The system takes me for surgery
Chapter 545: Here comes a troublesome patient
Liang Yi urgently changed his surgical clothes when he came to the washbasin.
Shen Weiwei asked: "Just now she sent me a negative hCG test, saying that you suspected she was pregnant, what's going on now."
Liang Yi said: "The hCG test was indeed negative, but the color Doppler ultrasound and CT showed abnormal signs, which is likely to be an ectopic pregnancy."
The director Shen Weiwei nodded noncommittally. From the results of various inspections, it seems that this is possible, but he is not sure.
In clinical practice, it is very rare to diagnose ectopic pregnancy when the serum hCG test is negative, because hCG is very important to pregnant women, and it plays many roles in the body, such as stimulating the corpus luteum, promoting the continuous secretion of estrogen and progesterone, and promoting the growth and maturation of the placenta. a physiological function.
Generally speaking, during ectopic pregnancy, the hCG level in the body is lower than that during intrauterine pregnancy, but more than 99% of ectopic pregnancy patients are hCG positive. Liang Yi considers that it is genetic factors that lead to hCG negative.
What caused the negativity is not so important at this moment, what is most important now is how to get rid of this fuse that threatens Ou Bingbing's life at any time.
This time I chose to perform the operation laparoscopically.
A midline incision is made in the lower abdomen, and each layer of the abdominal wall is cut at a time to enter the abdominal cavity.
After entering the abdomen, it was found that there was a large amount of blood in the abdominal cavity. The amount of bleeding really shocked the director, Shen Weiwei, and said, "There is so much blood."
When Liang Yi saw it, he couldn't help but gasped.
Director Shen Weiwei decided to separate the pelvic adhesions first and free the fallopian tubes, while Liang Yi held the mirror beside him.
"Can you see clearly?" Liang Yi asked.
"Slightly to the left." Shen Weiwei said.
She lifted the distal end of the pregnant fallopian tube with tubal forceps to flatten the mesosalpinx, and used bipolar electrocoagulation to coagulate the mesentery from the umbrella end along the mesosalpinx to the uterine horn.
Cut the electrocoagulated tissue with scissors, remove the fallopian tube,
The stump was coagulated with bipolar electrocoagulation.
The operation was not difficult and the operation was completed quickly.
After the blood transfusion and fluid replacement, Ou Bingbing's physical condition has stabilized a lot. Liang Yi flushed the abdominal cavity with normal saline and sent the specimen for histopathological examination.
Later, histopathological examination results confirmed the existence of villi, and the diagnosis was ectopic pregnancy, which also confirmed that Liang Yi's judgment was accurate.
During the rounds in the morning, Ou Bingbing sat on the hospital bed, watching the director and other doctors surrounding her, feeling very embarrassed.
Director Shen Weiwei said, "How do you feel?"
"It's okay, just a little backache." Ou Bingbing said.
"If you have a sore back, you can't play with your phone all the time."
"Okay, Director."
After checking the ward and walking back to the office, Shen Weiwei asked, "Why hasn't her boyfriend been seen these two days?"
Cao Chong said, "I heard there was something awkward."
"Oh..." Shen Weiwei's face darkened, and he said lightly: "This is the biological inequality between men and women. Risks are often reserved for women. It is very important to meet a man who is in charge."
Cao Chong nodded and said, "This is also the time to test their feelings."
"But the damage has already been done." After Shen Weiwei finished speaking, he had just walked out when a phone call came suddenly. She checked that it was the call from Vice President Lai Risen.
Shen Weiwei's originally relaxed state suddenly became tense, and said: "There will be a special patient coming, Cao Chong, you will be in charge."
Cao Chong was thinking about whether he answered badly and made Shen Weiwei unhappy. After being called out suddenly, he immediately regained his energy and said, "Okay, what kind of patient is so special?"
"I don't know yet. Anyway, the vice president said that this patient is a bit special. You have to be more alert and ask for a separate room?"
"Single room, where is there a single room now?"
"I can only give her the VIP ward in the corner upstairs."
so special?Liang Yi murmured in his heart.
The ward at the farthest corner of the upper floor is the least crowded, and Shen Weiwei, the director of obstetrics and gynecology, has an unwritten rule that the attending doctor should check the room twice a day, and ordinary junior doctors have to check the room four times a day.
Public hospitals are not as luxurious as VIPs in private hospitals. VIPs are basically single rooms, but each "fist" department has a well-decorated ward. This room is not a VIP that can be lived in with money.
