"Don't make trouble." Zheng Ren took out his cell phone and glanced at it, "Zhou Litao's phone number."
"Why are we looking for you if we don't look for the second line this late at night?" Su Yun babbled.
When Su Yun saw the note on his phone, his heart suddenly became dirty again.
"Did you mark someone else as Zhou Litao? You can't hide this little trick from me." Su Yun looked down upon him.
Zheng Ren raised his eyebrows. Su Yun was still in the excitement of hanging out with Professor Zhang, so she should just ignore him.
"Mr. Zhou, what's going on?"
"Oh, it's okay. I just stepped down from the stage."
"Oh? Okay, I'll take a look right now."
After saying that, Zheng Ren hung up the phone. Practical actions showed that Su Yun's speculation was nonsense.
"What's the matter?" Su Yun seemed to have forgotten what he had just said, so he turned around and asked.
"It was said that there was a patient with high hcg, but no gestational sac was seen." Zheng Ren said.
hcg is also called human chorionic gonadotropin.
During pregnancy, hcg enters maternal blood and increases rapidly until the 8th week of pregnancy, then slowly decreases in concentration until the 18th to 20th week, and then remains stable.
Generally, an elevated level of intact human chorionic gonadotropin of at least 2.5 mom is associated with Down syndrome.
But that is also pregnancy, and the presence of blastocysts can be seen in the uterus.
He didn't see anything, but his hcg was very high. Zheng Ren was halfway through his pants and began to think deeply.
"Put your pants on first." Su Yun said, "Show off your perfect figure? Or make fun of Director Lin?"
Ling Ge was speechless. Su Yun wanted to coax people with his mouth, but he could talk about private money in a clear way. If you want to harm others, you are really unscrupulous and have no place to listen.
"I guess the B-ultrasound room has searched around the uterus, ovaries, and appendages." Zheng Ren ignored Su Yun's words and automatically blocked out what he didn't want to hear. "What other diseases can cause hcg to increase?"
"It's nothing, I can't think of anything wrong anyway," Su Yundao said.
"Go take a look." Zheng Ren said, "I'm very busy tonight."
"You won't be busy if you mind your own business." Su Yun said.
Zheng Ren smiled and still ignored this guy.
While Zheng Ren was talking to Su Yun, Lin Ge hid the private money, fixed the insoles of his shoes, and hid the private money.
I was so anxious when I came in that I even ran out of my personal money.
Details determine everything. Fortunately, this was in the hospital. If he were at home... Ringer could think of the misery he would have in the coming week.
Such a tragic thing can turn into a winner in life in Su Yun's mouth, what a mouth. Lin Ge still admired Su Yun for this. As long as he wanted to, he could make people happy.
I don’t know how many girls served as sparring partners while practicing such advanced martial arts.
"Boss Zheng, what are you thinking about?" Lin Ge put on his shoes and felt much more at ease, so he asked jokingly.
"I don't know how the doctor in the B-ultrasound room performed the B-ultrasound. I can't tell yet." Zheng Ren said seriously.
"Director Lin, you must be bored to see this person." Su Yundao said, "When he talks casually, he takes it very seriously. You didn't even see the big rescue just now, and you directly made a diagnosis and said it was possible cerebral hemorrhage. , without any hesitation.”
"Facts have proven that I was right." Zheng Ren walked out expressionlessly, "This is rich clinical experience."
"Exactly." Su Yun scorned, "I'm not interested in seeing a patient with ectopic pregnancy. You can go ahead."
"Why are you going?" Zheng Ren asked.
"I'm going to sort out the cases in Massachusetts." Su Yun said, "Director Lin, are you interested?"
Of course Ringer was interested. Although it was very late, it involved whether he could make some achievements during his temporary appointment in the Science and Education Department.
If there was a chance to stay in the Department of Science and Education... Linge was a little hopeful.
As for going home, we’ll wait and see.
My body is a little tired, so I'd better grit my teeth and stiffen up.
The three of them parted ways. Zheng Ren left a message to Xie Yiren, saying that he was still busy here and asked her to go home first.
When he arrived at the emergency department, Zhou Litao stood in the corridor and looked around.
It was already early in the morning, and there were not many patients in the emergency room. Zhou Litao should have gone to bed.
But when it comes to patients with problems, he can't sleep at all. Given the nature of the emergency department's work, there's nothing we can do about it.
If you want to be responsible and do your job flawlessly, you must pay a price.
"Boss Zheng... Director Lin, you two are here." Zhou Litao came up to greet him. He seemed a little regretful when he didn't see Su Yun.
"Where is the patient?"
"Where's Brother Yun?"
Zheng Ren and Zhou Litao asked at the same time.
"Su Yun is going to do the courseware. If you have anything, give him a call." Zheng Ren said: "How is the patient?"
"The patient, a 21-year-old female, complained: 50 days of menopause and 3 days of bleeding from the lower body. Physical examination: obvious tenderness and rebound tenderness in the abdomen; no lifting pain in the cervix, and no obvious tenderness in the double adnexal areas. Laboratory test: human chorionic gonadotropin Hormone 16669miu/ml, progesterone 11.52ng/ml."
Zhou Litao described the patient's medical history briskly, concisely and concisely, and his standard was more than one level higher than that of the doctors in Xilin Town.
"How do you do a B-ultrasound?" Zheng Ren asked immediately.
"The pelvic cavity, uterus, and appendages have all been found. It's not a fallopian tube ectopic pregnancy." Zhou Litao said.
"I'm checking on the patient." Zheng Ren said, "Is the blood pressure still stable?"
"It's still stable, and the amount of bleeding is estimated to be small." Zhou Litao said, "The gynecology department and general surgery department will come for consultation immediately."
"Okay." After Zheng Ren said that, he strode into the emergency room.
A young girl was lying on the hospital bed, her face a little pale. The system panel is red, and the system diagnoses it as ectopic pregnancy.
Zheng Ren scolded his mother in his heart.
If the hcg level is high, everyone knows it is an ectopic pregnancy. Can you die if you give me a clear location? !
But the big pig's hoof has this kind of virtue, and Zheng Ren is helpless.
"B-ultrasound report." Zheng Ren said.
"The shape and size of the uterus is normal, there is no gestational sac in the uterine cavity, and there are no obvious abnormal findings in both appendages. The pelvic effusion is 4.5cm in depth." Zhou Litao said.
The uterine appendage is fine, but there is pelvic effusion, which means ectopic pregnancy rupture and bleeding.
"Have you prepared your blood?"
"He's sent to the blood transfusion department." Zhou Litao said, "I don't know whether to send it to the obstetrics and gynecology department or the general surgery department. Boss Zheng, please give me a look."
"B-ultrasound machine." Zheng Ren said.
"I'll make a call." Zhou Litao knew that Boss Zheng was good at doing B-ultrasounds, and there seemed to be nothing he couldn't do. He really had no weaknesses.
Zhou Litao didn't make a call, that was just an explanation. He ran directly to the emergency B-ultrasound room and started knocking on the door.
There was a patient inside who was undergoing B-ultrasound. Zhou Litao said hello and pushed the bedside B-ultrasound machine to the emergency room.
When he came back, Zheng Ren began to examine him, his expression was very serious.
The signs of peritonitis are quite obvious and require emergency surgery.
But if we don’t know the location, we can’t just open the abdominal cavity and search everywhere to find out where the ectopic pregnancy is.