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Hearing her daughter's words, Liu Xue said impatiently: "Look, hurry up, don't affect my mother's rest." ”

Hearing her mother's words, Li Shan raised her head and grimaced at Su Hongwen, not to mention that Li Shan is very similar to her mother, she is very beautiful, plus she is only seventeen or eighteen years old, it is the time when she is pure, cute and damp, and now she is dressed with a grimace and cute, and at the same time, the breath of a beautiful girl is coming.

And her temper is not like her mother, she is quite kind and a little girl, not like Liu Xue, there is a sense of arrogance in her bones, looking at Su Hongwen, the doctors in these county hospitals almost look through their nostrils, but she also has this capital, the wife of the director of the urban construction bureau, and she does have superior capital.

Su Hongwen didn't have a good impression of a woman like Liu Xue, and he didn't bother to see her in general, so he smiled gratefully at Li Shan and checked Zhang Cuizhen.

Su Hongwen asked the old lady about her recent diet, weight, and second stool while giving her a physical examination, Zhang Cuizhen's recent condition is good, although she has lost some weight, but her diet, sleep, and stool are all normal, and Su Hongwen is looking at the checklist, if there is no problem, you can have surgery on Saturday morning.

When he was leaving, Su Hongwen asked for Zhang Cuizhen's CT, he had to watch the film, and when he returned to the office, Su Hongwen sat on a chair and held the CT film to watch, the more he looked at Su Hongwen's brows, the tighter he wrinkled, Zhang Cuizhen's uterine cancer had formed a small cancer in the uterus, and it was obliquely raised, crossing the uterine artery and close to the common iliac artery.

It is not clear from the CT scan whether the cancer has been attached to the common iliac artery, and if so, the risk of the surgery is considerable. If the common iliac artery is accidentally injured, the patient may not be able to get off the stage, the blood vessel is too big, or the artery, once the damage and bleeding speed is amazing, the patient may die of excessive blood loss in less than a minute.

This is not the worst case, the worst case is that the cancer cells invade the common iliac artery through the uterus, once this is the case, the outer wall of the common iliac artery will be invaded by the cancer cells and become quite fragile, in this case, the surgery cannot be done at all, because once the cancer is separated, there is a great chance that the common iliac artery will rupture and bleed, and it is impossible to stop the bleeding. That's a big blood hole. No matter how you use hemostatic forceps, instead of stopping the bleeding, it will cause the common iliac artery to break down more and more.

These conditions cannot be seen by either CT or MRI, because these machines are not precise enough to determine whether cancer cells have invaded the iliac artery. This already falls under the category of microscopy.

Now for two cases. First, Zhang Cuizhen's uterine cancer is only close to the common iliac artery. If there is no adhesion and the cancer cells do not invade the wall of the common iliac artery, this is the best case, as long as you are careful not to injure the common iliac artery during the operation.

The second is that the cancer cells have invaded the blood vessel wall of the common iliac artery. And the cancer has been attached to the common iliac artery, this situation is not operable, but the common iliac artery wall is too fragile, there is no way to separate, once the common iliac artery is separated, it will rupture, and the patient will die.

Now Su Hongwen can't tell what kind of situation Zhang Cuizhen's condition belongs to from the CT film, even if he uses perspective glasses, because perspective glasses can't see at the level of cells, only limited to organs and blood vessels.

However, with fluoroscopic glasses, you can see if the cancer has been attached to the common iliac artery, and based on this, you can estimate whether the cancer cells have invaded the blood vessel wall of the common iliac artery.

Just as Su Hongwen put on his see-through glasses and wanted to go to the ward to see Zhang Cuizhen, a voice suddenly came from beside him: "Doctor Su, how is my grandmother's illness?" ”

Su Hongwen put down the film and turned his head to see that it was Li Shan, and said: "It's not easy to say now, I have to go to see your grandmother, and then find the director for a consultation." ”

"It's not my grandmother's illness that is getting worse, is it?" Li Shan became anxious for a moment.

"It's really hard to say now, let's go to the ward to see your grandma first." After Su Hongwen finished speaking, he stood up and walked to the ward.

Li Shan had long heard her parents say that her grandmother's illness was not a big deal, and it would be enough to have an operation, although uterine cancer is cancer, as long as it is detected early and operated on in time, the patient's postoperative survival rate is also quite high, so what Liu Yong and Liu Xue said to Li Shan is also right, but they and even He Jiali did not expect that the cancer cells in the cancer may have invaded the common iliac artery.

After all, from the CT scan, the cancer is only close to the common iliac artery, and it is not clear whether it has been attached to the common iliac artery, let alone whether there are cancer cells that have invaded the blood vessel wall of the common iliac artery.

Li Shan came to Su Hongwen just to talk to him, that girl is not pregnant with spring? Li Shan was seventeen or eighteen years old, and it was the time when she longed for a piece of pure love, and when she saw the tall and handsome Su Hongwen, although she didn't reach the point of spring heart, she also had a good impression of him, and she just wanted to talk to him more, but she didn't expect to get a bad news.

