Chapter 1803

Boss Zheng is too cautious. The two hospitalized doctors and B-ultrasound doctors all judge so.

It's just the state of the patient. Is it really allowed to do another CT?

The hospitalization of liver and gallbladder always took a look at the blood pressure, 80 / 50 mmHg, which seems to be OK. There should be some time for abdominal CT.

The patient's family members have begun to be agitated. If they want to deal with this matter, they must have an examination immediately.

Just hurry up and go to the operating room.

Several people put the patient on the flat car. Zhou Litao took the inspection documents and handed them to the patient's family members. Zheng Ren gathered around the general manager of hepatobiliary hospitalization and whispered, "you can cut the spleen. If you don't have a good grasp of liver surgery, seize the time to find the second line."

The inpatient of hepatobiliary surgery nodded blankly.

What he doesn't understand is why boss Zheng insists that ectopic pregnancy may occur in the liver without problem, while the spleen with problem is fine.

But with boss Zheng's words, he was relieved.

In his own department, from the director to the group Professor, no one questions the level of boss Zheng. Although the director doesn't say much, he can always see the director's recognition of boss Zheng's level.

The reason why the director didn't say it was that boss Zheng forcibly opened a big hole with interventional surgery after liver cancer resection.

It's still live. Doctors all over the world know that if they do liver cancer first, the operation effect will be better.

Specific long-term data need time to grind. However, from the perspective of the most basic surgery, the effect of interventional embolization + surgical resection is much better than that of simple surgical resection.

This is undoubtedly a huge blow to hepatobiliary surgery.

Uh... Think too much. The general manager of hepatobiliary surgery thought that boss Zheng meant that calling the second line from home in the middle of the night should not be a big deal.

Watching a group of people leave, Zhou Litao asked suspiciously, "boss Zheng, why isn't it the liver?"

"Generally, after 50 days of ectopic pregnancy, you should be able to see the fetal heart and fetal bud. I think the location of the spleen is like a hemangioma. There is a circular or oval heterogeneous hyperechoic mass in the spleen parenchyma, with clear boundary, less smooth edge, and no echo and strong echo interval inside."

"But..."

"A CT will not affect the patient's operation." Zheng Ren said, "if you make a hasty diagnosis and bleed after cutting the spleen, you'll fuck."

At the thought of this result, Zhou Litao felt guilty.

The second visit to the Palace first brought an almost devastating psychological blow to the patient's family. Come out well, and the result is bleeding. Who can understand this kind of thing?

The hidden danger of proper medical disputes.

Although the patient's family members are very impatient now, if the operation is successful, the patient will be fine after coming down.

It's easy to feel that. Who is the patient's family member, it is estimated that the performance is the same.

"Spleen pregnancy, see more?" Asked ringer.

"Not much." The doctor of B-ultrasound immediately said.

This disease, even in 912, a large class III hospital, is generally less than one case a year.

The incidence rate of abdominal pregnancy in ectopic pregnancy is only 1/10000~1/3000. Spleen pregnancy is rare, and rarely reported at home and abroad. Zheng Rendao, "since 1990, only 40 cases have been reported in journals and magazines with SCI impact factors of more than 5 points."

Ringer smiled.

This logic of speaking with data is the standard thinking of science men. I have seen boss Zheng say so many times, so I have a sense of identity.

It only needs a lot of reading and memory to support it.

For others, a rare disease, how can you say such detailed data casually.

"Strange, how can it grow to the spleen and liver?" Ringer was curious.

"According to the research, the cause of spleen pregnancy may be that the fertilized egg is discharged into the abdominal cavity due to abnormal reverse peristalsis of the fallopian tube, which is not absorbed by the peritoneal cavity or into the contralateral fallopian tube. At the same time, too strong intestinal peristalsis promotes the fertilized egg to move to the spleen, liver and grow in bed." "The probability of ectopic pregnancy in the liver is slightly higher than that in the spleen," Zheng explained

With that, he bowed his head for a moment and continued, "there were 22 cases of liver pregnancy and 18 cases of spleen pregnancy. Less than 33% of the patients had more than three months of pregnancy, and most of them were diagnosed and treated due to abdominal bleeding caused by abortion or rupture in the early stage of pregnancy."

"Liver, exactly? This is very strange. It grows to the liver." Ringer had believed Zheng Ren's words and excluded his spleen in his words.

"90% probability." Zheng Rendao said, "it's dangerous. Hurry up to have an examination and then an operation. The operation is not difficult. The difficulty is to diagnose at the first time."

With that, he glanced at Zhou Litao and said, "President Zhou, go to urge blood, and say that the patient needs emergency blood transfusion, a lot of blood."

Zhou Litao answered and ran to call the blood transfusion department.

"So serious?" Ringer was surprised.

"The liver, spleen and other organs have rich blood circulation and low surface tension. The blood from gastrointestinal portal circulation is rich, which is conducive to embryo growth.

With the development and growth of embryos, organ rupture may occur, resulting in rapid and massive bleeding. If the rescue is not timely, hemorrhagic shock or even death may occur. The risk of death is much greater than ordinary ectopic pregnancy. "

Zheng Ren definitely said.

Gynecological hospitalization is always curious. Even if there is no problem with the diagnosis of ectopic pregnancy, the splenic space occupying lesion is not diagnosed. It is liver ectopic pregnancy that should be diagnosed.

This

She greeted director Lin and ran away immediately.

It's a long experience to follow on the stage. Boss Zheng has been blown up in the hospital recently. Let's see if it's so magical.

"Boss Zheng, you are really busy this day." Ringer smiled.

"Used to it." Zheng Ren said, "when I was in Haicheng, I lived in the hospital every day. When I came home, I was quiet, but I didn't sleep so well."

This is the problem of emergency department doctors. They work in a chaotic environment all year round. Once they calm down, they will subconsciously think whether there will be a wave of explosion waiting for themselves.

There's no sound. I can't sleep.

Zhou Litao called back and said, "the blood transfusion department knows it is ectopic pregnancy. 20u red blood cells and 1000ml plasma have been prepared."

Zheng Ren is gratified and fully prepared. The patient should have no problem.

If it were normal, he would follow on the stage.

But there are not patients with congenital porphyria waiting for consultation. Zheng Ren can't wait to go to the system operating room to dissect the patients with congenital porphyria.

In fact, it's not accurate to say that congenital porphyria. In his heart, he thinks that this disease is just a symptom consistent with congenital porphyria. In fact... It's more likely that the ancient and mysterious family is just a vampire.