien did not answer Li Fengmin's question. He estimated that another ten minutes had passed and he measured Li Fengmin's blood pressure again. The results this time further confirmed Sun Lien's idea. "The heart rate was 90, and the systolic blood pressure was 95.
mmHg, diastolic blood pressure 70 mmHg." These blood pressure parameters have basically reached the lower limit of normal blood pressure. Li Fengmin's blood pressure is indeed gradually declining.
"Call an ambulance immediately. He has to go to the hospital quickly." Sun Lien frowned. Although he could not immediately judge whether this change would be life-threatening, Li Fengmin should do it whether it was due to professional sensitivity or diagnostic needs.
You should go to the hospital immediately for further examination.
"Xiao Sun, what problem do you see?" The fat old man asked with a frown. Although they didn't ask too detailed questions during the consultation, they all felt that Li Fengmin was fine. Even Lao Li himself
I didn't feel any serious discomfort.
"It's hard to say now, but this downward trend in blood pressure is very bad." Sun Lien replied. He directly called the lifeguard and asked him to call an ambulance immediately. He began to palpate Li Fengmin's abdomen. "I
It is suspected that there may be internal bleeding."
"Internal bleeding?" A group of experts around them frowned at the same time. "There is no coagulation disorder, no trauma, no impact. Where did the internal bleeding come from?"
Sun Lien frowned and checked, "I don't know. But with this stable drop in blood pressure, I can only think of internal bleeding." He tapped Li Fengmin's stomach carefully, "It's better to go to the hospital. If there is no problem, just treat it as a false alarm.
But if there is really internal bleeding, at this rate of blood pressure drop, it will be too late by the time he develops symptoms of excessive blood loss."
Sun Lien's words were very straightforward. After all, everyone present was a colleague. Even if they are not from the emergency department or anesthesia, they should understand this very simple truth that a false alarm is much better than a near miss or even danger.
Although the surrounding experts do not quite agree with Sun Lien's diagnosis, what Dr. Sun said is quite reasonable. If Lao Li is fine, everyone will laugh at Sun Lien at the dinner table and make a fuss out of a molehill. But if Li Fengmin really does what Sun Lien said.
That way, if you have serious and hidden internal bleeding and you haven't gone to the hospital yet, then no one will be able to laugh about it in the future, and it will be fatal!
The hospital in Sanya was notified and the ambulance was on its way to the hotel. Li Fengmin also showed unusual symptoms. He felt some swelling and pain at the base of his left leg. But it was still within the tolerable range.
"Get him two bath towels." Hu Jia called the hotel manager who was waiting nervously. She noticed that Li Fengmin's face was a little pale and he seemed to be shaking slightly. But the current temperature in Sanya is about 27 degrees.
, logically speaking, you shouldn’t feel cold.
"It's internal bleeding." The experts who were watching finally recognized Sun Lien's diagnosis. His face turned pale and he was short of breath. These are typical symptoms of excessive blood loss and about to enter shock.
But the most important question has not yet been found: where is the bleeding point and location?
Sun Lien began his fifth detailed physical examination. After he pressed Li Fengmin's left lower abdomen, Li Fengmin began to cry out in pain. After he let go, Sun Lien clearly heard the moan coming from Li Fengmin's mouth.
There was tenderness and rebound tenderness in the left lower abdomen. Sun Lien almost shouted with joy. The palpation was too great this time. Not only was he sure that Li Fengmin had tenderness and rebound tenderness in the left lower abdomen, but also he felt the hard touch.
He was also certain that Li Fengmin had obvious abdominal muscle tension.
Yes, there was internal bleeding, and the location was in the right lower abdomen.
The surrounding experts were in an uproar. In the midst of this excitement, Hu Jia quickly lay down next to Li Fengmin and asked anxiously, "Do you have any allergies? Do you have diabetes, high blood pressure or other old problems?"
Li Fengmin turned around slowly and shook his head at Hu Jia, "No."
"Have you had any other surgeries? Have you had any metal implanted in your body?" Hu Jia asked, quickly putting his hand on Li Fengmin's neck and beginning to check his carotid artery pulse.
"More than ten years ago... I had a gastric perforation repair." Li Fengmin whispered, "No... there was... an implant."
His consciousness began to fade.
"How long will it take for the ambulance to arrive?" The experts onlookers were already worried. None of them were rookies. Looking at Li Fengmin's condition, they knew that Lao Li might be in trouble this time. "Is there a stretcher? Get him there quickly.
Go to the door!"
Sun Lien suddenly asked, "Is there a tourniquet? A rope will do too!" He had to do something immediately, otherwise Li Fengmin would probably die from excessive blood loss in the ambulance.
Hu Jia took off the hairband she used to tie her hair without hesitation. After discovering that Sun Lien was going to tie Li Fengmin's lower limbs to prevent venous return, Hu Jia realized that her hairband was not enough. She was anxious.
After looking around, I saw two hotel managers arriving in suits, and I was immediately overjoyed. "You two, take off your ties!"
Of course, Li Fengmin suffered internal bleeding caused by venous rupture. If it was an arterial rupture, he would have died long ago. But the real problem is that Sun Lien does not know which vein Li Fengmin ruptured at. Judging from the swelling and pain,
Iliac veins, deep femoral veins and even pelvic veins are possible. If it is the iliac vein or pelvic vein, the effect of preventing the femoral vein return is relatively poor. But after all, it is the only feasible solution and cannot be used in this place.
Emergency laparotomy was performed without plasma support. Even if the bleeding point was found immediately after laparotomy, Li Fengmin would still die.