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Published at 7th of November 2021 08:26:17 AM


Chapter 795: 795

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

"A female patient, 33 years old, has suffered from dyspnea, cyanosis, cough, and occasionally nausea and vomiting several times in the past two months. She has a healthy history, second pregnancy and second pregnancy, and no abortion ..."

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

This should be the patient.

Ma Yuehui keeps meditating, this sudden difficulty breathing, there is no heart and lung disease, what to consider?

Infection!

Blood disease!

Radon can cause respiratory failure.

的 For infectious diseases ...

Ma Yuehui suddenly asked: "Are there any fevers?"

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

Asked directly: "Have you checked the allergens?"

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

Ma Yuehui said to the doctor next to him, "Give me the test report."

Doctor Yun quickly passed over, Chen Cang was tall, and he could see clearly behind him.

After reading it, Chen Cang suddenly gave a stun.

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

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

Chen Cang looked at the CT of the chest, looking down one by one.

I want to find some shortcomings, but ... this film is ordinary and the same as ordinary.

Is it caused by celiac disease?

At this moment, Chen Cang couldn't help but say: "His left diaphragm muscle ... seems to move up, while white blood cells have increased, and monocytes have also increased significantly. In this case, can he consider the pathological changes of the hepatobiliary system?

病变 Hepatobiliary system disease?

Thinking of this, Ma Yuehui hesitated a little, didn't turn around, and the doctor around turned to look at this plain-clothed Chen Cang, frowned, and said lightly: "The abdominal CT is normal."

Ma Yuehui said, "Give me an abdominal CT!"

The assistant next to him stuck the film directly on the viewer. Suddenly the picture in the abdominal cavity appeared.

Sure enough, this film doesn't seem to be any different from ordinary ones.

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

增 The thickening of the inner wall of the liver may be related to the patient's fatty liver, and a thickened inner wall has no clinical value at all.

肝 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, let alone ... It is so small that it can be ignored.

Ma Yuehui began to think.

翻 After going through the inspection report continuously, she fell into silence.

No cause?

This is not at all!

At this time, Chen Cang looked at this cystic thickened inner wall of the liver and the naughty liver cyst, and suddenly he looked familiar!

Yes indeed!

This is the familiar look.

This is an old friend!

I thought of this, Chen Cang was inexplicably happy. I didn't expect to meet an old friend when he first came to the capital!

沧 Cang Cang hesitated, should you say it?

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

Suddenly the woman suddenly froze, and the man on the side suddenly said, "We celebrated the New Year in Inner Mongolia."

Hearing this sentence, Chen Cang became even more convinced!

Suddenly Ma Yuehui turned around at this time, staring at Chen Cang, and suddenly hesitated.

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

Chen Cang continued, "Have you ever seen a lump in your upper abdomen? Occasionally, it disappears after a while."

The grandma was suddenly shocked, looking at Chen Cang, and nodded continuously: "Yes, yes, yes, yes! I was still wondering at first, what is going on! Young man, have you ever?"

The puppet man also widened his eyes. The puppet had too much meat on his stomach. Who can see multiple bags ...

The young man now knew his wife and his son better than himself, which made the man somewhat confused ...

Chen Cang looked at the appearance of men and women, could not help crying and laughing, turned to look at Ma Yuehui, and said: "I think it may be a liver hydatid cyst, but I can only say that it has not yet reached the developmental stage, and no specific lesions are visible . "

"Because of the obesity, the patient has fatty liver and thick-walled cystic lesions in the liver, which hides the true murderer!"

"Moreover, the incidence of some typical signs of liver hydatid cysts on ultrasound and CT is only 65%. In the absence of these typical signs, it is necessary to distinguish them from liver cysts.

Hepatic cyst is a congenital disease, and you can see this cyst, and if you look closely, it is different from ordinary cysts!

The cystic cyst wall is generally thin, and it is not clear on B-mode, CT, or MRI. There is no ascus in the sac, but ... this is obviously different! "

I said here, Chen Cang said, "I suggest that you have a B-ultrasound now, maybe you can see clearly if you are lucky."

Ma Yuehui looked at Chen Cang and talked, but it was very reasonable, and he couldn't help it for seven or eight minutes. Most importantly ... he found this face to be familiar!

文 Ma Wenhui suddenly asked: "Are you ... the one in the ambulance in the morning to be a REBOA outside the hospital?"

Chen Cang stumbled: "How do you know?"

Ma Wenhui said to the doctor in the department next to him: "Be a color Doppler ultrasound, focus on the liver!"

Doctor Chao Chao nodded and got up, and took the patient to the next door.

And Ma Yuehui also followed in!

Not long after, it turned out!

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

For a moment, everything seemed to be clear.

She Ma Yuehui opened a transfer department for the woman and was sent to the Department of Hepatobiliary Surgery.

Before leaving, the fat woman looked at Chen Cang and reluctantly said, "Brother, thank you, wait for me to be out for dinner!"

The woman's husband looked at her with a stern look!

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

Cang Cang smiled awkwardly.

Hepatic hydatid cyst is a disease with a high safety factor, there is almost no accident, and the success rate of surgery is very high!

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

Chen Cang handed the registration card in his hand: "I am a doctor who comes to study, Chen Cang!"

Suddenly Ma Yuehui suddenly said: "You are Chen Cang?"

Chen Cang coughed out: "Should be ..."

Mao Mayuehui suddenly became excited, thinking that it was Director Yu Yonggang who invited Chen Cang!

Director Yun is too big ~ www.novelhall.com ~ I found someone in the morning and found it in the afternoon?

Director Ji is amazing!

Immediately happy, Ma Yuehui sent a message to the director: "Director, your baby is here, here to report! And I have tried it, it's really good! Super!

勇 Yu Yonggang, who was undergoing surgery, heard the voice and said to the nurse, "Who's the news?"

The nurse often does this: "Leader Ma!"

Yu Yonggang said for a moment: "Read it."

The nurse hesitated. Would you like to read it?

Yu Yonggang stunned: "Why don't you talk"

The nurse gnashed her teeth: "Director, your baby is here ... I tried it ... awesome!"

Suddenly, there was a dead silence in the office!

Yu Yugang just got scalp.

The right hand holding the surgical knife was also a bit stuck. What did Ma Wenhui have?

Uh ...

Uh ...

Ps: Sorry, the update is late, but ... writing this book is a bit of a dissertation, forgive me, the old hand is also as interesting as possible.

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