Sleepless Doctor

"Teacher Wu, take a look and see if it is this." Han Kuien said. /br

"Look at the film." Wu Mian smiled. /brHan Kuien opened the reader, bumped his shoulder, Yang Lei staggered, and was directly knocked away.

When the /br film was inserted into the reader, Yang Lei and Wei Dabao didn't understand it after watching it for a long time. /br

"It's here." Wu Mian said while lighting up the film.

"There is a small amount of hematoma in the rectus sheath."/br

"Sure enough." Han Kuien said emotionally after confirming.

"Ms. Wu, this case reminds me of appendicitis that was very strange from the first two."/br

"The physical examination was very clear. I opened the appendix but there was no swelling. I said there was no inflammation, but I thought it must be appendicitis. I said there was inflammation, but it didn't look like it." Han Kui'en recalled.

/br

"You got the knife at the normal McKenzie point, not on the tender area, did you."/br

"Yes." Han Kuien nodded. /br

"That may be caused by a hematoma of the rectus abdominis sheath." Wu Mian smiled.

"This is not a rare disease, but it is particularly easy to cause misdiagnosis."/br

"Ms. Wu, is the muscle torn?"/br

"In the rectus sheath, the superior abdominal artery, the inferior abdominal artery or its branches are ruptured, or the rectus abdominis muscle is directly torn or bleeding. Its clinical manifestations are very similar to some acute abdomen, and it is easy to be misdiagnosed as abdominal and pelvic diseases. Surgery. So, correct diagnosis and treatment are particularly important." Wu Mian said.

/br

"Sit-ups, I remember." Han Kuien was also honest at this moment. He didn't care about the problem of face. He was immersed in the hematoma of the rectus abdominis sheath and couldn't extricate himself.

/br

"That's not necessarily." Wu Mian said.

"The last patient with a rectus abdominis sheath hematoma I received was Da Tong...cough cough." /br

"Datong what?" Han Kuien asked subconsciously. /br

"Is an American celebrity." Wu Mian said,

"I found abdominal pain after playing golf. I happened to be nearby, so I went to see it. Finally, I did CT and was diagnosed with a rectus abdominis sheath hematoma."/br

"Partial blunt trauma of the abdominal wall, iatrogenic injury, severe coughing, severe vomiting, sneezing, excessive defecation, and sports such as sit-ups, standing long jumps, golfing, etc., can cause excessive contraction and movement of the abdominal muscles. Inconsistency, leading to hematoma of the rectus sheath."/br

"More on that, hypertension, atherosclerosis, pregnancy, childbirth are also common risk factors." Wu Miandao,

"Especially pregnant women giving birth is a relatively common predisposing factor." Wu Mianping explained calmly.

/brA rare case almost broke his fingers and said one, two, three, four, five, which made Han Kui'en feel ashamed.

Hearing what Teacher Wu said, it didn't seem to be rare. /br

"I remembered it." Han Kui'en nodded repeatedly, it is difficult for ordinary people to memorize these things.

But for an old doctor with many years of clinical experience, it doesn't matter at all. /br No need to recite, as long as you understand it.

/br

"Ms. Wu, since it's a hematoma, don't you think it's okay to do B-ultrasound? I think it seems that B-ultrasound can also make a clear diagnosis." Han Kuien asked.

"Moreover, the B-ultrasound can take a look at the pelvic cavity and accessories, which can kill two birds with one stone." /br Wu Mian smiled very satisfied.

"Director Han, your level is pretty good." /br

"Huh?" Han Kuien was taken aback. /br

"This question, people who are slightly less proficient will not think of it." Wu Mian said,

"Ultrasound examination is an important auxiliary method for the diagnosis of rectus sheath hematoma. It can be used for screening, post-treatment reexamination and pregnant women. It has high diagnostic sensitivity, but some cases lack diagnostic specificity and are easily separated from cystic masses. Confusion, the overall diagnostic accuracy is 70% to 90%."/br

"The conventional plain scan of ct can well show the location and scope of the hematoma and its relationship with surrounding tissues. It is the first choice for the diagnosis of rectus abdominis sheath hematoma. The diagnostic accuracy and specificity are both 100%, and it can To further classify the hematoma, guide clinical treatment and judge the prognosis."/br

"Oh oh oh, it turned out to be like this." Han Kuien said thoughtfully after comparing the images of the two auxiliary examinations.

/br

"The ct manifestations of rectus abdominis sheath hematoma may vary with the onset of time./brAcute hematoma is high-density, then gradually turns to mixed density, and finally absorbs liquefaction and becomes low-density, so when CT scan is not typical Attention should be paid to the identification of tumorous lesions of the rectus abdominis, and further enhanced scanning will help to confirm the diagnosis. The important point is to ask for the medical history, such as..."/br Wu Mian utterly tells that it is just a rectus abdominis sheath hematoma He talked to Han Kui'en for half an hour.

/br When Wei Dabao heard it, he thought he could do it, but he didn't expect it to be just a kind of

The "little" problem, Section Chief Wu, can tell so many moths. /br

"NMR can help distinguish rectus abdominis sheath hematomas and other anterior abdominal wall tumors. It is often used to diagnose patients with atypical CT signs and contraindications for CT-enhanced scanning. Most patients with rectus abdominis sheath hematomas can be completely treated after conservative treatment. Absorbed, the prognosis is good." Wu Mian finally finished speaking, he said with a smile,

"For the rest, please explain to the patient. I think they trust you."/br

"Good, good, good." Han Kuien said three good words in succession. /br

"Then I will go home." Wu Mian said,

"Director Han, I have a chance to see you again." /br Seeing Wu Mian strode away, Han Kui'en hesitated, then ran over, his waist was already unbearably bent, with a mobile phone in his hand.

"Ms. Wu, can you have the honor to leave you a contact method?"/br

"Okay, don't be so polite." Wu Mian smiled slightly, and then said his mobile phone number. /br

"Add my WeChat friends later and just mark Director Han." /br

"Excuse me." /br Han Kuien watched Wu Mian leave, and he straightened up until his figure disappeared for 20 seconds.

/br

"Director Han~www.wuxiaspot.com~ the patient’s family dared to come forward and asked in a low voice. /br Han Kuien explained to him the hematoma of the rectus abdominis sheath, and then taught him how to go home how to treat it conservatively and how to do hot compresses. The details are very clear.

/brAlthough Wu Mian has already left, Han Kuien seems to be treating in front of Wu Mian, and dare not make any mistakes.

/brAfter handling everything, Han Kuien called a car and left the Bajingzi Hospital of Traditional Chinese Medicine. /br Teacher Wu is indeed young, but his level is really high, Han Kuien thought in his heart.

/br The level is high, and there is no shelf. At the very beginning, my tone seemed a bit aggressive, but Teacher Wu didn't take it seriously, and explained to himself the rectus abdominis sheath hematoma in a soft-spoken manner.

/brHan Kuien did not go to the dinner, but went straight home. Along the way, he was feeling that Teacher Wu is really a person with no pretensions and ability.

/br There was no word for a night. The next day, Han Kuien got up early in the morning for rounds, and once again passed the laboratory test sheet of the patient to be operated on. He went to pick up the machine at noon to prepare for the professor to come for the operation.