When a doctor opened a plug-in

Ma Yuehui stood there staring at the film, listening to the doctor on the side talking about the case, frowning and looking at the chest CT.

"Patient female, 33 years old, experienced dyspnea, cyanosis, coughing, occasionally accompanied by nausea and vomiting several times in the past two months, healthy past history, second pregnancy, no miscarriage..."

At this time, Chen Cang also saw a young couple standing aside.

This should be the patient.

Ma Yuehui kept pondering, such sudden breathing difficulties, there is no heart and lung disease, what to consider?

infection!

Blood disease!

Both can cause respiratory failure.

In the case of infectious diseases...

Ma Yuehui suddenly asked: "Have you got a fever?"

The woman shook her head at this time. Suddenly she thought of something, and quickly added: "No, I suspect it is allergic, because there was urticaria when the irritation broke out, and it disappeared with a little ointment."

Ask directly: "Have you checked the allergens?"

The young doctor nodded: "Checked, there is no obvious allergy."

Ma Yuehui said to the doctor on the side: "Give me the test report."

The doctor quickly handed it over. Chen Cang was tall, and he could see clearly behind him.

After reading it, Chen Cang was taken aback.

Combined with the results of this test, it should not be an infection, let alone allergic symptoms of the respiratory tract. Then, what would it be?

At this moment, even Ma Yuehui was a little surprised.

Chen Cang looked at the CT of his chest, layer by layer.

I want to find some shortcomings, but... this film is ordinary, no different from ordinary.

Could it be caused by abdominal cavity disease?

At this moment, Chen Cang couldn't help saying: "His left diaphragm...seems to move up a bit, while white blood cells are a little bit increased, and monocytes are also significantly increased. In this case, can you consider the pathological changes of the hepatobiliary system?"

Hepatobiliary system disease?

Thinking of this, Ma Yuehui hesitated for a moment and did not turn around. The doctor beside him turned and looked at Chen Cang, who was dressed in plain clothes, frowned, and said faintly: "CT of the abdomen is normal."

Ma Yuehui said: "Give me CT of the abdomen!"

The assistant on the side directly stuck the film on the viewer.Suddenly the picture in the abdominal cavity appeared.

Indeed, this film seems to be no different from ordinary ones.

The only difference is the thick-walled cystic lesions in the liver and an inconspicuous liver cyst, which should have nothing to do.

Thickening of the inner wall of the liver may be related to fatty liver in patients, and a thickened inner wall has no clinical value at all.

Hepatic cyst is a meaningless thing. It is a congenital disease. As long as it does not affect the normal function of the liver, it will not consider his factors. What's more, it's just so small that it can basically be ignored.

Ma Yuehui began to think.

After going through the inspection report, he fell silent.

No cause?

This is not at all!

At this time, Chen Cang looked at the cystic thickened liver wall and the seemingly mischievous liver cyst, suddenly a little familiar!

Yes indeed!

This is the familiar look.

This is an old friend!

Thinking of this, Chen Cang was inexplicably overjoyed. He did not expect to meet an old friend when he first came to the capital!

Chen Cang hesitated, would you like to say?

Looking at the dignified atmosphere, Chen Cang suddenly said, "Have you ever been to Inner Mongolia, Gansu, Xinjiang?"

The woman was taken aback for a moment, and the man on the side suddenly said, "We spent the New Year in Inner Mongolia."

Hearing this sentence, Chen Cang became even more convinced!

And Ma Yuehui turned around at this moment, staring at Chen Cang, and was taken aback.

I thought it was a doctor just now, but I didn't expect it to be a young man in plain clothes, but...somewhat familiar!

And Chen Cang continued: "Have you ever seen a lumps in your upper abdomen? It happens occasionally, and then it disappears after a while."

The woman was shocked. She looked at Chen Cang and kept nodding, "Yes, yes! Yes, yes! I was puzzled at first, what's going on! Boy, have you ever had it too?"

The man also stared wide-eyed, the wife's belly has too much meat, no one can see the multiple bags...

And the young man in front of him knows his daughter-in-law better than himself, which makes the man a little confused...

Chen Cang looked at the men and women and couldn't help crying or laughing. Turning to look at Ma Yuehui, he said: "I think it may be a liver hydatid cyst. I can only say that it has not yet reached the developmental stage and no specific lesions can be seen. ."

