[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"origin-check-in-at-the-hospital-the-first-surgery-shock":3,"chapter-check-in-at-the-hospital-the-first-surgery-shock-check-in-at-the-hospital-the-first-surgery-shock-chapter-432":6},{"origin":4,"title":5},"english","Check-in at the Hospital: The First Surgery Shocked the Nation!",{"chapter":7,"nextChapterSlug":20,"prevChapterSlug":21,"totalChapters":22,"novelImage":23},{"id":8,"novel_id":9,"title":10,"slug":11,"index":12,"content":13,"wordcount":14,"created_at":15,"updated_at":16,"volume":17,"translator":18,"content_hash":19},873731,1146,"Chapter 432 - 313: Zhang Qingquan Refuses to Accept Defeat, Diagnostic Error! (Part 2)","check-in-at-the-hospital-the-first-surgery-shock-chapter-432",432,"\u003Cp>\"Has it been a day or two? It started hurting on Saturday, but it wasn’t so bad.\"\u003C\u002Fp>\n\u003Cp>The girl’s voice was weak and slightly trembling.\u003C\u002Fp>\n\u003Cp>\"Has your period ended?\"\u003C\u002Fp>\n\u003Cp>Zhang Qingquan continued to ask.\u003C\u002Fp>\n\u003Cp>\"Yes, about a week ago~\"\u003C\u002Fp>\n\u003Cp>\"When did you vomit this morning?\"\u003C\u002Fp>\n\u003Cp>\"Before the class started~\"\u003C\u002Fp>\n\u003Cp>The girl held her stomach, her facial muscles twitching in pain.\u003C\u002Fp>\n\u003Cp>The girl’s menstrual cycle was normal, so it didn’t seem to be period cramps or issues like an ectopic pregnancy.\u003C\u002Fp>\n\u003Cp>\"Besides the pain, is there anything else?\"\u003C\u002Fp>\n\u003Cp>Zhang Qingquan asked.\u003C\u002Fp>\n\u003Cp>\"Doctor, for the past two days, her stomach really has been bloated, and she can’t eat anything. She feels like vomiting just by drinking water or eating.\"\u003C\u002Fp>\n\u003Cp>The mother standing beside her quickly added.\u003C\u002Fp>\n\u003Cp>\"Did she eat anything unusual?\"\u003C\u002Fp>\n\u003Cp>\"No, no, she has been at home these past two days, just eating the usual food!\"\u003C\u002Fp>\n\u003Cp>\"Is the gas passing normally?\"\u003C\u002Fp>\n\u003Cp>...\u003C\u002Fp>\n\u003Cp>\"The doctor is asking you, answer him.\"\u003C\u002Fp>\n\u003Cp>The mother looked at the girl and urged.\u003C\u002Fp>\n\u003Cp>\"No... no~\"\u003C\u002Fp>\n\u003Cp>The girl shook her head softly, a bit embarrassed.\u003C\u002Fp>\n\u003Cp>\"How about bowel movements? Are they normal?\"\u003C\u002Fp>\n\u003Cp>\"No... no, my stomach has been hurting these past two days, so I haven’t really eaten anything. Therefore, there have been no big... issues.\"\u003C\u002Fp>\n\u003Cp>\"Lie down on the bed, let me examine you.\"\u003C\u002Fp>\n\u003Cp>Zhang Qingquan pointed to the patient bed beside him.\u003C\u002Fp>\n\u003Cp>Supported by her mother, the girl painfully lay down.\u003C\u002Fp>\n\u003Cp>\"Does it hurt here?\"\u003C\u002Fp>\n\u003Cp>\"Yes~\"\u003C\u002Fp>\n\u003Cp>\"How about here?\"\u003C\u002Fp>\n\u003Cp>\"It hurts too~\"\u003C\u002Fp>\n\u003Cp>\"And here?\"\u003C\u002Fp>\n\u003Cp>\"Hiss~\"\u003C\u002Fp>\n\u003Cp>When Zhang Qingquan pressed the area near the lower central abdomen, the girl couldn’t help but shiver, and cold sweat instantly rolled down her forehead.\u003C\u002Fp>\n\u003Cp>There was no board-like rigidity, indicating it was not an appendicitis issue, and peritonitis could also be ruled out. The liver, gallbladder, and stomach didn’t show major pain — it seemed to be connected pain.\u003C\u002Fp>\n\u003Cp>But the obvious abdominal bloating suggested gas.\u003C\u002Fp>\n\u003Cp>Listening for bowel sounds, there were none.\u003C\u002Fp>\n\u003Cp>\"You have a listen.\"\u003C\u002Fp>\n\u003Cp>Zhang Qingquan instructed the resident doctor beside him.\u003C\u002Fp>\n\u003Cp>The young doctor put on a stethoscope and listened, his expression changing slightly.\u003C\u002Fp>\n\u003Cp>\"What did you find?\"\u003C\u002Fp>\n\u003Cp>\"No bowel sounds.\"\u003C\u002Fp>\n\u003Cp>Zhang Qingquan nodded upon hearing this.\u003C\u002Fp>\n\u003Cp>Standing next to him, Qin Feng’s eyes showed a glint upon hearing this.\u003C\u002Fp>\n\u003Cp>The judgment was consistent with the feedback from Zhang Qingquan’s earlier pressing.\u003C\u002Fp>\n\u003Cp>The absence of bowel sounds is very critical because a normal person’s stomach would typically make 3-5 sounds per minute.\u003C\u002Fp>\n\u003Cp>This activity reflects normal intestinal function, indicating the intestines are working on digestion and movement.\u003C\u002Fp>\n\u003Cp>But if bowel sounds disappear, coupled with abdominal distension, then the problem is very evident.\u003C\u002Fp>\n\u003Cp>Abdominal pain can mainly be determined as an intestinal issue.