Shao Yifei, the director of the center, had an ugly face.

"Zhang Gu's method is to let us practice a lot of time for a long time, and constantly become proficient in the feel of operating the rigid nephroscope in the basket tunnel......

"Isn't this a skillful feel? There is no operation skill at all!"

"This valley, shouldn't it be deliberately hidden. ”

Shao Yifei and the others began to wonder if Zhang Gu deliberately did not teach them operation skills.

But gradually, when they saw more examples of operations performed by Zhang Gu, they slowly understood themselves.

This operation really has no operation skills, it is done by relying on the skillful and real feel!

Shao Yifei always had a doubt in his heart.

Why can Zhang Gu, who has only recently been exposed to hepatobiliary surgery at a young age, have such a skilled rigid nephroscopy technique?

When did he start practicing?

This proficiency is at least that of hundreds of senior doctors who have done this operation, and who have been more than five years old.

......

At the same time, something else happened.

The Water Conservancy Hospital received a patient with suspected liver cirrhosis, and the expert group discussed it for several days, but was still unable to diagnose and confirm the diagnosis.

As a result, the Water Conservancy Hospital called the hepatobiliary surgery experts from the first and third hospitals of the city to come for joint consultation.

This time, many of Zhang Gu's acquaintances came.

Yao Yusen from the Third Hospital, Bao Zhihui and Shu Xinxian from the First Hospital all came.

At this moment, Zhang Gu also happened to come to the Water Conservancy Hospital for training.

"Team Leader Zhang, are you here?" Shu Xinxian didn't expect to meet Zhang Gu here, and he was very happy.

Bao Zhihui also greeted with a smile: "Doctor Zhang." ”

Zhang Gu smiled at the two and said, "I'm here for training and exchange, are you here?"

The two of them said what they meant.

Zhang Gu smiled: "Okay, you guys go get busy first, and I'll talk to you after I finish the lecture later." ”

Shu Xinxian smiled: "You must come, I have something I want to tell you." ”

"Okay!" Zhang Gu looked at Yao Yusen: "After the meeting, let's go together." ”

The crowd was separated.

Zhang Gu here, after giving a lecture to the specialist doctors of the Water Conservancy Hospital.

Outside the door of the large conference room next door, listen close to your ears.

There's still a meeting going on inside.

"Isn't it over yet? This consultation is a bit long, it's been more than two hours. ”

Zhang Gu glanced through the crack in the door.

I saw that there were fifteen or sixteen doctors sitting inside, all of them frowning and worried.

Obviously, the consultation did not go well.

Zhang Gu quietly opened the crack in the door, walked in lightly, and sat down in a row behind Yao Yusen and Shu Xinxian.

In the boredom of waiting, Zhang Gu simply listened to what kind of case this was.

I heard a senior doctor from the Water Conservancy Hospital say: "I still think it is liver cirrhosis, because the patient has a history of hepatitis B for 20 years, edema of both lower limbs, and in the family medical history, my mother and sister are also hepatitis B patients." Moreover, the patient's laboratory indicators such as aminotransferases and bilirubin are high, and the low protein is low, which indicates that the possibility of liver cirrhosis is very high. ”

Another doctor shook his head and said, "But how do you explain that the patient's platelets and white blood cells have not decreased? If it is cirrhosis, these manifestations of hypersplenism should appear at the same time, right?"

Doctors have been discussing.

Each said his own insistence.

This case is indeed complicated and a headache.

In terms of pathological indications, it is clear that it meets several diseases, but it is contradictory and contradictory, and there is a lack of diagnostic criteria that can be definitive.

Zhang Gu listened to it for a while, and he felt a little big!

He estimated that even if he continued to hold the meeting for another ten hours, he would still not be able to convince anyone.

And intuitively, Zhang Gu also felt a little strange about this case.

Anyway, he has a lot of money now, and the card pool is full, so he simply consumes a card and sees how it goes.

In Zhang Gu's mind, he consumed a skill blank card to redeem the "Basic Techniques for Diagnosis and Treatment of Liver Cirrhosis", and raised it to an advanced level.

In my mind, I suddenly had a variety of experiences about the treatment of liver cirrhosis.

Zhang Gu looked at this case again, and then he understood!

This kind of condition, in the vast sea of cases in the mind, there is really a similar case.

This is a condition that is easily misdiagnosed as cirrhosis, and was originally called "congenital extrahepatic portal cava malformation".

Extremely rare!

At present, there are hundreds of confirmed cases around the world.

It is a congenital condition in which dysplasia causes an abnormal shunt to form between the portal vein and the vena cava. This abnormal shunt can lead to many manifestations that overlap with many indications of cirrhosis.

Zhang Gu sighed in his heart, it seemed that he had to forcibly intervene.

It is estimated that none of the people in the conference room have seen the information of this rare congenital acute disease.

I haven't even seen it, so how can I be diagnosed right.

Zhang Gu coughed, and after attracting everyone's attention, he said, "Director Shao, have you ever considered that this is a congenital extrahepatic portal vein malformation?"

Shao Yifei froze, and Yao Yusen, Shu Xinxian, Bao Zhihui and others also looked at Zhang Gu in a daze.

What did you just say?

Looking at the bewildered crowd, Zhang Gu sighed in his heart, sure enough.

This rare malformation disease, which has only 100 cases in the world, may not be encountered in a lifetime for the vast majority of hepatobiliary surgeons, so it is no wonder that it is misdiagnosed.

"You can go to the database and look it up, it's rare, but it's not cirrhosis. ”

Some doctors who are quick have already made inquiries on the computer next to them.

Bao Zhihui, director of the Department of Hepatobiliary Surgery of the First Hospital, said: "Dr. Zhang, you said this is a rare disease?"

"Yes, there are only 100 cases in the world at present, which is a ...... formed by the branches of the protoportal vein and the meridians of the lower lumen."

Zhang Gu briefly explained the reasons for the formation of this rare disease.

These are all the information of the cases in his mind, and Zhang Gu is equivalent to reading the book and reading it again.

But in the eyes of others, Zhang Gu is like a humanoid machine, directly reciting this very obscure and unfamiliar information.

At this time, a doctor who was looking up information on the computer suddenly said, "I found it!"

Shao Yifei looked over: "Is there really such a rare disease?"

The doctor nodded: "Yes, my full name is Abemethy deformity, and all the information is exactly the same as what Dr. Zhang Gu just said, almost ...... Word for word. ”

After speaking, the doctor looked at Zhang Gu with a little horror.

Dr. Zhang's memory is too terrifying, isn't it?!

Everyone else also has an expression of disbelief, reciting information word for word, how many things are stored in your head!

Shao Yifei swallowed a mouthful of saliva and swallowed: "Doctor Zhang, what is your criterion for judging that this patient is a congenital malformation?"

Zhang Gu said: "I listened to the detailed description of your condition and judged it by experience, and it is best for you to do two additional tests to confirm the diagnosis." ”

"One is imaging and angiography, and the other is multiplanar revascularization. If the hepatic portal vein is found to be small, the meridians of the lower cavity are widened, and the portal vein branches are thick, which is different from ordinary people, it is a congenital malformation. ”

Shao Yifei waved his hand and said to the doctor next to him, "Go and examine the patient." ”