There are patients like this every day, but today the doctor just happened to meet a stubborn and persistent child. Gong Xiangbin scratched his head and didn't know how to talk to the child. He took out his mobile phone: "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 and cried loudly with his head raised.
This child cried so heartbrokenly that no one could resist hearing it. He made the doctors in the doctor's office cry until they were overcome with tears.
"Is there any sugar?"
"Look for cookies."
The doctors and nurses were looking for candy 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 she suddenly asked Yangyang's mother to be discharged from the hospital.
During the morning ward rounds these days, Senior Brother Tao has not expressed such an attitude. However, due to his busy schedule, the doctor has always been in a hurry during the morning ward rounds, which is a bit superficial. Unless patients need surgery, key surgeries will be performed in the group.
Discussion before. So it can only be because this is a surgery. People like Yangyang’s mother who can’t wait for a liver transplant and cannot have an operation here must either be transferred to internal medicine for treatment or have to be discharged. They can’t continue to occupy beds like this. Maybe.
Wait until the day when the patient can undergo surgery and then come in and be hospitalized.
Go to the ward to 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 are not under her care, mainly because she is 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. Her condition must have improved before the doctor discharged her.
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 was removed, the patient's belly was not as bulging as a ball. However, if the root cause of the disease was not eliminated, ascites would 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, to be precise, it should be called peritoneal effusion. Because the normal amount of ascites in a person is about 200 ml, which lubricates intestinal peristalsis. If it exceeds 200, it is an abnormal case and it is effusion. But ordinary people and doctors don’t
Commonly known as ascites.
There are many causes of abdominal effusion. The most common is hepatogenic ascites, which is ascites caused by liver problems.
Other causes include cardiac origin, nephrogenic origin, peritonitis, and other systemic diseases.
Regarding the principle of ascites due to liver cirrhosis in Yangyang Mama, the medical community usually has two theories. One is called the classic theory, which states that ascites is caused by portal hypertension, low albumin, and lymphatic reflux disorder. The other is called the overflow theory.
It 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 for the latter theory is that clinically, a large number of patients do not have the characteristics of portal hypertension and low albumin.
The two theories seemed to contradict each other. Later, doctors believed that most patients had 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.