Ectopic pregnancy, rupture bleeding, and signs of peritonitis were all obvious.
He wanted to find the exact location of the ectopic pregnancy.
As long as they could find it, the patient would not suffer more damage during the surgery and would recover faster after the surgery. In other words, it wouldn't open the mouth of the heavens and earth to rummage around randomly.
If he did that, there was a high probability that problems such as intestinal obstruction would come to him after the surgery.
The ultrasound machine was pulled over and Zheng Ren began to perform an ultrasound on the patient.
He was very meticulous. Starting from the lower abdomen and pelvic cavity, he searched upwards bit by bit.
The patient's family members stood anxiously on the side. Obviously, they still did not understand why a young doctor would come for an examination.
Soon, the chief residents of the Department of Hepatobiliary and Pancreatic Surgery and the Department of Gynecology came running down.
Zhou Litao called Zheng Ren first before looking for the relevant department. This was a kind of subtle trust. When they encountered difficult and complicated diseases, they would look for Boss Zheng.
In his heart, the name 'Boss Zheng' was no different from the old Chinese medicine doctors and military doctors mentioned in the small advertisements on the electric poles.
It was the same as what Su Yun had said about finding rheumatism immunity when encountering a difficult disease.
"Director Zhou, what's going on?" The chief resident of the gynecology department was stunned to see Chief Lin standing in the emergency resuscitation room. Her voice became softer.
Zhou Litao gave a brief introduction of the patient's condition and gave his judgment.
In fact, the diagnosis of the patient's condition was very simple. The key was where the patient was located. The doctor in the ultrasound room could not be found. Now, it was up to Boss Zheng.
The gynecology and hepatobiliary chief residents stood by the side. With Lin Ge around, even their breathing became much gentler.
"No abnormalities were found in the intestine, but there was a small amount of fluid dark area in the intestinal space. It's considered bleeding," Zheng Ren said briefly. Zhou Litao noted down what he said.
After all, there would be a report after the examination. The ultrasound doctor was busy, so Zhou Litao could only record it down and bring it back to the doctor.
He continued to sweep upwards.
When he scanned the spleen, he found a problem. An abnormal echo appeared on the screen. The two chief residents realized that they had found the problem.
The size of the spleen is 2.6.
cm×1.6
cm×2.0
Slightly stronger heterogeneous echo mass with clear boundary and regular shape. Inner diameter 0.9.
There are many punctuated blood flow signals around and inside the mass, "Zheng Ren said.
Zhou Litao quickly memorized these words.
The chief resident of the Department of Hepatobiliary and Pancreatic Surgery felt that this was a rare case of splenic pregnancy. In any case, it was under the jurisdiction of the Department of Hepatobiliary and Pancreatic Surgery.
However, as soon as he moved, he saw Boss Zheng sitting there motionless like a mountain.
Didn't you find the problem?
The chief resident of the Department of Hepatobiliary and Pancreatic Surgery was stunned. Why was Boss Zheng not relieved but still observing?
Lin Ge did not understand ultrasonography, but he understood people and was very good at reading people.
He could clearly see the subtle movements of these people.
"Do you have any conclusions?" Lin Ge asked.
"I think it's a splenic pregnancy," the chief resident of the Department of Hepatobiliary and Pancreatic Surgery said. "It's rare, but the surgery isn't difficult. I've done it before."
"Hmm?" Lin Ge noticed that Zheng Ren was pressing the ultrasound probe against the patient's upper left abdomen. He knew something was wrong. "What's 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 fetal heart and fetal buds?" the gynecology chief resident said.
Lin Ge nodded and did not comment.
Time passed by bit by bit. Zheng Ren looked at the screen of the ultrasound machine and did not say a word.
The patient's family was so anxious that they could only stomp their feet. They paced back and forth, suppressing their anxiety and anger.
"Doctor, what are you looking at?" the patient asked softly. The patient was sweating profusely from the pain.
"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. She lowered her voice and said, "Don't you feel pain when I press you like that?!"
"I'm sorry, I can't help it. Please hold on a little longer." Zheng Ren was not angry. He said very calmly, "It involves the scope of the surgery. If the examination is not careful, it can easily lead to a second laparotomy."
"You only know how to scare people." The middle-aged woman's expression changed. She muttered softly but did not continue to say anything.
A minute later, Zheng Ren moved the ultrasound probe away from the patient's spleen and began to look for the liver area.
The emergency ultrasound doctor finished her work and jogged all the way to the emergency room. Seeing Zheng Ren scanning the ultrasound, she let out a long breath.
Boss Zheng was still very stable. Everyone admitted this.
"Chief Zhou, what's the situation?" She carefully avoided Lin Ge and came to Zhou Litao's side to ask.
"The size of the lower extremity of the spleen is 2.6 cm.
cm×1.6
cm×2.0
Cm heterogeneity is slightly stronger than the echo mass, "Zhou Litao said.
"Uh …" The doctors in the ultrasound room knew about the previous situation.
Had they encountered a rare splenic pregnancy? She quickly looked at the screen of the ultrasound machine.
Boss Zheng was scanning the liver. Had he not already confirmed that it was a splenic pregnancy, why was he still looking for the liver?
She was a little confused.
"Boss Zheng, you …" the doctor in the ultrasound room asked in a low voice.
"I looked at the echo of the lower extremity of the spleen for a few minutes. I didn't find the fetal heart or fetal bud. I think it's a hemangioma," Zheng Ren said. "There's fluid in the liver area. The depth of the fluid in the liver and kidney crypt is 3.3 cm."
Zhou Litao immediately wrote down the ultrasound image Zheng Ren described.
"Is there any problem with the liver?" the doctor asked.
"No, there's no problem with the liver surface that can be seen," Zheng Ren said.
"That's a splenic pregnancy. The rupture caused the bleeding and flowed over, right?" the doctor asked in a low voice.
Although his voice was low, in the ears of the patient's family members, it had another meaning.
They did not understand what a splenic pregnancy was. However, rupture and bleeding were a big deal.
In addition, the patient's face was pale and his forehead was covered in sweat. Their anxiety became more and more difficult to control.
"Chief Zhou, consider it an ectopic pregnancy of the liver. Do a CT scan and prepare a laparoscope for the hepatobiliary side." Zheng Ren finally put down the ultrasound probe and said with certainty.
Uh …
This conclusion was a little strange.
Seeing the problem with the spleen, it was fine. Why did he say that there was a problem with the liver?
The key was that there were no abnormal images in the liver.
The doctor was stunned. She did not agree with Chief Zheng's diagnosis.
"Doctor, are you alright?" the patient's family asked anxiously.
"There's bleeding. We need emergency surgery," Zheng Ren said. "Can we do it?"
The chief resident of the hepatobiliary and pancreatic department nodded. He just did not agree with Chief Zheng's diagnosis, but there was no problem with the surgery.
This kind of surgery was a minor surgery. The emergency department of the chief resident did not even need a second-string professor. He brought the doctor for training and went straight to the stage.
There was no problem with the spleen surgery, but the liver … The chief resident's level was not enough.
"Okay." 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 image. Inform the operating theater to prepare for the surgery. "
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