Ma Yuehui stood staring at the film, listening to the doctor talking about the case, frowning and looking at the CT of his chest.
"The patient is a female, aged 33, who has suffered from dyspnea, cyanosis, cough, occasional nausea and vomiting for several times in the past two months. She has a healthy history, has two pregnancies and two births, and has not miscarried..."
At this time, Chen Cang also saw a young couple standing aside.
This should be the patient.
Ma Yuehui kept thinking. This sudden dyspnea has no lesions in the heart and lungs. What should he consider?
Infected!
Blood disease!
Can cause respiratory failure.
Infectious diseases...
Ma Yuehui suddenly asked, "is there any fever?"
The woman shook her head at this time. Suddenly she thought of something and hurriedly added: "no, I suspect it's allergy, because there was urticaria when there was an irritation attack, which disappeared after applying some ointment."
"Have you checked the allergen?" he asked directly
The young doctor nodded: "checked, there is no obvious allergy."
Ma Yuehui said to the doctor: "give me the test report."
The doctor quickly handed it over. Chen Cang was tall and looked clearly behind him.
After reading it, Chen Cang was suddenly stunned.
Combined with the test results, it should not be infection, let alone allergic symptoms of respiratory tract. In this way, what will it be?
At this time, even Ma Yuehui was a little surprised.
Chen Cang looked at the CT of his chest and looked down layer by layer.
I want to find some shortcomings, but... This film is ordinary, no different from ordinary.
Can it be caused by abdominal lesions?
At this moment, Chen Cang couldn't help but say: "his left diaphragm... Seems to move up, and some white blood cells increase, and monocytes also increase significantly. In this way, can we consider the lesions of the hepatobiliary system?"
Hepatobiliary diseases?
Thinking of this, Ma Yuehui hesitated a little and didn't turn around. The doctor around turned around and looked at Chen Cang in plain clothes, frowned and said faintly: "abdominal CT is normal."
Ma Yuehui said, "give me abdominal CT!"
The assistant on one side directly stuck the film on the film viewer. Suddenly the picture in the abdominal cavity appeared.
Indeed, this film seems to be no different from ordinary ones.
The only difference is a thick walled cystic lesion in the liver and an insignificant liver cyst, which should have nothing to do with it.
The thickening of the inner wall of the liver may be related to fatty liver, and a single thickened inner wall has no clinical value at all.
Liver cyst is a meaningless thing and a congenital disease. As long as it does not affect the normal function of the liver, it will not consider his factors, not to mention... It is so small and can be basically ignored.
Ma Yuehui began to think.
After flipping through the inspection report, I also fell into silence.
No cause?
It's not at all!
At this time, Chen Cang looked at the cystic thickened inner wall of the liver and the seemingly naughty liver cyst, and suddenly looked familiar!
Yes!
This is the familiar look.
This is an old friend!
Thinking of this, Chen Cang was inexplicably happy. Unexpectedly, he met an old friend when he first came to the capital!
Chen Cang hesitated. Do you want to say it?
Looking at the gradually dignified atmosphere, Chen Cang suddenly said, "have you ever been to Inner Mongolia, Gansu and Xinjiang?"
The woman was stunned. The man on one side suddenly said, "we spent the new year in Inner Mongolia."
Hearing this sentence, Chen Cang was more convinced!
Ma Yuehui turned around and stared at Chen Cang, suddenly stunned.
I thought it was a doctor just now, but I didn't expect it to be a young man in plain clothes, but... He looks familiar!
Chen Cang continued, "have you ever had a lump in the upper abdomen? It occasionally appeared, and then disappeared after a while."
The woman was shocked, looked at Chen Cang and nodded constantly: "yes, yes! Yes, yes! I wondered at the beginning. What's going on! Have you ever been there, young man?"
The man is also wide eyed. There is too much meat on his daughter-in-law's belly. Who can see multiple bags
The young man knew his daughter-in-law better than himself, which made the man some doubts
Looking at the appearance of men and women, Chen Cang couldn't help crying and laughing. He turned to look at Ma Yuehui and said, "I think it can be a liver hydatid cyst. I can only say that it hasn't reached the development stage yet, and now I can't see a specific lesion."