"The patient has fatty liver because of obesity, and there are thick-walled cystic lesions in the liver, which hides the real culprit!"

"Moreover, the appearance rate of some typical signs of hepatic hydatid cyst on B-ultrasound and CT is only 65%. When these typical signs are lacking, it needs to be differentiated from liver cyst.

Liver cyst is a congenital disease, and you can see this cyst. If you look closely, you will find that it is different from ordinary cysts!

The wall of the cyst is generally thin, and it is unclear on B-ultrasound, CT or MRI. There is no ascus in the cyst, but...this is obviously different!"

Speaking of this, Chen Cang said: "I suggest taking a B-ultrasound to take a look now. Maybe you are lucky to see clearly."

Ma Yuehui watched Chen Cang talk freely, and it was very reasonable, and couldn't help but believe seven or eight points. The most important thing was... he found that this face was a bit familiar!

Ma Wenhui suddenly asked: "Are you... the person who was doing REBOA outside the hospital in the ambulance in the morning?"

Chen Cang was stunned for a moment: "How do you...how do you know?"

Ma Wenhui immediately said to the B-ultrasound doctor in the department next to him: "Do an abdominal ultrasound, focus on the liver!"

The ultrasound doctor nodded and got up and took the patient to the next door.

And Ma Yuehui also followed in!

Before long, the result appeared!

"Leader Ma, it's a liver hydatid cyst, but... I didn't expect it to hide so well! Moreover, this thickened wall may be the original internal cyst bursting, causing blood infection!"

At this moment, everything seemed to be clear.

Ma Yuehui opened a transfer department for the woman and sent it to hepatobiliary surgery.

Before leaving, the fat woman looked at Chen Cang and said, "Brother, thank you, I will invite you to dinner when I leave the hospital!"

The woman's husband looked eagerly!

At this time, the hepatic hydatid cyst in the hepatic hydatid cyst looked at Chen Cang and couldn't help but say: mmp!you again!

Chen Cang smiled awkwardly.

Hepatic hydatid cyst is a disease with a high safety factor. There are basically no accidents, and the operation success rate is very high!

Ma Yuehui looked at Chen Cang: "What are you doing in our hospital?"

Chen Cang handed over the registration card in his hand: "I am a doctor here for advanced studies, Chen Cang!"

Ma Yuehui was taken aback for a moment: "Are you Chen Cang?"

Chen Cang coughed: "It should be..."

Ma Yuehui suddenly became excited, thinking that Director Yu Yonggang had invited Chen Cang!

The director is too capable, he found someone in the morning and found him in the afternoon?

The director is amazing!

Ma Yuehui was overjoyed and immediately sent a message to the director: "Director, your baby is here, here to report! And I tried it, it's really awesome! Awesome!"

Yu Yonggang, who was undergoing surgery, heard the voice and said to the nurse: "Whose news?"

Nurses often do this: "Leader Ma's!"

Yu Yonggang was taken aback: "Read it."

The nurse hesitated, do you want to read it?

Yu Yonggang was taken aback: "Why don't you speak?"

The nurse gritted her teeth: "Director, your little baby is here... I tried it... Awesome!"

Suddenly, there was a dead silence in the office!

Yu Yonggang's scalp numb even more.

The right hand holding the surgical knife was also a bit stuck, this...what's wrong with Ma Wenhui?

...

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ps: Sorry, the update is late, but... it's a bit expensive to write this book, forgive me, veterans try to write a little more interesting.

Thank you "Qingyan Xiaoguan" Big League and "Mingyue with the King" for their 100,000 rewards!Add even more, without saying anything, just add even better!

Thanks for the 60,000 rewards from the leader of "Big Brother Wants to Drink Bingkuole", and 20,000 rewards from the leader of "hushengayi" and "Fu Ruan Fairy"!

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Seven more delivered, please support!

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By the way, py is a book, a book that I also found to be very awesome, "Big Brother Ping Wuqi", I chased it for a long time, and every time I could not write, I went to see how he pretended to be. So that when I was writing the middle ones, I felt like a sand sculpture possessed.

All in all, it is a very casual book, you can read it.

I dare not watch it now, I am afraid that Dao's heart will be unstable.