After Zhang Heng, the director of the pet hospital, saw this scene, he was directly stunned!

It's not like I've never seen a big scene!

But......

This is the first time he has seen such a scene.

People who have undergone surgery and invite consultation experts can't come so much, right?

Zhang Heng saw everyone and hurriedly leaned over: "I'm sorry, how many of you are ......"

Liu Wenli, the leader of the animal experiment team in the anatomical laboratory, was the first to say:

"Hello...... I am Liu Wenli, anatomical specialist of the Anatomy Laboratory of Shanhe Medical University. ”

"Hello, ...... of the Animal Experiment Group of Shanhe Medical University"

……

After being introduced by a group of people, Zhang Heng couldn't hold back at all.

Boy!

The group of people in front of him turned out to be from the laboratory of Shanhe Medical University?

Although pet doctors also have professional titles, they belong to the professional title evaluation of animal pastors and veterinarians.

Zhang Heng himself is a veterinarian with an intermediate title.

But......

Zhang Heng is very clear that his veterinarian is really not a high level in the eyes of this group of experimental specialists and senior experimenters!

Because Sunward Medical University will also recruit some veterinarians, and then obtain a certificate in animal experiments.

But the difficulty itself is relatively high!

Although the domestic veterinary industry is profitable, it is ...... The degree of specialization is not high.

Therefore, Zhang Heng looked at everyone for a while, and his speech was a little unfavorable, and he hurriedly said:

"Experts, please come here!"

Here's where the experts come in.

Although a well-trained guide dog is valuable, it ...... Such a big battle is really a bit shocking.

Liu Wenli turned around and glanced at Chen Gong, and said with a smile:

"Xiao Chen, don't worry, leave it to us!"

"Xiao He's best at dog dissection experiments."

Chen Gong nodded hurriedly: "Then thank you teachers." ”

Accompanied the crowd and walked in.

At this time, the blind uncle also understood what was going on under the explanation of the nurse next to him.

hurriedly looked at Chen Gong and was grateful.

It didn't take long......

The patient's family arrived.

Two middle-aged men in their thirties and forties hurried over, and after seeing the old man, they said excitedly:

"Dad, are you okay?"

The old man shook his head: "Lele, Lele saved me!" ”

"I'm fine, but...... He may be in a dangerous situation. ”

"By the way, what about the perpetrators? Did you find it? ”

Hearing the old man's words, the younger middle-aged man said: "I have already called the traffic police, and my assistant is over there to help collect evidence." ”

Traffic hit-and-run refers to the act of the perpetrator fleeing after a traffic accident in order to avoid legal prosecution.

The "occurrence of a traffic accident" in this article does not refer to humans or animals, that is, as long as there is an accident, the driver of the vehicle should immediately stop and protect the scene.

If the dog hit at this time belongs to the owner, running away is also an evasion of legal responsibility, and it is also considered a hit-and-run.

"Lele...... It's all right! ”

The older middle-aged man sighed and couldn't help but ask the staff.

He knew very well what Lele meant when his father was strict.

To put it bluntly, they didn't spend much time with their father.

The lifespan of a guide dog is only ten to fifteen years, and Lele has been at their home for eight or nine years.

Over the years, his father and Lele can be said to be companions day and night, and the first thing Lele did when he got up in the morning was to wait for his father to open his eyes, put the rope into his hand, and take him to the toilet.

Although my father is already very familiar with the decoration and layout of the home, he ...... Lele has become his family.

It can be said that this blow is very big for the old man.

Hearing the man's words, the staff didn't know what to say at this time.

I could only say in a hurry: "The situation is more serious, but ...... Still in surgery to resuscitate. ”

After that, everyone waited patiently.

At this time, the old man also told Chen Gong about it.

The old man's two sons, both lawyers, run a local law firm, and their careers are booming.

After listening to it, I was directly dumbfounded.

He really didn't expect it...... A dog attracts a group of experts!

Boy......

For a while, the two couldn't find anything to say.