"Because of obesity, the patient has fatty liver and thick walled cystic lesions in the liver, which well hides the real culprit!"
"Moreover, the occurrence rate of some typical signs of hepatic hydatid cyst on B-ultrasound and CT is only 65%. When these typical signs are lacking, it is necessary to distinguish it from hepatic cyst.
Liver cyst is a congenital disease, and you can see this cyst. If you look carefully, you will find that it is different from ordinary cyst!
The cyst wall is generally thin, which can not be clearly displayed on B-ultrasound, CT or MRI, and there is no subcapsule in the cyst, but... This is obviously different! "
Speaking of this, Chen Cang said, "I suggest we do a B-ultrasound now. Maybe we can see it clearly with good luck."
Ma Yuehui looked at Chen Cang and talked, and it was very reasonable. He couldn't help believing it. The most important thing is... He found that this face was familiar!
Ma Wenhui suddenly asked, "are you... The one who was reboa outside the hospital in the ambulance this morning?"
Chen Cang was stunned: "how do you... Know?"
Ma Wenhui immediately said to the B-ultrasound doctor in the Department around him: "do an abdominal color ultrasound and focus on the liver!"
The B-ultrasound doctor nodded up and took the patient next door.
And Ma Yuehui followed in!
Before long, the result appeared!
"Team leader Ma, it's a hepatic hydatid cyst, but... I didn't expect it to be hidden so well! Moreover, the thickened wall may be that the original internal capsule was broken, resulting in blood infection!"
All of a sudden, everything seemed clear.
Ma Yuehui opened a transfer for the woman and sent her to hepatobiliary surgery.
Before leaving, the fat woman looked at Chen Cang and couldn't give up: "brother, thank you. I'll invite you to dinner when I leave the hospital!"
The woman's husband looks covetous!
At this time, the hepatic Echinococcus in the hepatic hydatid cyst looked at Chen Cang and couldn't help saying: MMP! It's you again!
Chen Cang smiled awkwardly.
Hepatic hydatid cyst is a disease with high safety factor. There will be no accidents, and the success rate of operation is very high!
Ma Yuehui looked at Chen Cang: "what are you doing in our hospital?"
Chen Cang handed over the check-in card in his hand: "I'm a doctor coming to study, Chen Cang!"
Ma Yuehui was stunned: "are you Chen Cang?"
Chen Cang coughed: "it should be..."
Ma Yuehui was immediately excited and thought that director Yu Yonggang invited Chen Cang!
The director's ability is too great. He found someone in the morning and found it in the afternoon?
The director is awesome!
Ma Yuehui was immediately happy and quickly sent a message to the director: "director, your baby has come and reported! And I've tried it. It's really great! Great!"
Yu Yonggang, who was undergoing surgery here, heard a voice and said to the nurse, "whose news?"
Nurses often do this: "team leader Ma!"
Yu Yonggang was stunned: "read it."
The nurse hesitated. Would you like to read it?
Yu Yonggang was stunned: "why don't you talk?"
The nurse clenched her teeth and said, "director, your baby is here... I tried it... Great!"
Suddenly, the office fell into a dead silence!
Yu Yonggang's scalp is numb.
The right hand holding the surgical knife is also stuck. What's wrong with Ma Wenhui?
……
……
PS: sorry, the update is late, but... It takes a little time to write this book. Forgive me, the veteran also tries to write it as interesting as possible.
Thank you for the 100000 reward of "Qingyan Xiaoguan" Grand Alliance and "Mingyue accompanying you"! Add more, say nothing, add better!
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Seven more, please support!
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By the way, py a book, a book that I also think is very awesome "pingpingwuqi eldest martial brother", I have been chasing for a long time. Every time I can't write, I go to see how he pretends to force, so that when I write the middle pictures, I once feel like a body of sand carving!
In a word, it's a very casual book. You can go and have a look.
I don't dare to see it now. I'm afraid my heart is unstable.