Start as an Emergency Physician

Zhou Yuan looked at the examination results.

Fecal occult blood negative...

This largely excludes the possibility of gastrointestinal tract tumor ~ tumor.

Then, it means that this is a swelling ~ tumor in the sub~uterus, egg~nest part of the greater risk.

In this way, not only He Lili will be affected, but the child will also be compressed by the swollen ~ tumor...

He Jianyi and others also came, and when they saw the results, their faces were also a little serious.

"Teacher, I mind asking the doctor on the other side of the gynecological swollen ~ tumor to come to the consultation and discuss how to deal with it. Zhou Yuandao.

Swollen ~ tumor emergency can be done, but pregnant women with swollen ~ tumor must be more professional on the gynecological side of swollen ~ tumor.

Zhou Yuan has three intermediate-level treasure chests in his hands, and he really can't exchange them for a master-level swelling ~ tumor resection.

Of course, swelling ~ tumor resection belongs to a large category of surgery, which includes sub ~ uterine fibroid tumor ~ tumor resection, gastrointestinal swelling ~ tumor resection, etc., Zhou Yuan cannot directly exchange a large type of surgery.

He Jianyi glanced at Dean Fang and Lu Shao next to him.

Dean Fang nodded and said, "Let the gynecology swollen ~ tumor come over for consultation." By the way, the doctors from the swelling ~ tumor department also called, they often deal with the swelling ~ tumors, and it is more certain to consult together. "

Lu Shao was a little disappointed.

How...... Can't Zhou Yuan handle it?

Can't see Zhou Yuan having surgery?

Dean Fang noticed Lu Shao's expression, coughed, and said, "Minister Lu, Zhou Yuan is just a little doctor, and he is not omnipotent..."

People have done finger replantation and double lung transplantation, which one is not incredible to me, the dean?

Thinking of this, Dean Fang looked at Zhou Yuan: "Zhou Yuan, to tell you the truth, will you cut the swollen~ tumor?"

Zhou Yuan stared at Dean Fang and Lu Shao.

These two, one is the dean and the other is the minister of education, both are superiors!

Or a very awesome superior!

If the pit is used as an assistant, it will be two high-level treasure chests!

Zhou Yuan was a little hearty~ itchy, and said: "I still have to see what kind of swelling ~ tumor..."

Lu Shao and Dean Fang's eyes lit up at the same time.

"What are you still doing in a daze, go and call all the people from the gynecology department swollen ~ tumor and swollen ~ tumor department!" Dean Fang said eagerly.

In ten minutes, a deputy director was sent from the gynecology department ~ tumor, and a director from the swelling ~ tumor department came.

The director of the gynecology department ~ tumor is preparing to go abroad recently, so he doesn't have time for surgery.

It's also a shame that Dean Fang and the Minister of Education are there, otherwise the general consultation would be an attending physician.

Zhou Yuan looked at the deputy director of the gynecology department in the conference room and sighed.

"It's floating, I'm a resident and can't look down on the attending physician and deputy chief physician..."

"Now that everyone is here, let's start the meeting. Dean Fang glanced at it.

Zhou Yuan frowned and raised his hand.

"Zhou Yuan, what do you have" Dean Fang looked over.

"Dean Fang, I think it's better to let He Lili participate in the discussion. "

"Let He Lili participate? Why?" Dean Fang was stunned.

Zhou Yuan has his own plans.

In recent years, medical technology has also developed rapidly due to the development of science and technology. However, people's expectations for medicine are too high, and medical technology is far from developing as fast as everyone thinks.

Therefore, once there is a problem in the hospital operation, the patient's family or the patient who is still alive is likely to find it difficult to accept, so there are more and more doctor-patient disputes of all sizes, and even turn into medical troubles.

As a result, doctors are becoming less and less courageous, hospitals are becoming less and less courageous, and many hospitals are reluctant to perform high-risk surgeries.

Although Zhou Yuan has confidence in Yenching International Hospital, but... When faced with imaging films, the result of the discussion is whether to have surgery or not, and all we see is how high the risk is and how high the success rate of surgery is.

And when He Lili comes to the scene of the seminar, everyone will see a living person who knows that it is a young pregnant woman who is operating.

These two discussions are completely different. One is facing a cold film, and the other is facing a hot person.

Dean Fang also seemed to have guessed the reason why Zhou Yuan did this, and nodded: "Let He Lili and her mother come with you." "

When the little nurse went to call He Lili and He Lili's mother, Dean Fang and the others discussed it first.

"Zhou Yuan, what diagnosis did you make after?" asked the deputy director of the gynecology department of tumor ~ tumor.

Zhou Yuandao: "The results of the examination we did have basically ruled out liver cirrhosis and gastrointestinal tract tumor ~ tumor, and now the most important thing to consider is sub ~ uterine fibroids and egg ~ nest cysts." So I had He Lili do an ultrasound and an MRI. "

Ultrasonography is by far the most commonly used adjunct diagnostic method. It can show the enlargement of the sub~uterus, the irregular shape, the number, location, size of fibroids, and whether the fibroids are uniform or liquefied, cystic, etc.

Moreover, ultrasound is helpful in the diagnosis of sub~uterine fibroids, and provides a reference for distinguishing whether fibroids are degenerated, and also helps to distinguish them from oval ~ nest tumors ~ tumors or other pelvic ~ cavity masses.

An ultrasound can illuminate the problems of the sub-uterus and the egg ~ nest.

Magnetic resonance examination, on the other hand, is after ultrasonography, and if it is confirmed that it is a tumor ~ tumor in the sub ~ uterus ~ , an MRI examination is also required.

In general, magnetic resonance imaging is not done after ultrasound.

However, Zhou Yuan suspected that it was a swollen ~ tumor of the sub~uterus.

If a differential diagnosis of sub~uterine fibroids or sub~uterine sarcomas is required, magnetic resonance studies, especially those with contrast-enhanced delayed imaging, can help distinguish sub~uterine fibroids from sub~uterine sarcomas.

Gynecology swollen ~ The deputy director of the tumor frowned.

It's all radioactive checks...

However, it can't be helped. This is a fatal time, and the checks that should be done must be done.

"Why not do a diagnostic curettage ~ uterus? or hysteroscopy. The deputy director of the gynecology department asked.

Zhou Yuan said with some concern: "The patient's swelling ~ tumor is too big, twenty centimeters, I am worried that the swelling ~ tumor will be palpated by scraping ~ uterus." So I tried to avoid interventional tests. "

"Hmm... You have a point, too. "Gynecology Tumor ~ Deputy Director nodded.

Everyone's concerns are different.

Gynecological swelling ~ tumors are in contact with the mother and fetus all year round, so they may consider more to ensure the safety of the fetus.

Zhou Yuan, who came from the emergency department, pays more attention to holding the lives of patients.

Therefore, the type of inspection used will also vary.

"No matter where the swelling ~ tumor is, one thing is certain, without surgery, He Lili has only one way to die..."

"I also agree that if you don't have surgery, you die. Surgery must be performed!" The deputy director of the gynecology department ~ tumor also had a serious expression and said.

Zhou Yuan was a little surprised.

Everyone at Yenching International Hospital was braver than Zhou Yuan imagined.

The seminar did not think about doctor-patient disputes and other issues at all, but simply considered the lives of patients, and before He Lili came, everyone had already determined the final answer of the seminar:

Gotta have surgery!_

Feilu reminds you: there are three things to read - collection, recommendation, and points