The patient is a 16-year-old girl who is in her first year of high school. After doing morning exercises today, I suddenly started complaining of lower abdominal pain. Then symptoms of nausea and vomiting began to appear.
A few resident doctors, who were afraid that Xia Xingran would steal the limelight again, came over, looked at the patient's pain location, palpated it with their hands and confirmed: "Appendicitis, it must be an acute appendicitis attack. Let's take a blood draw. Prepare for surgery."
Xia Xingran looked at their scratchy palpation operations and found that there was no symptom of back pressure. He frowned and couldn't help but step forward.
“Dr.
"Then let's check the blood first." Xia Xingran had no choice but to give up. Xia Xingran walked past the little girl and suddenly caught a glimpse of bright red blood on her pants on the inner side of her curled thighs. She hurriedly asked, "Little girl, are you on your period this month?"
"Not yet..." the little girl said intermittently with a red face.
Xia Xingran was a little confused. She tilted her head and thought for a moment before asking, "Is that postponed?"
"Well, it's been a while." The little girl rolled her eyes and counted the days.
Seeing that the resident doctor's face was getting worse and worse, Xia Xingran didn't ask any more questions and allowed them to push the little girl into the surgery preparation room.
After Xia Xingran changed her clothes in the changing room, she looked at the vacuum blood collection tube in the nurse's hand, kept an eye on it, and quietly called her. "Notify the laboratory department and do another HCG test."
The nurse gave her a strange look: "Dr. Xia, do you suspect that a 16-year-old girl is pregnant? That's a bit unfounded." After saying that, she glanced at Xia Xingran, shook her head and prepared to leave.
Xia Xingran looked a little annoyed. She stood up and grabbed the nurse's arm and glared: "I'll check it if I say it!" She had always been a gentle person, but it was rare that she got angry, which was really scary.
The nurse was startled and stammered with her mouth open: "Check, check, just check."
An hour later, Xia Xingran, who was sitting in the emergency surgery department, called the laboratory department.
"Dr. Xia, the blood test report is out. You are right. The white blood cells are not high. What is high is HCG. This patient is really pregnant!"
When Xia Xingran heard this, she gritted her teeth and immediately got up and ran towards the laboratory department. I took the paper report and hurried to the operating room. Read the book
As soon as she arrived at the operating room, the door opened automatically. While she was doubting, an external force suddenly pulled her in. It was the arrogant resident doctor just now. As soon as she saw Xia Xingran, she immediately trembled and said, "Xia, Doctor Xia, can you help me?"
It turned out that after the resident doctor confidently opened the right lower abdomen of the patient, he found that her appendix was normal. I panicked all of a sudden and didn't know what to do.
Misdiagnosis + medical malpractice. If this kind of thing is known to his family and hospital leaders, he will be fired. I'm afraid it will be difficult for him to practice medicine in the future.
So he thought of asking Xia Xingran for help. Unexpectedly, as soon as he reached the door of the operating room, Xia Xingran also arrived.
"HCG is so high?! She's pregnant?!" The resident doctor looked at the blood test sheet Xia Xingran handed him and couldn't help shouting. .
Xia Xingran didn't want to talk to her, so she went into the side changing room and quickly changed her clothes. Standing at the door of the operating room, he said to the resident doctor who was still there: "Do you want to come and help me?"
The resident doctor woke up from a dream and ran over with the blood test form in hand.
"There are obviously blood stains on the patient's inner thigh, but it is not menstrual blood, and he has a history of menopause and abdominal pain. When you palpated McFarland's point, there was no obvious tenderness or rebound tenderness. There is only one possibility..."
The resident doctor suddenly became enlightened and said in unison with Xia Xingran: "Ectopic/pregnancy!"
As soon as he finished speaking, Xia Xingran had already inserted the laparoscope deep into the patient's body, used an irrigator to flush and suck out the accumulated blood in the pelvic cavity, and found the implantation site of the pregnancy/egg. She lifted her chin and motioned the resident to look at the screen.
"It's really fallopian tube ectopia/pregnancy." I saw light on the side of the fallopian tube
The mass was obviously swollen, and the resident doctor was convinced.
"Looking at it like this, she should be about 8 weeks pregnant. The embryo is close to 5 centimeters. In her case, she might need a fallopian tube resection. It's a pity for such a small child."
The resident doctor walked to the screen, carefully looked at the implantation of the fertilized egg and the development of the embryo, and smacked his lips.
"No, I can perform a salpingotomy on her." Xia Xingran made a quick decision. A small linear incision is made at the fallopian tube pregnancy site against the edge of the mesosalpinx, and the products of pregnancy are removed.
Salpingotomy is more difficult than salpingectomy. The resident doctor stared at Xia Xingran's dexterous operation like ballet on ice, and was even more amazed in his heart.
