After 100 Days Of Sign-In, The First Operation Shocked The World

Chapter 496

"How long have you been pregnant?"

"It's been a month."

"Is it painful? Do you have a fever? What about nausea and vomiting?"

"It hurts, but I didn't have a fever, I vomited, and I vomited when I first came...~"

"Lie down and let me see..."

Lin Feng performed a personal examination on the patient and pressed it. It was indeed the position of the gall bladder (upper right), and there was severe-compression pain.

In addition, there is also tenderness in the right lower abdomen.

Right lower abdomen?

Why does it hurt?

Lin Feng was curious.

The wife said at this time: "In fact, this time I wanted to come to the hospital for an operation to remove the stone, but I didn't expect to find that I was pregnant, so I always came to Dr. Lin to ask if there is any way... We are pregnant now, too. So difficult..."

Lin Feng took a look at the information that Xiaoru had transferred.

35 years old.

"You are 35 years old, so pregnancy is indeed a bit difficult..."

"Yeah, after preparing for more than 3 years, I finally got pregnant."

Lin Feng sighed: "Your problem is really troublesome, because gallbladder stones are prone to cholecystitis, but cholecystitis requires antibiotics, but the problem is that your baby is only one month old. Do these antibiotics affect the fetus? It’s easy to say (there may be fetal malformations or congenital miscarriage)...you know what I mean..."

Every parent is very careful about the baby during pregnancy. Let alone taking antibiotics, they are afraid to eat something bad.

this moment,

The wife, as well as the husband who had been standing silently behind him, went silent.

"Doctor Lin, do you have a solution?"

"Why? Your B-ultrasound has been three months ago. It’s been a long time. Just take a B-ultrasound to check the situation, and then take a blood... Originally, CT was more accurate, but in your case, it’s still not possible. Do CT..."

"OK……"

Lin Feng issued an order,

The patient's couple left the clinic with the checklist.

...

40 minutes later,

The couple came back with the results of the examination.

·B-ultrasound results: soybean-sized gallbladder stones (considering a certain degree of bile duct obstruction)

·Blood: blood amylase 1500, over 13 times! (Normal 115)

Lin Feng frowned.

B-ultrasound, as expected.

But blood amylase is 13 times higher, which generally only occurs in "pancreatitis."

In other words, it should be cholangitis, which spread to the pancreas, causing inflammation of the pancreas.

Lin Feng helplessly said: "You already have some pancreatitis. In this case, it is best to have a CT, because many B-ultrasounds cannot be seen clearly; and you must use drugs, enzyme lowering, antibiotics to reduce inflammation..."

Whether it is ct or medication, it will have a very bad effect on the healthy development of a one-month-old baby.

After thinking about it, Lin Feng decided to make it more serious so that the couple would not be lucky.

"I want to say that CT may cause fetal malformations. After all, your fetus is too small."

this moment,

The couple was silent.

upset.

Suddenly, the husband asked, "Dr. Lin, can you wait for the baby to be older, mature, and able to carry the radiation, and then do it again, okay?"

Lin Feng: "What do you do?"

Husband: "Do CT..."

Lin Feng: "……………………"

A little angry.

"You have to wait for three months. Your wife is already very serious now. In three months, she may be dead at any time. You have to wait for three months. You are really..."

Pancreatitis is one of acute abdomen. It is not only a local inflammation of the pancreas, but a systemic disease that often involves changes in multiple organs.

It is a very serious disease!

Wait 3 months, it will definitely not work!

Lin Feng: "Furthermore, the common bile duct is dilated. It may be that the gallstones have blocked the common bile duct. For three months, maybe people are gone... Another thing is that during my physical examination, I found pain in the right lower abdomen. This shows that What's wrong? It's possible that pancreatitis fluid seeps into it, causing problems like peritonitis... All of these require a lot of medicine..."

"Why I told you so much, because even if CT is not used, the child may not be able to save the child because of the large amount of medication..."

The couple continued to be silent.

Wife: "Dr. Lin, this time we came to you. We also heard that you are very good...because it is indeed very difficult for us to get this child. We are 35 years old and have no children yet. I am afraid that it will be even more difficult for us in the future... "

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This time,

Lin Feng also understood, but helpless.

Moreover, since this wife could not even have her life, and wanted a child, she could not persuade herself.

"Okay, let's do a B-ultrasound again, this time I will do it..."

Lin Feng's B-ultrasound strength is naturally stronger than that of the hospital's B-ultrasound doctors, and can barely replace CT.

When the couple heard it, they were immediately grateful.

It took half an hour to do a detailed B-ultrasound for the wife.

finally,

Lin Feng shook his head.

no way……

In general, gallbladder stones can only be "laparoscopic surgery" or "dual-scope combined minimally invasive surgery" or "non-invasive ureteroscopy".

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However, these three operations require general anesthesia, followed by local anesthesia of the lower body, which may affect the fetus, so they cannot be used.

There is also "ultrasonic lithotripsy". The main principle is to perform percutaneous gallbladder puncture under the guidance of B-ultrasound, and then put in a choledochoscope. The lithotripsy device will contact the stone through the choledochoscope, crush the stone, and use suction. The device sucks out the stone.

However, this method also requires general anesthesia, because the gallbladder is too deep and the effect of local anesthesia will not be very good. General anesthesia is good, and the residual stones are relatively high, the operation is too difficult, and the recurrence rate of patients after surgery is also relatively high.

"terribly sorry……"

Lin Feng is not a god, there are some things that really can't be done.

"I'll prescribe some medicine for you...take it according to the medicine..."

At this time, Lin Feng can only hope that his "lucky aura" and "prognosis aura" will work.

Perhaps, a silver lining is not necessarily true.

...

The next patient...

In a flash,

It's noon.

Lin Feng's "Shit-eating Cure" is the top spot in Douyin.

Aroused heated discussion among the people.

‘You are sick, I will give you shit...’ The emoticon pack (Lin Feng emoticon) has become a popular emoticon for a while.