Chen Minsheng directly flipped through the inspection report and looked at it very carefully.

Seeing this, the other people in the conference room didn't dare to ask rashly, but waited quietly and anxiously for Chen Minsheng to finish reading.

After all, at the moment, they spontaneously centered on Chen Minsheng, waiting for Chen Minsheng to make a decision and come up with a treatment plan.

Chen Minsheng finally finished reading the examination report, with no expression, his eyes fell on the CT scan in his hand, and after that, he began to check multiple gastroscopy pictures.

When Zhang Yunlu was given a gastroscopy, he could see the real-time pictures through the computer connection, and then the attending doctor Bei Ming printed these images into pictures, a total of more than ten photos, anyway, every part of the patient's entire stomach was presented.

Of course, it is not impossible for the gastroscopy to be as clear as a movie, but for experienced doctors, it is enough to see a lot of fame.

It's just that they have seen these gastroscopy pictures, including CT scans, more than once, but they can't find the problem.

But they know very well that it is impossible for patients to have stomach bleeding for no reason, and there is always a problem that will cause bleeding symptoms.

After a while, Chen Minsheng raised his head to ask for everyone's opinions and asked, "What do you think is where the bleeding point is in the stomach?"

Fei Liguo, the vice president of the affiliated hospital, couldn't help asking: "Teacher, do you see the clue?"

Chen Minsheng shook his head: "Not for the time being." ”

Everyone couldn't help but be a little disappointed.

Several experts began to speak.

Some people think that it is a bleeding point caused by a very small gastric perforation, and some think that it is a rupture of the mucosa.

But everyone has no basis, and the weight of the words is not very sufficient.

After all, the bleeding point in the patient's stomach is very secret, and even the gastroscopy does not find it, and when the bleeding is checked, only the blood flowing out of the surface can be seen, that is, the exact location cannot be determined, and only a general area can be locked.

This area is only one centimeter by one centimeter in size, but it includes mucous membranes, blood vessels, stomach lining, etc., and when they enlarged this area, they found no abnormalities.

"The focus should still be on the bleeding area, so you might as well project these gastroscopy pictures onto the screen, zoom in and see if you can see any clues."

Chen Minsheng proposed.

Bei Ming immediately secretly admitted that he was negligent, and only knew to enlarge the CT scan, but forgot to enlarge the gastroscopy picture.

However, like other doctors, he actually studied the gastroscopy pictures carefully and found no abnormalities.

But Chen Minsheng proposed to do this, and he would do the same.

So soon the projector worked again, and a gastroscope picture was magnified and projected onto the screen.

This is a local gastroscopy, and the picture is the gastroscopy in the bleeding area.

Everyone's eyes were focused on the screen, and Qin Tian also paid attention to watching.

Whispers rang out in the room, and everyone was talking to each other, but after a few minutes, nothing had been noticed.

This is actually normal, everyone has seen the gastroscopy before, and no abnormalities have been found.

Maybe the anomaly is hard to spot, or maybe the anomaly is separate from the bleeding area.

In short, everyone was a little disappointed, but Chen Minsheng seemed very calm and continued to ask for the second partial gastroscopy.

The second, third, fourth

Just when the doctors and experts present were a little discouraged, the eighth gastroscopy was enlarged, but Chen Minsheng suddenly shouted: "Enlarge it, enlarge it more." ”

Everyone was in high spirits, and Bei Ming hurriedly operated the computer to enlarge the gastroscopy.

Chen Minsheng simply walked directly to the screen, his eyes unblinking and observing.

Others also observed curiously, but they couldn't see anything famous for a while, and they only felt that this gastroscopy was the same as other gastroscopy charts.

Half a minute later, Chen Minsheng pointed to a certain location in the stomach wall and said in an unobstructed tone: "This is the problem. ”

"Everyone, pay attention, this is the same bleeding area, but this stomach wall tissue is still different from other stomach wall tissues, it is slightly raised, this is not a coincidence, according to my experience, this is a slightly swollen part, and the bleeding mouth is on this raised part."

Chen Minsheng's words fell, and other doctors approached one after another, but except for a very few experts, the rest of them still couldn't see the name.

That's the experience gap.

After all, Chen Minsheng is a well-known internal medicine expert inside and outside the province, and he has more experience than everyone present, and he can see what others have overlooked.

"Based on my observations, this small infusion is a bite wound, which also explains why the bleeding point is small, but it does not stop the bleeding."

While speaking, Chen Minsheng asked people to continue to enlarge the bulging stomach wall.

By the time it was zoomed in, the picture was already quite blurry, however, a few experts exclaimed.

"It's like a rodent bite wound"

Hearing several experts say this, the rest of the people naturally recognized Chen Minsheng's ability and secretly admired it.

