Returning to ’90s, She Became Famous in Major Surgical Fields

   Chapter 776 [776] What is ascites

   This kind of patient happens every day, but just today the doctor met a stubborn and persistent child. Gong Xiangbin scratched his head and didn't know how to talk to the children. He took out his mobile phone and said, "I'll call your grandma and grandma."

   "You don't need to call them. I'll donate it to my mother." Yangyang said tears and began to fall.

   Gong Xiangbin quickly took out a tissue and wiped the children's tears: "What are you crying for?"

   "I don't want my mother to die." Yangyang stood in the doctor's office with his head raised and cried.

   This child cried so hard that no one could resist it. Directly made the doctors in the doctor's office cry to the point of being overturned.

   "Any sugar?"

   "Look for cookies."

  The doctors and nurses are looking for candy one by one to see how to coax the child early.

   Zhao Zhaowei wanted to cry when he saw the child crying, so he went back to his ward to see if he could find some toys.

   Xie Wanying was thinking about what was going on, why she suddenly called Yangyang's mother out of the hospital.

   During the morning rounds in the past few days, Brother Tao did not show such an attitude. However, due to the busy schedule, the doctor's rounds in the morning were always in a hurry. Unless the patient is going to have surgery, there will be key preoperative discussions in the group. So it could only be because this is a surgery. People like Yangyang's mother who can't wait for a liver transplant or surgery are either transferred to internal medicine for treatment, or they can only be discharged from the hospital, and they can't continue to occupy beds like this. Maybe one day, the patient can come in and be hospitalized after surgery.

   Go to the ward to see the patient's condition. Xie Wanying thought twice about going to Yangyang's mother's ward.

   is not the patient she is in charge of. Generally, she will not take the initiative to care about it, 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, and her spirit was much better. The doctor told her to be discharged after she was sure that 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.

  Ascites has been pumped, the patient's belly is not as bulging as a ball, but the root of the disease has not been eradicated, and ascites will definitely appear again. Xie Wanying only saw that the patient's navel was protruding, and she knew that the ascites had not disappeared at all.

   When it comes to ascites, it should be called ascites. Because the normal human ascites has about 200 ml, which has a lubricating effect on intestinal peristalsis. If it exceeds 200, it is an abnormal case state, and it is effusion. It's just common people and doctors call it ascites.

   There are many causes of ascites. The most common is hepatic ascites, which is ascites caused by problems with the liver.

  Other causes, including cardiogenic, nephrogenic, peritonitis, other systemic diseases, etc.

   There are usually two kinds of theories in the medical field about the principle of Yangyang mother's liver cirrhosis ascites. One is called the classic theory, which says that portal hypertension and low albumin can lead to ascites caused by lymphatic reflux disorder. Another is called the overflow theory, which means that the formation of ascites caused by the retention of water and sodium has nothing to do with the other reasons listed above. The reason for the establishment of the latter theory is that a large number of patients clinically do not have the characteristics of portal hypertension and low albumin.

   The two doctrines seem to contradict themselves. Later, doctors believed that most of the patients were the classical theory in the early stage, and the overflowing theory in the later stage, and the two theories were the manifestations of the patient's condition at different stages.

  It stands to reason that the mother of Yangyang belongs to the stage of overflowing theory, and the storage of water and sodium is related to the imbalance of the renin-angiotensin system and the norepinephrine-adrenal system.

   (end of this chapter)

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