bookpower Chapter 493
Chapter 493
"How long have you been pregnant?"
"It's been a month."
"Does it hurt so much? Have a fever? What about nausea and vomiting? "
"It hurts, but I don't have a fever, I vomit, I vomited when I just came..."
"Lie down and I'll see..."
Lin Feng gave the patient an individual examination, pressed, it was indeed the position of the gallbladder (upper right), there was severe compression pain.
In addition to this, there is the right lower abdomen, which is also tender.
Right lower abdomen?
Why does it hurt?
Lin Feng was curious.
The wife said at this time: "Actually, I wanted to come to the hospital for surgery and remove this stone, but I didn't expect to find out that I was pregnant, so I always came to Dr. Lin to ask you what you can do... Our current pregnancy is also so difficult..."
Lin Feng took a look at the information that Xiao Ru had called.
35 years old.
"You're 35 years old, so getting pregnant is really a little hard..."
"Yes, I have been preparing for more than 3 years, and I finally got pregnant."
Lin Feng sighed: "Your problem is indeed more troublesome, because gallstones are easy to occur cholecystitis, but cholecystitis needs to use antibiotics, but the problem is that your baby is only 1 month old, and whether these antibiotics have any effect on the fetus, it is difficult to say (there may be fetal malformations, or congenital miscarriage)... You know what I mean..."
Every parent is very careful about their baby during pregnancy, not to mention taking antibiotics, eating something bad is afraid.
At this moment,
The wife, and the husband, who had been standing silently behind, were directly silent.
"Doctor Lin, do you have a way to solve it?"
"Otherwise, your B-ultrasound is already three months ago, it's a little long, just do a B-ultrasound to see the situation, and then draw a blood... Originally, CT was more accurate, but in your case, you can't do CT yet..."
"Okay..."
Lin Feng billing,
The couple left the consultation room with the checklist.
......
After 40 minutes,
The couple returned with the results of the examination.
· Ultrasound result: Soybean-sized gallstones (considering some degree of bile duct obstruction)
Blood: Blood amylase 1500, more than 13 times! (Normal 115)
Lin Feng frowned.
B ultrasound, already expected.
But blood amylase 13 times, this generally only occurs in "pancreatitis".
That is, it should be cholangitis, which spread to the pancreas, causing inflammation of the pancreas.
Lin Feng said helplessly: "You already have a little pancreatitis, generally in this case, it is best to do a CT, because many of the B ultrasound cannot be seen clearly; And it is definitely necessary to use medicine, lower enzymes, antibiotics and anti-inflammatory..."
Whether it is CT or medication, it will have a very bad effect on the healthy development of one-month-old babies.
After thinking about it, Lin Feng still decided to say something serious, so as not to let this couple be lucky.
"I want to say that CT will cause fetal malformations to a certain extent, after all, your fetus is too small."
At this moment,
The husband and wife were silent.
Down in the dumps.
Suddenly, the husband asked: "Dr. Lin, can you wait for the baby to be older, more mature, can carry a little radiation, and then do it?" "
Lin Feng: "Do what?" "
Husband: "Do CT..."
Lin Feng: "..........................."
A little angry.
"You still have to wait 3 months, your wife is very serious now, 3 months may die at any time, wait three months, you really are..."
Pancreatitis, one of the acute abdomen, is not only a local inflammation of the pancreas, but a systemic disease that often involves multiple organ changes.
It is a very serious disease!
Wait 3 months, it will definitely not work!
Lin Feng: "Moreover, the common bile duct is dilated, it is possible that gallstones blocked the common bile duct, and for three months, people may be gone... Another point, just when I had a physical examination, I found pain in my right lower abdomen, what does this mean? It is possible that the fluid from pancreatitis seeps down, causing problems such as peritonitis... These require a lot of medicine..."
"The reason why I tell you so much is because even if you don't use CT, the child may not be able to keep the child because of a lot of medication..."
The husband and wife continued to be silent.
Wife: "Doctor Lin, this time we came to find you, and we also heard that you are very powerful... Because, we really have a hard time to get this child, we are 35 years old, we don't have children yet, I'm afraid it will be more difficult in the future..."
This time,
Lin Feng also understood and was helpless.
Moreover, since this wife can not even want her life, she wants a child, and she cannot be persuaded to death.
"Okay, go do B-ultrasound again, this time I'll do it..."
Lin Feng's B-super strength is naturally stronger than the B-ultrasound doctor in the hospital, and can barely replace CT.
When the husband and wife heard this, they were immediately grateful.
It took half an hour to give the wife a detailed ultrasound.
At last
Lin Feng shook his head.
No way......
Generally, gallstones can only be "laparoscopic surgery" or "double mirror combined minimally invasive surgery" or "non-invasive ureteroscopic lithotomy".
However, these three surgeries cannot be used because they require general anesthesia and local anesthesia in the lower body, which may affect the fetus.
There is also "ultrasonic lithotripsy", the main principle is under the guidance of B ultrasound, percutaneous gallbladder puncture, and then put into the biliary scope, lithotripsy equipment through the biliary scope to contact the stone, crush the stone, use the suction device to suck the stone out.
However, this method also requires general anesthesia, because the gallbladder is too deep, the effect of local anesthesia will not be too good, general anesthesia is enough, and the stone residue is relatively high, the difficulty of operation is too high, and the recurrence rate of postoperative patients is relatively high.
"I'm sorry..."
Lin Feng is not a god, and some things really can't be done.
"I'll prescribe you some medicine... Take it according to the medicine..."
At this time, Lin Feng could only hope that his "lucky aura" and "prognostic aura" could come into play.
Perhaps, there is a silver lining.
......
The next patient...
Flash
It's noon.
Lin Feng's "eating treatment" topped the first hot spot in Douyin.
It has sparked heated discussions among the whole people.
'You're sick, I'll give you...' The emoji (Lin Feng emoji) became a popular emoji for a while.
It is used by many chat groups.
Douyin couldn't keep his mouth shut with a smile.
Because the installed capacity of Douyin continues to open high today...
......