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Author: Jiangdi Youbai

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"Does it hurt to press like this?" When Wu Xie was doing a physical examination, she noticed a change in her expression.

In this way, it proves that he may have found the factor of mutation, and the source is this woman named Lin Xia.

"It hurts a little when pressed! Hiss!" She frowned and took a breath of cold air.

But this does not immediately indicate that there is a problem.

Wu Xie's first suspicion was that she had urinary retention, because his subsequent percussion revealed solid sounds.

Under normal circumstances, the abdomen and lower abdomen are mostly percussed with tympani. The tympanic sound occurs when percussion of hollow organs containing a large amount of gas. It is commonly seen in the gastric alveolar area of ​​the left lower chest and the abdomen.

Solid sounds, also known as heavily voiced sounds or absolutely voiced sounds, are non-musical percussion sounds that have a higher pitch, weaker sound, and shorter vibration duration than voiced sounds.

It is normally seen in percussion of airless solid organs, such as the heart, liver, etc. Under pathological conditions, it is seen in large amounts of pleural effusion, lung consolidation, etc.

Of course, as long as there is fluid, it will be fine. If it is urine retention, you can also feel the solid sound by percussion.

"Excuse me, may I ask, have you ever urinated?" Wu Xie raised his head and asked.

At this time, you must not be preconceived. There are some things that you must ask clearly, and don't be shy.

"Is the menstrual history normal?" Wu Xie asked during the physical examination.

She nodded a little sheepishly.

If you have urinated, the chance of urine retention is very small, so it is likely to be organ damage?

Wu Xie's expression tightened slightly when he heard this, and he stood up: "Your lower abdomen is a little stiff. We need to do a color Doppler ultrasound to take a preliminary look..."

"I've had a CT scan of my abdomen before. Do I still need to continue the examination?" she asked slightly hesitantly. In fact, she didn't want to go through too much trouble. This time she was going on a trip, but she was unlucky enough now. She wanted to rest.

.

I don't want to bother anymore.

"Let's do a color Doppler ultrasound. Just be safe. I'll take a closer look at the CT scan, because I haven't seen anything particularly special before."

"Of course, the situation was quite urgent at that time, and my main scope of medical review was limited to orthopedics." Wu Xie nodded and said.

I admitted that I didn't look carefully.

There is no way, there are so many people, it is impossible to give you a particularly detailed look, and you have indications for hospitalization.

"Just listen to Dr. Wu!" Her best friend thought Wu Xie was very reliable, so she hoped that her best friend would stop worrying about it.

"Anyway, your boyfriend has landed in Han City. He will arrive in En City tomorrow morning and come over. Don't worry." Her best friend comforted her.

Lin Xia bit her lip and agreed to the examination.

About ten minutes later, the color ultrasound results came out, shocking everyone——

Ectopic pregnancy, premature onset due to car accident, suspected rupture!

At least it's an early sign of rupture

Wu Xie was shocked. This 15-bed situation actually meant she was unmarried.

He asked about menstrual history, but sexual history was not included in the medical records.

Menstrual history is also normal.

The two best friends were at a loss. She almost cried: "My aunt is obviously normal? It's not even a month yet, why..."

Wu Xie took a deep breath: "Don't worry."

"Don't cry, you can't be too emotional now."

"Your ectopic pregnancy is not particularly serious now. I will ask for a consultation from an obstetrics and gynecology department first. Some ectopic pregnancies occur around 40 days ago, but yours has external stimulation, so it may occur earlier."

"But your pain is okay, and there is no bleeding. This is a good thing. There is still time, so don't get excited and speed up the attack!"

"Sister, please comfort Sister Xia first. I'll make a call and be back soon, okay."

After Wu Xie explained, he quickly went to make a phone call.

At the same time, while explaining to the doctor on duty in the gynecology department, he walked towards the nurse's station.

Lin Xia's situation was either a transfer to another hospital or an emergency surgery, and it was a particularly emergency surgery.

For unmarried women of childbearing age, ectopic pregnancy must be properly handled to prevent her from losing her fertility. Unfortunately, Wu Xie didn't understand much, so she had to seek help.

When Xu Rong heard this, she let out a sigh, but quickly went to draw blood and send it to the emergency laboratory for examination.

The gynecology department is upstairs on the third floor, the internal medicine department is on the fifth floor, and there is no separate department for dermatology.

Therefore, the doctor on duty at the gynecology department came down immediately. After seeing Wu Xie, he asked: "Is this car accident really an emergency in our department?"

