Chapter 784: It's Not That Simple
After the doctor from the obstetrics and gynecology department came, he asked for a detailed medical history, and then performed a paracentesis on Chen Lan, and with the assistance of B-ultrasound, she was finally diagnosed with an ectopic pregnancy.
When this result came out, Chen Ling didn't feel any surprise, Chen Lan's pulse was slippery, like a bead-on, obviously a happy symptom, combined with the examination and diagnosis obtained by Western medicine, although the blood picture had elevated white blood cells, tenderness in the right lower abdomen, rebound tenderness, but it was not where the Mai's point was, and it was accompanied by cold sweat, bleeding from the lower body and other symptoms.
According to her age, gender, marital status, and occupational characteristics, Chen Ling combined with other symptoms of her body, and after thinking about it carefully, she had doubts about the diagnosis of acute appendicitis, and when she asked Chen Lan if she had any supplements, although her answer was very resolute, her expression was obviously panicked, especially when Chen Ling said that she would be given a B-ultrasound and asked a gynecologist to consult, Chen Lan became extremely panicked, and he considered another possibility: ectopic pregnancy.
When Hou Pigu learned of this diagnosis, a layer of cold sweat broke out on his body, if he did it according to his diagnosis, this must be another entangled medical accident.
When the diagnosis came out, Fan Yun pulled Chen Ling aside.
"Chen Ling, what are I going to do now?" Fan Yun asked anxiously.
"Ectopic pregnancy, then it must be operated on immediately!" Chen Ling said without thinking.
"So, is there any danger there?" Fan Yun panicked.
"Every operation is risky, and we doctors can only try to avoid or reduce it, and use our best ability to operate on patients!" Chen Ling calmed down, and then added, "There are risks in doing this surgery, but if you don't do this surgery, you will definitely die." ”
Fan Yun was taken aback, "So serious?"
Chen Ling couldn't help but say, "Why don't you try to conceive an ectopic pregnancy?"
Fan Yun Dahan, "Neurotic, it's all this time, can't you be serious?"
Chen Ling: "......"
Fan Yun followed up and asked, "Are you here to do this surgery?"
"I can do it, but I think it's better to have an obstetrician and gynecologist do it. ”
"No, I don't trust others, can you do it for her?" Fan Yun used a pleading tone for Chen Ling for the first time.
"Well, I'm afraid not, I'm just an intern now, and I'm not qualified to perform any surgery alone. Chen Ling remembered what happened to Wang Ling last time, so he refused.
"Then, what should I do?" Fan Yun said anxiously.
Chen Ling pondered for a moment and said, "Fan Yun, if you don't let my teacher do this operation, I will assist by the side." ”
"That's a good dare!" Fan Yun nodded.
"In this case, without further ado, you hurry up and go with the doctor to go through the formalities, and I'll go and discuss it with the teacher!" Chen Ling couldn't help but feel numb when he thought that he was going to go to Yan Xinyue right now, because he had beaten the teacher two hours ago.
......
Yan Xinyue was beaten in pain, cried in pain, cried tiredly, and fell asleep when she was tired.
When he woke up and opened his eyes, he found that the hateful Chen Ling was standing in front of him.
Startled, she couldn't help but subconsciously shrink in, and said nervously: "You, what do you want to do?"
Seeing her like this, Chen Ling couldn't help but feel a little guilty, he actually didn't think that he really wanted to beat her like this, but as soon as the feather duster went down, he couldn't hold it back.
"Teacher ......"
"Don't call me teacher, I don't have a good student like you!" Yan Crescent said.
"Teacher, don't be angry. Didn't you beat me a lot in the past, and I never got angry with you!"
"I'm your teacher, you're my student, shouldn't I beat you?" Yan Xinyue said angrily: "Have you ever heard a student beat a teacher and a son beat Lao Tzu?"
"Then you know that I am your student, and you still bet with me?" Chen Ling also said with resentment.
"Where did I think you would be so perverted!" Yan Xinyue glared at him.
No matter how perverted I am, I can't be as perverted as you, do you even use an iron ring ruler?" Chen Ling replied in his heart, and then asked weakly: "Teacher, I really hurt you?"
"Do you say it hurts?" Yan Xinyue was so aggrieved that her tears were about to come down again, she never dreamed that Chen Ling would really dare to beat her.
"Then I'll go get a bottle of safflower oil and rub it for you!" Chen Ling said kindly.
"Do you dare to rub it, if you dare, I'll rub it for you!" Yan Xinyue sprayed him.
Chen Ling was stunned for a moment, thought about it, and really didn't dare, because the place where Yan Xinyue was pumped was his buttocks, and he dared to beat the teacher's buttocks, but he might not dare to touch the tiger's buttocks.
"Why? Don't you dare?" Yan Xinyue sneered.
was so provoked by her, Chen Ling really went to find a bottle of safflower oil.
