There are patients like this every day, but today the doctor happened to meet a stubborn and persistent child. Gong Xiangbin scratched his head and didn't know how to continue talking to the children. He took out his mobile phone and said, "I'll call your grandma and grandpa."
"You don't have to call them. I'll donate it to my mother." Yangyang said as tears began to fall.
Gong Xiangbin quickly took out a tissue and wiped the child's tears: "Why are you crying?"
"I don't want my mother to die." Yangyang stood in the doctor's office, looking up and crying.
This child was crying so hard that his heart was broken. Who could resist hearing this? It made the doctors in the doctor's office cry until they fell on their feet.
"Is there any sugar?"
"Look for cookies."
The doctors and nurses were looking for candies one by one to see how to calm the child down as soon as possible.
Zhao Zhaowei felt like crying when he saw the child crying, so he walked back to his ward to see if he could find some toys.
Xie Wanying was thinking about what was going on and why Yangyang's mother was suddenly discharged from the hospital.
During the morning rounds these past few days, Senior Brother Tao did not express such an attitude. However, due to being busy, the doctor's rounds in the morning were always very hurried and a bit superficial. Unless patients are undergoing surgery, key pre-operative discussions will be held in the group. So it can only be because this is a surgical hospital. People like Yangyang's mother who can't wait for a liver transplant and cannot have surgery will either be transferred to internal medicine for treatment or be discharged from the hospital. They can't continue to occupy beds like this. Perhaps when the patient can undergo surgery someday, he can come in and be hospitalized.
Go to the ward and check on the patient's condition. Xie Wanying thought twice about going to Yangyang's mother's ward.
Normally she would not take the initiative to care about patients who were not in her care, mainly because she was afraid of conflict with the doctor in charge of the bed.
In the ward, Yangyang's mother was half-lying on the bed. She was feeling much better. The doctor must have discharged her after her condition had improved.
Xie Wanying approached the patient and said, "Can I listen to your heart and lungs?"
Yangyang's mother knew her and nodded.
After the ascites has been removed, the patient's belly is not as bulging as a ball, but if the root cause of the disease is not eliminated, ascites will definitely appear again. Xie Wanying only took one look at the protruding belly button of the patient and knew that the ascites had not gone away at all.
Speaking of ascites, it should be called abdominal effusion to be precise. Because normal human ascites has about 200 ml, which lubricates intestinal peristalsis. If it exceeds 200, it is an abnormal case and it is effusion. But common people and doctors commonly call it ascites.
There are many causes of abdominal effusion. The most common is hepatogenic ascites, which is ascites caused by liver problems.
Other causes include cardiogenic, renal, peritonitis, and other systemic diseases.
There are usually two theories in the medical community regarding the cause of ascites due to liver cirrhosis in Yangyang Mama. One is called the classic theory, which says that ascites is caused by portal hypertension, low albumin, and lymphatic reflux disorders. The other is called the overflow theory, which means that the formation of ascites due to the retention of water and sodium has nothing to do with the other reasons listed above. The reason why the latter theory is established is that clinically a large number of patients do not have the characteristics of portal hypertension and low albumin.
The two theories seem to contradict each other. Later, doctors believed that most patients suffered from the classic theory in the early stage and the overflow theory in the later stage. The two theories were manifestations of the patient's disease development at different stages.
It stands to reason that Yangyang Mama belongs to the overflow theory stage, and water and sodium retention is related to the imbalance of the renin-angiotensin system and the norepinephrine-adrenal system.
