Start as an Emergency Physician

He Lili's heart immediately tightened, and said, "Doctor, is my illness very serious? Will it affect my child!"

Zhou Yuan shook his head and said: "It's not a serious matter, you are alone, you are still pregnant, and you need to be accompanied." You still need to do a check-up after that, and you won't be able to do it without anyone to help you. "

He Lili hesitated for a moment before saying, "Okay, I'll call my mother..."

Zhou Yuan was stunned for a moment.

Isn't it time to hit your husband...

However, he didn't say much, as long as there were family members.

"Ask your mom to bring your previous medical records, we need to look at the past medical history. Zhou Yuan reminded.

Since I have done a prenatal checkup, there must be a medical record.

About ten minutes later, He Lili's mother arrived, the doctors in the obstetrics and gynecology department were all operating, and finally He Jing rushed to the emergency department for consultation.

He Lili's mother is a middle-aged woman dressed plainly, a little thin, with dark circles under her eyes.

When she entered the observation room, He Lili's mother looked a little uncomfortable, glanced at He Lili and looked away.

"Doctor, how is my daughter?" asked He Lili's mother worriedly.

He Jing also finished the examination, went to Zhou Yuan's side, and said, "I have also ruled out liver cirrhosis, and the result may be similar to what you predicted..."

Zhou Yuan nodded, looked at He Lili's medical records, and said with some seriousness: "Our preliminary judgment is that it should be a tumor..."

"Tumor?!"

He Lili's mother and daughter couldn't believe it.

"Will it affect my baby?!" He Lili was about to sit up, but the sharp pain in her abdomen made her lie back.

He Lili's mother glanced at He Lili reproachfully and said, "Will my daughter be okay! Will the tumor kill my daughter!"

At this time, He Jianyi, Dean Fang, Lu Shao and others walked in.

"Teacher, Dean Fang, Minister Lu. Zhou Yuan glanced at it and greeted.

Lu Shaoduo glanced at Zhou Yuan a few times.

Call the teacher first, and then call the dean on your side, you are very good at being a person.

He Jianyi walked up and asked, "What's the patient's condition?"

Zhou Yuandao: "The initial suspicion is liver cirrhosis, but I have done palpation and inspection, and found that it does not meet the characteristics of liver cirrhosis, so it is suspected that it may be abdominal pain, vomiting, dyspnea, etc. caused by tumors, and CT scans are needed to further confirm the symptoms." "

He Jian nodded.

"Doctor, is my daughter in danger?" asked He Lili's mother anxiously.

Although Zhou Yuan was a little reluctant to speak, he still told truthfully: "This should be judged according to the nature of the tumor. If it is a malignant tumor, the risk is significant. But...... Because your daughter is pregnant, and she is close to nine months after giving birth, and it is time to give birth, so..."

Zhou Yuan paused and looked at He Lili's mother's eyes: "So, no matter what the nature is, there are risks associated with surgery." "

This is still Zhou Yuan's conservative estimate.

When a nine-month-old woman suddenly appears in her abdomen, her blood pressure will become very unstable, it will be difficult to maintain, and she may breathe and stop beating at every turn.

Moreover, the nine-month-old fetus has basically fully developed, which is equivalent to He Lili's body energy being distributed to two people, which is even more dangerous...

"What about my baby!!, will my baby be in danger!" He Lili turned pale with fright.

Zhou Yuan was silent for a moment.

Both mothers are at risk, but is the child likely to be safe?

Zhou Yuan did not answer He Lili's question, and said: "Go to CT first, and after doing CT, we can judge according to the results." "

"Will CT have an effect on the baby? Will there be radiation?" He Lili looked a little resistant.

Zhou Yuan glanced at He Lili and said, "When I did the examination, the dose used in X-ray fluoroscopy and photography was very small, and it was within the safe range. For example, the X-ray dose taken by the human body is equivalent to the amount taken by watching TV for 1 hour, and the dose of chest X-ray is equivalent to 1.5 times that of the X-ray. "

"Do you think having a CT scan will affect your baby?"

He Lili shook her head.

During pregnancy, in addition to basic activities, she often lay in bed watching TV and scrolling on her mobile phone.

"Then I'm relieved. He Lili smiled reluctantly.

Soon, Lin Wen pushed He Lili to the imaging department.

More than half an hour later, the inspection was over, and the film was quickly delivered to Zhou Yuan and He Jing.

Seeing the film, Zhou Yuan's face became serious: "Tumor... The diameter is about twenty centimeters!"

He Jing, He Jianyi and the others also immediately became serious.

A 20-centimeter tumor in a normal person's body is very dangerous, not to mention that He Lili is still a pregnant woman!

"Zhou Yuan, your judgment?" He Jianyi asked.

"It's hard to judge. The results of the CT film are not detailed, and can only roughly determine the size and location of the tumor, in the abdomen, it may be a gastrointestinal tumor, or it may be a uterine fibroid, or even... It may be related to the ovaries, it is a tumor produced by ovarian cysts!"

There are many abdominal tumors, and Zhou Yuan listed only the most common ones.

He Jian nodded. "Let's go for a stool routine and occult blood first. "

The patient was received by Zhou Yuan, and the corresponding examination list was of course prescribed by Zhou Yuan.

Zhou Yuan prescribed a stool routine and occult blood, and explained it.

Gastrointestinal tumors have a distinct feature of positive fecal occult blood.

The so-called fecal occult blood refers to a small amount of bleeding in the digestive tract, red blood cells are destroyed by digestion, there is no abnormal change in the appearance of the stool, and the fecal bleeding cannot be confirmed by the naked eye or microscope.

To put it bluntly, there is bleeding in the stool, but this bleeding can only be detected by chemicals and cannot be directly observed with the eyes.

For example, the use of o-toluidine, pilami holes and other substances.

There is a kind of ferrous heme in blood cells, which has a peroxidase-like effect, has weak peroxidase activity, can catalyze hydrogen peroxide, release new ecological oxygen, and oxidize colorless receptors into color-developing substances. This is the principle of o-toluidine and pilami hole detection.

If there is a chromogenic reaction in the stool, then the presence of occult fecal bleeding is confirmed, and the fecal occult blood is positive.

"Do you have a history of dysentery, rectal polyps, hemorrhoids, etc., or is there anything uncomfortable with you?"

When He Lili sent the stool for testing, Zhou Yuan asked again.

Not only gastrointestinal tumors can destroy red blood cells, hemorrhoids and bleeding can also cause fecal occult blood positive, so it is necessary to do adequate work.

He Lili shook her head: "No, I have always been in good health, and I have never had hemorrhoids." "

Hearing the last sentence, Zhou Yuan was actually a little disappointed.

Just one hemorrhoid patient is missing, and Zhou Yuan can complete ten cases of hemorrhoid surgery.

According to the difficulty of hemorrhoid surgery, Zhou Yuan can get an intermediate treasure chest no matter how bad he is.

"Zhou Yuan, the results of the inspection are out!"

Lin Wen hurriedly ran over. _

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