Start From Emergency Doctor

Chapter 209

He Lili immediately tightened her heart and said, “Doctor, is my illness serious? Will it affect my child!”

Zhou Yuan shook his head and said: “It’s not a serious problem. You are alone or a pregnant woman. You need someone to accompany you. You will need to be checked later. You can’t complete it without someone helping you.”

He Lili hesitated for a while, then said: “Okay, I’ll call my mother…”

Zhou Yuan was stunned for a moment.

Isn’t this time~ Should I call my husband…

However, he didn’t say much, as long as there are family members-it’s fine.

“Let your mother bring your previous medical history. We need to look at the previous medical history.” Zhou Yuan reminded.

Since the birth checkup has been done, there must be medical records.

About ten minutes later, He Lili’s mother rushed over. The major doctors in the obstetrics and gynecology department were all performing operations. Finally, He Jing rushed to the emergency department for consultation.

He Lili’s mother is a middle-aged woman in plain clothes, a little thin, with dark circles in her eyes.

When she entered the observation room, He Lili’s mother looked a little uncomfortable. She looked at He Lili and then looked away.

“Doctor, how is my daughter?” He Lili’s mother asked worriedly.

He Jing also finished the examination and went to Zhou Yuan and said, “I also ruled out liver cirrhosis. The result may be similar to what you predicted…”

Zhou Yuan nodded, looked at He Lili’s medical records, and said seriously: “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 severe pain in her abdomen made her lie back.

He Lili’s mother gave He Lili a reproach 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 took a look and said hello.

Lu Shaoduo glanced at Zhou Yuan.

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

He Jianyi came up and asked, “What is the patient’s situation?”

Zhou Yuan said: “It is initially suspected to be liver cirrhosis, but I have undergone palpation and inspection and found that it does not meet the characteristics of liver cirrhosis. Therefore, it is suspected that it may be abdominal pain, vomiting, dyspnea, etc., caused by the tumor, and further CT is needed. Confirm the illness.”

He Jian nodded.

“Doctor, will my daughter be in danger?” He Lili’s mother asked anxiously.(Read more @ wuxiax.com)

Although Zhou Yuan couldn’t bear to speak up, he still truthfully told: “This depends on the nature of the tumor. If it is a malignant tumor, the risk is very high. But… because your daughter is a pregnant woman, and her delivery is close to nine months. , It’s the labor period, so…”

Zhou Yuan paused, looked into He Lili’s mother’s eyes, and said, “So, no matter what the nature, there are risks of surgery.”

This is still Zhou Yuan’s conservative estimate.

In a nine-month pregnant woman, a tumor suddenly appears in the abdomen, blood pressure becomes very unstable and difficult to maintain, and it may stop breathing and heartbeat if she is not moving.

Moreover, the nine-month-old fetus is basically fully developed, which is equivalent to sharing the body energy of He Lili between two people. This situation is even more dangerous…

“Then my baby! Will my baby be in danger!” He Lili paled with fright.

Zhou Yuan was silent for a moment.

Mothers are in danger, is it possible for children to be safe?

Zhou Yuan didn’t answer He Lili’s question, saying: “We will do CT first, and then we can judge based on the results after CT.”

“Will CT affect the baby? Will there be radiation?” He Lili seemed a little reluctant.

Zhou Yuan glanced at He Lili and said: “During the examination, the doses used for X-ray fluoroscopy and photography are very small and within the safe range. Let me give you an analogy, taking a film at a time, the X-rays taken by the human body The dose is equivalent to the amount taken for 1 hour of watching TV, and the dose of a chest X-ray is equivalent to the times of the film.

“Do you think CT will affect the baby?”

He Lili shook her head.

In addition to basic activities during pregnancy, she spent most of the time lying in bed watching TV and swiping her mobile phone.

“Then I can rest assured.” He Lili smiled reluctantly.

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

After more than half an hour, 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: “The tumor…the diameter is about 20 centimeters!”

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

A 20 cm tumor in a normal human body is very dangerous, let alone He Lili is a pregnant woman! Eight months pregnant!

·········Ask for flowers···········

“Zhou Yuan, your judgment?” He Jianyi asked.

“It’s difficult to judge. The results of CT scans are not detailed. It can only roughly determine the size and location of the tumor. If it is in the abdomen, it may be a gastrointestinal tumor, uterine fibroids, or even… It’s related, it’s a tumor from an ovarian cyst!”

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

He Jian nodded. “Let’s do a stool routine and occult blood first.”

The patient was picked up by Zhou Yuan, and the corresponding checklist was of course issued by Zhou Yuan.

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

Gastrointestinal tumors have a very obvious feature, that is, stool occult blood is positive.

……… … 0

The so-called fecal occult blood refers to a small amount of bleeding in the digestive tract, red blood cells are digested and destroyed, no abnormal changes in the appearance of the stool, and stool bleeding that cannot be confirmed by the naked eye or under a 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, pirami hole and other substances.

There is a kind of heme in blood cells, which is similar to peroxidase, 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 pirami hole detection.

If there is a color reaction in the stool, then it is confirmed that there is occult bleeding in the stool, and it is positive for stool occult blood.

“Is there a history of dysentery, rectal polyps, hemorrhoids, etc., or is there anything uncomfortable?”

When He Lili’s stool was sent for testing, Zhou Yuan asked again.

Not only gastrointestinal tumors can destroy red blood cells, hemorrhoids bleeding, etc., can also lead to positive fecal occult blood reactions, and sufficient work must be done.

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 a little disappointed.

Just one hemorrhoid patient, Zhou Yuan can complete ten hemorrhoid operations.

According to the difficulty of hemorrhoid surgery, Zhou Yuan can get an intermediate treasure box no matter how hard it is.

“Zhou Yuan, the check result is out!”

Lin Wen ran over in a hurry. A.