"Okay." It only took 15 minutes for Xia Xingran to complete the fallopian tube ectopia/pregnancy termination surgery.
"Doctor Xia...can you..." The resident doctor pursed his lips and looked at Xia Xingran.
"I won't tell anyone, don't worry." Xia Xingran smiled slightly and prepared to push the patient out.
"No, it's not this!" The resident doctor was a little anxious. He brushed his short black hair. After making up his mind, he walked up to Xia Xingran and summoned up the courage to say, "I, what I mean is, can I do it in the future?" Your assistant, follow you!"
Xia Xingran glanced at him in shock. Logically speaking, a three-year resident doctor is far more qualified than her, a fresh-faced youngster who has just graduated and started working. Such an unconventional putting the cart before the horse made Xia Xingran a little confused.
"I'm afraid this is a bit against the rules. Thank you for looking up to me." Xia Xingran declined the request.
"Rules are dead, but people are alive. Although Dr. Xia is still junior, his abilities are obvious to all. I'm afraid he is on par with Director Xie and Director Yan." The resident doctor has undergone several surgeries. Watching, determination becomes more and more obvious.
"Then, aren't you afraid that they will laugh at you?" Although he has not been here for a long time at Peking Union Medical College Hospital, the people here place great emphasis on seniority, and Xia Xingran couldn't help but feel worried.
"Harm, what's the point? It's up to you to learn your own skills. Don't worry about so many unnecessary things." The resident doctor waved his hand nonchalantly.
Xia Xingran nodded, agreeing to him. The resident doctor hurriedly held Xia Xingran's hand with both hands and said, "My name is Wen Yi. I will ask Dr. Xia for more advice in the future!"
After Ji Ling was pushed out of the operating room, a woman with short wavy hair, white eyes, thin lips, crossed her hands, came over with a look of reluctance. .
When she heard that Ji Ling had an ectopic pregnancy (ectopic pregnancy), the woman immediately changed her expression, spit on the ground and cursed: "Shameless thing, you started fooling around with men at such a young age, and you even made your belly bigger." Already."
"The child hasn't woken up yet. Let's wait until she wakes up before asking." Xia Xingran persuaded her kindly.
The woman glanced at Ji Ling sideways, as if she was looking at some mud and dead leaves, and she was extremely disgusted: "What else can I explain?" She clicked her tongue several times: "Sure enough, you can't raise a child if your parents are dead. What a good thing."
Xia Xingran and Ji Ling looked at each other and asked, "Aren't you her mother?"
After hearing this, the woman with short wavy hair seemed to be contaminated with something unclean. She dusted her clothes desperately, pouted several times, sneered and rolled her eyes: "How can such a shameless slut be... My daughter, that is really dirtying the door of my house. Her parents died in a car accident and she was fostered in our home. I am her aunt."
"Anyway, let's send the child to the ward first." Xia Xingran didn't want to argue with him.
"If it weren't for your parents' insurance, I wouldn't have asked you this stupid thing." Ji Ling's aunt snorted coldly, and sent Ji Ling to the ward together with the nurse.
"How could an aunt do this?" Wen Yi couldn't help but criticize after their backs disappeared from sight.
Xia Xingran patted him on the shoulder, with a look of relief after experiencing the world: "Human nature is like this, forget it, there is no need to argue. Let's do things."
"I finally understand why emergency surgery is not a place for people." At four o'clock in the afternoon, Xia Xingran, who had undergone five surgeries, was lying on his desk, like a fish out of water, wailing and thrashing. Own
legs, whining.
Yan Yue walked in, placed a bottle of honey lemon water on Xia Xingran's table and said with a smile, "Thank you for your hard work, Xiao Xia."
Xia Xingran straightened up immediately and stood up to say hello to Yan Yue.
Yan Yue shook her head and signaled that she shouldn't be nervous: "That's what Director Xie's group is like. They don't care when they get busy. If you were in my group, you would plan a lot more rationally."
Yan Yue looked as usual, but looked at Xia Xingran with burning eyes.
"It's not a bad thing to learn more." Xia Xingran smiled innocently and harmlessly, her starry eyes as clear as water. He lowered his head to avoid Yan Yue.
"Then you have a good rest. I still have something to do." Although Yan Yue was still smiling, her eyes were fixed on Xia Xingran, like a wolf dormant in the forest at night, and the dangerous aura was wrapped around Xia Xingran's body like a vine. On the neck.
As soon as Yan Yue went out, she met Wen Yi who was looking for Xia Xingran. Before she could ask, Wen Yi had already said to Xia Xingran: "Doctor Xia, Ji Ling is awake. But her aunt is really... Oh, hurry up." Come with me and have a look."
Xia Xingran remembered Aunt Ji Ling's philistine expression in the morning, and hurriedly walked to the emergency ward with Wen Yi.
