This doctor is not short of money
Chapter 384 Stillbirth
Chapter 384 Stillbirth
Seeing that Yu Haiting didn't have an idea, Du Heng did it himself.
But after a round of examination, compared with the situation before taking the medicine today, there is no other difference except that the pulse is slightly stronger.
The dark brown dirty blood that flowed out from the lower body was clearly seen through the toilet paper that the nurse kept wiping and replacing.
The amount was not much, but it continued to come out, and as more toilet paper was wiped, a foul smell began to slowly permeate around the hospital bed.
It was inconvenient for the three of them to discuss their condition in the ward, but they returned directly to the office, leaving a busy space for the nurses.
When they arrived at the consultation room, before the three of them could sit down, Yu Haiting asked Du Heng first, "Dean, I remember that Zhu Minyan also drained pus and blood at that time, shouldn't this be normal?"
Du Heng shook his head resolutely, "It's not normal, it's different from Zhu Minyan. It's normal to discharge pus and blood, but it's abnormal if it keeps flowing like this, and the blood that flows out is pure black brown, and there are evil The smell is even more abnormal."
After saying this, Du Heng turned his head and asked Wu Buwei, "You just said that when Liu Amei went to the toilet, she directly discharged a large amount of black blood clots, didn't you?"
Wu Buwei nodded, "After the nurse finished speaking, I went in and took a look myself, and it was full of dark brown blood clots the size of my thumb, and there were a lot of them."
Du Heng let out a sigh of relief, "This is even more wrong, and the treatment process is completely different from what I expected. Even if it is ovarian cancer, it is impossible for so much dirty blood to be discharged."
After Du Heng finished speaking, Yu Haiting and Wu Buwei also fell silent and began to think about this issue.
After a few seconds, Yu Haiting said softly, "I have done various inspections before, but nothing unusual was found." After speaking, he looked at Du Heng, "Dean, otherwise we will send Liu Amei to the first hospital of the city. Do a hysteroscopy and check it carefully?"
Du Heng was a little moved.
Although he is confident in treating Liu Amei's illness, he doesn't know what's going on with the current situation, so he doesn't dare to be careless.
He was able to diagnose the presence of dirty blood in Liu Amei's body, and the discharge of the dirty blood is also a necessary process, but now it is obvious that something is wrong, the amount is heavy, and the bleeding continues.
Just when Du Heng was about to speak, Wu Buwei suddenly said hesitantly, "Brother, I remember that Liu Amei thought she was pregnant at first, and then her condition became serious, so is it possible that she was pregnant at that time?" Is she really pregnant? Also, during this period of illness, has her menstruation ever come?"
In a word, a flash of lightning flashed across Du Heng's mind immediately, blasting a hole in his bewildered brain.
You know, he is not only specialized in internal medicine and surgery, but the second specialization he got is women and children specialization.
Gynecology is also his forte.
It's just that I framed myself in the category of tumors just now, ignoring the problem that Liu Amei is still a woman.
When Wu Buwei said this, he immediately had a judgment in his mind, but he still asked Wu Buwei, "Buwei, tell me what you think."
Wu Buwei swallowed his saliva, he was guessing, but when Du Heng stared at him and asked, he immediately became nervous, "This is my guess, is there a possibility that Liu Amei was really pregnant at that time?" gone."
Hearing what Wu Buwei said, Yu Haiting's face almost turned into a chrysanthemum. After thinking about it for a long time, he couldn't figure out what Wu Buwei wanted to express.
"Xiao Wu, if you say so, what about the child? Liu Amei's medical records clearly stated that she went to the hospital for an examination when she was almost ten months pregnant, but at that time, there was a Nothing. Can the child still disappear?"
Yu Haiting shook his head, Wu Buwei's words were clearly illogical.
Du Heng didn't speak, but looked at Wu Buwei with encouraging eyes, encouraging him to express his thoughts.
