Zhang Gu and Ma Chenglin entered the office of the director of the neurosurgery department alone.

The two discussed for half an hour and preliminarily wrote out the framework of the controlled trial.

Zhang Gu has the technology and idea of improving catheterization and fixation, and Ma Chenglin has experience in writing and publishing articles.

Eventually, the two came out of the office with smiles on their faces.

"Dr. Zhang, our neurosurgery department should be able to complete this test in about ten days, but if you encounter something that you can't get in the process, I'm afraid we have to ask you to come over." ”

"Okay, let's discuss it when the time comes. Zhang Gu agreed.

If this article can be completed, he and Ma Chenglin will both benefit a lot, and they will naturally be very attentive.

......

Return to General Surgery in the afternoon.

Shen Wenting and Zhou Cheng, a woman and a man, were condescending, with wide eyes, looking at Zhang Gu up and down.

"Awesome, you! Silently, you can help Director Xiang!"

"Especially Director Xiang praised you by name at the surgical conference, which simply made you out of the limelight!"

Zhou Cheng resented like a little daughter-in-law: "The three of us are temporary among the general surgeons, why can you be so good?"

Shen Wenting was humbly seeking advice: "Zhang Gu, no, Brother Zhang, how did you come up with your improved catheterization and improved fixation method? Teach me!"

Zhou Cheng was in a complicated mood, Corey first came to Feng Xuebin, a scholar, and now Zhang Gu has also begun to emerge, he is the first to come, but he is still useless, and a sense of crisis comes up all of a sudden.

At this moment, Zhou Dongfeng walked in.

There was wind under his feet, and there was a smug look on his face that could not be concealed.

"I heard about the outside of the gods, Xiao Zhang, you can do it! I went to the outside of the gods once, and the gastric tube method has also been improved?"

Zhang Gu said modestly: "It's just a little careful." ”

Zhou Dongfeng smiled: "Give me a long face in Ma Chang's face, it's a good job!"

Ma Changmian is the nickname given to Ma Chenglin by Zhou Dongfeng, the two were admitted to the hospital at the same time, they have a good relationship, and they often compete secretly, and they call each other nicknames in private.

Zhou Dongfeng glanced at Zhou Cheng and Shen Wenting, and said: "Xiao Zhang, this is the heart, in order to find the details in the subtleties, we are engaged in medicine, we need this kind of spirit!"

Shen Wenting and Zhou Cheng nodded duplicitously.

This bowl of chicken soup tastes good, but it's not so easy to make!

Where to find innovative ideas!

"Well said. ”

At this moment, a female voice full of vitality came from outside the door.

Forty-three-year-old Yao Na walked in with Feng Xuebin.

Zhou Dongfeng greeted with a smile: "Director Yao, I'm right!"

Yao Na is Feng Xuebin's mentor and one of the two deputy directors of the Department of General Surgery.

Although her qualifications are not as good as Zhou Dongfeng, her education is a master's degree and a scholar of Tongji Medical College in Modu, and she has strong scientific research ability, and the hospital attaches great importance to her.

"Director Zhou is right, medicine, especially in the field of surgery, especially requires careful study, and it is not allowed to be sloppy. Xiao Zhang did a good job of this. The young people of Corey should learn from him. ”

Feng Xuebin, who was behind Yao Na, looked at Zhang Gu with complicated eyes.

Teacher Yao didn't praise him so much. Feng Xuebin also felt a little pressure in his heart.

"Director Zhou, I still have surgery today, so I'll go first. ”

After the two left.

Zhou Dongfeng said to Zhang Gu: "Find me tomorrow morning, there is an operation in the morning." ”

Zhang Gu was overjoyed: "Okay!"

What he wants most now is surgery.

......

Following.

Zhou Dongfeng and Zhang Gu came to the ward.

While walking, Zhou Dongfeng gave a case of a patient to Zhang Gu: "Take a look." ”

Before Zhang Gu could take a closer look, he heard a quarrel in his ears.

"It's all your fault! I usually don't know filial piety, but I come back once a year, and I make my mother sick! What do you say you can do?" A middle-aged woman pointed at a man and scolded.

