1802 Spleen pregnancy? no!
Signs of ectopic pregnancy, rupture, bleeding, and peritoneum were all obvious.
Zheng Ren wanted to find the exact location of the ectopic pregnancy.
As long as they could find it, the patient would not suffer greater damage during the surgery, and the postoperative recovery would be faster. In other words, he wouldn’t open the mouth of heaven and earth and flip through everything.
If he did that, there was a high probability that postoperative problems such as intestinal obstruction would come to him.
The B – scan machine was brought over, and Zheng Ren began to do an ultrasound on the patient.
He was very meticulous. He started from the lower abdomen and pelvic cavity, and slowly moved upwards.
The patient’s family members stood anxiously at the side. It was obvious that they did not understand why a young doctor would come to do a check.
Soon, the chief residents of the Department of Hepatobiliary and Pancreatic Surgery and the Department of Gynecology ran down.
Zhou Litao had called Zheng Ren first, then contacted the relevant Department. This was a kind of trust that had imperceptibly influenced him. When he encountered difficult and miscellaneous diseases, he would look for boss Zheng.
In his heart, the words “boss Zheng” were no different from the small advertisements on the electric poles that said “old Chinese medicine doctors” and “old military doctors”.
It was the same logic as Su Yun’s saying that if one encountered a difficult disease, they had to find Rheumatology immunity.
“Chief Zhou, what’s the situation?” The chief resident of the gynecology department was shocked to see director Lin standing in the emergency room, and his voice became a little softer.
Zhou Litao made a brief summary of the patient’s condition and explained his own judgment.
In fact, it was very easy to judge the condition of the patient. The key was where the position was, which was the difficult part. They couldn’t find the doctor in the ultrasound room, so they could only rely on boss Zheng now.
The chief residents of the gynecology department and hepatobiliary Department stood at the side with their hands by their sides. With Lin Ge around, even their breathing became much gentler.
“There’s no abnormality in the intestine. There’s a small amount of liquid – like dark area in the intestinal gap, so I think it’s bleeding. ” Zheng Ren gave a simple explanation, and Zhou Litao took his words down.
After all, a report had to be produced after the examination. The B – Scan Doctor was busy, so Zhou Litao could only record it and send it back to the doctor.
He continued to scan upwards.
Zheng Ren noticed a problem when he scanned the patient’s spleen. An unusual echo appeared on the screen, and the two chief residents realized that they had probably found the problem.
“You can see a slightly stronger heteromorphic echo in the lower part of the spleen. The size is 2.6 cm x 1.6 cm x 2.0 cm. The boundary is clear and the shape is regular. There is an echo – less area with a diameter of 0.9 cm in the center. There are many dotted blood signals around and inside the lump.” Zheng Ren said.
Zhou Litao quickly jotted down the words.
The resident doctor of Hepatobiliary and Pancreatic Surgery felt that this was a rare case of spleen pregnancy. In short, it was under the jurisdiction of the Department of Hepatobiliary and Pancreatic Surgery.
However, the moment he moved, he saw boss Zheng sitting there like a mountain, not moving at all.
Didn’t he discover the problem?
The chief resident of the liver and gallbladder Department was stunned for a moment. Why was boss Zheng not relieved but still observing?
Lin Ge didn’t know anything about B – scans, but he understood people and was very accurate in judging people.
He saw their subtle movements very clearly.
“What’s your judgment?” Asked Lin Ge.
“It’s considered a spleen pregnancy. ” The chief resident of the Department of Hepatobiliary and Pancreatic Surgery said,”it’s rare, but it’s not difficult. I’ve done it before.”
“What?” Lin Ge saw that Zheng Ren was pressing the ultrasound probe on the patient’s left upper abdomen and was looking at something. He knew something was wrong.”What is boss Zheng doing?”
“…” The chief resident of the Department of Hepatobiliary and Pancreatic Surgery did not know how to answer.
“Maybe he’s looking at the heart and embryo?” The chief resident of the gynecology department said.
Lin Ge nodded but did not comment.
Time passed by bit by bit. Zheng Ren looked at the screen of the B – scan machine without saying a word.
