Chapter 1802 It’s the Liver (Monthly Pass 19,000 Plus × 38)

Boss Zheng was too cautious, and the two hospitalized doctors and B-ultrasound doctors all judged so.

It's just the patient's condition, is it really allowed to do another CT?

Hepatic hospitalization always took a look at the blood pressure, 80/50 mm Hg, it seems to be okay, there should be time for an abdominal CT.

The patient's family members have already started to feel irritable. If they want to deal with this matter well, they must have an examination immediately.

Hurry up and get on stage, and you'll be fine in the operating room.

Several people hurriedly carried the patient onto the flat car. Zhou Litao handed over the examination papers to the patient's family. Zheng Ren leaned over to the head of the liver and gallbladder hospital and whispered, "Spleen cutting, you can do it. Liver surgery. , if you are not sure, hurry up and find the second line."

The resident of the hepatobiliary surgery department nodded blankly.

What he didn't understand was why Boss Zheng insisted that an ectopic pregnancy might occur in a healthy liver, while a problematic spleen is fine.

But with Boss Zheng's words, he breathed a sigh of relief.

In my own department, from the director to the professor leading the group, when it comes to Boss Zheng, no one questioned his level. Although the director doesn't say much, it can always be seen that the director agrees with Boss Zheng's level in the hospital.

The director didn't say anything, the reason was that the liver cancer resection operation was torn open by Boss Zheng abruptly with interventional surgery.

It's still a live broadcast. Doctors all over the world know that for liver cancer, the intervention will be performed first, and the surgical effect will be better.

Specific long-term data will take time to grind. But from the perspective of the most basic surgery, interventional embolization + surgical resection, the effect is much better than simple surgical resection.

This is undoubtedly a huge blow to hepatobiliary surgery.

Uh... I think too much. The chief resident of the hepatobiliary surgery department thought to himself, Boss Zheng meant that calling the second line from home in the middle of the night should not be a big deal.

Watching a group of people leave, Zhou Litao asked suspiciously: "Boss Zheng, why is it not about the liver?"

"In general ectopic pregnancy, after 50 days, you should be able to see the fetal heart and fetal buds. The location of the spleen, I think it looks like a hemangioma. A round or oval heterogeneous hyperechoic mass can be seen in the spleen parenchyma. It is clear, the edges are not smooth, and the interior shows intervals of anechoic and hyperechoic."

"But……"

"Get a CT, it won't affect the patient's operation." Zheng Ren said, "If the diagnosis is hasty, and the bleeding continues after the spleen is cut, then fuck it."

Thinking of this result, Zhou Litao felt a little guilty.

Entering the palace for the second time will bring an almost devastating psychological blow to the patient's family first. It came out well, but there was bleeding in the end, who would understand this kind of thing?

Proper hidden dangers of medical disputes.

Although the patient's family members are very impatient now, if the operation goes well, the patient will be fine after he comes down.

It's easy to empathize with that. Whoever is the family member of the patient, it is estimated that the performance is the same.

"Spleen pregnancy, is it common?" Ringer asked.

"Not much." The B-ultrasound doctor said immediately.

This disease, even in a large tertiary hospital like 912, generally does not see one case a year.

"The incidence of abdominal pregnancy in ectopic pregnancy is only 1/10000~1/3000, among them, splenic pregnancy is even rarer, and there are few reports at home and abroad." Zheng Rendao, "From 1990 to now, SCI impact factor 5 In the periodicals and magazines above, there are only 40 cases reported.”

Ringo smiled.

This kind of logic of speaking with data is the thinking of a standard science man. I have seen Boss Zheng say this many times, and I have a sense of identity.

It's just that it needs a lot of reading and memory to support it.

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

"Strange, how did it grow on the spleen and liver?" Linge was a little curious.

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

As he spoke, he lowered his head and pondered for a while, then continued, "There were 22 cases of liver pregnancy and 18 cases of spleen pregnancy. Less than 33% of the patients were pregnant for more than 3 months, and most of them were caused by miscarriage or rupture in the first trimester. Diagnosed and treated for abdominal bleeding."

"Liver, are you sure? This is very strange, it actually grows into the liver." Linge had already believed Zheng Ren's words, and in his words, he eliminated the spleen.

"A 90% probability." Zheng Ren said, "It's very dangerous. Hurry up and have an examination, and then have an operation. The operation is not difficult. The difficulty is to diagnose it in the first place."

After finishing speaking, he glanced at Zhou Litao and said, "Mr. Zhou, go to stimulate the blood, and say that the patient needs an emergency blood transfusion, a large amount."

Zhou Litao responded, and ran to call the blood transfusion department.

"So serious?" Linge was surprised.

"The liver, spleen and other organs have rich blood circulation, low surface tension, and rich blood from the portal vein of the gastrointestinal tract, which is conducive to embryo growth.

As the embryo develops and grows, organs may rupture and cause rapid and massive bleeding. If the rescue is not timely, hemorrhagic shock or even death may easily occur. The risk of death is much greater than with an ordinary ectopic pregnancy. "

Zheng Ren said with certainty.

Hospitalization in gynecology is always very curious. Even if the diagnosis of ectopic pregnancy is no problem, but the spleen occupying space is not diagnosed, but the diagnosis is ectopic pregnancy of the liver.

this……

She greeted Director Lin and ran away immediately.

Follow along to take a look on the stage, it can be regarded as a long experience. Recently, Boss Zheng has been praised as miraculous in the hospital. Let's see if it is so miraculous.

"Boss Zheng, you are really busy today." Linge smiled.

"I'm used to it." Zheng Ren said, "When I was in Haicheng, I lived in the hospital every day. When I got home and went quiet, I didn't sleep so soundly."

This is the fault of emergency doctors, who work in a messy environment all year round. Once they calm down, they will subconsciously wonder if there will be a wave of outbreaks waiting for them.

No sound, really can't sleep.

Zhou Litao came back from the phone call and said, "The blood transfusion department knows it's an ectopic pregnancy, and has already prepared 20U of red blood cells and 1000ml of plasma."

Zheng Ren was relieved that the preparation was adequate, and the patient should be fine.

Normally, he would follow along to the stage to have a look.

But there is no smoking... a patient with congenital porphyria is waiting for consultation, and Zheng Ren can't wait to go to the system operating room to dissect the patient with congenital porphyria.

In fact, congenital porphyria is not accurate. In his heart, he thinks that this disease is just a symptom that matches congenital porphyria. In fact... it is more likely that the ancient and mysterious family is just a vampire.