I can see the status bar

Chapter 241 Internal Bleeding
There is a big difference between satiety and bloating.Sun Lien had a flash of inspiration. Although there was no direct evidence, he felt that this was probably the correct answer to all questions.

"Do you feel that satisfying feeling of fullness, or do you feel that your stomach is a little bloated?" Sun Li'en asked, "This is very different. Please feel it well before answering me."

Sun Li'en's questioning aroused the curiosity of the surrounding experts. They did not take the initiative to ask Li Fengmin how he feels now.In fact, they didn't even ask Li Fengmin if he had any problems in the past.All the examinations and inquiries were carried out for water choking and lumbar disc herniation.

"It's a bit higher." Li Fengmin replied with some hesitation after thinking about it for a long time, "Does it matter?"

"Measure your blood pressure again." Sun Lien did not answer Li Fengmin's question. He estimated that about 10 minutes later, he measured Li Fengmin's blood pressure again. The result this time further confirmed Sun Lien's idea. "Heart rate 90, blood pressure systolic 95 mm Hg, diastolic 70 mm Hg." This blood pressure parameter has basically reached the lower limit of normal blood pressure.Li Fengmin's blood pressure is indeed gradually dropping.

"Call an ambulance immediately, he has to go to the hospital quickly." Sun Lien frowned.Although it is impossible to judge immediately whether this change will be life-threatening, Li Fengmin should immediately go to the hospital for further examination, whether it is due to occupational sensitivity or diagnosis needs.

"Xiao Sun, what problem do you see?" The white and fat old man frowned and asked. Although they didn't ask too much detail during the consultation, they all felt that Li Fengmin was fine.Even Lao Li himself didn't feel any serious discomfort.

"It's hard to say now, but the downward trend of blood pressure is very bad." Sun Li'en replied, he directly called the lifeguard and asked him to contact the ambulance immediately, and he began to palpate Li Fengmin's abdomen. "I suspect there may be internal bleeding."

"Internal bleeding?" A group of experts around frowned at the same time, "There is no coagulation disorder, no trauma, no shock, where did the internal bleeding come from?"

Sun Lien frowned and checked, "I don't know. But with this steady drop in blood pressure, I can only think of internal bleeding." He tapped carefully on Li Fengmin's stomach, "Go to the hospital. If there is no problem, treat it as a false alarm. But if there is internal bleeding, according to the blood pressure drop rate, it will be too late after he shows symptoms of excessive blood loss."

Sun Lien spoke very bluntly, anyway, all the people present were colleagues.Even if they are not from the emergency department or anesthesiologists, they should understand this very simple truth - a false alarm is much better than a near miss, or even danger.

Although the surrounding experts did not approve of Sun Lien's diagnosis, what Dr. Xiao Sun said was quite reasonable after all.If Lao Li is fine, it's a big deal that everyone will make fun of Sun Li'en at the dinner table in the future.But if Li Fengmin really suffered from serious and concealed internal bleeding as Sun Lien said and hadn't gone to the hospital yet, then no one would be able to laugh from now on—this would be fatal!
The hospital in Sanya was notified and the ambulance was on its way to the hotel.And Li Fengmin also showed unusual symptoms. He felt some pain at the root of his left leg.But still within the tolerable range.

"Find 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 trembling slightly.But the current temperature in Sanya is around 27 degrees, so it should not be cold.

"It's internal bleeding." The onlookers finally approved of Sun Lien's diagnosis.Pale face and shortness of breath, these are typical symptoms of excessive blood loss and going into shock.

But the most important question has not yet been found, where is the bleeding point, where is the bleeding location?
Sun Lien started the fifth detailed physical examination.After he pressed on Li Fengmin's lower left abdomen, Li Fengmin began to cry out in pain, and after he let go of his hand, Sun Li'en heard the groans clearly coming from Li Fengmin's mouth again.

Left lower quadrant tenderness, positive rebound tenderness.Sun Lien almost shouted happily that the palpation received too much this time. Not only was he sure that there was tenderness and rebound pain in the left lower abdomen of Li Fengmin, but he was also sure from the firm feel that Li Fengmin had obvious pain. tense abdominal muscles.

That's right, internal bleeding, and the location is on the lower left abdomen.

The surrounding experts were in an uproar.In the midst of this commotion, Hu Jia quickly lay down next to Li Fengmin and asked urgently, "Do you have any allergies? Do you have diabetes, high blood pressure or other old problems?"

Li Fengmin turned his head slowly, and shook his head at Hu Jia, "No."

"Have you had any other operations? Have you ever had metal implants in your body?" Hu Jia asked, while quickly putting his hands on Li Fengmin's neck, and began to check his carotid pulse.

"More than ten years ago... had a gastric perforation repair." Li Fengmin said in a low voice, "No... have... implanted."

His consciousness began to fade away.

"How long will it take for the ambulance to arrive?" The onlookers were already anxious. They were no rookies, and they knew from Li Fengmin's situation that Lao Li might suffer this time. "Is there a stretcher? Hurry up and carry him to the door!"

Sun Li'en suddenly asked, "Is there a tourniquet? A rope is also fine!" He had to do something immediately, otherwise Li Fengmin would probably die of excessive blood loss in the ambulance.

Hu Jia took off the headband he used to tie his hair without hesitation. After discovering that Sun Lien was going to tie Li Fengmin's lower limbs to prevent the return of veins, Hu Jia realized that his hairband was not enough.She looked around anxiously, and was overjoyed when she saw the two hotel managers who came in suits. "You two, take your ties off!"

Li Fengmin's internal bleeding was of course caused by a ruptured vein. If it was an artery rupture, he would have died long ago.But the real problem was that Sun Lien didn't know exactly which vein Li Fengmin had ruptured.Judging from the site of distending pain, the iliac vein, deep femoral vein and even pelvic vein are all possible.If it is the iliac vein or the pelvic vein, the effect of preventing the return of the femoral vein is relatively poor.But this is the only feasible solution after all—we can’t just do an emergency laparotomy in this kind of place, without plasma support, even if the bleeding point is found immediately after laparotomy, Li Fengmin will still die.

(End of this chapter)