Is it bleeding? Where is the bleeding point?!

With so much hemoglobin drop, there will be 1500ml of bleeding. Wherever hemoglobin is placed, it will not be a big blood bag.

Does malignant hemoglobin decrease caused by tumors?

It is not as good as the possibility of pernicious anemia in the middle stage of liver cancer is not very high, and pernicious anemia is gradually reduced, rather than falling in less than 24 hours.

"Is there any fluid accumulation in the abdominal cavity?" Zheng Ren asked.

"No."

What is the problem with the gallbladder...pancreas...?

Zheng Ren frowned and thoughtful, stared at the last ct tightly, and kept rebuilding his mind.

Soon, Zheng Ren discovered the problem.

It’s not the gallbladder, there is nothing wrong with the gallbladder. The problem is that you can vaguely see some "silt-sand-like stones" in the bile duct.

If it is an ordinary patient, this is normal, but Zheng Ren thought of another possibility.

"Looking at the patient." Zheng Ren was not pretentious and insisted on finding the answer to the question himself.

The patient's hemoglobin has dropped so low, and if he waits, he may be killed.

Zhao Wenhua was happy. Although he was considered an "enemy" with Boss Zheng, when he encountered difficulties, Boss Zheng was willing to help him, and he also had a little more confidence on his side.

This patient has already given Zhao Wenhua a headache.

As a doctor who is particularly averse to medical risks, Zhao Wenhua is conservative and stubborn. He is easily unwilling to try new surgical methods, and even the patients he receives are "selected carefully".

But even so, it is difficult to ensure that nothing happens.

Today, I met it.

Zhao Wenhua took Boss Zheng to the ward. He walked in front and became more and more steadily.

The breath behind me was as calm as a mountain, and my heart seemed not as panicked as before. It was like a small boat floating on the black and tuk river water. I don’t know when it would sink, but suddenly a stone that was pressed on the warehouse was added and it immediately stabilized.

It was this feeling that Zhao Wenhua felt so sincerely.

Alas, I regret not offending Boss Zheng for a bed. As Zhao Wenhua walked, he suddenly felt depressed when he remembered what happened.

Zheng Ren did not pay any attention to what Zhao Wenhua was thinking. He was working hard on his own fantasy and wanted to find a reason and logic.

After a few steps, Zheng Ren became more and more stable and had completely figured out.

After entering the ward, the patient was lying on the bed, a blood bag hung on the drip rack, and was transfusion. His lips were pale and cracked, and he looked weak.

And his system panel has already shown signs of turning white from blood red.

The diagnosis on the system panel is very clear - hemorrhagic shock and liver cancer rupture.

Just as I imagined!

"Boss Zheng, patient..." Zhao Wenhua walked to the bedside and was about to introduce his condition and waited for Boss Zheng to check his body, but then he saw that Boss Zheng did not follow in, but stood outside and waved to him.

Uh...what is going on?

If it were some time ago, Zhao Wenhua would definitely think that Boss Zheng was targeting him.

Set a trap and play with it yourself. I don’t know what dirty and dirty methods are followed later.

But Zhao Wenhua was still a little forced to count. A few days ago, Boss Zheng even pressed the experts from King's Hospital on the ground to rub the ground, so how could he still have time to fool himself?

How big is your heart!

He walked out with a strange and anxious look in the patient's family in confusion.

"Boss Zheng, you..."

"I thought that it was the rupture and bleeding of blood vessels after radiofrequency ablation, which caused the current situation after the necrosis of liver cancer. Zheng Ren said in a low voice.

Zhao Wenhua was stunned for a moment.

Radiofrequency ablation surgery burns the liver cancer tumor from the middle and destroys the tumor cells. Scars will definitely form after the operation. As the internal structure collapses, the peripheral area begins to shrink.

From an imaging perspective, the tumor tumor will shrink after surgery, and smaller liver cancer will completely turn into a scar tissue.

Zhao Wenhua understands all these, but after several days of radiofrequency ablation, he suddenly bleeds... This situation is also possible, logical, but the probability is too small.

"Are you thinking about gallbladder stones?" Zheng Ren asked with a smile.

"Yes." Zhao Wenhua didn't hide it and nodded and admitted directly.

"I contact Director Luo and have an emergency gastroscopy. You will know at the duodenal bulb." Zheng Ren said, "Send the patient, by the way, just call the operating room and prepare for emergency hemostasis."

Zhao Wenhua directly transformed into a young doctor. Even if he didn't understand the diagnosis of the superior doctor and could only nod in habit.

Zheng Ren turned around and almost hit Lin Yuan.

He was startled and "jumped" directly.

"Why don't you write a medical record? You'll take a break after you finish it. Are you tired of tossing?" Zheng Ren frowned.

I just thought about the patient's condition too carefully, but I didn't notice that Lin Yuan was following him.

"Boss Zheng, how did the patient's gallbladder stones be eliminated?" Lin Yuan asked in a low voice.

"That's not gallbladder stones, it's old blood." Zheng Ren said.

"Uh...Boss Zheng, are you saying that the tumor tissue ruptures and bleeding, and flows backwards along the bile duct into the gallbladder?" Lin Yuan thought for a while, but still had doubts, "The imaging manifestations of blood are not like that. I have little clinical experience, so don't lie to me."

Zhao Wenhua was busy and happened to hear Lin Yuan's words. He nodded repeatedly in his heart, Boss Zheng, we have little clinical experience, don't lie to us.

"You forgot to have CT positioning before radiofrequency ablation, why do you need interventional surgery?" Zheng Ren said.

"Is it iodine oil?" Lin Yuan said in surprise.

"Well, it's iodine oil." Zheng Ren said, "The images after the iodine oil disperses are mixed in the newly released non-coagulant blood. The imaging manifestation can be similar to silt-like gallstones."

"Uh..." Lin Yuan still had questions, but after Zhao Wenhua heard Boss Zheng's words, the fog in front of him was suddenly lifted away and suddenly became clear.

Be clear about the causes and consequences.

Immortals guide the way, sometimes one word is enough.

"Boss Zheng, I understand!" Zhao Wenhua said excitedly, "Go to the operating room directly."

"No hurry, have a gastroscopy first, there are other rare possibilities." Zheng Ren said with a smile, "I'll go to the laparoscopy room first and contact me by phone."

After saying that, Zheng Ren strode out.

Lin Yuan followed Zheng Ren happily, swaying his ponytail.

"Don't you need to write a medical record?" Zheng Ren did not look back, but took out his cell phone and started looking for Director Luo's phone number.

"Aren't Gu Xiaoran here? I'll do my job later. Boss Zheng, I don't have rich clinical experience, so you should teach me more." As he said that, Lin Yuan almost meowed and screamed.
Chapter completed!