At this moment, Du Heng himself had roughly figured out the causal relationship. He looked at Wu Buwei with encouraging eyes and encouraged him to express his thoughts.
Comparing Wu Buwei's performance at this time with Han Yujian's performance before, there is a huge difference, which gave him a little comfort in his heart.
Seeing Du Heng's encouraging eyes, Wu Buwei stabilized his mood, and after quickly going through his speculation in his mind again, he looked at Yu Haiting and said, "President Yu, Liu Amei is pregnant, but the fetus in her stomach If you haven’t grown up, can this question make sense?”
Yu Haiting was still confused, "What does it mean not to grow up? Miscarriage? That shouldn't be the case. If there is a miscarriage, it is impossible for the pregnant woman not to know, and even if it is a miscarriage, it is impossible to become like this."
Wu Buwei shook his head, "I'm not talking about abortion."
"what is that?"
"Aborted."
Yu Haiting was stunned for a moment, and then immediately refuted Wu Buwei, "Impossible, if it is a stillborn baby, if it is a month old, the inspection can find it out, if it is more than five months old, if it is kept in the stomach for such a long time, pregnant women It is impossible to be alive; if it is a small month, the pregnant woman will pass it out naturally."
Wu Buwei immediately said, "What if it's about two or three months, and the pregnant woman can't pass it by herself?"
"Ah~~~~"
Yu Haiting was confused again, yes, what if the stillbirth was not discharged in time?
Du Heng was very happy.
First, Liu Amei has no major problems. He has already found out the reason. He just needs to drink some medicine at noon and observe again, and the situation will become clear.
Second, Wu Buwei's performance is very good.
At this time, he directly picked up the words of the two of them, "Under normal circumstances, pregnant women can indeed pass out naturally after a stillborn baby in Xiaoyue, but there are also some special circumstances, such as the current Liu Amei, who may be injured. Due to the impact of ovarian cancer, the stillbirth was not discharged in time."
Although Yu Haiting felt that what the two of them said was reasonable, there were still some things that he didn't understand clearly, "But under normal circumstances, if the stillbirth is in the womb for more than four weeks, the decomposed placenta and the thromboplastin released by the amniotic fluid will be It will enter into the blood of pregnant women, causing blood coagulation or liver damage in pregnant women. But now Liu Amei does not seem to have these conditions?"
Du Heng tapped the table unconsciously with his right hand, "Yes, you may not have read Amei Liu's checklist carefully, and there are such checkup results in several checkups done in the capital.
When I first saw it, I always thought that Liu Amei’s liver function was damaged due to the impact of ovarian cancer. Now that I think about it, it’s not ovarian cancer, but stillbirth. "
Yu Haiting was still puzzled, "But if it's really a stillbirth, then Liu Amei's menstruation will definitely return to normal, whether it's two months or three months, it will happen anyway, doesn't she know?"
Du Heng knocked on the table, "The crux of all the problems is here. Liu Amei said before that she never had menstruation at all. It is the normal reaction of this normal woman that makes Liu Amei miss the early treatment. opportunity.
The enlargement of the ovarian cancer and the increase of ascites made her mistakenly think that she was a normal pregnancy. "
Yu Haiting's question was solved, and the guess and explanation of Du Heng and Wu Buwei made sense.
But how to confirm?
This is the most fundamental problem.
"Dean, now let's confirm whether the bleeding is caused by this reason?"
"The instrument can't be removed, continue to monitor Liu Amei's vital signs, and the black dirty blood flowing out now is not fresh red blood, so we don't need to worry too much.
If it is the old blood congestion in the uterine cavity, it must not be too much. Drink another dose of medicine at noon, and it should be able to drain away. "
When Du Heng made a decision, Wu Buwei immediately carried it out.
After drinking the medicine, although Liu Amei's lower body continued to bleed out, and even after taking the medicine at noon, the same situation as in the morning appeared again, but Liu Amei's physical signs were stable.
