Chapter 1802： Spleen pregnancy? Do not!
Ectopic pregnancy, rupture of bleeding, signs of peritonitis, these are obvious.
Zheng Ren wants to find out where the specific ectopic pregnancy is.
As long as it can be found, patients will not be subjected to greater damage during surgery, and postoperative recovery will be faster. In other words, it won’t open the door to the ground.
If you do that, you will find a high probability of problems such as intestinal obstruction after surgery.
b super machine pulled over, Zheng Ren began to do b super to the patient.
He did it very carefully, starting from the lower abdomen and the pelvis, looking up a little.
The family members of the patient stood anxiously, and it was clear that they did not understand the examination of a young doctor.
Soon, the hospitalization of hepatobiliary and gynecology always ran down.
Zhou Litao's goods were first called to Zheng Ren, and then to find the relevant departments. This is a kind of trust that is imperceptible. If you encounter intractable diseases, you should find Zheng Boss.
In his heart, the words "Zheng Boss" have nothing to do with the old Chinese medicine doctors and old military doctors in the small advertisements posted on the electric poles.
And Su Yun said that it is a truth to find rheumatism immunity in case of intractable diseases.
"Zhou Zong, what is the situation?" The gynecological hospitalization always saw the director of the forest standing in the emergency room, and the voice of the speech was a little smaller.
Zhou Litao made a brief introduction and said his judgment.
In fact, the judgment of the condition is still very simple. The key is where the position is. This is a difficult point. The doctor in the b room did not find it. Now I can only see the boss of Zheng.
The hospitalization of gynecology and hepatobiliary always stood on one side, and there was Ringer, and they even changed their breathing a lot.
"There was no abnormality in the intestines. A small amount of liquid dark areas were seen in the intestines. It was considered to be bleeding." Zheng Ren briefly stated that Zhou Litao wrote down his words.
After all, the inspection is to report. The doctor of b super is busy, only Zhou Litao recorded and went back and forth to the doctor on the other side.
Continue to sweep up.
When he swept the spleen, Zheng Ren discovered the problem. An abnormal echo appeared on the screen, and the two hospitalists always realized that the problem should be found.
"Under the spleen, the 26x16x20 inhomogeneous size is slightly stronger. The boundary is clear and the shape is relatively regular. The echo-free area of diameter 09 is seen inside. There are many punctate blood flow signals around the inside and inside the mass." Zheng Ren said .
Zhou Litao quickly wrote down this passage.
Hepatobiliary hospitalization always feels that this is a rare case of spleen pregnancy, in general, the hepatobiliary surgical tube.
But when he just moved, he saw Zheng boss sitting there, like a mountain, not moving.
Didn't you find the problem?
The hospitalization of the liver and gallbladder has always been awkward. Why is Zheng boss not relieved, but still observing?
Linger does not understand b-super, but he knows people and looks very accurate.
The subtle movements of several people are clear to him.
"Is there any judgment?" Ringer asked.
"Consideration is spleen pregnancy." The hospitalization of hepatobiliary surgery always said: "It is rare, but surgery is not difficult, I have done it."
"Well?" Linger saw Zheng Ren holding the b-ultrasound in his hand on the left upper abdomen. He was always looking at something, knowing it was wrong, "What is Zheng Bo is doing?"
"..." The hospitalization of hepatobiliary surgery does not always know how to answer.
"Is it possible to see the fetal heart, fetal bud?" Gynecological hospitalization always said.
Ringer nodded and couldn't help.
Time passed by, Zheng Ren looked at the screen of the b-machine, and said nothing.
The patient's family was only anxious to jump on the foot, walking around, suppressing the anger and anxiety in the heart.
"Doctor, what do you think?" The patient was sweating and she whispered.
"When you look at your baby's heart, don't talk, take a deep breath, hold your breath, until you can't hold it." Zheng Rendao.
"You can't do it in the end!" A middle-aged woman finally couldn't help but anger, and lowered her voice and said, "That's pressing you, you don't hurt!"
"I'm sorry, no way, please stick to it." Zheng Ren was not angry. He said very calmly: "It involves the scope of surgery. If the examination is not careful, it will easily lead to secondary laparotomy."
"I know to scare people." The middle-aged woman's face changed and whispered, but did not continue to say anything.
After 1 minute, Zheng Ren took the b-ultrasound probe from the patient's spleen and began to look for the liver area.
The doctor in the emergency department super busy with the work at hand, trotting all the way to the emergency room. Seeing Zheng Ren sweeping b super, he breathed a sigh of relief.
Zheng Boss is still very stable, and everyone agrees.
