1803 Chapter 1803: the liver
Boss Zheng was too cautious. The two resident doctors and the doctor Who did the ultrasound both judged him to be so.
However, with the patient’s condition, was he really allowed to do another CT scan?
The chief resident of the Department of Hepatobiliary and Pancreatic Surgery took a look at the blood pressure. The 80/50mm mercury column seemed to be okay, and he should have enough time to do an abdominal CT scan.
The patient’s family members were already starting to get frustrated. If they wanted to deal with this matter properly, they had to do a physical examination immediately.
He just had to hurry up and go to the operating theater.
A few people carried the patient onto the Gurney in a flurry of motion. Zhou Litao handed the examination form to the patient’s family members. Zheng Ren went to the chief resident of Hepatobiliary and Pancreatic Surgery and whispered,”You can do spleenostomy. If you don’t have a high chance of success in liver surgery, hurry up and find a second – String doctor. “
The chief resident of the Department of Hepatobiliary and Pancreatic Surgery nodded in a daze.
What he did not understand was why Boss Zheng insisted that an unproblematic liver might have an ectopic pregnancy, but a problematic spleen would be fine.
But with boss Zheng’s words, he heaved a sigh of relief.
In their own Department, from the director to the professor leading the group, no one doubted the standard of boss Zheng when they talked about him. Although the Department Director did not say much, the chief resident could see that the Department Director acknowledged boss Zheng’s level.
The Department Director did not say anything because boss Zheng had forcefully made a large incision during the hepatectomy for liver cancer using an intervention surgery.
It was even a live broadcast. All the doctors in the world knew that when it came to liver cancer, the effect of the surgery would be better if they performed interventional surgeries first.
As for the specific long – term data, it would take time. However, from the perspective of the most basic surgery, the effect of interventional embolism and surgical resection was much better than simple resection.
This was undoubtedly a huge blow to the Department of Hepatobiliary and Pancreatic Surgery.
Uh … He was thinking too much. The chief resident of the Department of Hepatobiliary and Pancreatic Surgery thought that boss Zheng meant that it should not be a big deal to call a second – String doctor over from his home in the middle of the night.
Watching the group of people leave, Zhou Litao asked doubtfully,””Boss Zheng, why isn’t it about the liver?”
“Generally, in an ectopic pregnancy, the fetal heart and fetal bud should be seen after fifty days. I think that the position of the spleen looks like angiomas. There is a round or oval uneven high echo sphere in the spleen substance. The boundary is clear, and the edge is not smooth. There is a gap between no echo and strong echo inside the spleen. “
“But …”
“A CT scan won’t affect the patient’s surgery,” Zheng Ren said,”if we give a hasty diagnosis and the bleeding doesn’t stop after the spleen is removed, we’ll be in trouble.”
At the thought of this result, Zhou Litao felt a little guilty.
The first thing the patient’s family suffered was an almost devastating psychological blow. He came out perfectly fine, but there was still bleeding. Who could understand this kind of thing?
It was a hidden danger of medical disputes.
Although the patient’s family members were very anxious now, if the surgery went smoothly, the patient would be fine after he came down.
It was easy to empathize with him. Whoever was the patient’s family member would probably act the same.
“Is it common to see a spleen pregnant?” Asked Lin Ge.
“Not much,” The B – Scan Doctor said immediately.
Even in a large tertiary Grade A hospital like 912, there was usually less than one case of this disease in a year.
“The incidence of abdominal pregnancy among ectopic pregnancies is only 1/10000~1/3000. Among them, spleen pregnancy is even rarer, and there are very few reports about it at home and abroad.” Zheng Ren said,”from 1990 until now, only 40 cases have been reported in journals and magazines with an impact factor of 5 and above.”
Lin Ge chuckled.
This logic of using data to speak was the standard thinking of a science man. He had seen boss Zheng say this many times, so he had a sense of agreement.
However, this required a lot of reading and memory support to be able to do it.
If it were someone else, how could they casually give such detailed data on a rare illness?
“That’s strange. How did it grow on the spleen and liver?” Lin Ge was curious.
“According to research, the cause of the spleen’s pregnancy may be that the fertilised egg was pushed into the abdominal cavity due to abnormal reverse wriggling of the fallopian tube. It was not absorbed by the peritoneum, nor did it enter the opposing fallopian tube. At the same time, strong intestinal wriggling pushed the fertilised egg to move to the spleen, liver, and grow together with the implantation.” “The probability of an ectopic pregnancy in the liver is slightly higher than in the spleen,” Zheng Ren explained.
As he spoke, he lowered his head and pondered for a moment. He then continued,”there are 22 cases of liver pregnancies, 18 cases of spleen pregnancies, and less than 33% of patients have been pregnant for more than three months. Most of them were diagnosed and treated for abdominal bleeding due to miscarriages or ruptures in the early stages of pregnancy.”
“Liver, is it true? It’s quite strange, it actually grew to the liver. ” Lin Ge had already believed Zheng Ren’s words. In his words, he had already eliminated the spleen.
“There’s a 90% chance,” Zheng Ren said,”it’s very dangerous. Hurry up and do a check – up before the surgery.” The surgery isn’t difficult, but the difficult part is the immediate diagnosis. “
With that, he glanced at Zhou Litao and said,””General manager Zhou, hurry up the blood flow. Tell them that the patient needs an emergency blood transfusion, a large amount.”
Zhou Litao responded and ran to call the Hematology Department for an intravenous infusion.
“It’s that serious?” Lin Ge was surprised.
“The liver, spleen, and other organs have rich blood circulation and low surface tension. The blood circulation from the gastrointestinal tract is rich, which is conducive to embryonic growth.
With the growth of the embryo, there might be organ rupture and rapid massive bleeding. If not rescued in time, it was easy to cause hemorrhagic shock or even death. The risk of death is much higher than that of ordinary ectopic pregnancies. “
Zheng Ren said with certainty.
The chief resident of the gynecology department was very curious. Even if there was no problem with the diagnosis of an ectopic pregnancy, he did not diagnose a space – occupying spleen, but he insisted on diagnosing it as an ectopic pregnancy in the liver.
This …
She beckoned to Division Chief Lin and immediately ran away.
Following them up the stage to take a look, it could also be considered as an eye – opening experience. Recently, boss Zheng had been praised as a God in the hospital. Let’s see if he was really that amazing.
“Boss Zheng, you’re really busy today.” Lin Ge laughed.
“I’m used to it,” “When I was in Haicheng, I stayed in the hospital every day,” Zheng Ren said. I don’t even sleep as well when I’m home. “
This was a bad habit of the doctors in the emergency department. They worked in a chaotic environment all year round, and once they calmed down, they would subconsciously think about whether there would be a wave of explosions waiting for them.
She really couldn’t fall asleep without a sound.
After Zhou Litao finished his call, he came back and said,”The blood transfusion department knows that it’s an ectopic pregnancy. They’ve prepared 20 u of red blood cells and 1000 ml of blood plasma.”
Zheng Ren was relieved. With sufficient preparation, the patient should be fine.
If it was any other time, he would have gone up the stage to take a look.
However, the patient with congenital reading was still waiting for a consultation, and Zheng Ren could not wait to go to the operating room to dissect the patient.
In fact, it was not accurate to say that he had congenital Parkinson’s disease. In his mind, he thought that only the symptoms of this disease fit the condition of congenital Parkinson’s disease. In fact … The possibility that the ancient and mysterious family was only vampires was higher.