How early the next day, the nurse came to draw blood. Then he took some disposal orders and asked Yuan Man to go to various departments to make appointments.

In the morning, I went to the imaging department on an empty stomach and had a liver ultrasound photograph. The result was very fast, and not long after Yuan Man came out of the B-ultrasound room, the doctor called his name and asked him to take the result.

Yuan Man couldn't understand these results, and neither did Zhao Wei.

However, the words "thickened light spots of liver parenchyma", "diffuse lesions of liver parenchyma", and "sound and image of early liver cirrhosis" on the report still scared the couple enough.

What does this mean? Isn't it serious?

What the hell is the maximum oblique diameter of the right lobe of the liver of 16.3 cm? The anteroposterior diameter of the right lobe of the liver is 12 cm? The thickness and diameter of the left lobe of the liver is 8 cm, the length and diameter of the left lobe of the liver is 11 cm, the width of the portal vein is 1.4 cm, and the width of the common bile duct is 0.7 cm. What is this? Does it matter? The two of them were in a fog, but their hearts were in their throats.

The two handed the report to Dr. Yan and waited anxiously for Dr. Yan's "verdict".

"This result seems to be nothing. Dr. Yan said, "Severe fatty liver. But the portal pressure is a bit high, what's going on?"

"What does it mean that the portal pulse pressure is high?" asked Yuan Man.

"Portal hypertension is a group of symptoms caused by persistently elevated portal pressure. "Most are caused by cirrhosis, and a few are secondary to portal vein trunk or hepatic vein obstruction and other unexplained factors." ”

"What?" Yuan Man gasped, "Is it really cirrhosis?"

"Not necessarily. "I still have to do a liver aspiration and a barium gastrogram to confirm." ”

"Have you been bloated lately?" asked Dr. Yan.

"Bloating? Sometimes. Yuan Man said, "Sometimes I have bloating and constipation. ”

"What color and shape of the stool?" Dr. Yan asked again.

"Black. Dry hard. Yuan Man said.

"Is there blood in it?" Dr. Yan asked, "Is it blood in the stool or is it some black food that causes the stool to be black?"

"Didn't eat anything? There was no blood. Yuan Man asked, "How can you tell if it's bloody?"

"Blood in the stool is a common phenomenon in digestive tract diseases. However, judging from the color of the stool, it can be concluded that there are many different causes of blood in the stool. "Blood is common in conditions such as hemorrhoids, intestinal polyps, rectal prolapse, and anal fissures. Pus and blood (mucosus night) blood stool is mainly seen in rectal cancer, colon cancer, ulcerative colitis, intestinal infectious diseases, such as bacterial dysentery, amoebic enteropathy, etc. Black stool ......"

"Black stool. As soon as Yuan Man heard the black stool, he came to his senses, which was his trouble.

"Black stools, also known as tarry stools, are black or brownish-black stools. It is one of the most common symptoms of upper gastrointestinal bleeding. Dr. Yan said, "Tar stool is black and shiny because of the mucus attached, similar to asphalt, so it is called tarry stool." When suffering from digestive tract diseases such as peptic ulcer, hemorrhagic gastritis, erosive gastritis, esophageal cancer, gastric cancer, liver cirrhosis, or hemopathy such as aplastic anemia, leukemia, hemophilia, etc., upper gastrointestinal bleeding occurs and the stool becomes black and tarry. ”

"Occult blood in the stool refers to a small amount of bleeding from the digestive tract. It usually does not cause a change in stool color and is only positive on a stool occult blood test. For example, common ulcers, inflammation and tumors can cause occult blood in the stool. But a lab test of your stool did not detect occult blood. You can rest assured of that. ”

"But isn't the portal hypertension you just mentioned directly related to liver cirrhosis?" Yuan Man was still relieved.

"There is nothing wrong with your stool and may rule out gastrointestinal bleeding. Dr. Yan said, "And Director Jiang also checked yesterday, and you don't have edema." It should not be ascites. Well, to be on the safe side, you should go for a liver puncture and do a pathological examination. Also, do a barium gastrogram to see what exactly causes portal hypertension. ”

"Liver puncture?" Yuan Man felt pain when he heard it, "What kind of puncture method?"

"Liver aspiration is short for liver biopsy and does not require surgery. Dr. Yan said, "It's just a minimally invasive one." ”

"Minimally invasive?" said Yuan Man, "and there are no wounds yet." ”

"A big man is afraid of what wounds. Dr. Yan was a little impatient, "Just take a needle to puncture, what kind of wound is there?" If you are afraid of pain, you will also be given a local anesthetic. ”

Hearing Dr. Yan reprimand Yuan Man, Zhao Wei burst out laughing.

"After the liver puncture is local anesthetized, the puncture technique is applied to the puncture technique of negative pressure suction for one second, and the puncture is punctured through the skin under the positioning and guidance of B-ultrasound and CT, or directly punctured under the supervision of laparoscopy. Liver samples of 10 to 25 mg were obtained, and stained for histopathological and immunohistochemistry after treatment to differentially diagnose the nature and cause of jaundice, understand the degree and activity of liver lesions, provide the etiological diagnosis basis of various types of viral hepatitis, detect early, quiescent or compensated hepatic triatization, judge clinical efficacy, and determine the severity of liver fibrosis. "You may not be able to understand what I say." In short, it's a minimally invasive and nothing to be afraid of. ”

"Then when am I going to have a liver tap?" asked Yuan Man.

