Chapter 480 False pregnancy, killing the patient under the knife

Author: Jiangbian Yuweng

Chapter 480 False pregnancy, killing the patient under the knife

"The fetal heart rate is the same as the maternal heart rate, which is so rare!"

Although we are not obstetrics professionals, we usually work in the emergency department and often have the opportunity to see all kinds of pregnant women. Usually, the heart rate of pregnant women is much lower than the fetal heart rate.

"Doctor Zhou suspects that the fetal heart rate is actually the mother's heart rate?"

Yang Chan asked, seemingly enlightened.

"It should be! I have encountered a case of this kind of situation. It is a pseudopregnancy syndrome. The fetal heart rate you just measured is probably just the pulse of the pregnant woman."

[Pathological diagnosis experience value +1, reward pathological diagnosis experience value +100.]

The harvest was quite good, and he was awarded 100 pathological diagnosis experience points.

It is not easy to earn pathological diagnosis experience points.

Fortunately, he often receives some consultation tasks, and as long as he successfully diagnoses them, he can basically get a good experience reward.

Currently, his pathological diagnostic skills are advancing towards level six at a steady rate.

Pharmacological syndrome differentiation is lagging far behind. In fact, there are quite a lot of medical orders prescribed every day. There are also many opportunities for medication.

However, medication is basically routine medication. A doctor's order only requires one or two points of pharmacological syndrome differentiation experience at most. It is rare to receive large rewards like pathological diagnosis.

It was really not easy to successfully diagnose this pregnant woman as having pseudopregnancy.

This kind of thing is so weird that most people have never heard of it.

Zhou Can heard that a hospital once admitted a mother who had already had a seizure and her amniotic fluid broke. She had no time to do a check-up and was sent directly to the delivery room. Later, the mother only shed a large amount of bright yellow liquid and no fetus was born.

.

After investigation, it was found that the mother's body was only simulating the pregnancy process and there was no fertilized egg.

Later, the family members believed that the hospital had stolen the child, so they called the police. They even sued the higher authorities and even filed a lawsuit in court. The hospital was also full of grievances over this matter.

At that time, the mother's amniotic water had broken, and it was a bit unreasonable to insist on sending her for prenatal check-up.

In line with the principle of emergency treatment, we only drew blood from the pregnant woman and sent her to the delivery room for emergency delivery.

At that time, blood was drawn to detect the blood type of pregnant women and whether there were blood-borne infectious diseases.

Since then, it has become the key evidence for the hospital to prove that the mother is not pregnant.

Whether a woman is pregnant can actually be diagnosed not only by B-ultrasound, but also by color ultrasound.

By testing hcg in the blood, it is also possible to more accurately diagnose whether a woman is pregnant.

After a woman becomes pregnant, the level of human chorionic gonadotropin in her blood will increase rapidly.

Through HCG examination, not only can pregnancy be diagnosed, but also whether pregnant women have ectopic pregnancy.

Because ectopic pregnancy is a post-pregnancy condition, the blood hcg test results will be different from those of normal pregnant women. A doctor with a little experience can detect the problem through the blood test results.

"What kind of false pregnancy? Could my belly be fake?"

Although the pregnant woman had multiple injuries on her body and even a fracture in her right leg, she was very spicy.

After hearing Zhou Can say that she had a false pregnancy, she immediately questioned Zhou Can angrily.

"Doctor, you must be mistaken. In the first three months of pregnancy, my girlfriend vomited very badly. Now her belly is so big, how could it be a false pregnancy?"

The woman’s unjust boyfriend was also there to deny Zhou Can’s diagnosis.

"If you have any doubts, you can do a blood test for human chorionic gonadotropin. Then do an abdominal color ultrasound." Zhou Can said to the two of them.

Because it was a car accident, both of them were migrant workers in the city.

The family members have not arrived at the hospital yet.

"Just do it. When the time comes and you find out that I'm pregnant, you must apologize to me."

Women are particularly fierce.

Facing such fierce female patients, Zhou Can always stayed away from them.

"Squad leader, if there is nothing else, I will go back to the operating room to work first. This patient must not be admitted to the delivery room before the patient is found out."

Zhou Can also gave her a piece of advice.