Shen Weiwei said, "I heard that a certain star is coming over."
"Oh! It turns out that celebrities are coming over, no wonder there is such a big battle," Cao Chong replied, he thought that the daughter-in-law of the big boss was coming to see a doctor
Some celebrities have been in contact with obstetrics and gynecology before. After all, these female celebrities have such a high work pressure and disordered work and rest, and often have gynecological problems.
Liang Yi asked: "Is there any difference between hospitalization of female celebrities and ordinary patients?"
He is in the Affiliated Hospital of Haiping City, which is considered a small place, and it is true that he has not received any big stars.
Cao Chong shook his head and said, "There is no difference, but the confidentiality work needs to be done better."
Shen Weiwei nodded and said: "You mentioned this but reminded me that when our doctors and nurses go to the ward, we should not pick up our mobile phones at any time. If we want to answer the phone, we should go outside, so as not to let the patient's information leak out. blame it on us."
"What the director said is that you really need to pay attention to this. The last time it wasn't news that a star was hospitalized and a nurse took a photo and posted it on the Internet, that hospital was pushed to the forefront."
"This kind of sensitive issue, let's not touch it, it's not good for the hospital, it's not good for the individual."
They both nodded.
"Then I'll ask the nurse to clean our VIP ward first." Shen Weiwei, the director of obstetrics and gynecology, said, and she left after speaking.
Not long after she left, a woman in a black leather jacket came in. Her hair was only about two centimeters, full of white hair, and wearing a big earring. She looked very punk, with a slightly heavy metal feel.
Her voice was also very hoarse, and she asked: "Which of you is the person in charge of this department? I have already greeted your vice president, and she said that you can just go directly to the person in charge of your department. Who is the person in charge?" Woolen cloth?"
Cao Chong stood up and said, "What's the matter?"
"I'm looking for your person in charge. You don't understand. Didn't your vice president explain it? A patient is coming." The woman spoke hoarsely, and she looked like a nouveau riche.
Both Cao Chong and Liang Yi felt very speechless. Cao Chong said, "Our director has arranged for someone to tidy up the ward."
"Which ward, I want to look at it first, our Miss Lin pays more attention to hygiene."
Why is this person speaking so arrogantly? Liang Yi glanced at her.
Shen Weiwei asked: "Just now she sent me a negative hCG test, saying that you suspected she was pregnant, what's going on now."
Liang Yi said: "The hCG test was indeed negative, but the color Doppler ultrasound and CT showed abnormal signs, which is likely to be an ectopic pregnancy."
The director Shen Weiwei nodded noncommittally. From the results of various inspections, it seems that this is possible, but he is not sure.
In clinical practice, it is very rare to diagnose ectopic pregnancy when the serum hCG test is negative, because hCG is very important to pregnant women, and it plays many roles in the body, such as stimulating the corpus luteum, promoting the continuous secretion of estrogen and progesterone, and promoting the growth and maturation of the placenta. a physiological function.
Generally speaking, during ectopic pregnancy, the hCG level in the body is lower than that during intrauterine pregnancy, but more than 99% of ectopic pregnancy patients are hCG positive. Liang Yi considers that it is genetic factors that lead to hCG negative.
What caused the negativity is not so important at this moment, what is most important now is how to get rid of this fuse that threatens Ou Bingbing's life at any time.
This time I chose to perform the operation laparoscopically.
A midline incision is made in the lower abdomen, and each layer of the abdominal wall is cut at a time to enter the abdominal cavity.
After entering the abdomen, it was found that there was a large amount of blood in the abdominal cavity. The amount of bleeding really shocked the director, Shen Weiwei, and said, "There is so much blood."
When Liang Yi saw it, he couldn't help but gasped.
Director Shen Weiwei decided to separate the pelvic adhesions first and free the fallopian tubes, while Liang Yi held the mirror beside him.
"Can you see clearly?" Liang Yi asked.
"Slightly to the left." Shen Weiwei said.
She lifted the distal end of the pregnant fallopian tube with tubal forceps to flatten the mesosalpinx, and used bipolar electrocoagulation to coagulate the mesentery from the umbrella end along the mesosalpinx to the uterine horn.
Cut the electrocoagulated tissue with scissors, remove the fallopian tube,
The stump was coagulated with bipolar electrocoagulation.
The operation was not difficult and the operation was completed quickly.