Moreover, after the second mass discharge, the uncontrollable discharge from the lower body became much better, and it can be said that it basically disappeared.
Near the end of get off work, the first snow since the beginning of winter in Jinzhou finally fell heavily.
On the ground, on the roof, as long as the eyes can see, it is all white.
The dry air finally became cooler.Taking a deep breath, the cold air passed through his throat, making people feel the coldness in both lungs.
Because of Du Xueting's presence, Du Heng wanted to go back early today, otherwise the road back to the mountain at night would be difficult.
But before leaving, he had to visit Liu Amei again.
In the ward, only a new nurse stayed with Liu Amei, and the work of wiping her lower body in the morning finally stopped.
Du Heng glanced at the monitor that was beating steadily, and then at Liu Amei, who had a slightly rosy face, and the big stone in his heart was completely let go.
"Liu Amei, how do you feel?"
"Doctor Du." Liu Amei wanted to do it, but Du Heng stretched out her hand to stop her, "It's very easy. The lower abdomen has always been heavy, and it always feels like a big rock is hanging down. Now it's much better, and the whole lower abdomen is much lighter. .”
"That's good, tell our doctor if you feel any discomfort, or tell our nurse."
Liu Amei gave a heavy 'um', her eyes full of gratitude.
"have a good rest."
After Du Heng finished speaking, he turned his head and looked at the nurse next to him, "How is Amei Liu doing now? Is there any more dirty blood flowing out?"
The nurse is new here, and I feel a little embarrassed to hear Du Heng ask such a question.
The little head lowered, and said in a low voice, "Also, but the amount is not large, it just oozes out a little from time to time. And the blood that oozes out is not as dark as it was in the morning, it has already started to fade."
"You will take care of Liu Amei tonight?"
"Well, I am in the daytime today, until eight o'clock tomorrow morning."
"Thanks for your hard work."
"It's not hard."
The little girl is very interesting.
After Du Heng finished speaking, he stopped staying, called Du Xueting and hurried home.
(End of this chapter)
Seeing that Yu Haiting didn't have an idea, Du Heng did it himself.
But after a round of examination, compared with the situation before taking the medicine today, there is no other difference except that the pulse is slightly stronger.
The dark brown dirty blood that flowed out from the lower body was clearly seen through the toilet paper that the nurse kept wiping and replacing.
The amount was not much, but it continued to come out, and as more toilet paper was wiped, a foul smell began to slowly permeate around the hospital bed.
It was inconvenient for the three of them to discuss their condition in the ward, but they returned directly to the office, leaving a busy space for the nurses.
When they arrived at the consultation room, before the three of them could sit down, Yu Haiting asked Du Heng first, "Dean, I remember that Zhu Minyan also drained pus and blood at that time, shouldn't this be normal?"
Du Heng shook his head resolutely, "It's not normal, it's different from Zhu Minyan. It's normal to discharge pus and blood, but it's abnormal if it keeps flowing like this, and the blood that flows out is pure black brown, and there are evil The smell is even more abnormal."
After saying this, Du Heng turned his head and asked Wu Buwei, "You just said that when Liu Amei went to the toilet, she directly discharged a large amount of black blood clots, didn't you?"
Wu Buwei nodded, "After the nurse finished speaking, I went in and took a look myself, and it was full of dark brown blood clots the size of my thumb, and there were a lot of them."
Du Heng let out a sigh of relief, "This is even more wrong, and the treatment process is completely different from what I expected. Even if it is ovarian cancer, it is impossible for so much dirty blood to be discharged."
After Du Heng finished speaking, Yu Haiting and Wu Buwei also fell silent and began to think about this issue.
After a few seconds, Yu Haiting said softly, "I have done various inspections before, but nothing unusual was found." After speaking, he looked at Du Heng, "Dean, otherwise we will send Liu Amei to the first hospital of the city. Do a hysteroscopy and check it carefully?"
Du Heng was a little moved.