"Zhou Zong, what's the situation?" She carefully avoided Ringer and came to Zhou Litao's side and asked.
"Under the spleen, the size is 26x16x20 and the heterogeneity is slightly stronger." Zhou Litao said.
"呃..." The situation before the b-room doctor knows.
Have you encountered a rare spleen pregnancy? She quickly looked at the screen of the b-machine.
Zheng boss is sweeping the liver, not sure that it is a spleen pregnancy, but also what the liver is doing.
She is a bit confused.
"Zheng boss, you..." asked the doctor in the b room.
"The echo of the spleen, I watched for a few minutes, did not find fetal heart, fetal bud, consider hemangioma." Zheng Rendao, "the liver area has effusion, liver and kidney crypt effusion deep diameter 33."
Zhou Litao immediately wrote down the b-super image of Zheng Ren.
"Is the liver seeing a problem?" asked the doctor of the b-ultrasound.
"No, there is no problem with the position that can be seen on the surface of the liver." Zheng Rendao.
"That is the spleen pregnancy, rupture leads to bleeding, flow past." B Super doctor whispered.
The sound is small, but it becomes another meaning in the ears of the patient's family.
What is spleen pregnancy, they don't understand. But bleeding, this is a big deal.
Plus the patient's face was pale and sweaty, and their anxious mood became more and more difficult to contain.
"Zhou total, consider the liver ectopic pregnancy, open a ct, the liver and gallbladder side to prepare for the endoscope to find it." Zheng Ren finally put down the b-ultrasound probe, definitely said.
Uh……
This conclusion is a bit strange see the problematic spleen, but nothing. What does he say is a problem with the liver?
The key is that the liver has not seen any abnormal images.
The doctor of b super stunned, and she did not agree with the diagnosis of Zheng Bo.
"Doctor, nothing." The family members of the patient asked anxiously.
"Bleeding, emergency surgery." Zheng Rendao, "Can you do?"
The hospitalization of the liver and gallbladder always nodded. He just did not agree with the diagnosis of Zheng Boss, but the operation was no problem.
This kind of surgery is a minor operation, the emergency level of the hospitalization level, and even the second-line professors do not need to bring. With a doctor, I went straight to the stage.
It is no problem to have surgery on the spleen, but the liver...the total level of hospitalization is not enough.
"Yeah." Zheng Ren nodded. "Hurry up and do ct. Give me a call when I finish. I look at the image. I will inform the operating room and prepare for surgery."
Zheng Ren wants to find out where the specific ectopic pregnancy is.
As long as it can be found, patients will not be subjected to greater damage during surgery, and postoperative recovery will be faster. In other words, it won’t open the door to the ground.
If you do that, you will find a high probability of problems such as intestinal obstruction after surgery.
b super machine pulled over, Zheng Ren began to do b super to the patient.
He did it very carefully, starting from the lower abdomen and the pelvis, looking up a little.
The family members of the patient stood anxiously, and it was clear that they did not understand the examination of a young doctor.
Soon, the hospitalization of hepatobiliary and gynecology always ran down.
Zhou Litao's goods were first called to Zheng Ren, and then to find the relevant departments. This is a kind of trust that is imperceptible. If you encounter intractable diseases, you should find Zheng Boss.
In his heart, the words "Zheng Boss" have nothing to do with the old Chinese medicine doctors and old military doctors in the small advertisements posted on the electric poles.
And Su Yun said that it is a truth to find rheumatism immunity in case of intractable diseases.
"Zhou Zong, what is the situation?" The gynecological hospitalization always saw the director of the forest standing in the emergency room, and the voice of the speech was a little smaller.
Zhou Litao made a brief introduction and said his judgment.
In fact, the judgment of the condition is still very simple. The key is where the position is. This is a difficult point. The doctor in the b room did not find it. Now I can only see the boss of Zheng.
The hospitalization of gynecology and hepatobiliary always stood on one side, and there was Ringer, and they even changed their breathing a lot.
"There was no abnormality in the intestines. A small amount of liquid dark areas were seen in the intestines. It was considered to be bleeding." Zheng Ren briefly stated that Zhou Litao wrote down his words.
After all, the inspection is to report. The doctor of b super is busy, only Zhou Litao recorded and went back and forth to the doctor on the other side.
Continue to sweep up.
When he swept the spleen, Zheng Ren discovered the problem. An abnormal echo appeared on the screen, and the two hospitalists always realized that the problem should be found.
"Under the spleen, the 26x16x20 inhomogeneous size is slightly stronger. The boundary is clear and the shape is relatively regular. The echo-free area of diameter 09 is seen inside. There are many punctate blood flow signals around the inside and inside the mass." Zheng Ren said .