Because pregnant women are more seriously injured, if contractions or the like occur and they are pushed into the delivery room, it will be unclear.

In Zhou Can's eyes, Yang Chan is a novice doctor.

It is very easy to do something that is too considerate of patients in an emergency. Soft-hearted doctors and nurses are actually not suitable for survival in the current harsh medical environment.

"Go and do your work!"

She glanced at Zhou Can resentfully, obviously dissatisfied with him for leaving in such a hurry.

With her intelligence, she must have discovered that Zhou Can was deliberately avoiding her.

It's just love, no one can explain it clearly.

Especially as she gets older, the pressure to get married increases. But the men she meets cannot compare with Zhou Can.

When she was studying in the past, Zhou Can pursued her, and she despised this rich second generation from the bottom of her heart.

Now that I am older, have some social experience, and my mind has gradually matured, I understand what a pity it is to miss Zhou Can.

Today, Zhou Can is not only rich, but also has a high reputation in the hospital for his medical skills.

It also has an excellent reputation in terms of medical ethics.

There was also the time when Zhou Can stood up for the frontline clinical nurses in the hospital to protest against the inaction of the security department and the hospital's disregard for the personal safety of clinical nurses, which left an epic heroic image in her mind.

Her family forced her to go on a blind date, and if she looked for another partner according to Zhou Can's standards, she would probably have a hard time finding someone she liked.

…

After Zhou Can had the operation at noon, he went to the cafeteria to eat and heard Ma Xiaolan talking about the pregnant woman.

"Did you know? A pregnant woman who was injured in a car accident and was admitted to our emergency department in the morning was not pregnant. The nursing team said that this was the first time they had seen this kind of thing. It was Dr. Zhou who diagnosed her first!"

Ma Xiaolan often tries to please Zhou Can intentionally or unintentionally.

To put it crudely, she should be a scheming bitch.

Of course, her mentality is quite decent. She usually seems to be very aggressive towards other doctors and patients, and has a sharp tongue, but she is not bad-hearted. At least Zhou Can secretly observed her at work and found that she sometimes had problems with some specific matters.

There will be a loving side.

"Which nursing group? Do I join it?"

It was also the first time for Qiao Yu to hear such strange news, and she was immediately filled with curiosity.

"It's the nursing team 1 of our emergency department. You must be in the group."

Ma Xiaolan replied while scrolling down the messages in the group.

After Qiao Yu opened WeChat, she saw that the nurses were all talking about this matter.

"It's true! Looking at that pregnant woman's belly, I can't believe it is a false pregnancy. There are so many wonders in the world. Dr. Zhou, please share with everyone how you diagnosed it!"

Qiao Yu looked at Zhou Can with her bright eyes.

"Actually, it's nothing. The injured woman had a B-ultrasound, which showed a shadow object with a diameter of more than ten centimeters, which was suspected to be a gestational sac. But the fetus could not be seen. The doctors from the obstetrics and gynecology department and our emergency doctors

, all were measured, and it was said that there was a fetal heart rate. Later I found that the fetal heart rate was consistent with the mother's heart rate, so I suspected a false pregnancy."

Zhou Can smiled and shared the diagnosis process with several people.

It can also be regarded as adding some diagnosis and treatment experience to them.

"Did you finally dissect it?"

Yang Zhi usually doesn't talk much and is a dull middle-aged man.

Unlike many men who are married and spend time wandering around, he would never take the initiative to seduce young female colleagues in the department, whether doctors or nurses.

Don't think that he is a man who doesn't know how to be charming.

Several times, Zhou Can took everyone to dinner. At the dinner table, Yang Zhi told Ma Xiaolan and Qiao Yu one after another of dirty jokes.

"We didn't perform an autopsy. They didn't believe the diagnosis results of our hospital and directly asked to be transferred to another hospital for treatment."

Ma Xiaolan replied.

The injured woman herself had syphilis and AIDS. She hoped that the medical care in other hospitals would not be careless.

The patient actively requested to be transferred to another hospital, and Tuya Hospital had no power to stop it.

Patients have the right to choose which hospital to receive treatment in.

…

After getting off work in the evening, Zhou Can went to the cafeteria to eat and hurried to the cardiothoracic surgery department.

I wonder if I was too tired and had an illusion.
To be continued...