Chen Minsheng nodded: "Not far from ten." ”

"But Teacher, how can there be an animal with rodent biting behavior in the patient's stomach?" asked Fei Liguo puzzled.

Chen Minsheng also shook his head: "I don't know, but what is certain is that this thing is a living thing, and it is in the case of continuous biting that the patient will bleed non-stop. ”

"But it's very difficult, we haven't had similar experience before." One expert bluntly put it away.

If it were easy to treat, it wouldn't stump them all, so there's no shame in admitting that they're helpless now.

Losing face is a small matter, but treating patients is a big thing.

"Maybe you can only open the patient's abdominal cavity, expose the stomach, and then directly perform surgery to remove the damaged stomach wall tissue."

Someone suggested.

This seems to be the only way to go.

After all, gastrectomy surgery is not without precedent, and some patients will even have half of their stomach cut off, so at the technical level, gastrectomy surgery is actually feasible.

Of course, as soon as this person's proposal was put forward, it was opposed by Fei Liguo and the attending physician Bemin.

Bei Ming said directly: "The patient is old, and his current blood pressure is very unstable, so he is not qualified for surgery. ”

"If you insist on surgery, what is the probability that the patient will survive," Chen Minsheng asked.

Bemin replied honestly: "Less than 30% probability." ”

In other words, if a patient is operated on now, there is at least a 70% chance that he will die on the operating table.

This is obviously not a good treatment plan, and it is absolutely impossible for the panel to agree to such a decision unless it is absolutely necessary.

"But as it stands, it is unlikely that the patient's stomach bleeding symptoms will be reduced, and unless the living creature is found and destroyed, the patient's condition will become more and more serious, and it will be even more unsuitable for surgery." Chen Minsheng frowned.

In front of him, he was faced with a dilemma.

"But how can we destroy that living creature without surgery?" someone said in one sentence.

There was silence in the room.

Even Chen Minsheng, who is very experienced, doesn't know what kind of plan to come up with at this moment, after all, although he is a famous doctor, there are still many incurable diseases in the world that cannot be solved by famous doctors.

Just as everyone fell silent, a voice slowly sounded in the conference room.

"I know what is a living creature deep inside the stomach lining of a patient."

When the people heard this, they immediately turned their eyes to the speaker.

As long as there was a way for someone to know what the living creature was, it would be much easier.

But when they found out that the person who spoke was actually a young man under twenty-five years old, and this young man was not a member of the expert group at all, some of the members looked a little strange.

There was even a grumpy doctor who said directly and unceremoniously: "Young man, we are discussing a very serious issue now, don't disturb the order here, please leave." ”

It's no wonder that he despises Qin Tian, or looks at people with colored glasses, and he understands the truth that people can't look like the sea can't fight, but Qin Tian is too young and not a member of the expert group, so it means that Qin Tian is not qualified to speak on such occasions.

At least half of the rest of the doctors and specialists have similar opinions.

It's just that the people here are all well-cultivated people, and they can't say anything unpleasant to Qin Tian.

Chen Minsheng's expression moved.

And Bei Ming saw that Vice Dean Fei Liguo was looking at him and asked him about Qin Tian's origin, Pei Ming had no choice but to say in public: "This Mr. Qin is also our colleague. ”

He didn't say anything superfluous, after all, he didn't know Qin Tian's origin, and only learned from the nurse that Qin Tian knew some medical skills.

Fei Liguo had a good temper and smiled at Qin Tian: "Mr. Qin, do you really know what the living creature is deep in the patient's stomach wall?"

"Young man, just say it." Chen Minsheng encouraged.

Although many of the people present didn't believe that Qin Tian really knew the answer, they also expected Qin Tian to say it.

Qin Tian didn't make a score, and said directly: "That's a very small insect, with a body length of about two centimeters. ”

"How do you know, the patient has been tested for this bug before," Fei Liguo couldn't help but ask.

Qin Tian didn't answer this question, after all, he judged by his qi.

In fact, when Chen Minsheng mentioned in the meeting that the patient's wound was caused by a living rodent, he did not bother with the meeting, but ran to the ward and once again injected a trace of anger for Zhang Yunlu to investigate.

Because he had participated in the meeting before, he knew that the wound was located deep in the stomach wall, and this time he was more purposeful than the last time, and directly manipulated Gang Qi to find the bulging part of the stomach wall, and then Gang Qi groped carefully, and finally came across an object that was moving.

This object, of course, is the living creature of the rodents.

He couldn't look inside with the Gang Qi, and he didn't know the specific appearance of the living thing, but under the control of the Gang Qi, he still measured the size of the living creature relatively accurately.

That's why he would declare in the affirmative that the living creature was a worm, about two centimeters in length.