Yan Xinyue said in surprise: "You, do you really dare?"
Chen Ling: "......"
", I don't want you cat cry mouse fake mercy, and I don't want to see you now. ”
"Teacher, I really want to get here, but I can't!
"If you come to the sick number, you will come to the sick number, you can do this, can't you deal with it?"
"Teacher, let you say it, I really can't deal with this sick number!"
"What disease?" Yan Xinyue struggled to sit up, but as soon as her ass sat firmly, the corners of her mouth couldn't help but twitch with pain.
"Ectopic pregnancy!"
"Can't you even handle such a minor operation? I've been teaching you for so long?"
"No, teacher, I can do this surgery, but have you forgotten? I'm just a trainee doctor now!" "You mean to let me come forward and do this surgery in my name." ”
"The teacher is wise!" Chen Ling nodded repeatedly.
"Hmph, why should I cover for you. ”
"Because, I want to challenge the use of minimally invasive laparoscopy to do this ectopic pregnancy!" Chen Ling said with a firm expression.
"Huh?" Yan Xinyue was obviously taken aback, "But you have only done this kind of operation on animal ** specimens!"
"Because of this, I need you to check for me, teacher!" Chen Ling took advantage of the situation and patted his ass.
Hearing that Chen Ling was going to make a new challenge, Yan Xinyue couldn't behave as indifferent as she did just now, and struggled to get out of bed.
Chen Ling hurriedly reached out to help her.
Yan Xinyue glared at him, but did not slap his hand away, but let him help him.
......
......
The treatment principle of ectopic pregnancy is usually based on surgical treatment, of which there are two surgical methods: one is to remove the fallopian tube on the affected side; The first is the surgery to preserve the fallopian tube on the affected side, that is, conservative surgery.
Conservative surgery is indicated for young women who wish to have children, especially those who have had their contralateral fallopian tube removed or have significant lesions. In recent years, due to the improvement of diagnostic technology, the number of cases in which tubal pregnancies are diagnosed before miscarriage or rupture has increased, and the use of conservative surgery has increased significantly compared to the past.
Chen Lan is only twenty years old, and she will definitely get married and have children in the future, so Chen Ling chose conservative surgery, that is, surgery to preserve the fallopian tube on the affected side, but such an operation is originally difficult, and it is carried out under minimally invasive surgery, which is even more difficult.
The reason why Chen Ling chose this way is mostly because the patient, because of the conservative surgery, can preserve the fallopian tubes, which will not have much impact on future fertility, and use minimally invasive laparoscopy, that is because this surgery is less traumatic, less bleeding, short operation time, fast postoperative recovery, short hospital stay, almost no scars in the abdominal cavity, less pelvic adhesions, and slight fallopian tube obstruction. Partly because he wants to step into a new technical field.
For Chen Ling, this is not a test, but a transformation, after all, there is a difference between animals and people.
The operation was performed in the eighth operating room, and officially began at 11:03 p.m.
The chief surgeon seems to be Yan Xinyue, but in the end it was Chen Ling who did the surgery.
Others criticized Yan Xinyue, thinking that she had no level, and she had to snort at Chen Ling all day long.
However, who knows how much Yan Xinyue loves Chen Ling. It was Yan Xinyue who signed the signature, and it was Yan Xinyue who was responsible for the incident, which teacher was willing to take out his career prospect and life to practice his skills for students?
Without further ado, because the operation has already begun.
Chen Ling picked up the scalpel and made three small openings in Chen Lan's abdomen.
Each knife edge is 0.8cm, no more than a point, no less than a centimeter. After recovery, these three small linear scars do not affect the overall beauty of the woman's figure.
The abdominal cavity opened, and Chen Ling calmly began the laparoscopic operation, with Yan Xinyue assisting by his side.
Both of them were staring at the monitor that captured the intra-abdominal image through the laparoscopic lens.
Chen Lan's ectopic pregnancy was in the ampulla of the fallopian tube, and the fallopian tube had to be cut open to remove the embryo for suturing.
This is a great matter of the doctor's eyesight, will, perseverance, and skill that non-ordinary surgeons can do.
Chen Ling is a rising star in the surgical world, his hands are as steady as Mount Tai, his eyes are as sharp as the edge, and his skillful operation throughout the operation is really breathtaking.
Yan Xinyue always knew that she was a good student, but she really didn't expect that in the transformation of animals and human bodies, Chen Ling did not have the slightest jerkiness and panic, but was as calm as an experienced surgeon, and the whole operation was carried out smoothly, simply and neatly, without the slightest drag!
In half an hour, Chen Ling completed the minimally invasive laparoscopic surgery for an ectopic pregnancy.
Niu B's people, there is always a reason for Niu B, and the comrades who participated in the operation of the five departments of emergency surgery finally knew that this master was by no means as simple as just fiddling with a few silver needles and a few herbs, and his surgery was also a heifer with lightning - Niu B with lightning!