Zhou Litao quickly wrote down this passage.
Hepatobiliary hospitalization always feels that this is a rare case of spleen pregnancy, in general, the hepatobiliary surgical tube.
But when he just moved, he saw Zheng boss sitting there, like a mountain, not moving.
Didn't you find the problem?
The hospitalization of the liver and gallbladder has always been awkward. Why is Zheng boss not relieved, but still observing?
Linger does not understand b-super, but he knows people and looks very accurate.
The subtle movements of several people are clear to him.
"Is there any judgment?" Ringer asked.
"Consideration is spleen pregnancy." The hospitalization of hepatobiliary surgery always said: "It is rare, but surgery is not difficult, I have done it."
"Well?" Linger saw Zheng Ren holding the b-ultrasound in his hand on the left upper abdomen. He was always looking at something, knowing it was wrong, "What is Zheng Bo is doing?"
"..." The hospitalization of hepatobiliary surgery does not always know how to answer.
"Is it possible to see the fetal heart, fetal bud?" Gynecological hospitalization always said.
Ringer nodded and couldn't help.
Time passed by, Zheng Ren looked at the screen of the b-machine, and said nothing.
The patient's family was only anxious to jump on the foot, walking around, suppressing the anger and anxiety in the heart.
"Doctor, what do you think?" The patient was sweating and she whispered.
"When you look at your baby's heart, don't talk, take a deep breath, hold your breath, until you can't hold it." Zheng Rendao.
"You can't do it in the end!" A middle-aged woman finally couldn't help but anger, and lowered her voice and said, "That's pressing you, you don't hurt!"
"I'm sorry, no way, please stick to it." Zheng Ren was not angry. He said very calmly: "It involves the scope of surgery. If the examination is not careful, it will easily lead to secondary laparotomy."
"I know to scare people." The middle-aged woman's face changed and whispered, but did not continue to say anything.
After 1 minute, Zheng Ren took the b-ultrasound probe from the patient's spleen and began to look for the liver area.
The doctor in the emergency department super busy with the work at hand, trotting all the way to the emergency room. Seeing Zheng Ren sweeping b super, he breathed a sigh of relief.
Zheng Boss is still very stable, and everyone agrees.
"Zhou Zong, what's the situation?" She carefully avoided Ringer and came to Zhou Litao's side and asked.
"Under the spleen, the size is 26x16x20 and the heterogeneity is slightly stronger." Zhou Litao said.
"呃..." The situation before the b-room doctor knows.
Have you encountered a rare spleen pregnancy? She quickly looked at the screen of the b-machine.
Zheng boss is sweeping the liver, not sure that it is a spleen pregnancy, but also what the liver is doing.
She is a bit confused.
"Zheng boss, you..." asked the doctor in the b room.
"The echo of the spleen, I watched for a few minutes, did not find fetal heart, fetal bud, consider hemangioma." Zheng Rendao, "the liver area has effusion, liver and kidney crypt effusion deep diameter 33."
Zhou Litao immediately wrote down the b-super image of Zheng Ren.
"Is the liver seeing a problem?" asked the doctor of the b-ultrasound.
"No, there is no problem with the position that can be seen on the surface of the liver." Zheng Rendao.
"That is the spleen pregnancy, rupture leads to bleeding, flow past." B Super doctor whispered.
The sound is small, but it becomes another meaning in the ears of the patient's family.
What is spleen pregnancy, they don't understand. But bleeding, this is a big deal.
Plus the patient's face was pale and sweaty, and their anxious mood became more and more difficult to contain.
"Zhou total, consider the liver ectopic pregnancy, open a ct, the liver and gallbladder side to prepare for the endoscope to find it." Zheng Ren finally put down the b-ultrasound probe, definitely said.
Uh……
This conclusion is a bit strange see the problematic spleen, but nothing. What does he say is a problem with the liver?
The key is that the liver has not seen any abnormal images.
The doctor of b super stunned, and she did not agree with the diagnosis of Zheng Bo.
"Doctor, nothing." The family members of the patient asked anxiously.
"Bleeding, emergency surgery." Zheng Rendao, "Can you do?"
The hospitalization of the liver and gallbladder always nodded. He just did not agree with the diagnosis of Zheng Boss, but the operation was no problem.
This kind of surgery is a minor operation, the emergency level of the hospitalization level, and even the second-line professors do not need to bring. With a doctor, I went straight to the stage.
It is no problem to have surgery on the spleen, but the liver...the total level of hospitalization is not enough.
"Yeah." Zheng Ren nodded. "Hurry up and do ct. Give me a call when I finish. I look at the image. I will inform the operating room and prepare for surgery."
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