To be honest, this dog, let alone tens of thousands of dollars, 100,200,000, both of them have to pay for it.

After all, in my father's eyes, this is not a dog's business at all.

This is a loved one.

The two could only thank Chen Gong gratefully.

This is a long wait.

About two or three hours passed.

After Liu Wenli and a group of people walked out with a smile, Chen Gong knew that it should be fine!

And the dean Zhang Heng behind him was very excited.

"Director Liu, Dr. He......"

"You're amazing!"

"In this case, the liver can be preserved as much as possible, and the spleen can be sutured!"

"That's amazing!"

"I've never seen such a master in so many years!"

"Hey...... That's amazing! ”

……

This really can't be blamed for Zhang Heng's lack of knowledge.

But......

It was the first time he had dealt with this group of people.

Animal experiments, modeling experiments, often have to artificially destroy some organs, and they have to be repaired intact.

On weekdays, Dr. He's best at canine experiments.

So!

Today, he completely leaked a hand to this Dean Zhang.

So much so that Zhang Heng really saw the master.

Otherwise, that sentence is well said!

It's never your peers who defeat you.

Cross-bank competition is the deadliest!

Zhang Heng felt that he had to think about it carefully, otherwise...... was really bankrupt by this group of uncles.

"It should be fine."

"However, you have to observe after the operation."

Liu Wenli said with a smile.

Chen Gong nodded: "Teacher Liu, thank you very much, I have caused trouble to everyone today!" ”

Before Chen Gong finished speaking, the blind uncle, supported by his son, hurriedly walked over.

"Experts!"

"Thank you so much."

"Thank you so much."

"That...... Boss and second, you treat everyone well today, and ...... There should be no less money to be paid. ”

"People come all the way to do surgery, you can't treat people badly."

Seeing this, Liu Wenli immediately cried and laughed: "Forget it, no need!" ”

……

……

At this time, Chen Gong walked over, looked at Zhao Xi and Yang Li, and smiled:

"It's all right!"

Yang Li nodded, glanced at Chen Gong and Zhao Xi, and smiled: "It's okay, then I'll go home." ”

Chen Gong hurriedly said, "Stay with your car!" ”

"It's all blood, I'll go wash your car."

Yang Li glanced at Chen Gong, covered in blood, and couldn't help but shake her head:

"You better take a shower and rest!"

Zhao Xi also nodded and smiled: "Yes!" ”

"Let's go first."

Yang Li said to Zhao Xi: "I'll send you back to the hospital, right?" ”

Zhao Xi smiled slightly: "Okay!" ”

Chen Gong was stunned: "What about me?" ”

……

……

The follow-up rehabilitation of guide dogs is very smooth, and the main reason is that the teachers in the anatomy laboratory have a relatively high professional quality.

The blind old man is very grateful here!

After the dog was out of danger, he took his family and found the school with 100,000 yuan in cash and gave him a pennant.

Qin Xuehai made the decision of the 100,000 yuan, giving 10,000 yuan to each staff member involved in the operation, and the rest was given to Dr. He and Director Liu Wenli, 10,000 yuan each.

The last 10,000 yuan is used for future gatherings and other team building.

I have to say that this time Qin Xuehai distributed the sponsorship to everyone differently, which made everyone excited.

But......

Similarly, Qin Xuehai's behavior also made the school leaders dissatisfied.

After all, this money was not involved in the school, but was directly given to the department, which made some leaders very unhappy.

It's not a matter of 100,000 yuan, and in the eyes of some people, the school is a big family, how can you spend the money with the consent of your parents?

Even at the meeting, some people accused Sang of scolding Huai several times.

But it's a pity that Qin Xuehai didn't pay attention to it.

Soon......

Just a few days before New Year's Day, the staff from the upper province came to the school and announced the appointment of Qin Xuehai's executive vice principal.

Although many people led by Lu Anshan were dissatisfied, they ...... But to no avail.

