Chapter 1801

"Don't make trouble." Zheng Ren took out his mobile phone and took a look, "Zhou Litao's phone."

"In this big evening, I don't look for the second line. Why do I look for you?" Su Yun nagged.

Su Yun's heart got dirty again when he saw the notes on his mobile phone.

"Did you label others as Zhou Litao? This little trick can't hide from me." Su Yun despised.

Zheng Renyang raised his eyebrows. Su Yun was still excited to release the list with Professor Zhang. Just pay less attention to him.

"President Zhou, what's up?"

"Oh, it's all right. I've just stepped down."

"Oh? OK, I'll have a look."

With that, Zheng Ren hung up the phone. Practical action shows that Su Yun's speculation is nonsense.

"What's up?" Su Yun seemed to forget what he had just said and turned his head and asked.

"There was a patient with high hCG, but he didn't see the gestational sac." Zheng Rendao.

HCG is also called human chorionic gonadotropin.

During pregnancy, hCG enters the maternal blood and increases rapidly until the 8th week of pregnancy, then slowly decreases the concentration until the 18th ~ 20th week, and then remains stable.

Generally, it is only when the level of intact human chorionic gonadotropin rises to at least 2.5mom that it is related to Down syndrome.

But that's also pregnancy. Blastocysts can be seen in the uterus.

I didn't see anything, but hCG was very high. Zheng Ren wore half his pants and began to meditate.

"Put your pants on first." Su Yun said, "show your perfect figure? Or make a mockery of director Lin?"

Linge is speechless. Su Yun's mouth wants to deceive people. Private money can speak clearly. If it hurts people, it's really unscrupulous. There's nowhere to listen.

"I guess the B-ultrasound room has looked around the uterus, ovaries and accessories." Zheng Ren ignored Su Yun's words and automatically shielded what he didn't want to hear. "What else can lead to the increase of hCG?"

"Nothing. I can't think of anything anyway." Su yundao.

"Go and have a look." Zheng Ren said, "I'm so busy tonight."

"If you don't mind your business, you won't be busy." Su yundao.

Zheng Ren smiled and still ignored the goods.

Taking advantage of Zheng Ren's conversation with Su Yun, linge hid the private money, fixed the insole, and hid the private money.

I was so anxious when I came in that all my private money ran out.

Details decide everything. Fortunately, it's in the hospital. If it's at home... Linge can think of his misery in the coming week.

Such a terrible thing can become a life winner in Su Yun's mouth. This man's mouth. Ringer still admires Su Yun. As long as he wants, he can make people happy.

I don't know how many girls accompany me when I practice such advanced martial arts.

"Boss Zheng, what do you think?" Ringer put on his shoes and felt a lot more secure, so he asked interestingly.

"I don't know how the doctor in the B-ultrasound room did it. I can't say it yet." Zheng Ren said very seriously.

"Director Lin, it's boring to see this man." Su Yun said, "when talking casually, he was very serious. You didn't see the big rescue just now. You made a direct diagnosis and said it was possible to have intracerebral hemorrhage without hesitation."

"Facts have proved that I am right." Zheng Ren ran away without expression, "this is rich clinical experience."

"Cut." Su Yun despised, "I'm not interested in seeing a patient with ectopic pregnancy. Go."

"Why are you going?" Zheng Ren asked.

"I'll sort out the cases in Massachusetts." Su Yun said, "director Lin, are you interested?"

Of course, ringer is interested. Although it's late, it involves whether he can make some achievements in the process of temporary employment in the science and education department.

If there is a chance to stay in the science and Education Department... Linge has a little expectation.

As for going home, wait.

I'm a little tired. I'd better bite my teeth and straighten it out.

The three parted ways. Zheng Ren left a message for Xie Yi. He said he was still busy and asked her to go home first.

When he came to the emergency department, Zhou Litao stood in the corridor looking east and West.

Early in the morning, there were not many emergency patients. Zhou Litao should have slept.

But when he meets a patient with problems, he can't sleep at all. The emergency department can't help it because of its nature.

If you want to have a sense of responsibility and do your work without leakage, you must pay a price.

"Boss Zheng... Director Lin, you two are here." Zhou Litao came up and didn't see Su Yun. He seemed to have some regrets.

"What about the patient?"

"Where's Brother Yun?"

Zheng Renhe and Zhou Litao asked at the same time.

"Su Yun has gone to make courseware. If you have something to do, call him." Zheng Ren said, "what is the patient's condition?"

"The patient, a 21-year-old female, complained of menopause for 50 days and lower body bleeding for 3 days. Physical examination: obvious tenderness and rebound pain in the abdomen; no lifting pain in the cervix and no obvious tenderness in the double accessory area. Laboratory examination: human chorionic gonadotropin 16669miu / ml and progesterone 11.52ng/ml."

Zhou Litao briefly described the patient's medical history, which was more than one grade higher than that of doctors in Xilin town.

"How does B-ultrasound do it?" Zheng Ren immediately asked.

"Pelvic cavity, uterus and accessories have been found, not ectopic pregnancy of fallopian tube." Zhou Litao said.

"I see eye patients." Zheng Ren said, "is the blood pressure stable?"

"It's fairly stable. It's estimated that the amount of bleeding is not large." Zhou Litao said, "gynecology and general surgery will come for consultation immediately."

"OK." Zheng Ren said and strode into the rescue room.

A young girl was lying on the hospital bed with a pale face. The system panel is red and the diagnosis given by the system is ectopic pregnancy.

Zheng Ren scolds his mother from the bottom of his heart.

HCG is high. Everyone knows that it is ectopic pregnancy. Give a clear location. Can you die?!

But big pig hoof is this virtue, and Zheng Ren is also very helpless.

"B-ultrasound report." Zheng Rendao.

"The shape and size of the uterus are normal, no gestational sac is found in the uterine cavity, and no obvious abnormalities are found in the double accessories. Pelvic effusion, with a depth of 4.5cm." Zhou Litao said.

Uterine appendages are fine. There is pelvic effusion, which means ectopic pregnancy rupture and bleeding.

"Have you prepared blood?"

"Sent to the blood transfusion department." Zhou Litao said, "now I don't know whether to send it to obstetrics and Gynecology or general surgery. Boss Zheng, give me a hand."

"B-ultrasound machine." Zheng Rendao.

"I'll call." Zhou Litao knows that boss Zheng has done well in B-ultrasound. He seems to have no weakness.

Zhou Litao didn't call. That's just a statement. He went straight to the emergency B-ultrasound room and began to knock on the door.

There were patients doing B-ultrasound. Zhou Litao greeted them and pushed the bedside B-ultrasound machine to the emergency room.

When he came back, Zheng Ren began to check his body, and his expression was very serious.

The signs of peritonitis are quite obvious and require emergency surgery.

But I don't know the location. I can't open the abdominal cavity directly and look everywhere for where ectopic pregnancy is.