"Wait a day or two. Dr. Yan said, "We will also give you a series of tests such as liver biochemical tests, coagulation tests, blood routines, platelet tests, etc., and we will also give you hemostatic injections." ”

The day before the puncture, Yuan Man went to the ultrasound room to do ultrasound positioning of the puncture site and injected 10 mg of vitamin K1 into the muscle.

In this way, I spent the night in a nervous mood. The next day was still on time, and Yuan Man had to face the liver puncture and the results that followed.

Although Dr. Yan said it lightly, it was only a minimally invasive one. But Yuan Man was still a little nervous and scared.

"What are you afraid of?" Zhao Wei asked, "The doctors have said that it is a minimally invasive one." Just put a needle in, and it's over in a second or two. ”

"Hit the liver, man. Yuan Man said, "Who knows if it has any effect on the liver?"

"It has an impact on the liver, and the doctor dares to ask you to do this puncture?" Zhao Wei disagreed.

"What if?" said Yuan Man.

"No in case. Zhao Wei said, "Hurry up and do it, there are more people for a while, and I don't know how long I have to wait." ”

When Yuan Man went, there were not many people in the B-ultrasound room.

"Don't be nervous, just 2 seconds. The operating doctor smiled and said to Yuan Man, "Before you feel it, it's already done." ”

The doctor told Yuan Man to lie on the bed, take off his shirt, and then cover it with a sterile cloth with a hole, which is called a hole towel. Yuan Man's upper abdomen and ribs are exposed.

The doctor first used B-ultrasound to determine the puncture point demarcated yesterday to see if there were any hidden dangers.

At this time, Yuan Man was already frightened and cold, with goosebumps, and his whole body was tense.

"Relax, don't be nervous. The doctor said softly.

"Ah, I'm not nervous. When Yuan Man said this, his mouth trembled.

"Don't be nervous, it'll be over soon. The doctor said.

"How's it going?

"It's fine. No shifts and occupancy were found, and it was possible. The ultrasound doctor replied. Then Yuan Man was given another 10 mg of vitamin K1.

"We're going to get started. The doctor said to Yuan Man.

"How do you start?" asked Yuan Man.

"We'll do a fitting. The doctor with the needle said.

"What do you mean by trying it on?" Yuan Man was very nervous.

"I'm going to put a needle under the skin into you to see if it's the puncture point. The doctor explained.

"Oh. Yuan Man asked, "Don't you take anesthetics?"

"I don't want to try it on. The doctor said, "Officially the puncture is going to be beaten." ”

"Doesn't it hurt to die?" asked Yuan Man worriedly.

"It doesn't hurt. The doctor said, "It's the same as your sling." Does it hurt for you to have a sling needle?"

Before Yuan Man could answer, he felt a slight tingling. Nima's, without saying a word, stuck the needle in.

"The puncture point is fine. The ultrasound doctor said.

Then Yuan Man was given an injection of anesthetic. Yuan Man held his breath as required, felt the liver area being poked, and then there was a snap, and the doctor then pulled out the needle, and the operation was over.

Yes, in less than 2 seconds, the liver puncture is done.

The doctor tied the wound with an abdominal band, buckled a sandbag, connected an ECG monitor, and then asked Zhao Wei to push him back to the ward.

But after the anesthetic passed, Yuan Man felt too painful. Pain in the entire liver area, right shoulder, and upper abdomen.

"Didn't you say it didn't hurt?" Yuan Man wanted to scold his mother.

"You didn't see the needle. Zhao Wei smiled, "If you see that needle, I guess you will jump off the bed and stop doing it." ”

"What's wrong with that needle?" asked Yuan Man.

"It's so long. Zhao Wei exaggeratedly compared.

"It's so long?" Yuan Man was scared when he saw it, "I'm afraid of twenty or thirty centimeters." ”

Twenty or thirty centimeters is an exaggeration, but according to Zhao Wei's visual inspection, 10 centimeters is available.

Yuan Man wanted to sit up.

"What are you doing?" Zhao Wei asked, holding him down.

"I want to pee. Yuan Man said.

"Don't move. Zhao Wei said, "The doctor said that you should lie prone for at least 24 hours. ”

"Paralyzed, that doesn't suffocate me. Yuan Mandao.

"I'll help you. Zhao Wei brought a patient's urinal.

"How do you pee on your stomach?" said Yuan Man in distress.

"Why don't you call a doctor to give you a urinary catheter?" Zhao Wei smiled.

"Get out!" Yuan Man said, "You still don't think your buddy hurts?"

Zhao Wei pulled the curtain over and surrounded it, asking Yuan Man to arch his ass and pull his pants off.

"Pull it. Zhao Wei said, "It's better, don't pull it to the bed." ”

"Paralyzed!" Yuan Man scolded, "how can this be pulled." ”

"Come on, Lao Tzu will help you. Zhao Wei said, and then held Yuan Man, "Pull!"

Yuan Man, who was a dog, actually reacted.

Zhao Wei put a slight force on her hand, "Hooligans, what are you doing?"

Yuan Man was in pain and shouted, "Your murderous husband on a dog day?"

"Pee, don't think about anything else. Zhao Wei ordered.

The erection was hard and couldn't pee, but Yuan Man squeezed out a few pees. The bladder is still uncomfortable.