Medical road ahead

Seeing her bowing her head and blushing, Gong Yan cleared his throat and asked politely, "Do you have a boyfriend?"

"Ah."

The female patient nodded, still lowering her eyebrows and not looking at Gong Yan.

"Have you lived together?" Gong Yan asked again.

"Well."

The female patient nodded again, as if she had guessed what Gong Yan wanted to explore, her ears turned red and her face felt hot.

"well."

Finding that the female patient was getting more and more cramped, Gong Yan scratched his head, looking for a more tactful way to ask, "Did it start to hurt in the middle of the night?"

"Correct!"

The female patient finally raised her head, clutched her lower abdomen and asked, "Doctor, what happened to me? Is it related to me...Is it related to my boyfriend?"

Gong Yan nodded affirmatively, and then explained in detail: "The so-called corpus luteum is a thing that periodically appears on a woman's ovary. At the beginning of a normal menstrual cycle, follicle groups will gradually develop, but in the end only one or two dominant follicles will form. The rest will shrink and disappear. After the mature follicle is discharged, it will form a corpus luteum, which can usually grow to 1-3cm, and it is yellow when it is fresh, like an egg yolk, rich in capillaries, and has the function of secreting hormones.

If the released egg does not meet with the sperm to form a fertilized egg, the corpus luteum will shrink and disappear in about two weeks; once pregnant, the corpus luteum will continue to grow and secrete the hormones required for pregnancy until 6 months of pregnancy, or even After a longer time, it slowly shrinks.

But the corpus luteum is relatively fragile. In the middle and late periods of menstruation, if a woman is subjected to external force, it may rupture, causing a small amount of blood to stimulate the peritoneum, and mild abdominal pain will occur.

If there is a lot of bleeding, it will cause abdominal pain that cannot be relieved. In addition, if there is a larger blood vessel at the ruptured place, or if the person has a problem with blood coagulation, the blood will flow faster, causing the patient to experience rapid heart rate, drop in blood pressure, and even shock. Phenomenon.

And your current problem is that the external force causes the corpus luteum to rupture, and it is acute, not chronic, so your abdominal pain is so severe. "

"Then what should we do?" the female patient asked anxiously.

This urgency exacerbated her abdominal pain, causing her to break out in a cold sweat, and she sat precariously on the bench.

"Don't worry, I'll arrange surgery for you right away."

Gong Yan immediately got up to support her, and then called a nurse to assist him. First, he took her for a laparoscopy to determine the specific situation of her corpus luteum rupture.

"I haven't paid the fee yet."

After the laparoscopy was done, the female patient belatedly took out her medical card and handed it to Gong Yan.

"You can pay after the operation. It's important to have the operation first."

After Gong Yan finished speaking, he arranged for nurses to push her into the operating room and operate on her non-stop.

Because of laparoscopy, Gong Yan found that the amount of bleeding in her stomach had reached 800 ml, and the corpus luteum had to be sutured immediately.

"Although there was a lot of bleeding, fortunately the ovary did not rupture."

After the female patient was under general anesthesia, Gong Yan quickly sutured her corpus luteum, and checked her ovaries while cleaning up excess blood in the abdominal cavity.

The nurse on the side said, "It's the first time I have undergone surgery for corpus luteum rupture during the day."

"Why?" Gong Yan was puzzled and curious.

The nurse smiled, winked at Gong Yan and said, "Dr. Gong hasn't got a girlfriend yet, right? Of course I don't know, this hormone is only bursting at night, so in the middle of the night, we often meet A patient with a ruptured corpus luteum goes to the emergency department. It's rare for a patient to last as long as this patient."

"Oh."

Gong Yan suddenly realized.

After the operation, he did not let the female patient leave immediately, but arranged a ward for her to rest temporarily, and carefully told her: "Don't eat immediately after the operation, and you can eat and drink only after the intestinal tract starts to exhaust. , and it’s best to start with liquid food first, and don’t eat badly digestible food as soon as you come.”

"How to judge that the intestinal tract is exhausting?" the female patient asked doubtfully.

Gong Yan laughed and said, "It's just farting."

"Uh." The female patient was embarrassed.

Gong Yan also said: "Some patients may experience some symptoms of digestive discomfort after the corpus luteum rupture operation. If you have problems in this area, you must come to the hospital in time to test the stool routine. Do a gastroscopy to confirm the diagnosis. However, not everyone will be like this, so you should not be stressed and try to relax. In addition, pay attention to nourishing the stomach and protecting the stomach. You can check or consult with the HTH in Tongtong, although the operation you are undergoing is not considered a major operation, you should also pay attention to postoperative nutrition. Recently, you can brew some mint tea to drink, which is good for appetizing and digestion, and can also relieve tension.”

"Understood, thank you, Dr. Gong." The female patient nodded her head in thanks.

"And that's it."

Gong Yan rubbed his nose, rubbed his hands again, and said hesitantly: "Most of the corpus luteum ruptures we encounter clinically are related to intercourse, that is, the intercourse is too violent. You know what I mean ?”

"Understood." The female patient nodded shyly.

Gong Yan licked his lips and continued: "Go back and tell your boyfriend to pay attention to it in the future. A woman's body is very delicate. If the corpus luteum ruptures again, it may hurt the ovaries. Affect your future fertility problems."

"Uh-huh."

The female patient nodded again, thanking Gong Yan again.

"call"

After walking out of the ward, Gong Yan breathed a sigh of relief, then pulled a nurse who came out and asked, "Is my expression just now considered serious? I won't let her misunderstand that I'm a hooligan?"

"what?"

The nurse was puzzled at first, and then laughed, "Dr. Gong, are you being overshadowed by the previous complaint?"

"Isn't it! After all, I'm a man."

Gong Yan smiled shyly and asked, "Do you think my words and deeds just now were decent?"

"Decent."

The nurse nodded and praised sincerely: "That's very well said."

"That's fine, that's fine."

Gong Yan smiled reassuringly, said goodbye to her, and returned to his consulting room.

"Your ectopic pregnancy has something to do with me?"

"Why doesn't it have anything to do with you? I only made a boyfriend like you."

"Oh! That's hard to say."

"you"

Just as he walked outside the elevator door, he suddenly saw a young man and woman arguing, and he stepped forward to dissuade them.

"What's going on? This is a hospital. If you two have any disputes, you can go to the dam outside and talk about it."

Hearing this, the man glared at Gong Yan immediately, then walked into the elevator that had just opened, and quickly pressed the door close button, shutting the woman out.

"Hey!"

The woman was anxious and angry, and after slamming on the closed elevator door, she crouched down with her head in her arms and cried loudly.

Seeing this, Gong Yan hurried forward to help her up, and asked with concern, "Have you had a fight with your boyfriend?"

The woman didn't answer, just kept sobbing.

"Hey, didn't you go to pay the bill with your boyfriend? What about others?"

At this moment, Tanxi came over.

After seeing Tanxi, the woman rushed into her arms sullenly, hugged her and said hoarsely: "He didn't want to be responsible, and he dumped me!"

Hearing this, Tan Xi's expression changed, and he walked towards his office with his arms around her.

Looking at the backs of the two, Gong Yan hesitated for a moment, then followed