Was it bleeding? Where was the bleeding point?!
The hemoglobin had dropped so much, so there had to be at least 1,500 ml of bleeding. It was a large blood bag anywhere.
Was it a malignant decrease in hemoglobin caused by the tumor?
It was not to the extent. In the middle stage of liver cancer, the possibility of pernicious anemia was not very high. Moreover, pernicious anemia was slowly reduced, and it would not be reduced so fiercely in less than 24 hours.
"Is there fluid in the abdominal cavity?" Zheng Ren asked.
"No."
Gallbladder … Pancreas … Where was the problem?
Zheng Ren frowned and pondered. He stared at the last CT scan and kept reconstructing it in his mind.
Soon, Zheng Ren discovered the problem.
It was not the gallbladder. There was nothing wrong with the gallbladder. The problem was that he could vaguely see a part of the 'silt-like stones' in the bile duct.
If it was an ordinary patient, this would be normal, but Zheng Ren thought of another possibility.
"Take a look at the patient." Zheng Ren was not pretentious and insisted on finding the answer to the question himself.
The patient's hemoglobin had already dropped to such a low level. If he waited any longer, he would probably die.
Zhao Yunlong was delighted. Although he was considered an 'enemy' with Boss Zheng. However, when he encountered a difficult problem, Boss Zheng was willing to pull out his knife to help. His side also had a little more confidence.
This patient had already given Zhao Yunlong a headache.
As a doctor who particularly hated medical risks, Zhao Yunlong was conservative and stubborn. He was not willing to try new surgical methods easily. Even the patients he accepted were 'carefully selected'.
But even so, it was difficult to guarantee that nothing would happen.
Today, he had encountered it.
Zhao Yunlong brought Boss Zheng to the ward. He walked in front, and the more he walked, the more steady his footsteps became.
The aura behind him was as steady as a mountain, and his heart did not seem to be as flustered as before. It was like a small boat floating on the dark river. He did not know when it would sink. At this moment, a stone was suddenly added to the cabin, and it immediately stabilized.
It was this feeling that Zhao Yunlong felt so vividly.
Sigh, he regretted offending Boss Zheng for a bed back then. As Zhao Yunlong walked, he thought of what happened back then and suddenly felt depressed.
Zheng Ren did not pay attention to what Zhao Yunlong was thinking at all. He was trying hard to find a reason and logic for his whimsical thought just now.
In just a few steps, Zheng Ren walked more and more steadily. He had already completely figured it out.
After entering the ward, the patient was lying on the bed. The blood bag was hanging on the drip rack, and he was receiving a blood transfusion. His lips were pale and cracked, and he looked weak.
His System Panel had already started to show signs of turning from red to white.
The diagnosis on the System panel was clear — hemorrhagic shock, ruptured liver cancer.
It was just as he had imagined!
"Boss Zheng, the patient …" Zhao Yunlong walked to the bedside. He was about to introduce the patient's condition and wait for Boss Zheng to examine him, but he saw that Boss Zheng did not follow him in. Instead, he stood outside and waved at him.
Uh … What's going on?
If it had been a while ago, Zhao Yunlong would definitely have thought that Boss Zheng was targeting him.
He had set a trap to play with himself. Who knew what kind of dirty and despicable methods would follow behind.
However, Zhao Yunlong still had some ideas. A few days ago, Boss Zheng had even pressed the experts from the King's Hospital to the ground and rubbed them. How could he still have time to play with him?
What great insight!
Puzzled, he braced himself and walked out under the strange and anxious gaze of the patient's family members.
"Boss Zheng, you …"
"I remember now. After radiofrequency ablation, the liver cancer necrotic lesion shrank, causing blood vessels to rupture and bleed, resulting in the current situation," Zheng Ren said softly.
Zhao Yunlong was stunned.
Radiofrequency ablation burned the liver cancer tumor from the middle to destroy the tumor cells. After the surgery, a scar would definitely form. As the internal structure collapsed, the periphery began to shrink.
From the imaging performance, the tumor would shrink after the surgery, and the smaller liver cancer would completely turn into scar tissue.
Zhao Yunlong understood all of this, but it had been a few days after radiofrequency ablation. Suddenly bleeding … This kind of situation was possible and logical, but the probability was too small.
"Are you thinking about gallstones?" Zheng Ren asked with a smile.
"Yes." Zhao Yunlong did not hide it and directly nodded to admit it.
"I'll contact Chief Luo and make an appointment for an emergency gastroscopy. We'll know after we go to the duodenal bulb to take a look," Zheng Ren said. "Send the patient there. Oh right, call the operating theater directly and prepare for emergency bleeding control."
Zhao Yunlong directly transformed into a junior doctor. Even if he did not understand the diagnosis of his superior doctor, he could only nod habitually.
Zheng Ren turned around and almost bumped into Lin Yuan.
He was shocked and directly 'jumped' away.
"Why don't you write the medical record? After you're done, you should take a break. Aren't you tired of tossing and turning? "Zheng Ren frowned.
He was too focused on the patient's condition just now that he did not notice that Lin Yuan was following by his side.
"Boss Zheng, how was the patient's gallstone eliminated?" Lin Yuan asked in a low voice.
"That's not a gallstone. It's old blood," Zheng Ren said.
"Uh … Boss Zheng, are you saying that the tumor tissue ruptured and bled, and flowed back into the gallbladder along the bile duct?" Lin Yuan thought for a moment, but he still had doubts. "The imaging performance of the blood is not like that. I don't have much clinical experience. Don't lie to me."
Zhao Yunlong was busy and happened to hear Lin Yuan's words. He nodded repeatedly in his heart. Boss Zheng, we don't have much clinical experience. Don't lie to us.
"Have you forgotten why we have to do interventional surgery before radiofrequency ablation and CT positioning?" Zheng Ren said.
"Is it iodine oil?" Lin Yuan said in surprise.
"Yes, it's iodine oil," Zheng Ren said. "The image of the iodine oil after it disperses is mixed with the unclotted blood that has just come out. The imaging performance can be similar to silt-like gallstones."
"Uh …" Lin Yuan still had questions, but when Zhao Yunlong heard Boss Zheng's words, the fog in front of his eyes was suddenly pushed aside, and he suddenly saw the light.
He had thought through the cause and effect thoroughly.
Sometimes, an immortal's guidance was enough.
"Boss Zheng, I understand!" Zhao Yunlong said excitedly. "Let's go straight to the operating theater."
"There's no hurry. Let's do an endoscopy first. There are other rare possibilities," Zheng Ren said with a smile. "I'll go to the endoscopy room first. I'll contact you by phone."
After saying that, Zheng Ren strode out.
Lin Yuan followed behind Zheng Ren, his ponytail swaying back and forth.
"Don't you need to write a medical record?" Zheng Ren did not turn around. Instead, he took out his phone and began to look for Chief Luo's number.
"Isn't Gu Xiaoran here? I'll do my work later. Boss Zheng, I don't have much clinical experience. You have to teach me more. "As he said that, Lin Yuan almost meowed out of habit.
However, Boss Zheng was a straight man. He did not hear the hidden sound at all. Instead, he casually said, "Oh, as long as you don't feel tired from working overtime."
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