235说不定对方是个通情达理的好人呢(2 / 3)
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祁镜似乎早就知道对方会这么问,从一开始就准备好了答案。
胰腺和脾脏紧挨在了一起,这个答案在临床上也不是不可能,还很符合吴正根这类自发性脾破裂的情况。说不定癌细胞在不知不觉的情况下,就把脾脏侵蚀破了。
童淼听了眼前一亮,之前几位主任会诊时倒还真漏了这么一个特殊情况。
“来,帮忙提一下缝线。”
他把手里的准备结扎脾门的缝合线交给了那位研究生,自己又翻进了腹腔,找到了那条脾脏旁的胰腺。童淼边查看腺体,边自言自语地喃喃道:胰腺边缘干净,腺体没有膨出,腺尾没有萎缩没有肿物,胰颈也没有包块,应该不是ca......
癌的浸润非常看中脏器的地理分布,脾脏周围不只有胰腺,还有胃、食管、肝胆甚至腹膜后间隙里的肾脏和肾上腺。
把上述脏器全检查了一遍后,除了肝脏有些变大外,并没有什么发现。
童淼回头看了眼还在和病理医生斗智斗勇的祁镜,忍不住又轻哼了一声:“这小子说得就像真的一样,倒是连我都给骗住了!”
这时的祁镜正为达到即刻做病理的目的,开始做起了最后冲刺:“姐姐,帮帮忙吧。如果在脾脏里找到癌细胞,那就得做胰腺部分切除了,童主任、李培德副主任可都在台上等着报告呢。”
这台手术的重要性在祁镜的嘴里被不断抬高,终于到达了理论范畴内的顶点。
女医生无非抓着医院冰切的规定在说事儿,其实以她的职称没什么资格继续反抗。
两位普外的主任级备班同时上台,这恐怕是普外近几年都少见的大手术。就算现在换做是病理科主任,也不至于在这个时候和手术室拧劲。
“好吧,动作快点,我等着。”
两分钟后,吴正根的脾脏被打包进了一个医用组织塑胶袋中,密封后贴上了信息标签。晚上手术室里的护士有限,现在又是急诊手术高峰期,这种跑腿的活就落在了祁镜的手上。
五分钟后,祁镜出现在了病理科门口,按下了门铃。
女医生30来岁,工号牌上挂的是主治职称,开门后一并让祁镜走了进去:“想快点出结果就进来帮忙。”
“好。”祁镜点点头。
祁镜虽然没在病理科待过,但最基本的实验室操作还是知道的。尤其当初读硕读博的时候,也需要进实验室自制一些病理切片,在操作过程方面可以算异曲同工。
能值夜班的病理医生手速非常快,祁镜只能在一旁打打下手。
半小时后她就拿出了检验结果,只不过镜下的结果和她原本认识的脾脏细胞有了些区别:“脾门、脾包膜、里面的脾实质都没发现癌细胞。”
其实祁镜早就认定了不可能有癌细胞,但还是装着大松了口气:“没癌细胞就好。”
“只不过......”
“嗯?只不过什么?”
“没什么,我再看一会儿。”女医生皱了皱眉头,总觉得哪儿不对劲,又看向了显微镜,“你还是先把结果告诉手术室吧,别让两位主任等久了。”
“哦哦,对对。”
祁镜马上拿起一旁的电话,不过拨的不是手术室的电话,而是手术休息室:“喂,童主任,冰切没看到癌细胞。”
童淼坐在休息室的沙发上,仰头看向天花板,面前的茶几上摆着一张100的钞票。他往嘴里倒了一口糖盐水,说道:“病人已经关腹送回去了。”
祁镜笑了笑答道:“对对,脾门、包膜和破溃的周围实质都做了切片,没发现癌细胞。”
童淼知道他又在那儿演戏呢,毕竟说好是检查癌细胞的,要不然病理科绝不可能答应做快速冰切。说出口的话还是得圆回去,童淼对这些都无所谓,只是想知道真正的病理结果:“你说的那个结果呢?”
“童老师你问冰切的镜下改变?”