Chapter 2133 I Have Little Clinical Experience, Don't Lie to Me

bleeding? Where is the bleeding point? !

The hemoglobin has dropped so much, no matter what, there must be 1500ml of bleeding, which is not a big blood bag.

Malignant hemoglobin reduction caused by tumor?

Not at all. In the middle stage of liver cancer, the possibility of pernicious anemia is not very high. Moreover, pernicious anemia will gradually decrease, and it will not decrease so badly in less than 24 hours.

"Is there any fluid in the abdominal cavity?" Zheng Ren asked.

"No."

Gallbladder...pancreas...what's the problem?

Zheng Ren frowned and pondered, staring intently at the last CT scan, constantly reconstructing it in his mind.

Soon, Zheng Ren discovered the problem.

It's not the gallbladder. There is nothing wrong with the gallbladder. The problem is that some "sand-like stones" can be vaguely seen in the bile duct.

If it was an ordinary patient, this would be normal, but Zheng Ren thought of another possibility.

"Look at the patient." Zheng Ren was not hypocritical, insisting on finding the answer to the question by himself.

The patient's hemoglobin has dropped so low that if he waits any longer, he may die.

Zhao Wenhua was overjoyed, although he and Boss Zheng were regarded as "enemies". But Boss Zheng is willing to draw his sword to help when encountering difficulties, and he has a little more confidence on his side.

This patient has already given Zhao Wenhua a headache to death.

As a doctor who particularly hates medical risks, Zhao Wenhua is conservative and stubborn. He refuses to try new surgical methods easily, and even the patients admitted are "carefully selected".

But even so, it is difficult to guarantee that nothing will happen.

Today, I met it.

Zhao Wenhua took Boss Zheng to the ward, and he walked in front, walking more steadily.

The breath behind him was as calm as a mountain, and his heart didn't seem to be as flustered as before. It was like a flat boat floating on the turbulent river, and it would sink at some point. At this time, a ballast stone was added suddenly, and it stabilized immediately.

It was this feeling that Zhao Wenhua felt so clearly.

Alas, I regret that I offended Boss Zheng for a bed. Zhao Wenhua was walking, remembering what happened back then, and suddenly felt depressed.

Zheng Ren didn't pay attention to what Zhao Wenhua was thinking at all, he was trying to find a reason and logic for his whimsical idea just now.

After a few steps, Zheng Ren walked more and more steadily, and he had completely thought through.

Entering the ward, the patient was lying on the bed, the blood bag was hanging on the drip rack, and was being transfused. His lips were pale, cracked, and looked lifeless.

And his system panel has turned from blood red to white.

The diagnosis on the system panel was clear - hemorrhagic shock, ruptured liver cancer.

Just as imagined!

"Boss Zheng, the patient..." Zhao Wenhua walked to the bedside and was about to introduce his illness. He was waiting for Boss Zheng to check his body, but then he saw that Boss Zheng didn't follow in, but stood outside and waved to him.

Uh... what's going on here?

If it was some time ago, Zhao Wenhua would definitely think that Boss Zheng was targeting him.

Set a trap and play yourself. I don't know what dirty and dirty methods followed.

But Zhao Wenhua is still a little out of control. A few days ago, Boss Zheng, even the experts from the King's Hospital in England rubbed against the ground, so he still has time to play with himself?

What a big heart!

He bit the bullet and walked out under the weird and anxious eyes of the patient's family members in doubt.

"Boss Zheng, you..."

"I thought of it. After radiofrequency ablation, the necrosis of the liver cancer caused blood vessels to rupture and bleed during the process of shrinking, which caused the current situation." Zheng Ren said in a low voice.

Zhao Wenhua was stunned for a moment.

Radiofrequency ablation burns the liver cancer tumor from the middle to destroy the tumor cells. Scars will definitely form after surgery, and the periphery begins to shrink as the internal structure collapses.

Judging from the imaging findings, the tumor will shrink after surgery, and the smaller liver cancer will completely turn into a scar tissue.

Zhao Wenhua knew all these things, but it had been several days after radiofrequency ablation, and suddenly hemorrhage... This kind of situation is possible and logical, but the probability is too small.

"Are you thinking about gallbladder stones?" Zheng Ren asked with a smile.

"Yeah." Zhao Wenhua didn't hide anything, just nodded and admitted.

"I'll contact Director Luo and make an appointment for an emergency gastroscope. I'll go to the descending part of the duodenum to have a look." Zheng Ren said, "Send the patient. By the way, call the operating room directly and prepare for emergency hemostasis."

Zhao Wenhua directly transformed into a little doctor, no matter how much he didn't understand or understand the diagnosis of the superior doctor, he could only nod habitually.

Zheng Ren turned around and almost missed Lin Yuan.

Startled, he "jumped" away.

"Why don't you write the medical records? Take a break when you're done, aren't you tired?" Zheng Ren frowned.

Just now, he was thinking too much about the patient's condition, so he didn't even notice that Lin Yuan was by his side.

"Boss Zheng, how did the patient get rid of gallbladder stones?" Lin Yuan asked in a low voice.

"That's not gallstones, it's fresh blood," Zheng Ren said.

"Uh...Boss Zheng, do you mean that the tumor tissue ruptured and bleeds, flowing back into the gallbladder along the bile duct?" Lin Yuan thought for a while, but still had doubts, "The imaging findings of blood are not like that, and I have little clinical experience. , don't lie to me."

Zhao Wenhua was busy when he heard Lin Yuan's words. He nodded inwardly, Boss Zheng, we have little clinical experience, so don't lie to us.

"You forgot the CT positioning before radiofrequency ablation, so why do you need interventional surgery?" Zheng Ren said.

"Iodized oil?" Lin Yuan asked in surprise.

"Well, it's iodized oil." Zheng Ren said, "The image after the iodized oil is dispersed is mixed in the fresh blood that has just come out. The imaging manifestations can be similar to sandy gallstones."

"Uh..." Lin Yuan still had doubts, but when Zhao Wenhua heard Boss Zheng's words, the fog in front of him was cleared away, and he suddenly became enlightened.

Cause and effect, think clearly.

Immortals guide the way, sometimes a word is enough.

"Boss Zheng, I understand!" Zhao Wenhua said excitedly, "Go directly to the operating room."

"There's no rush. Let's have a gastroscope first. There are other rare possibilities." Zheng Ren said with a smile, "I'll go to the endoscopy room first and call."

After finishing speaking, Zheng Ren strode out.

Lin Yuan followed behind Zheng Ren, flicking his ponytail back and forth.

"Don't you need to write the medical records?" Zheng Ren didn't look back, but took out his mobile phone and started looking for Director Luo's number.

"Didn't Gu Xiaoran come here? I'll do my work later. Boss Zheng, I don't have much clinical experience, so you need to teach me more." Lin Yuan almost meowed habitually.

But Boss Zheng's straight steel man didn't hear the hidden cry at all, but said casually, "Oh, you don't feel tired from working overtime."