Su Hongwen entered the ward, and before he could speak, Liu Xue said impatiently: "Why are you here again?" Still don't let people rest? What is the level of doctors in your hospital? If you can't see a doctor once, you have to see it several times, if you can't do it, we will change people and let your director take care of it. ”

"Mom, don't say a word, Dr. Su just watched the film and saw something wrong, so let's take a look." Li Shan helped Su Hongwen explain beside him.

Liu Xue said disdainfully: "He saw something wrong from the film? He is a doctor in a county hospital, and his level can be higher than that of Professor Jin in the Beijing Military Region Hospital? People watched the film and said that there was no problem, why did he say that there was a problem, I told you not to talk nonsense, if you scare my mother out of the way, I will make you a doctor who can't do it. ”

Zhang Cuizhen was also a little scared when she heard what they said, so she said to Su Hongwen: "Doctor Su, what do you see wrong?" ”

Su Hongwen was angry when he heard Liu Xue's words, he was not a god when he was a doctor, not a patient who knew his condition after seeing it once, he was saying that the condition has changed, maybe there is nothing wrong today, but there will be something tomorrow, so the doctor is responsible for the patient when he comes to the ward to see the patient, but Liu Xue, a woman, is not good at the level of a doctor, which is really unreasonable.

But now Su Hongwen can't be angry with her, the old lady was frightened when she heard Li Shan's words, he had to quickly calm the patient's emotions, otherwise it would be detrimental to the patient's condition, exhaled Su Hongwen smiled and said: "It's no big problem, don't worry, you won't have anything to do after the operation, I just want to ask you if you have any bloating after eating recently?" ”

If the cancer compresses the common iliac artery, it will cause insufficient blood supply to the intestinal tract, resulting in abdominal distension after eating, and the more severe the compression, the more obvious the abdominal distention.

"A little, but I don't feel this way when I drink porridge." Zhang Cuizhen breathed a sigh of relief when she heard what Su Hongwen said, and she was afraid that her condition would change significantly.

Hearing this, Su Hongwen opened his fluoroscopic glasses and looked at Zhang Cuizhen's abdomen, although from the symptoms that Zhang Cuizhen said, the cancer compressing the common iliac artery is not bad, but after seeing it, Su Hongwen still feels not optimistic, because the cancer has indeed been next to the common iliac artery, and in this case, it is likely that cancer cells will invade the blood vessel wall of the common iliac artery through the uterine wall.

"Are you done? After asking, hurry up, my mother is a patient and needs to rest, it's really annoying. Liu Xue urged impatiently beside her.

Su Hongwen didn't have time to be angry with this woman, and comforted the old lady with a few words of nothingness, and then went out, seeing him go out of the house, Li Shan wanted to follow, but was stopped by Liu Xue: "What are you going to do?" I can't read bullshit at that kid, I forgot to ask this and that when I saw a doctor, it's really a low level, don't listen to his nonsense, when your dad comes, I'll let him go to Yang Jiayi, and change my mother to a doctor with good skills, but you can't let these young people manage. ”

Li Shan frowned and said, "Mom, don't say that, how do you know that Lu Dao's skills are not good?" If you can't do it, you are the attending physician at such a young age? I saw in the doctor's profile on the wall that three of the people in their department were attending physicians and the others were residents. ”

"Who knows how his attending physician came, okay, you are honest here to accompany grandma, and obediently go back to school in the afternoon." Liu Xue didn't believe in how high Su Hongwen's young skills could be.

On the other side, Su Hongwen went directly to Yang Jiayi's office, and after entering, he didn't talk nonsense and directly said his inference, Yang Jiayi took the film brought by Su Hongwen and looked at it: "You said that this situation is possible, but Zhang Cuizhen went to the capital to find Professor Jin to see, Professor Jin said that although her cancer is close to the common iliac artery, it is not a big problem to surgically remove it, since Professor Jin has said so, let's listen to the experts, no, we will discuss the condition when he comes tomorrow." ”

Su Hongwen can't explain to Yang Jiayi now that he saw that the cancer had been attached to the common iliac artery with fluoroscopic glasses, and there was an 80% chance that the cancer cells would invade the blood vessel wall of the common iliac artery, so Su Hongwen did not advocate surgery now.

If a patient does not have surgery, although the effect of radiotherapy and chemotherapy is not ideal, she can still live for a while, but if she is undergone, she may not even be able to get off the stage.

But it is obviously impossible to persuade Yang Jiayi to stop the operation now, because Su Hongwen can't come up with evidence to make Yang Jiayi believe that the cancer cells are likely to invade the common iliac artery, and all he can do now is to wait for Professor Jin to come and talk to him, hoping that he, an expert, can understand how risky this operation is, and stop the operation after the worst is over.

Su Hongwen came out of Yang Jiayi's office and sat on a chair thinking about Zhang Cuizhen's condition, and it was time to get off work in a blink of an eye, Dong Zhirui changed her clothes and ran to Su Hongwen and said, "Don't sit stupidly, didn't your parents say to come in the afternoon?" I've taken all the leave, I'll go with you to pick them up. ”

Hearing Dong Zhirui's words, Su Hongwen remembered that he still had a big trouble waiting for him to solve. (To be continued......)