In the rescue room.
Qin Feng walked into the room and saw an old lady with gray hair who was about sixty or seventy years old lying on the bed.
She had a panicked and pale expression, and there was a dazzling red at the corner of her mouth.
The current data is displayed on the ECG monitor next to it.
Heart rate: 120
Blood pressure: 70/110
Blood oxygen: 100%
…
There is no problem with the basic physiological indicators and waveform charts, and everything is normal.
"What about the report?"
Qin Feng asked.
Yao Yuanfang handed over all the inspection reports.
ECG, blood gas, pulmonary angiography...
Nothing out of the ordinary.
Qin Feng put down the inspection report and walked to the old lady.
"Doctor."
When the old lady saw him, she was about to get up.
"Lie down and don't move, I'll check you again."
Qin Feng stopped and said,
"Come on, open your mouth and let me see."
"Do you have high blood pressure?"
"Yes, more than twenty years."
Qin Feng asked routinely while checking his body.
"How long have you been vomiting blood?"
"Just after eating today, it's a bit serious tonight."
"How did you vomit? Is there blood in the cough?"
"I don't cough."
The old lady shook her head, looking very clear.
There are two types of normal bleeding, coughing up blood and vomiting blood.
Coughing up blood refers to passage through the airways and respiratory system, namely the bronchi and lungs.
Hematemesis is the digestive system consisting of the digestive tract, esophagus and stomach.
Therefore, different bleeding patterns represent problems in different parts, which can be quickly judged.
"How much blood do you vomit?"
Qin Feng took off his gloves and continued to ask.
"Not much, just one sip every hour, about as much as a wine cup."
"OK."
Hearing what the old lady said, he nodded.
Judging from the way of bleeding, it is more likely to be in the digestive tract, and it is the upper digestive tract.
The bleeding was minimal and there were no other problems.
"Have you done a gastroscopy?"
Qin Feng looked at Yao Yuanfang and asked.
"No, she doesn't want to do it."
She shook her head.
"Doctor, I don't want to have a gastroscopy, it's too uncomfortable."
When he heard this, he said quickly.
"Okay, okay."
Qin Feng nodded when he heard the words. If you don't have a gastroscopy, you can do an angiography first to see if there are other bleeding points in detail.
"Deputy Director Qin, you check and check, what's wrong with my mother?!"
The man with glasses behind him looked impatient,
"If you can watch it, you can watch it, if you can't, we will transfer to another hospital immediately!
I think you are all quack doctors, you are not yet 30 years old, are you? If you can become the director, I think this hospital is about to end. "
When it came to the end, the man became angry with Qin Feng.
Hearing this, Yao Yuanfang and several nurses at the side cast sullen glances.
Especially the nurses, if eyes can kill, this man must have been torn to pieces.
The director of their family was bullied, can you not be angry?
The male god in their department was scolded, how could he not be angry?
"What are you talking about here? Get out!
Cough cough cough! "
At this moment, the old lady lying on the hospital bed stood up with difficulty, pointed at the man and scolded angrily.
Then she couldn't help coughing twice, spitting out the blood from her mouth.
"Mom, what's wrong with you, Mom?"
Seeing this scene, the man rushed to the bed in a panic, hugged the old lady,
"Honey, hurry up and call to transfer to another hospital. If my mother delays treatment because of you, I won't let you go if something happens to you!
What are you doing in a daze? Not yet! "
"Oh, alright."
Hearing this, the woman at the door took out her mobile phone, turned around and walked out.
The doctors and nurses on the side looked at this scene and couldn't help showing disgusted expressions.
In fact, this situation is not uncommon in the emergency department, and there are even more intense conflicts.
It's just that the man's superior demeanor is indeed extremely annoying.
But Qin Feng, who was standing beside the hospital bed, was a little surprised, because he found that the situation of her vomiting blood was completely different!
If it is vomiting blood, it should be vomiting and bleeding caused by gastrointestinal bleeding in the esophagus, stomach or duodenum.
Moreover, it is usually accompanied by a more obvious and severe retching state, and the blood will not be spit out so easily.
More like spitting!
Just now Yao Yuanfang also said that during the examination, he found bleeding spots on her gums and throat.
In addition, all the basic inspections that should be done have been done. In fact, there is no need to continue to do other inspections.
"Sir, this is the emergency room, and there are other patients, please go out first."
Qin Feng stepped forward and said sternly to the man with his hands behind his back,
"Also, we have checked the patient's condition, and if you want to be transferred, you can arrange it.
But for now, go out and wait. "
After speaking, he glanced at the two security guards at the door and gave him a signal look.
The two security guards glanced at each other, understood instantly, and walked towards the hospital bed immediately.
"What do you want to do?"
Seeing this, the man looked cautious, and Gao Sheng shouted angrily.
"Nothing, please go out."
Qin Feng said calmly with a faint smile on his face.
"If you dare to touch me, I'll tell you to get out!"
The man quickly put the old lady down, stood up and rushed towards Qin Feng, reaching out to grab his skirt.
However, before everyone's expressions changed drastically and they raised their legs to come over.
Qin Feng raised his hand and clasped the man's elbow, buckled his two fingers in along the bone seam, and pulled it down lightly.
"Ah~"
The man directly knelt on one knee on the ground, crying out in pain with a distorted expression.
His entire arm seemed to have been drained of strength, and he couldn't exert any strength at all.
And it's sore, it hurts, and I can't shrink back!
"Take him out, whatever."
Qin Feng said to the two security guards in front of him, then looked at the man again,
"If you want to call the police, I can't wait for it. Surveillance is everywhere here. Just because you slap the doctors and nurses, it's enough for half a month.
Don't believe us try? "
After he finished speaking, he pointed at the cameras around him and laughed, then immediately froze and waved his hand.
The two security guards dragged the man who lost his strength, and they were not polite at all.
"You wait!"
The man disappeared outside the emergency room door in unwilling anger.
"I'm sorry, doctor."
Qin Feng walked to the old lady, only to see the old lady whispered apologetically,
"It's all my fault for not being educated well. I just heard you say, did he beat your doctors and nurses?"
"Well, he did."
Qin Feng nodded and said with a smile,
"But it's okay, I will deal with your son in a while, and now I will find out the cause of the bleeding for you.
Open your mouth. "
"Ah~"
The old lady was a little embarrassed and opened her mouth.
Qin Feng took out the flashlight and shone it into her mouth.
Then,
He clearly saw that her only two innermost teeth belonged to him, and the gums were surrounded by blood.
Qin Feng washed it with normal saline, and clearly found a bleeding point between the two teeth.
Bleeding gums!
Looking at the throat again, carefully observe that there is also a hemorrhage point the size of a grain of rice on the left throat wall.
"Didn't you feel uncomfortable eating these two days?"
"It's okay, I just can't eat spicy food, and my throat hurts easily."
The old lady thought for a while and said.
That's right!
The old lady is not sick at all, but her gums are bleeding and her throat has a little ulcer!
She only needed to take anti-inflammatory drugs for two days, but they insisted on making such a fuss at night?