Chapter 2135: I have little clinical experience, don't lie to me.


Is it bleeding? Where is the bleeding point? !
Hemoglobin has dropped so much, how can he have 1500ml of bleeding, which is not a large blood bag.
What is the malignant hemoglobin reduction caused by tumors?
Not too much. In the middle stage of liver cancer, the possibility of developing pernicious anemia is not great. Moreover, the pernicious anemia is slowly reduced, and it will not be so fierce in less than 24 hours.
"Is there any fluid in the abdominal cavity?" Zheng Ren asked.
"No."
Gallbladder... Pancreas... Where is the problem?
Zheng Ren frowned and looked at the last CT, and his mind was constantly rebuilding.
Soon, Zheng Ren discovered the problem.
It is not the gallbladder. There is no problem in the gallbladder. The problem is that some of the "sand-like stones" can be seen in the bile duct.
If it is normal, this is normal, but Zheng Ren thinks of another possibility.
"Seeing the patient." Zheng Ren is not tempted, and he has to find the answer to his question.
The patient's hemoglobin has dropped so low that if he waits, he is afraid of going out.
Zhao Wenhua is a hi, although he and Zheng Boss are considered "enemy." However, when he encountered a problem, Zheng Boss was willing to help him, and he was a little more emboldened.
This patient has already given Zhao Wenhua a headache.
As a doctor who is particularly averse to medical risks, Zhao Wenhua is conservative and stubborn. It is easy to refuse to try new surgical methods, and even the patients who are collected are also carefully selected.
But even then, it is difficult to guarantee that nothing will happen.
Today, I met.
Zhao Wenhua took Zheng Boss to the ward. He walked in front and walked more and more.
The breath behind him is as steady as a mountain, and his heart does not seem to be so flustered. Like a leafy boat floating on the waters of the Uzbek, I don't know when it will sink. At this time, suddenly a stone that was pressed into the warehouse was immediately stabilized.
It is this feeling that Zhao Wenhua is so real.
Oh, regret that I should have offended Zheng Bo for a bed. Zhao Wenhua walked around, remembering the original things, and suddenly he was frustrated.
Zheng Ren did not pay much attention to what Zhao Wenhua was thinking. He was trying to find a reason and logic in his own whimsy.
A few steps of effort, Zheng Ren has become more and more stable, and has thoroughly thought about it.
Into the ward, the patient was lying on the bed, the blood bag was hung on the drip stand, and blood was being transfused. His lips were pale and cracked, and he looked weak.
And his system panel has shown signs of whitening from blood red.
The diagnosis on the system panel is clear - hemorrhagic shock, liver cancer rupture.
Same as imagined!
"Zheng boss, patient..." Zhao Wenhua went to the bed, just want to introduce the condition, waiting for Zheng boss to check the body, but he later saw that Zheng boss did not follow up, but stood outside and waved to him.
Hey... what is going on?
If a period of time ago, Zhao Wenhua would definitely think that Zheng boss is targeting himself.
Set a trap and play with yourself. I don't know what to do with dirty and embarrassing things.
However, Zhao Wenhua still has some fate. When Zheng boss a few days ago, even the experts of the British King’s Hospital were rubbing on the ground, can they still have time to play themselves?
How big is the heart!
He was puzzled and went out in the strange and anxious eyes of the patient's family.
"Zheng boss, you..."
"I thought, after radiofrequency ablation, the process of atrophy of liver cancer necrosis caused blood vessel rupture and bleeding, resulting in this situation." Zheng Ren whispered.
Zhao Wenhua suddenly stopped.
Radiofrequency ablation is performed by burning the liver cancer tumor from the middle and destroying the tumor cells. Scars must be formed after surgery. As the internal structure collapses, the periphery begins to shrink.
From the imaging performance, it is that the tumor tumor will shrink after surgery, and the smaller liver cancer will completely become a scar tissue.
These Zhao Wenhua know that after a few days of radiofrequency ablation, suddenly bleeding... This situation is also possible, logical, but the probability is too small.
"You are thinking about gallstones?" Zheng Ren asked with a smile.
"Yeah." Zhao Wenhua did not hide, nodded directly and admitted.
"I contacted Director Luo, about an emergency gastroscope. I went to the duodenal bulb and I saw it." Zheng Rendao, "Send the patient, right, call the operating room directly, and prepare for emergency hemostasis."
Zhao Wenhua directly turned into a small doctor, even if he did not understand and understand the diagnosis of the superior doctor, he could only nod of habitually.
Zheng Ren turned around and almost didn't hit Lin Yuan's body.
Startled and jumped directly.
"Why don't you write a medical record? If you finish it, just take a break and don't get tired." Zheng Ren frowned.
I just thought about the patient's illness and thought too much. I didn't even notice that Lin Yuan was with me.
"Zheng boss, how is the patient's gallstones ruled out?" Lin Yuan whispered.
"That is not a gallstone, it is old blood." Zheng Rendao.
"Hey... Zheng boss, are you saying that the tumor tissue ruptures and bleeds down the gallbladder into the gallbladder?" Lin Yuan thought about it, still had doubts. "The imaging of blood is not like that. I have less clinical experience." Don't lie to me."
Zhao Wenhua was busy, just listening to Lin Yuan’s words. He nodded in his heart, Zheng boss, we have less clinical experience, you can not lie to us.
"You forgot the CT positioning before radiofrequency ablation, why do you have to undergo interventional surgery." Zheng Rendao.
"Is it lipiodol?" Lin Yuan said strangely.
"Well, it is iodized oil." Zheng Rendao, "The image after the iodized oil is scattered, mixed in the newly produced non-coagulation, the imaging performance can be similar to the sediment-like gallstones."
"Hey..." Lin Yuan still had doubts, but after Zhao Wenhua heard the words of Zheng Boss, the fog in front of him was suddenly opened and suddenly opened.
The cause and effect ~EbookFREE.me~ think transparent.
The immortal guides, sometimes a sentence is enough.
"Zheng boss, I understand!" Zhao Wenhua said excitedly, "Go directly to the operating room."
"No hurry, first look at the gastroscope, there are other rare possibilities." Zheng Ren said with a smile, "I will go to the Mirror Room first, call us."
After that, Zheng Ren strode out.
Lin Yuan’s fart was followed by Zheng Ren’s body, and the ponytail came and went.
"Don't write medical records?" Zheng Ren did not look back, but took out his mobile phone and began to look for Director Luo's phone.
"Gu Xiaoyan is not here, my work is a little late. Zheng boss, my clinical experience is not rich, you have to teach me more." Said, Lin Yuan almost habitually called out.
However, Zheng Boss Steel’s straight man did not hear the implicit call, but casually said,
Oh, you don’t feel tired when you work overtime.

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