These two are somewhat similar in appearance, and they seem to be brother and sister.

The mother in the mouth of the two is the patient Zhang Gu is going to see today.

The man was anxious: "Why am I not filial!" I work hard outside to deliver couriers, send money to my mother every month, and besides, I just buy my mother some local products that she used to love to eat, who knows that my stomach will hurt?"

The woman's tears fell as she spoke: "You give money! I take care of the little ones and take care of the old ones every day, is it easy for me? How simple is it for you to only give money? If my mother has three long and two short ones this time, woo woo woo ...... "

The man scratched his head and was also anxious: "Mom used to eat winter dates, but why is it ...... this time If I don't go to the provincial city to work and stay with my mother, maybe I will be fine. ”

On the ground next to him, there was a fifteen or sixteen-year-old grandson curled up, who was sobbing uncontrollably, and kept looking at his grandmother on the hospital bed, and it could be seen that he had a deep affection for his grandmother.

When Zhang Gu saw this little grandson, he didn't feel good in his heart.

It's a lot like him five years ago.

At that time, the grandmother who brought Zhang Gu from childhood to adulthood was diagnosed with advanced liver disease, and Zhang Gu was also like this little grandson, helpless, helpless, powerless, confused, disappointed, and desperate.

It was also from then on that Zhang Gu secretly made up his mind to take the medical examination.

Do your part to reduce the sorrow of the world.

Zhang Gu looked at the medical record.

A 67-year-old female patient was admitted to the hospital with sudden abdominal pain three days ago, paroxysmal swelling pain, a history of hypertension, no abnormalities in the hepatobiliary, pancreatic and spleen on ultrasound, and a CT scan showing dilation of gas in the intestinal tract, fluid level was visible, suspected intestinal obstruction, and it was unknown whether the jujube kernel was ingested.

In the three days since he was admitted to the hospital, Zhou Dongfeng has been given conservative treatments such as gastrointestinal decompression, enema, anti-infection, and maintenance of water and electrolyte balance, but there has been no obvious improvement, and signs of peritonitis have appeared today.

Zhou Dongfeng intends to cultivate Zhang Gu: "What do you think?"

Zhang Gu thought for a while and recalled the knowledge in the book: "It may be foreign body intestinal obstruction." ”

Zhou Dongfeng nodded appreciatively: "Yes, in the past three days of conservative treatment, I just want her to discharge the foreign body by herself." ”

"Now it seems that conservative treatment is not working, surgery is necessary, signs of peritonitis appear, and it is likely that the foreign body has been perforated in the body. ”

Zhang Gu looked solemn, if there is a perforation of the organs, and the operation is not done in time, it is likely to be shocked, or even life-threatening.

"You push her to do an abdominal CT and have a repeat blood test. ”

"Good!"

Zhang Gu didn't dare to delay, and hurriedly called his family members and pushed the patient to go for an examination.

The results of the examination came back quickly, and sure enough, peritonitis and ascites were confirmed. The blood routine and blood biochemistry did not show significant improvement, and it was considered to be a perforation of the digestive tract.

Zhou Dongfeng got the result, his face was serious, and he arranged an emergency operation as soon as possible.

In the operating room.

Zhou Dongfeng first performed laparotomy to explore the abdominopelvic cavity, laminar peritoneum, liver surface, small intestine and mesocolon.

Eventually, in the mesenteric conjunctiva near the ligament of Kry, a sharp fusiform jujube nucleus was palpated, and there was a perforation of about two millimeters on the proximal mesangial side, and the intestinal wall and mesangial edema of the small intestine were obvious.

Considering the risk of necrosis due to poor blood supply, Zhou Dongfeng underwent partial small bowel resection and anastomosis.

Four hours of surgery.

It wasn't until the small intestine anastomosis was completed and the patient was out of danger and stabilized that Zhou Dongfeng breathed a sigh of relief.

He glanced at Zhang Gu: "You come to close the abdomen and suture, I'll see how the level of sutures that can be praised by Director Xiang is." ”