Start From Emergency Doctor

Seeing Zhou Yuan watching the film, Banaro quickly explained, “This patient was originally in the obstetrics department. It is said that he was preparing for pregnancy recently, but suddenly had abdominal pain, so he had an examination in the obstetrics department by the way.”

Zhou Yuan frowned: "It's abdominal pain again? Have you found out the cause?"

"I found it out, so I sent it to the surgery for further examination. The result is in your hands."

Zhou Yuan frowned.

Zhou Yuan was a little breathless when he saw the film.

As Barnaro said, shocking.

It was really shocking.

In other words, it is horror.

This is a CT film of the spleen, which is different from the normal spleen. The spleen on this film is full of small bumps.

The small bumps are so dense that the entire spleen is white.

In the CT imaging film, black represents hollow, and completely solid is white.

The patient's spleen is completely white, which means that her spleen is already a solid big lump. Another concept that is easier to understand is that her spleen is now similar to a sealed brick.

"Painful spleen? Does the patient have a history of splenic disease, or is the spleen calcified?" Zhou Yuan asked.

Only a CT film, there is very little information that can be seen, and Zhou Yuan can only make guesses.

"Teacher, you guessed it, it's calcification."

Zhou Yuan thought about it.

Calcification?

What is calcified?

"Have a previous medical history?"

"No, the patient has always been healthy and has not had any serious illnesses."

Zhou Yuan hesitated.

If there is no serious illness, it means that the patients should be healthy before this, otherwise they will not only find out that the spleen has a problem now.

How could a good spleen become like this?

Zhou Yuan became interested and stood up: "Are you still on the surgical side?"

"Yes, waiting for you over there, teacher, are you going to see it now?"

"Go and see what's going on."

Banaro walked ahead and continued to add patient information, saying: "The patient is a 24-year-old woman named Zhang He. In addition to abdominal pain, she also has mild nausea and vomiting, and occasionally dizziness, but it is not obvious."

Soon, Zhou Yuan and Banaro went to the surgery.

It was already off work by this time, but there were still several doctors who were in charge of staying behind. One of them was in charge of the patient named Zhang He.

Seeing Zhou Yuan's arrival, the surgeon's face was overjoyed, and he quickly stood up, with a somewhat respectful tone: "Doctor Zhou, you are here!"(Read more @ hotmtlnovel.xyz)

Zhou Yuan also greeted him and looked at the patient lying on the observation bed in the consulting room.

Exquisite dress and outstanding temperament are Zhou Yuan's first impression.

"This is Doctor Zhou Yuan Zhou from our hospital." The surgeon introduced.

"This is the patient we have just admitted. The film is already in your hands. We can't judge." The surgeon looked at Zhou Yuan again.

Zhou Yuan walked to the bed, "Zhang He?"

"Yes...Doctor, what's wrong with me?" Zhang He looked a little bit pained, clutching his stomach.

Zhou Yuan shook his head: "I will do a few checks for you first."

Zhang He's situation is different from Xiong Xinru.

She has finished filming, and basically can rule out the pain caused by pregnancy.

Moreover, Zhang He has a big problem with his spleen. It can be roughly determined that the main cause of abdominal pain comes from spleen lesions.

It's just... what kind of disease is it that can make the soft spleen all calcify and become as hard as a brick?

After the examination, Zhang He's abdomen was stiff, his muscles were unconsciously tight, no compression pain, no rebound pain, acute appendicitis, pancreatitis and other gastrointestinal diseases can be ruled out.

Zhou Yuan was able to determine that the problem was in the spleen.

It may be an infection of the spleen, or it may be a tumor of the spleen.

However, the inspection process just now ruled out infections and tumors. Similarly, CT scans did not look like spleen necrosis. What is going on?

"The indications for surgery are obvious." Zhou Yuan looked back at the surgeon.

The surgeon nodded immediately and said: "Yes, ordinary examinations cannot be judged, surgery must be performed."

Zhou Yuan looked at Zhang He again and said, "I suggest you perform the operation as soon as possible. At present, the condition of the spleen cannot be judged. You must open the abdomen to explore. Moreover, your spleen is very severely affected. No matter what, surgery must be performed to remove the spleen."

In other words, the doctors can't judge what happened to Zhang He's spleen now, they can only judge and deal with it during the operation.

This is currently the only way.

Of course, there is another dangerous plan, which is to open a small opening to take a slice of the spleen for physical and chemical analysis to determine the condition of the spleen, and then perform an operation.

However, this scheme requires two surgeries, and it is definitely not as good as insurance for all inspections and treatments at once.

Zhang He's face turned pale, "Does surgery have to be?"

Zhou Yuan nodded, "Your spleen has been completely calcified. For example, the spleen that originally looked like soft tofu has now become frozen tofu. Without surgical removal, it will definitely be life-threatening."

The surgeon said: "Contact your family quickly and ask them to come over and sign."

Zhang He's voice was very small, "I see..."

Zhou Yuan got up and threw the disposable medical gloves into the trash can. "I'll do the surgery. Arrange it early. I have more surgery in the afternoon. Is it time for one o'clock?"

The surgeon looked surprised: "I haven't gotten to work yet at one o'clock. Are you coming for the operation?"

Zhou Yuan nodded.

The surgeon jumped up and said, "Of course! I'll call everyone here... Doctor Zhou, can we see your operation?"

Zhou Yuan did not refuse.

Surgery is also a part of Yanjing Traditional Chinese Medicine. It is also helpful for them to have a look at their operations.

Spleenectomy is not a difficult operation, Zhou Yuan has already mastered it well.

Even if there is an accident during the operation and other operations are required, Zhou Yuan still has enough intermediate treasure chests that can be exchanged for a master-level operation bag at any time.

After lunch.

Banaro also put on the surgical gown, ready to go on stage with Zhou Yuan.

"Teacher, I'm ready!"

Zhou Yuan nodded and led Banaro into the operating room.

In the operating room, everyone had already waited.

In addition to the people who were preparing to assist Zhou Yuan's operation next to the operating table, there were five surgeons standing nearby waiting eagerly.

"Doctor Zhou, you are here!" The previous surgeon came over immediately.

Because he is the doctor in charge of Zhang He, this time he mixed up with an assistant to directly assist Zhou Yuan.

Besides Zhou Yuan, he is also the best in the field.

Banaro is the second assistant.

Spleenectomy is not considered a major operation and does not require too many assistants. Two are enough.

"Doctor Zhou, the anesthesia is complete." The anesthesiologist reported.

Zhou Yuan picked up the scalpel, and the sharp scalpel fell with the sound of the beginning of the operation, cutting through the skin skillfully. .

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