(Thanks to my friends who can't wake up for tips and monthly pass encouragement, thanks to my friends hkatc123, Yeyi, Xykd007, forget my former me, and Wind Thoughts monthly pass encouragement)

Liu Banxia's diagnosis was not bad, and after Wang Huan completed the stool test and gastrointestinal X-ray, he was diagnosed with celiac disease. This also brought Liu Banxia 500 experience points, 800 diagnostic skill proficiency and 10 glory points.

At dinner, Wei Yuan also fulfilled his promise and added a chicken leg to each of them. In fact, it is in the emergency center that there will be cases where chicken legs and vegetables are often added.

And the big guys are all willing, which often means that there are good things.

Don't look at Liu Banxia is only a resident doctor now, but he has trained a good helper for himself. Unless there is a first aid or a large-scale first aid, it is usually Liang Xiaolin and his group of interns who take action.

Tonight is still relatively quiet, and it is estimated that there will be a wave of brawls and drunkenness during the New Year's Day holiday. Often there will be an annual meeting on New Year's Day, and sometimes if you drink too much, you will fight.

Persisted until ten o'clock in the evening, and Liu Banxia went back to the lounge to sleep. The alarm clock is set at 4 a.m., and when you wake up, you can change shifts for others so that everyone can sleep a little more.

In fact, this kind of sleep is quite hard, but he is hospitalized, so he has to create convenient conditions for the big guys. Sleeping from 4 a.m. to 8 a.m., not to mention just four hours, can restore a lot of their strength.

When he slept soundly, he felt that someone was shaking him, and he reflexively sat up.

"Dr. Liu, the patient who had a laparoscopic appendectomy today had abdominal pain, and Dr. Xu led the CT scan, and it was suspected that it was intestinal perforation. Nurse Chen Min said.

Liu Banxia shook his head to make himself sober, "Make an appointment in the operating room, and then tell me the patient's number." ”

"I'm already logged in on my computer. Chen Min said.

Liu Banxia nodded and walked out directly.

"Mr. Liu, I just promised to ask for my opinion, I'm afraid I won't be able to handle it. Wang Chao, who was on duty, said.

"Okay, wait for the results to come out. Liu Banxia said.

I also wondered a little in my heart, I was admitted to the hospital with acute abdominal pain, and after appendicitis was diagnosed, I was removed, why did I get intestinal perforation.

After waiting for a while, the information refresh on the computer came.

Sure enough, it was a perforation of the intestine, and it was still on the colon, so it had to be dealt with quickly. Is there too much flora in the colon and the enteric coated material leaks out? It is likely to cause peritonitis and sepsis.

"Notification promise? Send it directly to the operating room. After Liu Banxia finished speaking, he walked directly to the elevator.

Although he was diagnosed, he still had doubts in his heart? Why does this patient have intestinal perforation?

"Why did you come up? I thought I was making a promise to them. "Seeing Liu Banxia walk into the operating room? Wang Lei asked with a smile.

"I'm a little worried. By the way, you also made the last one, right? Was there any special situation at that time?" asked Liu Banxia.

Wang Lei shook his head? "Nothing, it's a normal appendectomy. Already inflamed in the appendix? Have slight suppuration? Fortunately, there are no piercings. ”

Liu Banxia nodded, "Laparotomy will be performed later, colon perforation, and it will be safer to deal with it." Also take a look at his entire intestine by the way? Look elsewhere for lesions. ”

“OK。 Wang Lei responded.

"Xu Dan? Aren't you sleepy when you wake up in the middle of the night?" Liu Banxia looked at Xu Dan again.

"Sleepy, but sleepy, I regret it, I haven't slept for a long time. Xu Dan said pitifully.

"Don't regret it, they say you're growing up fast. I guess it won't be long before? You'll be able to work on your own without being watched. Liu Banxia praised.

"Really? haha? That's good. Xu Dan was stupidly happy.

It was also funny for the rest of the people in the operating room, and they also liked Xu Dan very much. But isn't it because there is still Xiao Zhaoqiu, the great director of the gods, squatting behind her? It's because Xu Dan has an easy-going personality.

At this time, Xu Yinuo also took the patient to the operating room, and Liu Banxia gave her a calm look? "The operation and the patient have already been clarified, right?"

"Doctor? Do you have a good check? Save me from having another problem in my stomach. Before he could reply, the patient spoke.

"Don't worry, you have intestinal perforation after appendicitis, and you are also very rare. When you get better, go out and buy a lottery ticket, and maybe you can win a jackpot. Liu Banxia said with a smile.

"Hey...... , what is winning the lottery or not, just let me not hurt. The patient grinned.

"Well, with your optimistic personality, I have to be smart. Depending on the situation, the perforation is not very serious, there should be no need to remove the intestinal tube, and my suturing technique is the best in the emergency center, believe it?" asked Liu Banxia.

"Letter, Dr. Xu said it, and I'm looking for you, and you've been on TV. The patient answered.