\u003C\u002Fp>\n\u003Cp>This phenomenon is usually seen in a specific condition.\u003C\u002Fp>\n\u003Cp>Intestinal obstruction!\u003C\u002Fp>\n\u003Cp>Intestinal obstruction: an obstruction that prevents the passage of intestinal contents for various reasons.\u003C\u002Fp>\n\u003Cp>The main clinical symptoms are fourfold: pain, vomiting, distension, and constipation, common in clinical emergencies, and the condition is complex and variable.\u003C\u002Fp>\n\u003Cp>The etiology of intestinal obstruction mainly includes three aspects: mechanical obstruction, paralytic ileus, and ischemic bowel obstruction.\u003C\u002Fp>\n\u003Cp>Mechanical intestinal obstruction refers to obstructions not caused by the intestine itself, such as adhesion bands, volvulus, external tumors compressing the intestine, internal or external hernias, or intra-abdominal abscesses.\u003C\u002Fp>\n\u003Cp>There are also cases like intussusception, Crohn’s disease, colorectal cancer, etc., which can cause mechanical obstruction.\u003C\u002Fp>\n\u003Cp>Paralytic ileus is when the intestinal movement is impaired, preventing normal passage of contents, without any inherent organic changes in the intestinal wall.\u003C\u002Fp>\n\u003Cp>It often occurs after abdominal surgery due to stimuli to the intestinal wall muscles from nerves and bodily fluids, causing a loss of peristaltic ability resulting in obstruction.\u003C\u002Fp>\n\u003Cp>This is why post-abdominal surgery, doctors pay attention to whether the patient passes gas normally.\u003C\u002Fp>\n\u003Cp>Called paralytic ileus.\u003C\u002Fp>\n\u003Cp>The last is ischemic bowel obstruction, caused directly by mesenteric vascular disease.\u003C\u002Fp>\n\u003Cp>Qin Feng believed that this girl most likely had paralytic ileus.\u003C\u002Fp>\n\u003Cp>A segment of bowel content couldn’t pass through, accumulating and constantly generating gas, causing the bowel segment to expand more and more.\u003C\u002Fp>\n\u003Cp>The patient would show clear symptoms of intestinal obstruction!\u003C\u002Fp>\n\u003Cp>Especially since the girl mentioned having not passed gas or stool in the past two days, increasing the likelihood significantly.\u003C\u002Fp>\n\u003Cp>\"Let’s do a CT scan first.\"\u003C\u002Fp>\n\u003Cp>Zhang Qingquan wrote an examination slip for the girl.\u003C\u002Fp>\n\u003Cp>Once the CT result is out, it will be clear.\u003C\u002Fp>\n\u003Cp>\"Thank you, doctor.\"\u003C\u002Fp>\n\u003Cp>The girl’s mother took the examination slip, repeatedly thanked her, and left with the father supporting the girl.\u003C\u002Fp>\n\u003Cp>\"Director Qin, any advice?\"\u003C\u002Fp>\n\u003Cp>Zhang Qingquan looked up at Qin Feng.\u003C\u002Fp>\n\u003Cp>\"Nothing, just came to have a look, you go ahead.\"\u003C\u002Fp>\n\u003Cp>Qin Feng smiled, then turned and left.\u003C\u002Fp>\n\u003Cp>In the second consultation room, Han Xiaoxiao was examining a patient, also not finding any issues.\u003C\u002Fp>\n\u003Cp>For these experienced emergency doctors, fundamental diagnostics are reliable.\u003C\u002Fp>\n\u003Cp>Then, after making rounds in the emergency hall, observing routine emergencies and resuscitations, and chatting with the head nurse for a while.\u003C\u002Fp>\n\u003Cp>It had to be said that Peking Union Medical College Hospital, being such a high-level Grade 3A hospital, was highly professional in both process standards and medical staff levels.\u003C\u002Fp>\n\u003Cp>Plus, with Qin Feng’s medical skills, everything could be handled in no time.\u003C\u002Fp>\n\u003Cp>He even felt a slight relief~\u003C\u002Fp>\n\u003Cp>’Big hospital emergencies sure are excellent!’\u003C\u002Fp>\n\u003Cp>Qin Feng couldn’t help but think to himself.\u003C\u002Fp>\n\u003Cp>Ring ring ring~\u003C\u002Fp>\n\u003Cp>\"Hello.\"\u003C\u002Fp>\n\u003Cp>\"Dr. Qin—no, Director Qin now.\"\u003C\u002Fp>\n\u003Cp>A familiar voice sounded over the phone.\u003C\u002Fp>\n\u003Cp>Qin Feng’s lips curved into a smile; Miss Yun actually remembered him.\u003C\u002Fp>\n\u003Cp>\"Miss Yun is well-informed. Why did you call me so suddenly?\"\u003C\u002Fp>\n\u003Cp>\"I’ve arrived in Beijing. Shall we have dinner together?\"\u003C\u002Fp>\n\u003Cp>Yun Ruochu said.\u003C\u002Fp>\n\u003Cp>\"Sure, let’s meet after my shift.\"\u003C\u002Fp>",938,"2026-06-03T05:20:17.807Z","2026-06-03T05:20:20.951Z",1,"novelbin.me","94c85d38fa07504b91f1123fc1d65e0836d39d14f3a9b62532eaf45da265c9fb","check-in-at-the-hospital-the-first-surgery-shock-chapter-291","check-in-at-the-hospital-the-first-surgery-shock-chapter-290",468,"https:\u002F\u002Fnovelzhen.com\u002Fimages\u002Fcovers\u002Fcheck-in-at-the-hospital-the-first-surgery-shock-cover.jpg"]