Chapter 1802

Ectopic pregnancy, rupture, bleeding, peritonitis signs, these are obvious.

Zheng Ren wants to find out where the specific ectopic pregnancy is.

As long as it can be found, the patient will not suffer greater damage during the operation, and the postoperative recovery will be faster. In other words, I won't open my mouth and turn over a meal.

If you do that, problems such as postoperative intestinal obstruction will probably come to the door.

When the B-ultrasound machine was pulled over, Zheng Ren began to do B-ultrasound for patients.

He did it very carefully, starting from the lower abdomen and pelvic cavity, looking up a little bit.

The patient's family members stood anxiously aside. Obviously, they still didn't understand a young doctor's examination.

Soon, the hospitalization of hepatobiliary department and gynecology department ran down.

Zhou Litao called Zheng Ren first and then went to the relevant department. This is an imperceptible trust. If you encounter difficulties, you should find boss Zheng.

In his heart, boss Zheng's three words are no different from the old traditional Chinese medicine and old military doctor in the small advertisement posted on the telegraph pole.

And Su Yun said that it is a truth to find rheumatism immunity in case of difficult and miscellaneous diseases.

"President Zhou, what's the situation?" The inpatient of gynecology department was stunned to see director Lin standing in the emergency room, and his voice was a little lower.

Zhou Litao made a brief introduction to his condition and expressed his judgment.

In fact, the judgment of the condition is still very simple. The key is where the position is, which is a difficulty. The doctor in the B-ultrasound room didn't find it. Now we can only see boss Zheng's.

The inpatients of Gynecology, liver and gall always stood aside with linge. They even breathed a lot more gently.

"No abnormality was found in the intestine. A small amount of liquid dark area can be seen in the intestinal space. It is considered to be bleeding." Zheng Ren briefly narrated, and Zhou Litao wrote down his words.

After all, the inspection is to make a report. The doctor of B-ultrasound is busy. Zhou Litao can only record it and go back to the doctor.

Continue to sweep up.

When the spleen was swept, Zheng Ren found the problem. An abnormal echo appeared on the screen. The two inpatients always realized that the problem should be found.

"The size of the lower pole of the spleen is 2.6 cm × 1.6 cm × The 2.0 cm heterogeneous slightly strong echo mass has clear boundary and regular shape. An echo free area with a diameter of 0.9 cm can be seen inside, and multiple punctate blood flow signals can be seen around and inside the mass. " Zheng Ren said.

Zhou Litao quickly wrote down this paragraph.

Hepatobiliary hospitalization always feels that this is a rare case of splenic pregnancy. In short, it belongs to hepatobiliary surgical tube.

But as soon as he moved, he saw boss Zheng sitting there, like a mountain, motionless.

Didn't you find the problem?

The patient of liver and gall was stunned. Why is boss Zheng not relieved, but still observing?

Ringer doesn't understand B-ultrasound, but he knows people and sees people very accurately.

He could see the subtle movements of several people clearly.

"Any judgment?" Asked ringer.

"Consider spleen pregnancy." The inpatient of hepatobiliary surgery always said, "it's rare, but the operation is not difficult. I've done it."

"Huh?" Ringer saw Zheng Ren holding a B-ultrasound probe pressed on the patient's left upper abdomen. He had been looking at something. He knew it was wrong. "What's boss Zheng doing?"

"..." the inpatients of hepatobiliary surgery always don't know how to answer.

"May be looking at the fetal heart rate and fetal bud?" Gynecological inpatients always say.

Ringer nodded noncommittally.

As time went by, Zheng Ren looked at the screen of the B-ultrasound machine and said nothing.

The patient's family members jumped and walked around anxiously, suppressing anxiety and anger in their hearts.

"What are you looking at, doctor?" The patient was sweating with pain, she whispered.

"Look at the fetal heart, don't talk, take a deep breath and hold your breath until you can't hold it." Zheng Rendao.

"Can you do it?" A middle-aged woman finally couldn't help being angry. She lowered her voice and said, "then it doesn't hurt to press you!"

"Sorry, I can't help it. Please hold on a little." Zheng Ren was not angry and said peacefully: "involving the scope of operation, if the examination is not careful, it is easy to lead to a second laparotomy."

"I know how to scare people." The middle-aged woman's face changed and whispered, but she didn't continue to say anything.

One minute later, Zheng Ren removed the B-ultrasound probe from the patient's spleen and began to look for the liver area.

The doctor of emergency B-ultrasound finished her work and trotted all the way to the emergency room. Seeing Zheng Ren sweeping B-ultrasound, he breathed a sigh.

Boss Zheng is still very stable, which is recognized by everyone.

"President Zhou, what's the situation?" She carefully avoided ringer, came to Zhou Litao and asked.

"The size of the lower pole of the spleen is 2.6 cm × 1.6 cm × 2.0 cm heterogeneous slightly strong echo mass. " Zhou Litao said.

"Er..." the doctors in B-ultrasound room know the previous situation.

Encountered a rare spleen pregnancy? She quickly looked at the screen of the B-ultrasound machine.

Boss Zheng is sweeping the liver. It has not been determined that it is spleen pregnancy. What else do you want to do with the liver.

She was a little confused.

"Boss Zheng, you..." the doctor in the B-ultrasound room whispered.

"I looked at the echo of the lower pole of the spleen for a few minutes and couldn't find the fetal heart and fetal bud. It was considered to be an hemangioma." Zheng Ren said, "there is effusion in the liver area, and the depth of effusion in the liver and kidney recess is 3.3cm."

Zhou Litao immediately wrote down the B-ultrasound image said by Zheng Renshu.

"Do you see anything wrong with the liver?" The doctor of B-ultrasound asked.

"No, there's nothing wrong with the position that can be seen on the surface of the liver." Zheng Rendao.

"That's spleen pregnancy. Rupture leads to bleeding. Let's go." The doctor of B-ultrasound whispered.

Although the sound is small, it becomes another meaning in the ears of the patient's family members.

They don't understand what spleen pregnancy is. But rupture and bleeding, that's a big deal.

With the patient's pale face and sweating, their anxious mood is more and more difficult to contain.

"President Zhou, considering that it is ectopic pregnancy of the liver, open a CT and prepare for endoscopy on the side of the liver and gallbladder." Zheng Ren finally put down the B-ultrasound probe and said definitely.

Uh

This conclusion is a little strange.

Seeing the spleen with problems, it's all right. What did he say was a liver problem?

The key is that the liver has not seen any abnormal images.

The doctor of B-ultrasound was stunned. She disagreed with boss Zheng's diagnosis.

"Doctor, are you all right?" The patient's family asked anxiously.

"Bleeding, emergency surgery." Zheng Ren said, "can you do it?"

Hepatobiliary Hospital always nodded. He just disagreed with boss Zheng's diagnosis, but the operation was OK.

This kind of operation is a minor operation. It is an emergency at the general level of hospitalization. Even second-line professors don't need to bring it. He took the advanced doctor and went straight to the stage.

Yes, the spleen operation is OK, but the liver... The total level of hospitalization is not enough.

"Yes." Zheng Ren nodded, "hurry up to do CT, finish, give me a call, I see eye shadow. Notify the operation room, prepare for surgery."