As the leader of the Science and Education Department, Li Jun was even more dissatisfied.

I thought I would win this time, but ...... No one expected that after the order came down, it was Qin Xuehai who took office smoothly.

After Qin Xuehai took office, the person in charge of the anatomy laboratory was served by Hao Xuguang, the original deputy director.

And Liu Wenli took over the vacant position of Director Hao.

So far, the anatomy laboratory of Shanhe Medical University has officially completed the transfer of personnel.

Hao Xuguang actually has a good relationship with Chen Gong!

Even before, Chen Gong became the third person in Qin Xuehai's research group, replacing Director Hao.

This time, Hao Xuguang successfully served as the director, which can be regarded as a complete merit.

It's just that......

After the results were announced in the laboratory, Chen Gong smiled and said to Director Hao: "Director Hao, ...... in the future." Don't you dare to eat rabbits openly! ”

"You are now the director, you can lead by example!"

As soon as these words came out, everyone in the room couldn't help laughing.

Liu Wenli couldn't help laughing!

Compared with the biochemistry laboratory, Chen Gong likes the atmosphere of the anatomy laboratory.

Everyone is very cheerful, and there is not so much intrigue.

Li Bo and Liu Yueqing looked at Chen Gong and said with a smile: "Our Xiao Chen has come back once in a long time!" ”

"Or ...... Leader, let's spend money today, shall we? ”

As soon as this remark came out, it was immediately approved by many people in the department.

Hao Xuguang, as Qin Xuehai's confidant, naturally knows Chen Gong's situation very well.

He wouldn't treat Chen Gong as a child!

This is a talent that has received the attention of the province, and the future can be said to be unlimited.

Of course, aside from these, Chen Gong's ability and character also made Hao Xuguang like it very much.

"No problem!"

"Tonight, I'll arrange it!"

Liu Wenli said with a smile: "You can save some money, sister-in-law, or I will go back to you to trouble!" ”

"Hahahaha......"

Speaking of which, at this time...... Liu Wenli suddenly looked at Chen Gong and couldn't help but say;

"That's right!"

"Director Xiao Chen!"

"You can't favor one over the other!"

"Speaking of which, our anatomy lab is your mother's home."

"It's good now, the biochemical laboratory has set up a school-run enterprise, and you are still the major shareholder!"

"I've heard that the business model hasn't been built yet, but ...... I've already received an order for nearly a million dollars, is it really fake? ”

Chen Gong nodded with a smile and said, "That's true. ”

"But...... It's not so exaggerated. ”

"It's just three lists, but when converted, it's really about one million."

Hearing this, everyone in the laboratory couldn't help but gasp.

"Huh!"

"I'm so envious!"

"Yes, with this school-run enterprise, I estimate that the biochemical laboratory will be arrogant in the future!"

"Director Chen, you can't favor one over the other, our mother's family is not happy."

……

Everyone was joking and couldn't help but tease Chen Gong.

Of course, everyone also knows that school-run enterprises are not established casually.

Moreover, if you want to make a profit, you must have core competitiveness.

After all, the scope of biochemical laboratories involved is relatively large, so it is very good to connect with social enterprises.

But......

The dissection room was a bit awkward.

But......

At this time, Chen Gong suddenly thought of something, and couldn't help but say:

"I think ...... We have a chance, too. ”

As soon as these words came out, Hao Xuguang hurriedly looked at Chen Gong: "Director Chen, tell me quickly?" ”

Chen Gong couldn't help but glance at the people around him, and asked with some confusion:

"We've already tried!"

"And it works!"

"Why don't you work hard?"

As soon as these words came out, several people around looked at each other, full of doubts.

Suddenly, Liu Wenli's eyes widened: "You mean...... Animal Hospital?! ”

Chen Gong nodded: "Hmm." ”

As soon as the words fell, all of a sudden in the anatomy laboratory looked at each other, and their scalps were numb.

There was some urge in everyone's eyes to try it.

Who doesn't like having a lot of money?