She only heard that two or three were admitted to the Department of Internal Medicine, and Wu Xie had transferred a few to the Department of Traditional Chinese Medicine. Needless to say, there were a lot of students in the Department of Surgery.

"Well, after I received all the patients, I performed a detailed physical examination on the new inpatients, and found that there was slight tenderness in the lower abdomen and a solid sound upon percussion, so I did a color ultrasound, and the color ultrasound discovered it."

"Currently, the patient has no spontaneous symptoms." Wu Xie said this to a middle-aged woman named Dr. Xu who came from the gynecology department.

This Doctor Xu is an aunt of Xu Rong. She is in her forties and relatively experienced.

"This may be a precursor to a ruptured ectopic pregnancy. Let's go and have a look." Dr. Xu and Wu Xie quickly walked into the ward.

At this moment, Lin Xia was crying and calling her boyfriend. The person on the other end of the phone looked incredible.

"Ectopic pregnancy? Are you having a baby?"

"No. An ectopic pregnancy is..." Lin Xia cried even harder, even a little desperate.

Xu Caihong and Wu Xie walked in again, and Xu Caihong signaled her to hang up the phone first.

After hearing this, the other party's boyfriend said: "Xiaoxia, please don't cry. Don't cry. You listen to the doctor first. I will be there tomorrow morning."

He flew temporarily from Shenzhen City, but he could only fly to Han City. After landing, he could have caught the train, but it was too late, so he could only take the train to En City first, and then go to some town.

Xu Caihong started to smile and asked: "Lin Xia, do you feel any pain now?"

Lin Xia shook her head.

"When was your last menstrual period? Let me touch it. Don't worry. Your situation may not be the most urgent yet, so you still have a lot of time. You haven't had an attack yet. Don't be afraid.

, I am here." Xu Caihong comforted in a soft voice.

At the same time, Xu Rong also walked in and stood aside with a pitiful look. She was also a girl and had studied nursing. She knew that ectopic pregnancy would affect fertility and would not lead to infertility.

But it is very likely that only one side is fertile, but it would be best if it could be solved in advance, but it would also affect the implantation of the fertilized egg, and even lead to infertility...

When Xu Caihong went for another physical examination, he didn't know if the pain was even worse because Lin Xia was nervous.

Xu Caihong discovered it when he checked his body and then looked at the color ultrasound results.

The place where this ectopic pregnancy now implants is the isthmus of the fallopian tube. This is the most dangerous location after the rupture of the ectopic pregnancy.

"Although your current situation is still relatively early, you still need to have surgery as soon as possible. Lin Xia, our hospital's current operating room cannot be vacated, so you may be better off transferring to a maternal and child hospital in the county for emergency surgery."

"I can give you a call right away to hand over the situation. Do you think that's okay?"

"The distance from our town to the county is very short, it only takes twenty minutes..." Xu Caihong explained.

Lin Xia started to be confused and cried: "But I just transferred from the county? Why didn't I find it before? Why did it happen to me at this time?"

She covered herself with the quilt.

She cried, and her best friend became angry: "What does it mean for us to be tossed around like this?"

Xu Caihong explained: "Now is not the time to hold people accountable. You know, our hospital passively accepted you and discovered the problem in a very timely manner!"

"You can go and ask anywhere. Generally speaking, when an ectopic pregnancy occurs, it usually occurs during rupture or even shock. Being able to find it so early proves that our Dr. Wu is very careful and saves you a lot of time.

"

"The current situation is special. The operating room of our hospital is occupied by emergency rescue operations."

"Your symptoms haven't occurred before, so we won't doubt it in this direction, and your menstrual history is also normal, right?"

"Of course, the main thing now is to solve the problem, so don't waste time. The sooner the surgery is performed, the sooner the problem can be solved, okay..."

"I am also a woman myself, and I am your eldest sister, or you can call me auntie. I will definitely not scare you, I am just doing it for your own good."

"Now is really not the time to hold people accountable." Xu Caihong explained while dialing the number of the Maternity and Children's Hospital.

Xu Caihong explained the situation.

But after the call was connected, the other party said: "I don't have an operating room here. I don't know what happened today. There are so many babies. I can come down and do it!"

This sentence almost made Lin Xia collapse, feeling helpless!

Xu Caihong didn't know what to do for a moment.

At this point, Wu Xie hurriedly said: "Doctor Xu, how about this? I'll call the operating room. The operation we are performing now is a relatively simple open fracture operation. We should be able to speed it up a little."

Surgery progress."

"Try to finish the operation before Lin Xia completes her pre-operative preparations. Do you think it's okay?"
To be continued...