Although he is confident in treating Liu Amei's illness, he doesn't know what's going on with the current situation, so he doesn't dare to be careless.
He was able to diagnose the presence of dirty blood in Liu Amei's body, and the discharge of the dirty blood is also a necessary process, but now it is obvious that something is wrong, the amount is heavy, and the bleeding continues.
Just when Du Heng was about to speak, Wu Buwei suddenly said hesitantly, "Brother, I remember that Liu Amei thought she was pregnant at first, and then her condition became serious, so is it possible that she was pregnant at that time?" Is she really pregnant? Also, during this period of illness, has her menstruation ever come?"
In a word, a flash of lightning flashed across Du Heng's mind immediately, blasting a hole in his bewildered brain.
You know, he is not only specialized in internal medicine and surgery, but the second specialization he got is women and children specialization.
Gynecology is also his forte.
It's just that I framed myself in the category of tumors just now, ignoring the problem that Liu Amei is still a woman.
When Wu Buwei said this, he immediately had a judgment in his mind, but he still asked Wu Buwei, "Buwei, tell me what you think."
Wu Buwei swallowed his saliva, he was guessing, but when Du Heng stared at him and asked, he immediately became nervous, "This is my guess, is there a possibility that Liu Amei was really pregnant at that time?" gone."
Hearing what Wu Buwei said, Yu Haiting's face almost turned into a chrysanthemum. After thinking about it for a long time, he couldn't figure out what Wu Buwei wanted to express.
"Xiao Wu, if you say so, what about the child? Liu Amei's medical records clearly stated that she went to the hospital for an examination when she was almost ten months pregnant, but at that time, there was a Nothing. Can the child still disappear?"
Yu Haiting shook his head, Wu Buwei's words were clearly illogical.
Du Heng didn't speak, but looked at Wu Buwei with encouraging eyes, encouraging him to express his thoughts.
At this moment, Du Heng himself had roughly figured out the causal relationship. He looked at Wu Buwei with encouraging eyes and encouraged him to express his thoughts.
Comparing Wu Buwei's performance at this time with Han Yujian's performance before, there is a huge difference, which gave him a little comfort in his heart.
Seeing Du Heng's encouraging eyes, Wu Buwei stabilized his mood, and after quickly going through his speculation in his mind again, he looked at Yu Haiting and said, "President Yu, Liu Amei is pregnant, but the fetus in her stomach If you haven’t grown up, can this question make sense?”
Yu Haiting was still confused, "What does it mean not to grow up? Miscarriage? That shouldn't be the case. If there is a miscarriage, it is impossible for the pregnant woman not to know, and even if it is a miscarriage, it is impossible to become like this."
Wu Buwei shook his head, "I'm not talking about abortion."
"what is that?"
"Aborted."
Yu Haiting was stunned for a moment, and then immediately refuted Wu Buwei, "Impossible, if it is a stillborn baby, if it is a month old, the inspection can find it out, if it is more than five months old, if it is kept in the stomach for such a long time, pregnant women It is impossible to be alive; if it is a small month, the pregnant woman will pass it out naturally."
Wu Buwei immediately said, "What if it's about two or three months, and the pregnant woman can't pass it by herself?"
"Ah~~~~"
Yu Haiting was confused again, yes, what if the stillbirth was not discharged in time?
Du Heng was very happy.
First, Liu Amei has no major problems. He has already found out the reason. He just needs to drink some medicine at noon and observe again, and the situation will become clear.
Second, Wu Buwei's performance is very good.
At this time, he directly picked up the words of the two of them, "Under normal circumstances, pregnant women can indeed pass out naturally after a stillborn baby in Xiaoyue, but there are also some special circumstances, such as the current Liu Amei, who may be injured. Due to the impact of ovarian cancer, the stillbirth was not discharged in time."