After the blood transfusion and fluid replacement, Ou Bingbing's physical condition has stabilized a lot. Liang Yi flushed the abdominal cavity with normal saline and sent the specimen for histopathological examination.
Later, histopathological examination results confirmed the existence of villi, and the diagnosis was ectopic pregnancy, which also confirmed that Liang Yi's judgment was accurate.
During the rounds in the morning, Ou Bingbing sat on the hospital bed, watching the director and other doctors surrounding her, feeling very embarrassed.
Director Shen Weiwei said, "How do you feel?"
"It's okay, just a little backache." Ou Bingbing said.
"If you have a sore back, you can't play with your phone all the time."
"Okay, Director."
After checking the ward and walking back to the office, Shen Weiwei asked, "Why hasn't her boyfriend been seen these two days?"
Cao Chong said, "I heard there was something awkward."
"Oh..." Shen Weiwei's face darkened, and he said lightly: "This is the biological inequality between men and women. Risks are often reserved for women. It is very important to meet a man who is in charge."
Cao Chong nodded and said, "This is also the time to test their feelings."
"But the damage has already been done." After Shen Weiwei finished speaking, he had just walked out when a phone call came suddenly. She checked that it was the call from Vice President Lai Risen.
Shen Weiwei's originally relaxed state suddenly became tense, and said: "There will be a special patient coming, Cao Chong, you will be in charge."
Cao Chong was thinking about whether he answered badly and made Shen Weiwei unhappy. After being called out suddenly, he immediately regained his energy and said, "Okay, what kind of patient is so special?"
"I don't know yet. Anyway, the vice president said that this patient is a bit special. You have to be more alert and ask for a separate room?"
"Single room, where is there a single room now?"
"I can only give her the VIP ward in the corner upstairs."
so special?Liang Yi murmured in his heart.
The ward at the farthest corner of the upper floor is the least crowded, and Shen Weiwei, the director of obstetrics and gynecology, has an unwritten rule that the attending doctor should check the room twice a day, and ordinary junior doctors have to check the room four times a day.
Public hospitals are not as luxurious as VIPs in private hospitals. VIPs are basically single rooms, but each "fist" department has a well-decorated ward. This room is not a VIP that can be lived in with money.
Shen Weiwei said, "I heard that a certain star is coming over."
"Oh! It turns out that celebrities are coming over, no wonder there is such a big battle," Cao Chong replied, he thought that the daughter-in-law of the big boss was coming to see a doctor
Some celebrities have been in contact with obstetrics and gynecology before. After all, these female celebrities have such a high work pressure and disordered work and rest, and often have gynecological problems.
Liang Yi asked: "Is there any difference between hospitalization of female celebrities and ordinary patients?"
He is in the Affiliated Hospital of Haiping City, which is considered a small place, and it is true that he has not received any big stars.
Cao Chong shook his head and said, "There is no difference, but the confidentiality work needs to be done better."
Shen Weiwei nodded and said: "You mentioned this but reminded me that when our doctors and nurses go to the ward, we should not pick up our mobile phones at any time. If we want to answer the phone, we should go outside, so as not to let the patient's information leak out. blame it on us."
"What the director said is that you really need to pay attention to this. The last time it wasn't news that a star was hospitalized and a nurse took a photo and posted it on the Internet, that hospital was pushed to the forefront."
"This kind of sensitive issue, let's not touch it, it's not good for the hospital, it's not good for the individual."
They both nodded.
"Then I'll ask the nurse to clean our VIP ward first." Shen Weiwei, the director of obstetrics and gynecology, said, and she left after speaking.
Not long after she left, a woman in a black leather jacket came in. Her hair was only about two centimeters, full of white hair, and wearing a big earring. She looked very punk, with a slightly heavy metal feel.
Her voice was also very hoarse, and she asked: "Which of you is the person in charge of this department? I have already greeted your vice president, and she said that you can just go directly to the person in charge of your department. Who is the person in charge?" Woolen cloth?"
Cao Chong stood up and said, "What's the matter?"
"I'm looking for your person in charge. You don't understand. Didn't your vice president explain it? A patient is coming." The woman spoke hoarsely, and she looked like a nouveau riche.
Both Cao Chong and Liang Yi felt very speechless. Cao Chong said, "Our director has arranged for someone to tidy up the ward."
"Which ward, I want to look at it first, our Miss Lin pays more attention to hygiene."
Why is this person speaking so arrogantly? Liang Yi glanced at her.
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