Chapter 289: The Relationship between Falls and Pulmonary Infiltration Shadows, Making a Difference Again_2
Director Tang could negotiate with Zhou Can but was powerless regarding the relatives.
He could only watch helplessly as the patient was wheeled into the outpatient hall.
At this moment, Nurse Ji You had already obtained the patient's blood test report and hurried over.
"Director Zhang, the femoral head of this pregnant woman is indeed fractured as you predicted, and the chest X-ray shows diffuse infiltration in both lungs."
Zhou Can, worried about delaying the patient's condition, quickly reported to Director Zhang.
"Is there any problem with the heart?"
Director Zhang immediately took the report to check upon hearing this.
"I have limited expertise and haven't discovered any issues for the time being." After Zhou Can answered, he took the opportunity to look at the blood test report, which showed no abnormalities in the white blood cells, indicating a low probability of bacterial or viral lung infection.
This suggests that the pulmonary lesion is likely related to the fall.
He thought to himself, could it be that the pregnant woman had lung cancer, and the fall just revealed it?
Such cases do indeed occur in clinical practice.
Some patients have particularly high tolerance and endure discomfort silently.
Only when they catch a cold or suffer injuries from falls or other diseases, completely devastated, do they consider going to the hospital.
"Have you previously experienced any difficulty breathing or discomfort in your lungs?"
Zhou Can asked the patient.
As the deputy leader of the crisis management team, he must fulfill his role.
He helped the chief diagnostician in search of the patient's cause of illness to prevent any tragedy.
"No... not at all! I feel the baby moving a lot, is that okay?"
The pregnant woman exhibited abnormal fetal movement after receiving oxygen.
Normally, noticeable fetal movements are felt at three months into pregnancy, and by five months, the movements are quite significant.
"Yang Chan, measure the fetal heart rate for her!"
Director Zhang was still frowning and contemplating the reasons for the appearance of diffuse infiltrate in the lungs.
This was the primary cause of the pregnant woman's breathing difficulty.
Only by identifying the cause of the lung lesion can the problem be smoothly resolved.
Zhou Can stood watching.
When Yang Chan lifted the pregnant woman's shirt, Zhou Can noticed bruises all over her abdomen. Not just in one place, but everywhere.
At first, he thought the pregnant woman was a victim of domestic violence, beaten up like this.
Upon closer inspection, he found that the bruises varied in size and shape.
And they were scattered all over the upper body.
"Let me check your back for any abnormalities!"
Zhou Can explained briefly before lifting the collar of her shirt to check the patient's back.
The result was the same as the chest and abdomen, bruises everywhere.
Seeing this situation, he became highly vigilant.
Just at this moment, Yang Chan had finished measuring the fetal heart rate.
"The fetal heart rate is overall quite normal."
Her words also allowed everyone to breathe a sigh of relief.
It's good if the child is unharmed.
The fetus inside the womb is not as fragile as we might think; sometimes, even if the pregnant woman's abdomen is accidentally hit or encounters other accidents, the fetus can survive unscathed.
There was even a pregnant woman who was in a car accident and sent flying five or six meters away.
By the time medical staff arrived, the pregnant woman was critically injured and was rushed to the hospital. Despite resuscitation efforts, they couldn't save her. Detecting the still-weak fetal heartbeat, an emergency cesarean section was promptly performed.
A premature baby was delivered, and after examination, everything was normal.
After residing in an incubator for nearly a month, the baby survived successfully.
This shows that a fetus is actually very safe inside the mother's belly.
With the cushioning of maternal abdominal fat and the protection of amniotic fluid, it's like wearing two thick cotton coats.
"Monitor, check whether her armpits and chest also have such bruising!"
As Zhou Can couldn't look directly, he had Yang Chan check it.
After examining, she confirmed, "Both parts have bruises. Particularly obvious under the armpits."
"Alright!"
This discovery by Zhou Can also drew Zhang Bihua's attention, and she too came over to carefully inspect the patient.
At this moment, the patient's condition was deteriorating.
Even though she had been given oxygen through a nasal cannula, her breathing remained labored as if gasping through a bellows.
The situation looked very worrying.
Put bluntly, in such a condition, if she couldn't catch her breath, it might result in double fatalities.
"Come, open your mouth and let me see your oral mucosa."
Zhou Can donned a mask and asked the pregnant woman to open her mouth.
Her response was somewhat sluggish; Zhou Can had to repeat himself several times before she slowly opened her mouth.
Because her mouth wasn't wide enough, Zhou Can had to use a flashlight to inspect inside the oral cavity.
"The oral mucosa also has similar bruises."
Zhou Can reported to Director Zhang.
Suddenly thinking of something, he instinctively checked the patient's eyelids.
"The conjunctiva also has bruises."
These areas showed no external injuries, certainly not caused by domestic violence.
Thus, her bruising is an important diagnostic direction.
"Could it be aspiration pneumonia?" Yang Chan offered her diagnostic opinion from the side.
"It's possible. However, her consciousness seems to be deteriorating, which is a very bad sign indicating that the condition is progressing extremely rapidly. If the cause isn't identified soon, she might be gone in an instant."
Director Zhang's expression was particularly solemn.
Deputy Director Shi, the leader of the crisis management team, also came over to help diagnose.
He specializes only in Digestive Internal Medicine and felt somewhat helpless regarding the pregnant woman's condition.
Then two more specialists, having finished diagnosing their own patients, joined the consultation group.