Chapter 2135

Bleeding? Where's the bleeding point?!

Hemoglobin has dropped so much that there must be 1500 ml of bleeding. Where to put it is not a large blood bag.

Malignant hemoglobin reduction caused by tumor?

Not at all. In the middle stage of liver cancer, the possibility of pernicious anemia is not very large. Moreover, pernicious anemia decreases slowly, rather than in less than 24 hours.

"Is there effusion in the abdominal cavity?" Zheng Ren asked.

"No."

Gallbladder... Pancreas... What's the problem?

Zheng Ren frowned and meditated, looking at the last CT, constantly rebuilding in his mind.

Soon, Zheng Ren found the problem.

It's not the gallbladder. There's nothing wrong with the gallbladder. The problem is that you can vaguely see some "silt like stones" in the bile duct.

If it is an ordinary patient, this is normal, but Zheng Ren thought of another possibility.

"Look at the patient." Zheng Ren is not hypocritical and has to find the answer to the problem by himself.

The patient's hemoglobin has dropped so low that if you wait, you may die.

Zhao Wenhua is happy, although he and boss Zheng are "enemies". But when encountering difficulties, boss Zheng is willing to help, and he has a little more confidence on his side.

This patient has given Zhao Wenhua a headache.

As a doctor who is particularly averse to medical risks, Zhao Wenhua is conservative and stubborn. Easily refuse to try new surgical methods, and even the patients are "carefully selected".

But even so, it is difficult to ensure that nothing happens.

Today, I met.

Zhao Wenhua took boss Zheng to the ward. He walked in front and walked more and more steadily.

The breath behind him was as calm as a mountain, and his heart didn't seem to be so flustered. It was like a boat floating on the black river. I didn't know when it would sink. At this time, a stone pressing the warehouse was suddenly added, and it was stabilized immediately.

It is this feeling that Zhao Wenhua really feels it.

Alas, I regret offending boss Zheng for a bed. Zhao Wenhua walked, thinking of what had happened, suddenly depressed.

Zheng Ren did not pay attention to what Zhao Wenhua was thinking. He was trying to find a reason and logic for his just wonderful ideas.

With a few steps of Kung Fu, Zheng Renyue became more and more stable, and he had thoroughly thought through it.

After entering the ward, the patient was lying in bed, the blood bag was hanging on the drip rack and was receiving blood transfusion. His lips were pale and cracked and looked weak.

His system panel has turned white from blood red.

The diagnosis on the system panel is clear - hemorrhagic shock, rupture of liver cancer.

As expected!

"Boss Zheng, patient..." Zhao Wenhua went to the bedside and just wanted to introduce his condition. He waited for boss Zheng to check his body, but then he saw that boss Zheng didn't follow in, but stood outside and waved to him.

Uh... What's going on?

If some time ago, Zhao Wenhua must have thought that boss Zheng was against himself.

Set a trap and play with yourself. I don't know what dirty and dirty means to follow.

But Zhao Wenhua was still forced to count. A few days ago, boss Zheng even the experts of King's Hospital in England rubbed on the ground. Can you still have time to play with yourself?

How much heart!

He was puzzled and went out in the strange and anxious eyes of the patient's family.

"Boss Zheng, you..."

"I thought of it. It was the blood vessel rupture and bleeding caused by the atrophy of liver cancer necrosis after radiofrequency ablation, which caused the current situation." Zheng Ren whispered.

Zhao Wenhua was stunned.

Radiofrequency ablation can burn the liver cancer body from the middle and destroy the tumor cells. Scars must be formed after operation. With the collapse of the internal structure, the periphery begins to shrink.

From the imaging performance, it is that the tumor will shrink after operation, and the smaller liver cancer will completely become a scar tissue.

Zhao Wenhua knows all this, but several days after radiofrequency ablation, he suddenly bled... This situation is also possible and logical, but the probability is too small.

"Are you thinking about gallstones?" Zheng Ren asked with a smile.

"Yes." Zhao Wenhua did not hide it and nodded directly to admit it.

"I'll contact director Luo and make an appointment for an emergency gastroscope to have a look at the descending duodenum." Zheng Rendao, "send the patient. By the way, call the operating room directly to prepare for emergency hemostasis."

Zhao Wenhua directly turned into a small doctor. Even if he didn't understand or understand the diagnosis of the superior doctor, he could only habitually nod his head.

Zheng Ren turned around and almost didn't hit Lin Yuan.

Startled, directly "jump" away.

"Why don't you write a medical record? Take a rest when you're done. Aren't you tired from tossing and turning?" Zheng Ren frowned.

I just thought about the patient's condition too carefully. I didn't notice that Lin Yuan was with me.

"Boss Zheng, how is the patient's gallstone eliminated?" Lin Yuan asked in a low voice.

"It's not gallstone, it's fresh blood." Zheng Rendao.

"Er... Boss Zheng, do you mean that the tumor tissue ruptured and bled and flowed back into the gallbladder along the bile duct?" Lin Yuan thought for a while and still had doubts. "The imaging performance of blood is not like that. I have little clinical experience. Don't lie to me."

Zhao Wenhua was busy and just heard Lin Yuan. He nodded in his heart. Boss Zheng, we have little clinical experience. Don't lie to us.

"You forgot the CT positioning before radiofrequency ablation. Why should you do interventional surgery?" Zheng Rendao.

"Is it lipiodol?" Lin Yuan said in surprise.

"Well, it's lipiodol." Zheng Rendao, "the image after the dispersion of lipiodol is mixed with fresh blood. The imaging performance can be similar to sediment like gallstones."

"Er..." Lin Yuan still had questions, but when Zhao Wenhua heard boss Zheng's words, the fog in front of him was suddenly cleared away and suddenly came to light.

Think through the cause and effect.

The immortal points the way. Sometimes a word is enough.

"Boss Zheng, I understand!" Zhao Wenhua said excitedly, "go directly to the operating room."

"Don't worry. Take a gastroscope first. There are other rare possibilities." Zheng Ren said with a smile, "I'll go to the mirror room first and call."

With that, Zheng Ren strode out.

Lin Yuan followed Zheng Ren with his horse tail swinging around.

"Don't you have to write a medical record?" Zheng Ren didn't look back, but took out his mobile phone and began to call director Luo.

"Isn't Gu Xiaoran here? My work will be done later. Boss Zheng, I don't have rich clinical experience. You should teach me more." With that, Lin Yuan almost cried out habitually.

But boss Zheng Gang Zhinan didn't hear the implied cry at all, but said casually, "Oh, you don't feel tired of working overtime."