正文 第82章 杨主任来请教(第2页/共4页)
; “具体的我们也不清楚，又过了这么多年，也就只记得是把胆囊切了，其他的就不知道了。”另一个家属说道。
此时，王辰心里已经有了一个初步的诊断，只是一个诊断在临床上并不常见，而且和单纯胆囊切除术病史不相符。
“赵磊，叫一下床旁超声。”王辰对旁边的赵磊说道。
赵磊立即给超声科打去电话。
等着超声科医生的时候，杨洪升走到王辰身边，问道：“王大夫，你认为会是什么病？”
“我怀疑是盲端综合征，不过，还需要彩超证实一下。”王辰说道。
“盲端综合征……”杨洪升听到这个诊断后陷入沉思，因为这个诊断太少见了，以至于他都快要忘干净了。
“老大，盲端综合征是个啥东西？”赵磊更是一脸懵逼，自己的脑库存里，怎么没有这个词语。
“盲端综合征也叫污水池综合征、盲窝综合征。是胆总管和十二指肠侧切吻合术后的一种并不太常见的并发症。
大概率是因为食物残渣、结石等蓄积在胆肠吻合口至vater壶腹部形成的盲袋内，从而引起一系列的临床症状。”
“所以，你是感觉患者自诉的胆囊切除病史和胆总管十二指肠侧切吻合术这个诱发因素并不相符，所以需要做超声明确一下。”杨洪升已经想到王辰要做超声的目的。
十几分钟后，超声科的医生推着急诊检查仪器来到急诊门诊。
拉上窗帘，插上电源，超声科的医生把耦合剂挤在患者腹部，正准备放探头，
王辰却忽然说道：“李大夫，我能不能先看一眼？”
今天负责急诊超声检查的医生认识王辰，他正是王辰第一天来急诊外科报道，给那位徐凯怀疑是阑尾炎的患者做超声检查的李医生，当时因为被徐凯怀疑，后来就再也没有给徐凯老婆免费做过产前检查，后来听说徐凯被辞退了，也是痛快的说了句，“罪有应得”。
床旁彩超做的最多的就是急诊外科，来的次数多了，对王辰的实力多少也是有些了解的。
他笑了笑，道：“王医生连超声也会做？”
“略懂一些。”王辰接过探头，在患者肚子上划拉了两下，把耦合剂铺开，然后找到自己需要看的位置，仔细看着屏幕上的影像。
胆管远端的确有堵塞，在超声下下，王辰分别从侧位和正位两个角度做了测量，根据堵塞物的密度可以确定，不是结石，而是食物残渣。
堵塞点符合胆总管十二指肠侧侧吻合术术后并发症的
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