Cao Yanhua, who has a clear conscience, has been worried since the patient came.

The patient is not very old and is in his second year of junior high school this year. Five o'clock in the afternoon was supposed to be the time when school ended in the afternoon and all the children were happy to come home from school. But 13-year-old Ji Youfu sat in her seat, looking at the wiped blackboard in a daze, motionless.

When the head teacher in charge of Ji Youfu's class conducted a routine inspection, he found Ji Youfu sitting in his seat.

Speaking of which, the teachers are also a little worried. Since the beginning of winter, Ji Youfu, who has always been lively and cheerful, suddenly changed her temperament. became quiet and introverted, not to speak.,Usually rarely play with classmates.。 Even the small groups that often get together have broken up.

Ji Youfu's homeroom teacher, surnamed Liu, has been working in Ningyuan No. 4 Middle School for more than 30 years. Years of work experience as a class teacher made her suspicious of Ji Youfu's changing situation. Children at this age generally do not experience such drastic personality changes. However, no matter how she tried to ask the class officials, or to check the school surveillance, or even to make several surprise home visits, she could not find any signs that Ji Youfu might be bullied or abused at home.

And this afternoon, Ji Youfu sat in the classroom in a daze, motionless. By the time Teacher Liu patrolled and found her, it was already 5:40 p.m.

"Impaired consciousness, to the point of not answering the topic. Sun Lien watched Cao Yanhua's preliminary diagnosis from the sidelines. Ji Youfu looks like a beautiful and clever little girl, but now she seems to be dreaming. Ignorant, the stimuli from the outside world are basically only simple physical reflexes. And what opened Sun's eyes the most was her reaction when answering the doctor's questions.

"Little girl, do you know where you are?" Dr. Cao Yanhua asked as he checked the little girl's head for signs of injury.

"Family ......" Ji Youfu replied in a low voice, not to mention the extremely low volume, and the answer was also vague.

After Cao Yanhua finished examining the little girl's head, he turned to examine her limbs. "This is your house, what's your name?"

"Sun ...... Lien. The little girl's blank eyes looked at Sun Lien, who was holding a notebook to record the situation, and after her eyes swept over him a few times, she looked at the nameplate hanging on Sun Lien's chest and replied.

Cao Yanhua laughed, "What a coincidence, your name is Sun Lien, then do you know who I am?" He pointed to his nose, "Do you know who I am?"

The little girl's gaze was taken back from the nameplate on Sun Lien's chest, and she turned to look at Cao Yanhua. She looked at Cao Yanhua and said in a low voice, "Fourth...... Central Hospital. ”

She didn't answer questions, but all the words her eyes could see.

After finishing the basic examination, Cao Yanhua asked Teacher Liu, who looked anxious, "What was the situation when you found her at that time?" ”

Here, Cao Yanhua was asking about Teacher Liu's specific situation, while Sun Lien looked at the top of the little girl's head.

"Ji Youfu, female, 13 years old, has an unknown mass on the left side of her lower abdomen. ”

Unknown lump? Sun Lien looked at the little girl lying on the bed with some hesitation, what is the connection between the lump and her mental symptoms?

No matter how I called her, she didn't respond. Even if I suddenly shouted behind her, she didn't react. Teacher Liu was anxiously calling to urge Ji Youfu's parents to come to the hospital. "I felt something was wrong, so I quickly called 120. Then the ambulance brought us here. ”

After asking the basic questions, Cao Yanhua walked back with a frown, and after a while of silence, he asked, "What do you think, Xiaosun?"

"Me?" Sun Lien originally planned to watch the excitement, but he didn't expect Cao Yanhua to ask his opinion directly. And the hint of that "unknown lump" really made Sun Lien a little concerned. He simply got off the donkey down the slope and made his own request, "Can I give her a physical examination?"

Cao Yanhua naturally has nothing to refuse. He arranged for the nurses to take a blood sample from Ji Youfu and send it to the laboratory department for examination. Then he took out a latex glove from the box next to the wall and motioned for Sun Lien to bring it, "You can do it, I'll watch from the side." ”

Sun Lien didn't say much, put on gloves and began to palpate the little girl's abdomen. The first is the liver area, which is soft to the touch and has normal activity. Then the hands were transferred to the stomach, the left and right kidneys, and everything was still normal. There is no abnormal sensation in the touch.

It wasn't until after examining the left kidney that he gently pressed the lower left side of the little girl's bladder, and the touch suddenly became different.

That's not the feel that a normal organ should have, but it's a bit like making a problematic elastic ball. Somewhat hard-banged.

"Doctor Cao, look here. Sun Lien quietly let go of a space and pointed to the part he had just pressed, "It doesn't feel right here." ”

Cao Yanhua pressed the suspicious hands and frowned. "It's ......," he pressed a few more times, "it doesn't feel right, it's smooth to the touch." ”

"The location...... is the location of the uterus and bilateral appendages. Cao Yanhua's expression became serious, "Do a B-ultrasound and take a look." He glanced at Teacher Liu, who was still anxiously calling, and lowered his voice to Sun Lien, "Be smart, if there is a problem, call Lao Wu over immediately." ”

If it is an ectopic pregnancy, then this 13-year-old girl has a big problem. At the very least, it would definitely require police intervention. Sun Lien's expression was also a little serious, he nodded towards Cao Yanhua, pretended to push the B-ultrasound machine, and by the way, he took back his mobile phone from the duty desk, unlocked it and put it in his pocket, ready to call the policeman Lao Wu at any time.

The couplant was smeared on the ultrasound probe, Sun Lien took a breath a little nervously, and put the probe on Ji Youfu's lower abdomen. The icy couplant sticks to the stomach in this weather, and the person should always have some reaction. But Ji Youfu didn't react at all except for shaking slightly. It feels like a breathing doll.

"This ......," the two of them shook their heads together after looking at the sound wave images on the monitor for a long time, "It doesn't look like an ectopic pregnancy." ”

Under ultrasound examination, Ji Xiaofu's left ovary showed a relatively regular appearance of a strong echo group, about 5 cm * 3 cm * 4 cm in size, and the echo inside the echo group was uneven, and the boundaries were not clear.

"Dr. Cao, look here. Sun Lien's eyes widened suddenly, holding the probe with one hand and clicking on the echo cluster on the screen with the other. "Is there an arterial pulse here?"

"Nope. Cao Yanhua looked at it and suddenly said, "I think it looks like a primordial heart tube beat." ”

Fetuses with primitive heart tube pulsations are generally at least eight weeks old. However, the eight-week-old fetus will never grow into a strong echo mass with a regular appearance, let alone appear on the ovaries.

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