Moreover, on the side of the anatomy laboratory, Liu Wenli has been responsible for the dissection and model establishment of animals.

People in the anatomy lab are basically no strangers to animal experimentation.

Now think about it!

It really doesn't seem like this is impossible, right?

Hao Xuguang took a deep breath and patted Chen Gong's back a few times, his eyes full of excitement.

Having just taken over as director, he can now be described as ambitious and full of passion.

I have a great idea of making a contribution!

Now after seeing the light in everyone's eyes, he suddenly said:

"Don't worry about this!"

"I'll make a plan as soon as possible."

"Then we have a good discussion at the meeting."

……

Chen Gong didn't expect that he was just coming over for a spin, but everyone had a special idea.

That doesn't seem to be a bad thing, though.

Everyone in the anatomy department does have such ability, and Liu Wenli in the anatomy laboratory was also responsible for the cultivation of animals before.

Therefore, the team is full of talents.

It's completely possible to hold up a pet hospital.

The work they need to do is nothing more than to expand some of their knowledge, and strengthen their knowledge about special animals and pets.

However, for this group of top students, it seems that ...... This is not a problem.

In addition, it is the assessment of the qualification certificate.

Chen Gong didn't think about this, but ...... From Hao Xuguang's eyes, it seems that everyone does not have such worries and doubts.

Because Liu Wenli's team has such a certificate.

However, these have little to do with Chen Gong.

That night, Chen Gong and the people in the laboratory went out to have a good time.

When I returned to the dormitory, I received a call from my mother.

"I don't go home on National Day."

"Don't go home for the Mid-Autumn Festival?"

"And!"

"It's New Year's Day now, do you remember this home?"

"Chen Gong!"

A calm, but chilling voice came from the phone.

Every time my mother gets angry, it's the same tone.

Chen Gong hurriedly said, "I'm sorry, Mom!" ”

"I've been busy lately."

"It's a lot of pressure to study."

"That's why I didn't go back."

The other party sneered: "Really? ”

"If you have time to go to the capital, don't you tell me?"

"If your dad hadn't come back and told me, I really wouldn't have known what competition you went in!"

"Well done!"

"At the very least, other people's children still report good news and not bad news, and you don't want to tell me the good news at all!"

"Director Chen, that's amazing!"

"If your brother-in-law hadn't told me, I really didn't know that you had quietly become a shareholder of the school?"

"Do you have any money?"

Chen Gong listened to his mother's count, and could only smile honestly embarrassed.

After all...... What else could it be?

"That's it!"

"I have to go home during the New Year's holiday, do you hear that?!"

Chen Gong coughed: "Mom, this is the winter vacation soon, so don't worry, right?" ”

"I had a bunch of time for the winter break."

"It's not good for me to accompany you at home!"

The other party smiled: "No! ”

After speaking, he hung up the phone directly.

Chen Gong suddenly couldn't cry or laugh.

It seems that a lot of things in school can't be hidden.

It's not a big deal, though, after all...... Sooner or later.

Here, Chen Gong was about to sleep, and Shou Weixiang next to him couldn't help but say:

"Oops!"

"Graduate school exams are coming soon!"

"I'm so nervous!"

When Ji Chao heard this, he smiled: "Nervous fart, you're only a sophomore?" ”

"Wash and sleep!"

Shou Weixiang smiled: "Yes, I'm only a sophomore." ”

"It's a pity!"

"Teacher Wang in our laboratory likes me very much, maybe I can get a graduate school in my senior year."

"At that time, there will be no need to take the graduate exam."

"Oops, it's so annoying!"

Hearing this, a group of people suddenly threw things like orange peels and toilet paper towards Shou Weixiang.

"Holy!"

"Ji Chao, you're disgusting!"

"Throw used toilet paper around? What the fuck is this...... Why is it still a mess! ”

Ji Chao: "It's worse than killing me, grass!" ”

Chen Gong shook his head: "It's okay, don't worry!" You have a relationship when the time comes, what are you afraid of? ”

Ji Chao: "??? ”

"What does it matter to me?"

