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1802 Spleen pregnancy? No! (monthly ticket 1850037)

Ectopic pregnancy, rupture and bleeding, and signs of peritonitis are all obvious.

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

As long as it can be found, the patient will not suffer greater damage during the operation and will recover faster after the operation. In other words, he will not open the mouth of the world and turn it around in a row.

If that happens, problems such as intestinal obstruction may come to you after the operation.

The b-ultrasound machine was pulled over, and Zheng Ren began to do b-ultrasound for the patient.

He did it very carefully, starting from his lower abdomen and pelvis, looking up little by little.

The patient's family stood aside anxiously, and it was obvious that they still didn't understand a young doctor's examination.

Soon, all the hospitalizations of hepatobiliary and gynecology were running down.

Zhou Litao called Zheng Ren first and then looked for the relevant departments. This is a subtle trust. When encountering difficult and complicated diseases, he has to find Boss Zheng.

In his heart, these three words Boss Zheng are no different from the old Chinese doctor and old military doctor in the small advertisement posted on the telephone pole.

It is the same truth to find rheumatism and immunity when encountering difficult and complicated diseases.

"Mr. Zhou, what's the situation?" The hospitalized gynecologist was shocked to see Director Lin standing in the emergency room, his voice slightly lowered.

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

In fact, the diagnosis of the condition is still very simple. The key is where the location is, which is a difficult point. The doctor in the b-super room was not found, so now he can only see Boss Zheng’s.

In gynecology, the liver and gallbladder hospitalization always stood aside with his hands hanging down. With Linger here, their breathing became much gentler.

"No abnormalities were found in the intestines, and a small amount of liquid dark areas could be seen in the intestinal space. It was considered bleeding." Zheng Ren briefly stated, and Zhou Litao wrote down his words.

After all, the report is required after the examination. The doctor with B-sup was busy, so Zhou Litao could only record it and go back to the doctor on that side.

Continue to sweep upwards.

When the spleen was swept, Zheng Ren discovered the problem. An abnormal echo appeared on the screen, and the two hospitalized officers realized that the problem should have been found.

"The echo group with a size of 2.6mx1.6mx2.0m is slightly stronger inhomogeneity at the bottom of the spleen. The boundaries are clear and the shape is relatively regular. There are no echo areas with a diameter of 0.9m. There are many dot-shaped blood flow signals around and inside the clump." Zheng Ren said.

Zhou Litao quickly wrote down this passage.

Hepatobiliary hospitalization always feels that this is a rare case of spleen pregnancy, but in short, it belongs to the hepatobiliary surgery department.

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

Didn’t you find out the problem?

The hospitalization was always stunned. Why wasn’t Boss Zheng feeling relieved, but he was still observing?

Linger doesn't understand B-ultrasound, but he understands people and looks very accurately at people.

He could see the subtle movements of several people clearly.

"Are you a judgment?" Linger asked.

"Thinking of it is spleen pregnancy." The hospitalization of the hepatobiliary surgery department always said: "It's rare, but the surgery is not difficult, I've done it."

"Hmm?" Lin Ge saw Zheng Ren holding the B-ultrasound probe in his hand and pressing it on the patient's upper left abdomen, and he kept looking at something, knowing that something was wrong, "What is Boss Zheng doing?"

"..." Hepatobiliary surgery is hospitalized and does not know how to answer.

"Maybe it's looking at fetal heart and fetal buds?" said the gynecology hospitalized.

Linger nodded, not commenting.

As time passed by, Zheng Ren looked at the screen of the B-super machine without saying a word.

The patient's family was so anxious that they jumped and walked around, suppressing their anxiety and anger.

"Doctor, what are you looking at?" The patient was sweating profusely in pain, and she asked in a low voice.

"When you are looking at the fetal heart, don't talk, take a deep breath, hold your breath until you can't hold it." Zheng Ren said.

"Can you do it?" A middle-aged woman finally couldn't help but feel angry and said in a low voice: "Then you will not hurt you!"

"Sorry, there is no way, please stick to it for a while." Zheng Ren was not angry and said calmly: "It involves the scope of the surgery. If the examination is not carefully, it can easily lead to secondary abdomen opening."

"I just know how to scare people." The middle-aged woman's face changed and she muttered in a low voice, but didn't continue to say anything.

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

The doctor of the emergency ultrasound department finished her work and ran to the emergency rescue room. Seeing Zheng Ren taking out a b-ultrasound department, he breathed a sigh of relief.

Boss Zheng is still very stable, and everyone admits this.

"Mr. Zhou, what's the situation?" She carefully avoided Lin Ge, came to Zhou Litao's side, and asked.

"The echo group with a very strong size of 2.6mx1.6mx2.0m is seen at the bottom of the spleen." Zhou Litao said.

"Uh..." The doctors in the B-Super Room knew about the previous situation.

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

Boss Zheng is sweeping the liver. He is not sure that it is a spleen pregnancy, but why are you looking for the liver?

She was a little confused.

"Boss Zheng, you..." The doctor in the b-super room asked in a low voice.

"I looked at the echo of the lower pole of the spleen for a few minutes, but I couldn't find the fetal heart and fetal buds, and it was considered hemangioma." Zheng Ren said, "There is effusion in the liver area, and the deep diameter of the effusion in the liver and kidney crypts is 3.3m."

Zhou Litao immediately wrote down the B-ultrasound image that Zheng Ren told.

"Did you see something wrong with the liver?" asked the doctor of B-sup.

"No, there is no problem with the location that can be seen on the surface of the liver." Zheng Ren said.

"That's the spleen pregnancy, which causes bleeding, which means it flows over." The doctor of B-ultrasound asked in a low voice.

Although the sound is small, it becomes another meaning when listening to the patient's family.

They don’t understand what spleen pregnancy is. But it’s rupture and bleeding, and this is a big deal.

In addition, the patient's face was pale and sweaty, and their anxiety became increasingly difficult to curb.

"Mr. Zhou, considering it is a liver ectopic pregnancy. Prepare a CT scan and prepare for the laparoscopy on the liver and gallbladder side." Zheng Ren finally put down his ultrasound probe and said affirmatively.

Well……

This conclusion is a bit weird.

When he saw the spleen in question, it was fine. How did he say that there was a liver problem?

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

The doctor of B Super League was stunned for a moment, and she did not agree with Boss Zheng's diagnosis.

"Doctor, are you okay?" the patient's family asked anxiously.

"I have bleeding, and I need emergency surgery." Zheng Ren said, "Can I do it?"

The hospitalization officer of the liver and gallbladder nodded. He just did not agree with Boss Zheng's diagnosis, but the operation was fine.

This kind of surgery is a minor surgery, and the emergency department at the hospital level is not even required to take a second-line professor. He took a further study doctor and went on stage directly.

It’s no problem with the spleen surgery, but the liver... the total hospitalization level is not enough.
Chapter completed!
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