Wang Lei on the side looked a little worried, it was the first time he had seen such an optimistic patient.

You can't keep nagging, you have to be anesthetized.

"Make a promise, open stomach. After the anesthesia took effect, Liu Banxia said.

Xu Yinuo did not hesitate, and directly picked up the scalpel and operated.

In fact, intestinal perforation is not such a complicated operation, if it is not for the special situation of this patient, Liu Banxia can be repaired by laparoscopic surgery.

But now it really can't be done, only by opening the abdomen and conducting a comprehensive exploration can the hidden danger be eliminated.

The operation of Xu Yinuo is very standard, when the abdominal cavity is opened, the location of the perforation on the colon is directly seen. Liu Banxia was somewhat relaxed, at least saving the trouble of searching.

The next thing is the routine operation, which can also be used by Xu Yinuo, but he still chose to take it personally. Just gave the patient a promise, then you can't fool things.

After the stitches were completed, the abdominal cavity was cleaned again, but Liu Banxia did not rush to let Xu Yiyu close his abdomen, but carefully probed.

"Banxia, we still have to hurry up some time. After all, it hasn't been a long time since the last general anesthesia, and now the patient's vital signs are a little low. Wang Lei reminded.

"Three minutes of time. Liu Banxia said.

For others, three minutes is a short time, but for the current Liu Banxia, three minutes can be continuous. It is only necessary to take a cursory look at the intestinal tube to see if there is still an underlying lesion.

It's just that after the inspection, he didn't see anything else wrong, so he could only let Xu Yinuo shut his stomach.

Ding! The surgery is complete

Gain 200 XP, 100 Diagnostics Skill, 200 Suture Skill, 100 Dressing Change Skill, and 1 Glory Credit

This operation is rated as Perfect, and you will receive 300 experience points, 100 diagnostic skill proficiency points, 200 suture skill proficiency points, 100 dressing change skill proficiency points, and 5 glory points

"Teacher Liu, what do you say is the reason?" asked Xu Yinuo while waiting for the patient to recover.

"At the moment, I don't know, but the rest of the intestines are at least very good in appearance. Liu Banxia said.

"Frightened, right? Don't worry too much. First of all, don't panic, there will be many related complications after surgery. As for how this perforation was caused, it is better to wait for the patient to wake up and ask. ”

"I asked him and he didn't have any trauma like impact. And I didn't have a history of stomach pain or stomach ulcers, so I was so sad that I died. Xu Yinuo said.

Liu Banxia nodded, still focusing on the patient.

Such a thing is not enough to be comforted alone, it is only an external force. You have to promise yourself to bear it slowly, others really can't help.

"Is the surgery done?" asked the patient, a little weakly after waiting for a while.

"After I was done, I also carefully examined the intestines and found no other lesions. Liu Banxia said.

The patient nodded, and at this moment, the patient unconsciously twitched twice.

"How did you feel just now?" Liu Banxia hurriedly asked.

Wang Lei on the side was also very nervous, thinking that something was wrong with anesthesia.

"It's just a cold cramp, how can I find that you can't see it very clearly? It wasn't like that when I woke up from the last surgery, what happened?" the patient asked.

"Can you see how many fingers I have now?" Liu Banxia stretched out two fingers and put them in front of the patient's eyes.

"Two roots, this one can be seen, but it's a little vague, not so clear. The patient said.

"I can't do an intestinal surgery, so I'm blinded, right? I'm still quite young, I'm still a little short-sighted, so it stands to reason that I can't be blind. ”

Quest released: Appendicitis patients with intestinal perforation

Open-ended task: The patient has appendectomy complicated by intestinal perforation and blurred vision, and the host judges that there is an underlying disease that requires further diagnosis. Task rewards will be awarded based on the diagnosis results

Although the current patients are still very optimistic and speak very funny, Liu Banxia has no way to be like him.

After pondering for a moment, "Make a promise, take the patient to do a cranial CT, and then do a blood test." ”

"I still have to draw blood, and I have to draw several tubes. The patient muttered.

Xu Yinuo didn't dare to take a stubble, and pushed the patient out directly with other nurses.

"Banxia, can't it be the effect of anesthesia, right?" asked Wang Lei.

Liu Banxia shook his head, "Probably not." Even because of anesthesia, it was almost when I first woke up. He had just said so many words, and his thinking was very clear, not a matter of anesthesia. ”

"I don't know if there was a thrombus pressing on the optic nerve, just now he just saw blurrily, and there was no tremor or strabismus in his eyes. If you look at the CT results, this case seems to be quite complicated. ”

Now that the patient has signs of brain lesions, this matter must be clarified today. Because the patient's progression is too fast, the disease is really urgent.

And he also has a basis for judgment, that is, the task issued by the system. If it is an ordinary eye disease, the system will basically not be released according to the proficiency of your current diagnostic skills.

After walking out of the operating room, Liu Banxia also rubbed his face, don't look at the fact that he has already undergone an operation, but now the concentration of his brain is still a little worse, and he has to make himself energetic.