Chen Gong smiled: "When you take the postgraduate entrance examination, I may be a master's tutor, and when the time comes, ...... I'll introduce you to a teacher! ”

Ji Chao: "Grass! ”

"I'm not supposed to talk to you."

But......

Everyone had no doubts about Chen Gong's words.

Because they know very well that this may not really be an impossible thing.

……

……

Saturdays and Sundays are fast approaching.

Many of the school's school buildings have been fenced off.

In the morning, the campus was full of people who had come to take the graduate exams.

Chen Gong still has to go to work in the hospital today, because Teacher Xiao Zhao has to be on duty today.

Chen Gong, as the little follower of Teacher Xiao Zhao, naturally does not want to saddle up before and after.

In order to express his concern for Mr. Xiao Zhao, Chen Gong also specially brought breakfast.

Zhao Xi saw the breakfast that Chen Gong bought, blinked his eyes seriously, and asked:

"Do you want me to pull your mouth again, and play assist!"

"Impossible!"

"I didn't eat the hot pot that day!"

"You're lying to me again!"

Chen Gong suddenly grinned: "Teacher Xiao Zhao! ”

"You can't have such dangerous thoughts."

"My presence is a ladder on your way."

"Didn't you see that Director Thor praised you for your fast progress yesterday?"

Zhao Xi glanced at Chen Gong and drank the soy milk.

Chen Gong smiled, but didn't say anything.

Saturday and Sunday work, it seems to be busy, after all, as the doctor on duty to deal with all the patient's problems.

But in fact...... It's not so exaggerated.

Because everyone had already settled all the medical orders before Saturday and Sunday.

Patients also know that the doctor is not available on Saturdays and Sundays, and generally does not bother the doctor on duty unless there are special circumstances.

Therefore, Zhao Xi's morning time, in addition to dealing with his own patients and changing dressings, is to make up for cases.

Every doctor's case is like a child's homework during the winter and summer vacations.

As a last resort, I'm really too lazy to write.

When it comes to writing, even if you can copy and copy, you can solve the problem by copying and pasting, and you will definitely not bother your hands.

It's a pity that Mr. Xiao Zhao is too serious.

Chen Gong has to write seriously.

"Hey...... I feel that I will be in the hospital for a few years, and I will not talk about whether I can learn anything else. ”

"Typing speed can definitely go up!"

"When the time comes, maybe I can change my career to become an online writer, and I can earn some money by relying on full-time work."

Zhao Xi couldn't help but smile: "Then you can't break the change!" ”

"Otherwise, I'm sorry for your case history in the past few years."

"Hahaha......"

Chen Gong rolled his eyes and choked speechlessly.

……

At this moment, a little nurse hurried in.

"Doctor Zhao, the emergency department has a consultation, let you go over and have a look."

After Zhao Xi heard it, he stood up: "Oh, okay, I know." ”

After speaking, he glanced at Chen Gong.

"Are you going to come with me, or are you going to stay here?"

Chen Gong moved his body: "Let's go!" ”

"You can't just let me write the medical records."

"It's just boring."

"Let's go, I'll go to a consultation with you."

After saying that, the two got up and walked towards the emergency department.

Emergency Department.

After Wang Fulei, the doctor on duty, saw Zhao Xi, he was stunned for a moment.

"Zhao Xi?!"

Zhao Xi nodded and smiled: "Brother Lei, are you on duty today?" ”

Wang Fulei smiled: "Who said it wasn't." ”

"By the way, there's a patient who I need to ask you to see."

Wang Fulei and Zhao Xi entered the hospital together, and after rotation, they stayed in the emergency department.

Seeing this, Chen Gong couldn't help but understand something.

Gotcha!

Today's consultation may really be a rookie pecking each other.

It's not that I look down on him Teacher Xiao Zhao, but ...... After all, none of them are very experienced.

