Chapter 1803： Is the liver

Zheng’s boss is too cautious, and the doctors who are both in the hospital and the b-super are judged.

Is it 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 blood pressure, 8050 mm Hg, it seems okay, the time to be an abdominal ct should be there.

The patient's family has begun to get bored. If you want to handle this, you must check it right away.

Take time to go to the stage and enter the operating room.

Several people carried the patient to the flat car with all his hands and feet. Zhou Litao handed the documents to the patient's family. Zheng Ren took the liver and gallbladder to the hospital. He whispered: "Cut the spleen, you can do it. Liver surgery." If you are not sure, take the time to find the second line."

The hospitalization of hepatobiliary surgery always nodded.

What he doesn't understand is why Zheng boss insists that the liver can have ectopic pregnancy, but the problematic spleen is fine.

But with the words of boss Zheng, he was relieved.

In his own department, from the director to the professor of the group, when he said that he was always boss, no one questioned the level. Although the director did not say much, the hospitalization always saw the director's approval of Zheng Boss' level.

The director did not say that the reason was that the liver cancer resection operation was carried out by Zheng Boss and used a surgical operation to open a large mouth.

Still live, doctors under the sun know that to do liver cancer, first intervention, the surgery will be better.

Specific long-term data, it takes time to grind. However, from the most basic surgery, the surgical resection of embolization is much better than simple surgical resection.

This is undoubtedly a huge blow to hepatobiliary surgery.

Uh... I think more. The general hospitalization of hepatobiliary surgery thought that the meaning of Zheng Boss, calling the second line from home in the middle of the night should not be a big deal.

Looking at a group of people leaving, Zhou Litao asked in confusion: "Zheng boss, why is it not a liver thing?"

"General ectopic pregnancy, 50 days, should be able to see the fetal heart and fetal buds. The position of the spleen, I feel like a hemangioma. In the spleen parenchyma see a round or oval inhomogeneous high echo group, border Clear, the edges are not smooth, and there is no echo and strong echo spacing inside."

"but……"

"Being a ct will not affect the patient's surgery." Zheng Rendao, "If you have a sloppy diagnosis, you will still have bleeding after cutting the spleen, then you will fuck."

At the thought of this result, Zhou Litao was somewhat guilty.

The second entrance to the palace, the first to bring to the family members is an almost devastating psychological blow. Well, the result is bleeding. Who can understand this kind of thing?

A hidden danger of proper medical disputes.

Although the patient's family is now very irritable, if the operation is successful, the patient will be fine.

This is easy to feel the same. Who is the patient's family, the estimated performance is the same.

"Spleen pregnancy, more common?" Linger asked.

"Not much." The doctor of b-super said immediately.

This disease, even in the large-scale top three hospitals in 912, generally does not see an example in a year.

"The incidence of abdominal pregnancy in ectopic pregnancy is only 110000~13000, of which spleen pregnancy is rare, and there are few reports at home and abroad." Zheng Rendao, "From 1990 onwards, the journal with sci influence factor of 5 or more In the magazine, there were only 40 cases reported."

Ringer smiled.

This logic of speaking with data is the standard science male mind. I saw that Zheng Bo said so many times, and I have a sense of identity.

Only this requires a lot of reading and memory to support the premise.

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

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

"According to research, the cause of spleen pregnancy may be that the fertilized egg is discharged into the abdominal cavity due to abnormal retrograde peristalsis, is not absorbed by the peritoneum, and does not enter the contralateral fallopian tube. At the same time, excessive intestinal peristalsis pushes the fertilized egg to the spleen and liver. Implantation grows." Zheng Ren explained: "The chance of an ectopic pregnancy in the liver is slightly greater than the spleen."

He said, he bowed his head and meditated, and continued, "22 cases of liver pregnancy, 18 cases of spleen pregnancy, less than 33 patients with more than 3 months of gestation, most of the abdominal cavity caused by miscarriage or rupture in early pregnancy Hemorrhage and treatment."

"Liver, is it true? This is quite strange, and it has grown to the liver." Ringer already believed in Zheng Ren's words, and the spleen was excluded from the speech.

"The probability of 90." Zheng Rendao, "very dangerous, take time to check, and then surgery. Surgery is not difficult, it is difficult to diagnose the first time."

After that, he glanced at Zhou Litao and said: "Zhou Zong, to remind him of blood, said that patients need urgent blood transfusion, a lot."

Zhou Litao responded and ran to call to transfer blood.

"So serious?" Ringer was surprised.

"The liver, spleen and other organs are rich in blood circulation, and the surface tension is not large. The blood from the portal vein of the gastrointestinal tract is rich, which is conducive to embryo growth.

As the embryo grows and develops, it may occur that the organ ruptures to form a rapid and massive amount of bleeding. If the rescue is not timely, it is prone to hemorrhagic shock or even death. The risk of death is much greater than that of a normal ectopic pregnancy. ”

Zheng Ren said with certainty.

Gynecological hospitalization is always very curious, even if the diagnosis of ectopic pregnancy is no problem, but the spleen occupying the position is not diagnosed, but the diagnosis is liver ectopic pregnancy.

This one……

She and Director Lin greeted and ran away.

Looking at it on the stage, it is a long experience. Recently, Zheng Boss was blown in the hospital to see if it was so magical.

"Zheng boss, you can be really busy this day Linger laughs.

"Get used to it." Zheng Rendao: "When I was in Haicheng, I lived in the hospital every day. When I went home, I was quiet, but I didn't sleep so much."

This is a problem for emergency doctors. They work in a messy environment all the year round. Once they are quiet, they will subconsciously think about whether there will be a wave of eruptions waiting for themselves.

No sound, I really can't sleep.

Zhou Litao returned from the phone call and said: "The Department of Blood Transfusion knows that it is an ectopic pregnancy. It has prepared 20u of red blood cells and 1000l of plasma."

Zheng Ren is pleased and prepared, and the patient should have no problem.

If it is normal, he will follow the stage to see.

However, there is no suction in front of the eyes... Patients with congenital porphyria are waiting for consultation. Zheng Ren has some patients who can't wait to go to the system operating room to dissect patients with congenital porphyria.

In fact, congenital porphyria is not accurate. He believes that this disease is only a symptom of congenital porphyria. In fact, the ancient mysterious family is only more likely to be a vampire.