The patient’s family members were so anxious that they could only stomp their feet and walk around. They suppressed their anxiety and the anger in their hearts.
“Doctor, What are you looking at?” The patient was in so much pain that she was sweating profusely. She asked in a low voice.
“I’m looking at the fetal heart. Don’t talk. Take a deep breath and hold it until you can’t hold it anymore.” Zheng Ren said.
“Can you do it or not!” A middle – aged woman finally could not hold back her anger and said in a low voice,””I’m crushing you like that, but you don’t feel pain!”
“I’m sorry, there’s no other way. Please hold on a little longer.” Zheng Ren did not get angry and said calmly,””It involves the scope of the surgery. If the examination is not thorough, it will easily lead to a second laparotomy.”
“You only know how to scare people.” The middle – aged woman’s expression changed. She mumbled something but did not continue.
One minute later, Zheng Ren moved the ultrasound probe away from the patient’s spleen and started to look for the liver.
The doctor in charge of the emergency department’s B – scan finished her work and jogged all the way to the emergency resuscitation room. He heaved a sigh of relief when he saw Zheng Ren doing an ultrasound scan.
Boss Zheng was still very steady, and everyone admitted that.
“Chief Zhou, what’s the situation?” She carefully avoided Lin Ge and came to Zhou Litao’s side to ask.
“The size of the spleen in the lower pole is 2.6 cm x 1.6 cm x 2.0 cm. The heteromorphic echo is slightly stronger.” Zhou Litao said.
“Uh …” All the doctors in the ultrasound room knew about the previous situation.
Did she encounter a rare case of spleen pregnancy? She quickly looked at the screen of the ultrasound machine.
Boss Zheng was performing a liver scan. Wasn’t it already confirmed that she was pregnant with the spleen? why was he looking for the liver?
She was a little confused.
“Boss Zheng, you …” The doctor in the ultrasound room whispered.
“It’s the Echo of the spleen. I’ve been looking at it for a few minutes, but I can’t find the fetal heart or fetal bud. I think it’s angiomas. ” Zheng Ren said,”there’s effusion in the liver area. The depth of the effusion in the enigmatic liver and kidney is 3.3 cm.”
Zhou Litao immediately took down the B – scan image that Zheng Ren was describing.
“Do you see any problems with the liver?” The doctor Who did the ultrasound asked.
“No, there’s no problem at all on the surface of the liver.” Zheng Ren said.
“That’s a spleen pregnancy. It ruptured and caused bleeding, and the blood flowed over. ” The doctor Who did the ultrasound asked in a low voice.
Although his voice was soft, it had a different meaning when the patient’s family members heard it.
They did not know what spleen pregnancy was. However, bleeding from a rupture was a big deal.
In addition, the patients ‘faces were pale and they were sweating profusely. Their anxiety was getting more and more difficult to control.
“General manager Zhou, considering that it’s an ectopic pregnancy in the liver, we’ll get a CT scan. We’ll look for a endoscope to find the liver and gallbladder.” Zheng Ren finally put down the ultrasound probe and said affirmatively.
Uh …
This conclusion was a little strange.
When he saw the spleen, which had a problem, he was fine. Why did he say that there was a problem with the liver?
The key was that there were no abnormalities in the liver.
The ultrasound doctor was stunned for a moment. She could not agree with boss Zheng’s diagnosis.
“Doctor, are you alright?” The patient’s family member asked anxiously.
“He’s bleeding. He needs emergency surgery. ” Zheng Ren asked,”can you do it?”
The chief resident of Hepatobiliary and Pancreatic Surgery nodded. He just did not agree with boss Zheng’s diagnosis, but there was no problem with the surgery.
This kind of surgery was a minor surgery, and it was an emergency at the level of a chief resident. Even a second – tier professor did not need to be brought along. He brought the in – Service training doctors with him and went directly to the stage.
There was no problem with the spleen, but for the liver … A chief resident was not enough.
“Yes.” Zheng Ren nodded.”Hurry up and do the CT scan. Give me a call when you’re done. I’ll take a look at the scan.” Inform the operating room to prepare for the surgery. “