It is undeniable that there is not much else you can see in the medical system, and at this time, qualification and experience are the key to testing doctors.

Zhao Xi glanced at Chen Gong and couldn't help but kick the other party.

"Laugh what a laugh!"

Chen Gong hurriedly waved his hand: "Wrong, wrong!" ”

"Let's get a consultation!"

While talking, Wang Fulei took the two of them to the next room.

"This is the patient."

"Let me tell you the basics."

"The patient, 66 years old, began to experience abdominal discomfort a week ago, accompanied by fever of varying severity, and was admitted to the emergency department one after another, and his body temperature returned to normal after the infusion."

"However, three days ago, a sustained low-grade fever began."

"In addition to that, we checked the blood items one after another."

"The results showed that the patient's total number of white blood cells and neutrophils increased these days."

"So, I considered surgery for peritonitis, but ......"

"The physical examination showed that the patient did not have peritoneal irritation, which seems to rule out ah."

"I'm a little unsure now, Dr. Zhao, please take a look."

"That's right!"

"The white blood cells were increasing for the first few days."

"In the past two days, it has gradually become normal, and the body temperature is also low-temperature."

After Zhao Xi heard this, he also began to think.

After a while, she walked up to the patient: "Hello, please lie on the bed, I'll do an abdominal examination for you, if there is anything uncomfortable, you can tell me, okay?" ”

The old man looks very kind, and his facial expressions are normal, and under normal circumstances, this situation should not be very serious.

"Good!"

"I'm sorry for you."

While talking, the old man lay flat on the bed, and Chen Gong helped the old man bend his legs.

At this time, Zhao Xi began the physical examination.

"Does it hurt here?"

Zhao Xi said as he pressed.

The old man shook his head: "It doesn't hurt!" ”

Zhao Xi continued to ask, "Have you eaten anything bad in the past few days?" ”

"Or diarrhea."

The old man shook his head: "That's not true, my life has been quite regular recently." ”

"Didn't you have any nausea and vomiting?"

Zhao Xi wanted to rule out acute gastroenteritis.

There is no gold standard for acute gastroenteritis.

It's still a three-step rule.

The first is the medical history, whether there are any diets, such as unclean, raw and cold foods.

The second is the symptoms, such as abdominal pain, diarrhea, nausea and vomiting...... Fever, chills and other manifestations.

Finally, there is the inspection.

Routine examinations, such as abdominal tenderness and rebound tenderness, bowel sounds, etc., can basically be diagnosed by combining with routine blood tests in the blood.

But......

After a series of diagnoses, Zhao Xi was not acute gastroenteritis.

In addition, mild gastroenteritis usually resolves on its own.

Moreover, the patient's abdominal tenderness was not severe, there was no rebound tenderness, and bowel sounds were not enhanced on auscultation.

It's not quite like gastroenteritis.

In this way......

Zhao Xi was also a little puzzled.

However, soon, Zhao Xi thought of something, and hurriedly asked: "Have you checked some serum amylase?" ”

Wang Fulei was slightly stunned: "You mean...... Is pancreatitis possible? ”

"I've thought about it before, but ...... Not quite like that. ”

"Still, I had my blood drawn, and the result was ...... It is estimated that it will come out soon. ”

"Wait a minute!"

"I'll take a look."

At this time, Zhao Xi couldn't help but muttered to himself: "It doesn't look like acute peritonitis?" ”

"If it's peritonitis, there must be peritoneal irritation, such as muscle tension."

"But the patient didn't ......"

"What could it be?"

"There was no obvious mass in the abdomen either."

……

In fact, diagnosis, many times, is a strictly forbidden reasoning process.

Not long after, Wang Fulei walked in, holding a test sheet in his hand: "No! ”

Zhao Xi thought of something and said, "Let's do a color ultrasound of the abdomen!" ”

"Rule out other diagnoses."

"Color ultrasound of the liver, gallbladder, pancreas, spleen and kidney."

"Then do an x-ray of the abdomen."

