"Stop it." Zheng Ren took out his phone and glanced at it. "It's Zhou Litao."
"It's already so late at night. Why would I look for you instead of the second-rate?" Su Yun nagged.
When Su Yun saw the note on the phone, his heart immediately became dirty again.
"Did you mark the others as Zhou Litao? You can't hide such a small trick from me. "Su Yun said disdainfully.
Zheng Ren raised his eyebrows. Su Yun was still immersed in the excitement of his meeting with Professor Zhang. It was better to ignore him.
"Director Zhou, what's up?"
"Oh, it's nothing. I just got out of the emergency room."
"Oh? Alright, I'll go take a look. "
With that, he hung up the phone. His actions proved that Su Yun's conjecture was nonsense.
"What is it?" Su Yun seemed to have forgotten what he had just said, and turned his head to ask.
"He said that there was a patient with a high HCG but no pregnancy sac was seen," Zheng Ren said.
HCG is also called human chorionic gonadotropin.
During pregnancy, HCG entered the mother's blood and increased rapidly until the eighth week of pregnancy, then the concentration slowly decreased until the 18th to 20th week, after which it remained stable.
Generally speaking, an increase in HCG levels of at least 2.5 MoM was associated with Down syndrome.
But that was also a pregnancy, and the existence of a blastocyst could be seen in the womb.
He did not see anything, but the HCG was very high. Zheng Ren put on his pants halfway and began to ponder.
"Put on your pants first." Su Yun said: "Show off your perfect body? Or are you mocking Director Lin? "
Lin Ge was speechless. Su Yun's mouth, if he wanted to coax people, he could even talk about his private money. When it came to insulting others, it was truly unbridled and unbridled.
"I'm guessing that the ultrasound room has already searched the uterus, ovaries, and appendages." Zheng Ren ignored Su Yun's words and automatically blocked out the things he did not want to hear. "What other diseases can cause the HCG to increase?"
"It's nothing. Anyway, I can't think of anything." Su Yun said.
"I'll go take a look," Zheng Ren said. "It's a busy night."
"You won't be busy if you don't care about other people's business." Su Yun said.
Zheng Ren smiled and continued to ignore him.
While Zheng Ren and Su Yun were talking, Lin Ge hid his secret stash of money and fixed the insoles to hide it.
He was in such a hurry when he came in that he even took out his private stash.
Details determine everything. Fortunately, he was in the hospital. If he was at home … Ling Ge could imagine his misery for the next week.
Such a tragic thing, in Su Yun's mouth, could become a winner in life, this person's mouth. Lin Ge admired Su Yun for this. As long as he wanted to, he could make people happy.
He wondered how many girls had become his sparring partner when he was learning this profound martial art.
"Boss Zheng, what are you thinking about?" Lin Ge changed into his shoes and felt much more at ease, so he asked teasingly.
"I don't know how the doctor in the ultrasound room did the ultrasound. I can't say for sure yet," Zheng Ren said seriously.
"Chief Lin, you must be bored to see this person," Su Yun said. "When I was just casually saying it, he took it seriously. You didn't see it. During the resuscitation just now, they directly diagnosed that it might be an intracranial hemorrhage without hesitation. "
"It turns out that I was right." Zheng Ren walked out expressionlessly. "This is my rich clinical experience."
"Tsk." Su Yun despised him. "I'm not interested in seeing a patient with an ectopic pregnancy. You go."
"Where are you going?" Zheng Ren asked.
"I'm going to sort out the cases from Massachusetts," Su Yun said. "Chief Lin, are you interested?"
Of course, Lin Ge was interested. Although it was already very late, this involved whether he could make some achievements in the process of temporarily serving in the science and education department.
If he had the chance to stay in the science and education department … Lin Ge was a little looking forward to it.
As for going home, he would think about it later.
His body was a little tired, so he gritted his teeth and endured it.
The three of them parted ways. Zheng Ren left a message for Xie Yiren, saying that he still had work to do and asking her to go home first.
When he arrived at the emergency department, Zhou Litao stood in the corridor and looked around.
It was already early in the morning, and there were not many patients in the emergency department. Zhou Litao should have been asleep.
However, when it came to patients with problems, he could not sleep at all. This was the nature of the emergency department. There was no other way.
If he wanted to have a sense of responsibility and do his work flawlessly, he had to pay the price.
"Boss Zheng … Chief Lin, you two are here." Zhou Litao came up to greet him. He seemed to be a little regretful that he did not see Su Yun.
"Where's the patient?"
"Where's Brother Yun?"
Zheng Ren and Zhou Litao asked at the same time.
"Su Yun went to do the courseware. If you have anything to say, give him a call," Zheng Ren said. "What's the patient's condition?"
"The patient is a 21-year-old female. Chief complaint: 50 days of menopause and three days of bleeding in her lower body. Physical examination: obvious tenderness and rebound pain in the abdomen; no pain in the cervix, and no obvious tenderness in the double appendage area. Laboratory examination: human chorionic gonadotropin 16669 mIU/ml, progesterone 11.52 ng/ml. "
Zhou Litao briskly described the patient's medical history. It was simple and to the point. His standard was more than one level higher than the doctors in Xilin Town.
"How did you do the ultrasound?" Zheng Ren immediately asked.
"The pelvic cavity, uterus, and appendages have all been found. It's not an ectopic fallopian tube pregnancy," Zhou Litao said.
"Let me take a look at the patient," Zheng Ren said. "Is the blood pressure stable?"
"It's still stable. I don't think the amount of bleeding is too much," Zhou Litao said. "The gynecology and general surgery department will come for a consultation immediately."
"Okay." After Zheng Ren said that, he strode into the resuscitation room.
A young girl was lying on the hospital bed. Her face was a little pale. The System panel was red. The diagnosis given by the System was ectopic pregnancy.
Zheng Ren cursed in his heart.
If the HCG was high, everyone would know that it was an ectopic pregnancy. If they gave a clear location, would she die?!
However, the System was like this. Zheng Ren was also very helpless.
"The ultrasound report," Zheng Ren said.
"The shape and size of the uterus are normal. There is no pregnancy sac in the uterine cavity. There are no obvious abnormalities in the double appendages. The pelvic effusion is 4.5cm deep, "Zhou Litao said.
The uterine appendages were fine. There was pelvic effusion, which meant that the ectopic pregnancy was ruptured and bleeding.
"Has the blood been prepared?"
"Sent to the blood transfusion department," Zhou Litao said. "I don't know if I should send it to the obstetrics and gynecology department or to the general surgery department. Boss Zheng, please help me take a look."
"The ultrasound machine," Zheng Ren said.
"I'll go make a call." Zhou Litao knew that Boss Zheng had done a good job with the ultrasound. There seemed to be nothing that this person could not do. He really had no weaknesses.
However, Zhou Litao did not make a call. It was just an excuse. He ran directly to the emergency ultrasound room and began to knock on the door.
There was a patient inside who was doing an ultrasound. Zhou Litao called out and pushed the bedside ultrasound machine to the emergency resuscitation room.
When he returned, Zheng Ren began to examine the patient's body. His expression was very serious.
The signs of peritonitis were quite obvious, and emergency surgery was needed.
However, he did not know the location. He could not just open the abdominal cavity and search everywhere for the ectopic pregnancy.
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