Although Yu Haiting felt that what the two of them said was reasonable, there were still some things that he didn't understand clearly, "But under normal circumstances, if the stillbirth is in the womb for more than four weeks, the decomposed placenta and the thromboplastin released by the amniotic fluid will be It will enter into the blood of pregnant women, causing blood coagulation or liver damage in pregnant women. But now Liu Amei does not seem to have these conditions?"
Du Heng tapped the table unconsciously with his right hand, "Yes, you may not have read Amei Liu's checklist carefully, and there are such checkup results in several checkups done in the capital.
When I first saw it, I always thought that Liu Amei’s liver function was damaged due to the impact of ovarian cancer. Now that I think about it, it’s not ovarian cancer, but stillbirth. "
Yu Haiting was still puzzled, "But if it's really a stillbirth, then Liu Amei's menstruation will definitely return to normal, whether it's two months or three months, it will happen anyway, doesn't she know?"
Du Heng knocked on the table, "The crux of all the problems is here. Liu Amei said before that she never had menstruation at all. It is the normal reaction of this normal woman that makes Liu Amei miss the early treatment. opportunity.
The enlargement of the ovarian cancer and the increase of ascites made her mistakenly think that she was a normal pregnancy. "
Yu Haiting's question was solved, and the guess and explanation of Du Heng and Wu Buwei made sense.
But how to confirm?
This is the most fundamental problem.
"Dean, now let's confirm whether the bleeding is caused by this reason?"
"The instrument can't be removed, continue to monitor Liu Amei's vital signs, and the black dirty blood flowing out now is not fresh red blood, so we don't need to worry too much.
If it is the old blood congestion in the uterine cavity, it must not be too much. Drink another dose of medicine at noon, and it should be able to drain away. "
When Du Heng made a decision, Wu Buwei immediately carried it out.
After drinking the medicine, although Liu Amei's lower body continued to bleed out, and even after taking the medicine at noon, the same situation as in the morning appeared again, but Liu Amei's physical signs were stable.
Moreover, after the second mass discharge, the uncontrollable discharge from the lower body became much better, and it can be said that it basically disappeared.
Near the end of get off work, the first snow since the beginning of winter in Jinzhou finally fell heavily.
On the ground, on the roof, as long as the eyes can see, it is all white.
The dry air finally became cooler.Taking a deep breath, the cold air passed through his throat, making people feel the coldness in both lungs.
Because of Du Xueting's presence, Du Heng wanted to go back early today, otherwise the road back to the mountain at night would be difficult.
But before leaving, he had to visit Liu Amei again.
In the ward, only a new nurse stayed with Liu Amei, and the work of wiping her lower body in the morning finally stopped.
Du Heng glanced at the monitor that was beating steadily, and then at Liu Amei, who had a slightly rosy face, and the big stone in his heart was completely let go.
"Liu Amei, how do you feel?"
"Doctor Du." Liu Amei wanted to do it, but Du Heng stretched out her hand to stop her, "It's very easy. The lower abdomen has always been heavy, and it always feels like a big rock is hanging down. Now it's much better, and the whole lower abdomen is much lighter. .”
"That's good, tell our doctor if you feel any discomfort, or tell our nurse."
Liu Amei gave a heavy 'um', her eyes full of gratitude.
"have a good rest."
After Du Heng finished speaking, he turned his head and looked at the nurse next to him, "How is Amei Liu doing now? Is there any more dirty blood flowing out?"
The nurse is new here, and I feel a little embarrassed to hear Du Heng ask such a question.
The little head lowered, and said in a low voice, "Also, but the amount is not large, it just oozes out a little from time to time. And the blood that oozes out is not as dark as it was in the morning, it has already started to fade."
"You will take care of Liu Amei tonight?"
"Well, I am in the daytime today, until eight o'clock tomorrow morning."
"Thanks for your hard work."
"It's not hard."
The little girl is very interesting.
After Du Heng finished speaking, he stopped staying, called Du Xueting and hurried home.
(End of this chapter)
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