"Look at the situation and make a clear diagnosis."

Zhao Xi has accumulated these days, and his level has improved very quickly.

Chen Gong stood behind him, looking at Zhao Xi, and knew that the other party now had the ability that a surgeon should have.

In fact!

Surgeons have always been less diagnostic than physicians.

After all, how can a group of guys who play with knives compare to a group of people who look at the test sheet every day?

Kidding, but in fact, the surgeon basically performs the operation after the condition is determined.

If it is really compared with the level of diagnosis that is peeled back from the cocoon, there is indeed a gap.

"Old man, is there anyone coming with you?"

Zhao Xi asked with some concern.

The old man smiled slightly: "I can walk and jump, I don't need to trouble others." ”

"I'll just go check it myself."

As he spoke, the old man got up.

And Chen Gong smiled and said, "Old man, wait a minute." ”

"I'll take a look."

"Okay, hehe!" Instead of refusing, the old man took the initiative to hug the clothes on his stomach and said, "Young man, when you have the opportunity, you have to study hard!" ”

"Come on, it's okay, I'll cooperate!"

"You're the future!"

As he spoke, Chen Gong put his hand on the old man's abdomen.

Chen Gong nodded, put away the expression on his face, and checked it carefully.

The old man weighs on the heavy side, with a height of about 175 and a weight of about 160 pounds.

Chen Gong picked up his fingers, put one hand on his belly, and began to clasp it gently.

Seeing this scene, Zhao Xi was silent.

Percussion of the abdomen, predominantly moving dullness.

And during Chen Gong's percussion this time, he suddenly found ...... Positive for mobile dullness.

This means that there is fluid in the abdominal cavity.

And......

At this moment, Chen Gong gently darkened his abdomen, and suddenly, the old man snorted.

"It hurts a little!"

Chen Gong hurriedly said, "I'm sorry, I have a lot of strength!" ”

The old man shook his head: "No, no! ”

"During this time, it's stuffy and uncomfortable here, and it hurts faintly."

Chen Gong said after a moment: "Let's go for an examination first." ”

After the old man left, Zhao Xi looked at Chen Gong and asked, "What's the matter?" ”

Chen Gong said: "I suspect it's peritonitis." ”

"Acute!"

"But let's do a check-up first."

In the case of peritonitis, there are mild and severe, and it cannot be said how dangerous it is, but it is ...... You can't take it lightly.

Because many patients are serious diseases caused by peritonitis.

And, most importantly......

Peritonitis is not a cause, but a symptom!

Peritonitis is an inflammation of the peritoneum and visceral peritoneum of the abdominal cavity and can be caused by bacterial, chemical, physical damage, etc.

Acute purulent peritonitis involving the entire abdominal cavity is called acute diffuse peritonitis.

This means that so far, the patient's condition has not been diagnosed!

There are many conditions that can cause acute peritonitis.

For example, inflammation of the intestines or organs, perforation of abdominal organs, perforation of the most common acute appendicitis, and of course, in addition, there are cancer perforations, ulcers, etc.

Trauma can also be caused.

But......

Looking at the old man like this, Chen Gong felt that it didn't look like it.

Of course, peritonitis is more common than endogenous bacteria, the most common is in Enterobacteriaceae, followed by Enterococci, Streptococcus faecalis, Proteus, Pseudomonas aeruginosa, etc.

So, so far, it is difficult to diagnose the diagnosis.

The only way to do a test is to determine the patient's condition before making a decision.

At this time, the old man was about to leave.

Chen Gong hurriedly stopped the other party: "Old man, you call your family first and let me come over." ”

"Probably have to sign."

The other party was stunned for a moment and nodded: "Okay, right away." ”

After speaking, he took out his mobile phone and played as he walked.

Chen Gong was a little uneasy and followed.

After the old man hung up the phone, he said with a smile: "Doctor, you don't have to worry about me, you can go and get busy!" ”

"I can do it myself."

