Chapter 1801 Spleen Pregnancy? Do Not! (Monthly Pass 18500 Plus Change × 37)

Ectopic pregnancy, ruptured 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, the patient will not suffer more damage during the operation, and the postoperative recovery will be a little faster. In other words, he won't open his mouth and mess around.

If you do that, there is a high probability that problems such as postoperative intestinal obstruction will come to you.

The B-ultrasound machine was pulled over, and Zheng Ren began to perform B-ultrasounds on the patient.

He did it very meticulously, starting from the lower abdomen and pelvis, and looking up a little bit.

The patient's family members anxiously stood aside, obviously they still did not understand a young doctor for an examination.

Soon, the hospitalization of hepatobiliary and gynecological departments all ran down.

Zhou Litao called Zheng Ren first, and then went to the relevant department. This is an imperceptible trust. When encountering intractable diseases, it is necessary to find Boss Zheng.

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

And Su Yun said that it is a truth to seek rheumatism immunity when encountering intractable diseases.

"Mr. Zhou, what's the situation?" The gynecologist's hospital manager was stunned to see Director Lin standing in the emergency room, speaking in a slightly lower voice.

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

In fact, the diagnosis of the disease is still very simple. The key is where the location is, which is a difficult point. The doctor in the ultrasound room was not found, and now I can only see Boss Zheng.

The gynecology and hepatobiliary inpatients always stood aside with their hands down, and with Linger there, their breathing became much gentler.

"No abnormality was found in the intestines, and a small amount of liquid dark area was seen in the intestinal space, which was considered to be bleeding." Zheng Ren briefly described, and Zhou Litao wrote down his words.

After all, the inspection is for a report. The doctor of the B-ultrasound was busy, so Zhou Litao could only record it and return it to the doctor there.

Continue to swipe up.

When the spleen was scanned, Zheng Ren discovered the problem. An abnormal echo appeared on the screen, and the two hospitalized people always realized that the problem should be found.

"In the lower pole of the spleen, an inhomogeneous and slightly hyperechoic mass with a size of 2.6 cm × 1.6 cm × 2.0 cm was seen, with a clear boundary and a relatively regular shape. An anechoic area with a diameter of 0.9 cm was seen inside, and there were many spot blood around and inside the mass. Stream signal." Zheng Ren said.

Zhou Litao quickly wrote down this sentence.

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

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

Didn't find the problem?

The hospitalization of the liver and gallbladder is always startled, why is Boss Zheng not relieved, but still observing?

Ringer doesn't understand B-ultrasound, but he understands people and sees people very accurately.

He could clearly see the subtle movements of several people.

"Any judgment?" Ringo asked.

"It is considered to be spleen pregnancy." The inpatient general of the hepatobiliary surgery said: "It is rare, but the operation is not difficult, I have done it."

"Huh?" Seeing that Zheng Ren was holding the B-ultrasound probe pressed against the patient's left upper abdomen, Linger was looking at something and knew something was wrong, "What is Boss Zheng doing?"

"..." The hospitalization in the hepatobiliary surgery always didn't know how to answer.

"Maybe it's looking at the fetal heart and fetal buds?" said the gynecological inpatient general.

Ringo nodded, noncommittal.

Time passed bit by bit, Zheng Ren looked at the screen of the ultrasound machine without saying a word.

The patient's family members hurriedly jumped and walked around, suppressing their anxiety and anger in their hearts.

"Doctor, what are you looking at?" the patient asked in a low voice, sweating profusely in pain.

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

"Can you really do it!" A middle-aged woman finally couldn't help her anger and said in a low voice, "Then press you, you won't hurt!"

"I'm sorry, I can't help it, please hold on for a while." Zheng Ren was not angry, and said calmly: "If the scope of surgery is involved, if the inspection is not careful, it will easily lead to a second laparotomy."

"Just know to scare people." The middle-aged woman's face changed, and she muttered softly, but did not continue to say anything.

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

The doctor of the emergency B-ultrasound finished her work and trotted all the way to the emergency room. Seeing Zheng Ren scanning the B-ultrasound, he let out a sigh of relief.

Boss Zheng is still very stable, everyone admits this.

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

"In the lower pole of the spleen, there is an inhomogeneous and slightly strong echo group with a size of 2.6 cm × 1.6 cm × 2.0 cm." Zhou Litao said.

"Uh..." The doctors in the B ultrasound room knew about the previous situation.

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

Boss Zheng is scanning the liver. It is not determined that the spleen is pregnant, so what are you looking for in the liver.

She was a little confused.

"Boss Zheng, you..." the doctor in the ultrasound room asked in a low voice.

"I watched the echo at the lower pole of the spleen for a few minutes, but I couldn't find the fetal heart or fetal bud, so I thought it was a hemangioma." Zheng Ren said, "There is fluid in the liver area, and the depth and diameter of the fluid in the liver and kidney crypts are 3.3cm."

Zhou Litao immediately took down the B-ultrasound image that Zheng Ren described.

"Is there something wrong with the liver?" the doctor of the ultrasound asked.

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

"That's a spleen pregnancy. It ruptured and caused bleeding, so it must have flowed through." The doctor of the ultrasound asked in a low voice.

Although the voice is small, it becomes another meaning in the ears of the patient's family members.

What is spleen pregnancy, they do not understand. But rupture and bleeding, that's a big deal.

In addition, the patients were pale and sweating profusely, and their anxiety became more and more difficult to contain.

"Mr. Zhou, I think it's an ectopic pregnancy in the liver. I'll do a CT scan, and prepare the endoscopy for the liver and gallbladder." Zheng Ren finally put down the B-ultrasound probe and said with certainty.

Uh……

This conclusion is a bit weird.

Seeing a problem with the spleen, it's fine. How did he say it was a liver problem?

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

The doctor of the ultrasound was stunned for a moment, and she disagreed with Boss Zheng's diagnosis.

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

"Bleeding, emergency surgery is required." Zheng Ren said, "Can it be done?"

The liver and gallbladder hospital always nodded, he just disagreed with Boss Zheng's diagnosis, but the operation was no problem.

This kind of operation is a minor operation, and it is an emergency at the general level of hospitalization, and even second-line professors do not need to bring it. With the training doctor, he came directly to the stage.

The operation on the spleen is no problem, but the liver... the overall level of hospitalization is not enough.

"Yeah." Zheng Ren nodded, "Hurry up and get a CT scan, call me when you're done, and I'll check the image. Inform the operating room and prepare for the operation."