第1193章 不服
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第1193章不服
看见叶柏华竟然乖乖的去做手术,王东大感好奇。龙腾小说ltxs520.com
这个中恒集团的首席医生叶柏华可是出了名难缠的人物,虽然在医疗部,勉强算是王东的下属,但他可从来不敢管他,因为这厮是纯纯正正的,背景十分的强大。
只是他怎么也想不到,这个天不怕地不怕的叶柏华到了比他还小几岁的古枫面前,竟然是如此顺摊!
其实,叶柏华也不是顺摊,他确实是个相当难缠的角色,只不过他虽然野蛮,却并不是没有理智的人,相反他对医学有股执着和追求!
他之所以愿意去做穿刺手术,并不是听古枫的话,而是想要寻求真想,他虽然在这个病例上存在失误,但他更想证明自己的诊断是正确的。
只是,当他和女助手把朱小燕扶进了里面的手术室,准备给她做后穹隆穿刺的时候,他就意识到自己错了,也多少明白古枫为何如此执着的诊断为宮外孕了。
朱小燕的上带着血,不多,很少的一点,但确实是有血,很新鲜。从颜色,性质来看一点也不像是正常生理现象,如果排除了生理现象的可能,那么只有一个原因,那就是宮外孕造成的出血。
说到这里,必须解释一下这个宮外孕。
正常情况下,受精卵会由输卵管迁移到子宮腔,然后安家落户,慢慢发育成胎儿。但是,由于种种原因,受精卵在迁移的过程了岔子,没有到达子,而是在别的地方停留下来,这就成了宮外孕,医学术语又叫異位妊娠。
90%以上的宮外孕发生在输卵管。这样的受精卵不但不能发育成正常胎儿,还会像定时炸弹一样引发危险,因为随着妊娠囊不停的增大,输卵管就不停的受压迫,最后就会造成破裂,一旦破裂就会造成出血,先是少量,然后是大量,患者也会因此出现面色苍白,脉博细速,血压下降,休克,最后甚至是死亡的危险。
宮外孕是妇科之中一种极为危险的急腹症,必须对之高度警惕。一旦出现停经、腹痛并伴有出血现象时,应立即去医院检查确诊。并进行及时抢救,以减少或防止腹腔出血,避免因出血过多而发生严重后果。
现在朱小燕的上有血,那诊断依据已经很明确,停经,腹痛,出血……这种种都指向了一个疾病,那就是古枫所说的宮外孕。
叶柏华猜想古枫一定是在刚才朱小燕拉裙子的时候看到了她的,从上面的血迹加上腹痛还有年龄极种种症状下的诊断,虽然他必须承认古枫确实很厉害,但也同时也认这厮很龌龊,你哪都不看,偏偏去看人家的?
到了这个时候,叶柏华也终于明白自己追问他怎么如此肯定的时候,他为何会带着微窘的装神秘了。
朱小燕的病,到了这个时候基本已经没有什么疑虑了,百分之九十属于宮外孕,也不必再做什么穿刺探查了,直接就可以开刀给她手术了。
不过叶柏华之前已经犯了一个常识性的错误,他不愿意再冒险,再想当然,再用经验来下结论了,他必须百分之百的确诊后才动手术刀。
古枫龌龊,其实这厮也不是什么好货,他也想在做穿刺的时候同时研究一下这位朱小姐的身体结构,其实……刚才在外面的时候,他多少已经研究过了。
穿刺探查术下来,叶柏华彻底的服了,后穹隆回抽带血,朱小燕确诊为宮外孕无疑。
对于此种異位妊娠,没有什么好犹豫的,必须立即手术,因为一旦发生大出血,那可就要危及生命了……
古枫没有参加朱小燕的手术,因为在他的眼中,这是一个小得不能再小的手术,对他没有一点挑战性。
叶柏华贵为中恒集团的首席医生,如果连这个小手术也拿不下来,那他也可以回家吃老米了。至于诊断的失误嘛,马有失蹄,人有失手,有时候疏漏一个细节,就可能导致全盘失误的,像是这种事情,别说是这么一个简单的医疗机构,就是省附属医这种大医院不也曾经出现过吗?
古枫被请到了王东的办公室,这回不但有人招呼,还有人端茶递水呢!
在客套寒暄过后,王东就直入正题,首先给古枫解释了他这个医疗顾问的职责与权限。
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