Chapter 1800 Ectopic Pregnancy (Monthly Ticket 18000 Plus Update × 36)

"Don't make trouble." Zheng Ren took out his mobile phone and glanced at it, "Zhou Litao's phone number."

"This evening, if I don't look for a second-line, why are I looking for you?" Su Yun muttered.

Su Yun saw the notes on the phone, and his heart was dirty again.

"Did you label others as Zhou Litao? This kind of trick can't be hidden from me." Su Yun scorned.

Zheng Ren raised his eyebrows, Su Yun was still excited about placing orders with Professor Zhang, so it would be right to ignore him.

"Mr. Zhou, what's the matter?"

"Oh, it's alright, my side has just been rescued and stepped down."

"Oh? Okay, I'll take a look right now."

After speaking, Zheng Ren hung up the phone. Actual actions show that Su Yun's speculation is nonsense.

"What's the matter?" Su Yun seemed to have forgotten what he just said, turned his head and asked.

"It is said that there is a patient with high HCG, but no gestational sac is seen." Zheng Ren said.

HCG is also called human chorionic gonadotropin.

During pregnancy, HCG enters the maternal blood and increases rapidly until the 8th week of pregnancy, then decreases slowly until the 18th to 20th week, and then remains stable.

Generally intact human chorionic gonadotropin levels are elevated to at least 2.5MoM before they are associated with Down syndrome.

But that is also pregnancy, and the presence of blastocysts can be seen in the womb.

Didn't see anything, but HCG was very high, Zheng Ren was halfway through his pants and started to think.

"Put your pants on first." Su Yun said, "Show off your perfect figure? Or are you mocking Director Lin?"

Linge was speechless, Su Yun's mouth, if he wanted to coax people, he could talk about his private money. If it hurts people, it is really unscrupulous, and there is nowhere to listen.

"I guess the ultrasound room has already found the uterus, ovaries, and appendages." Zheng Ren ignored Su Yun's words and automatically blocked what he didn't want to hear. "What other diseases can cause HCG to increase?"

"It's nothing, anyway, I can't think of anything." Su Yun said.

"Take a look." Zheng Ren said, "I'm very busy tonight."

"If you don't care about your business, don't be busy." Su Yun said.

Zheng Ren smiled, still ignoring the goods.

While Zheng Ren and Su Yun were talking, Linge hid the private money, and fixed the insoles to hide the private money.

When I came in, I was so anxious that the private money ran out.

Details determine everything. Fortunately, this is in the hospital. If it is at home...Linger can think of his miserable week in the future.

Such a tragic thing can become a winner in life in Su Yun's mouth, this person's mouth. Linger still admires Su Yun for this, as long as he wants to, he can make people happy.

I don't know how many girls became sparring when they practiced this kind of advanced martial arts.

"Boss Zheng, what are you thinking about?" Ringer put on his shoes, feeling a lot more secure, and asked intriguingly.

"I don't know how the doctor in the ultrasound room did the ultrasound. I can't tell you right now." Zheng Ren said seriously.

"Director Lin, it's boring to see this person." Su Yun said, "When he talks casually, he takes it seriously. You didn't see the big rescue just now, so you made a diagnosis and said it might be a cerebral hemorrhage. , without hesitation.”

"It turns out that I was right." Zheng Ren left with a blank expression, "This is rich clinical experience."

"Cut." Su Yun scorned, "I'm not interested in watching a patient with an ectopic pregnancy, go ahead."

"Why are you going?" Zheng Ren asked.

"I'm going to sort out the cases in Massachusetts." Su Yun said, "Director Lin, are you interested?"

Of course Linger was interested, although it was very late, but it involved whether he could do something in the process of temporarily serving in the Science and Education Office.

If there is a chance to stay in the Science and Education Office...Linger is a little bit looking forward to it.

As for going home, wait and see.

The body is a little tired, but it's better to grit your teeth and stiffen up.

The three parted ways, and Zheng Ren left a message to Xie Yi, saying that he was still busy on this side and asked her to go home first.

When he came to the emergency department, Zhou Litao stood in the corridor and looked around.

It was already early in the morning and there were not many patients in the emergency department. Zhou Litao should have been asleep.

But in the case of a patient with a problem, he can't sleep at all. The emergency department is the nature of this work, there is no way.

If you want to have a sense of responsibility and work flawlessly, you must pay a price.

"Boss Zheng... Director Lin, you two are here." Zhou Litao came up to meet him, and he seemed a little regretful that he didn't see Su Yun.

"What about the patient?"

"Where's Brother Yun?"

Zheng Ren and Zhou Litao asked at the same time.

"Su Yun is working on the courseware. If you have something to do, give him a call." Zheng Ren said, "What's the condition of the patient?"

"Patient female, 21 years old, chief complaint: 50 days of menopause, lower body bleeding for 3 days. Physical examination: obvious abdominal tenderness and rebound tenderness; no cervical lifting pain, no obvious tenderness in the double adnexa area. Laboratory examination: human chorionic gonadotropin Hormones 16669mIU/ml, progesterone 11.52ng/ml."

Zhou Litao narrated the patient's medical history briskly, simple and to the point, and his standard was more than one grade higher than that of the doctors in Xilin Town.

"How did the B ultrasound do?" Zheng Ren immediately asked.

"The pelvis, uterus, and attachments are all found. It's not an ectopic pregnancy in the fallopian tubes." Zhou Litao said.

"I see patients." Zheng Ren said, "Is the blood pressure still stable?"

"It's still stable, and it is estimated that the amount of bleeding is not large." Zhou Litao said, "Gynecology and general surgery will come for consultation immediately."

"Okay." After Zheng Ren finished speaking, he strode into the emergency room.

A young girl was lying on the hospital bed, her face pale. The system panel is red, and the diagnosis given by the system is - ectopic pregnancy.

Zheng Ren cursed his mother in his heart.

HCG is high, everyone knows that it is an ectopic pregnancy, give a clear position, can you die? !

But the big pig's hoof is this virtue, and Zheng Ren is also very helpless.

"B ultrasound report." Zheng Ren said.

"The shape and size of the uterus is normal, there is no gestational sac in the uterine cavity, and there is no obvious abnormality in the double appendages. The pelvic fluid is 4.5cm in depth and diameter." Zhou Litao said.

Uterine appendages are fine, and there is pelvic fluid, which means ruptured ectopic pregnancy.

"Are you ready for blood?"

"It's sent to the blood transfusion department." Zhou Litao said, "I don't know whether to send it to the obstetrics and gynecology department or the general surgery department. Boss Zheng, give me a hand."

"B ultrasound machine." Zheng Ren said.

"I'm going to make a call." Zhou Litao knew that Boss Zheng's ultrasound was good, and there seemed to be nothing wrong with this man. He really had no weaknesses.

And Zhou Litao didn't make a phone call, that's just a statement. He ran directly to the emergency B-ultrasound room and started knocking on the door.

There was a patient doing B-ultrasound, Zhou Litao greeted him, pushed the B-ultrasound machine on the bedside, and came to the emergency room.

When he came back, Zheng Ren started a physical examination with a serious expression.

The signs of peritonitis are quite pronounced and require emergency surgery.

But I don't know the location, so I can't open the abdominal cavity directly, and search everywhere to find out where the ectopic pregnancy is.