Chen Gong shook his head: "I'll go with you!" ”

"I'm just a student, nothing."

The old man smiled: "Then ...... I'm sorry for you. ”

After finishing speaking, the two went to the color ultrasound room first.

Because it is an emergency patient, the examination is fast.

After the two checks are completed......

The old man's family came, and it was an old lady who looked at the old man and reproached:

"Don't tell me if you're uncomfortable!"

"What a fuss!"

"It's also troublesome for other doctors."

"I'll stay with you."

The old man smiled: "It's okay, it's okay!" ”

"I'm afraid you're calling your son again!"

The old lady glanced at the old man, although she was blaming, but when she walked, she kept silently supporting the old man.

……

It's just that...... Chen Gong took the checklist and returned to the emergency department, thinking about the old man's situation all the time.

The results of color ultrasound showed that the hepatobiliary, pancreatic, spleen and kidney were basically normal, although there were some cysts in the liver, but ...... It does not affect the occurrence of the disease.

But...... X-ray of the abdomen may show general distension in the intestinal lumen and multiple signs of intestinal paralysis such as small gas and fluid levels.

At this time, Chen Gong handed the film to Zhao Xi, and he felt more and more wrong in his mind.

I can't say exactly where.

At this time......

Chen Gong said, "Teacher Wang, please show me the test sheet. ”

Wang Fulei nodded and handed it to Chen Gong, but he didn't ignore it because the other party was just a student.

Chen Gong took the test sheet and looked at the white blood cell count in the blood routine was not only not high, but even normal.

It's just too rare.

Often, when things behave abnormally, it is likely that the tipping point will occur.

This is the feedback that Chen Gong brought to him by reading a lot of medical records.

Hesitate for a moment!

Chen Gong directly found Zhao Xi and Wang Fulei and whispered: "Do an abdominal puncture!" ”

"Check the puncture fluid."

"I'm afraid it's a bit serious!"

A tummy puncture is a minor test and is out of the way.

It's just that......

Wang Fulei asked curiously: "What about serious?" ”

Zhao Xi also frowned slightly at this time.

Chen Gong said seriously: "The patient has peritonitis, and the results of X-ray are not very good. ”

"But...... There is disseminated peritonitis, which may be normal white blood cells. ”

"Moreover, the peritoneal irritation sign is not obvious or even disappears."

"This is so abnormal!"

"If the puncture can't confirm the diagnosis, you can only ...... Laparotomy probed! ”

Hearing Chen Gong's words, Zhao Xi's eyes suddenly widened, nodded and said:

"Are you worried...... Exacerbation? ”

Chen Gong nodded: "That's right!" ”

"In this case, if it can't be diagnosed, and it's borderline."

"Moreover, in the case of the elderly, it is likely that the body's reflexes are decreasing."

"If you can't diagnose it, it's dangerous!"

"Exploratory laparotomy is both an examination and a treatment."

"I think we have to speed things up."

"Can't put it off!"

After Wang Fulei listened, he immediately started to act.

A paracentesis is done with the signature of the family.

Hearing that it was going to be pierced, the old lady was obviously startled.

After Zhao Xi continued to reassure and explain, the old lady breathed a sigh of relief.

The old man smiled: "Okay! ”

"Don't worry!"

"Isn't it just an injection?"

"Look at you're scared!"

While speaking, after everyone made some preparations, they immediately began to paracentesis.

After the puncture, the fluid is sent for testing.

And it was at this time that ......

The patient's body temperature began to rise.

The old lady also panicked at this time.

Looking at the sweaty appearance of the old man, the old lady was distressed.

I took out a handkerchief and wiped my sweat all the time.

And the old man lay on the bed and said with a smile: "Oops! ”

"Bursts of fire!"

"At this time of day, around noon, I start to feel uncomfortable!"

"It'll be fine in a while!"

Seeing this at this time, Chen Gong also became nervous.

In fact, he did not dare to let the patient operate as soon as possible at this time.

Because until the results are out, you can't jump to conclusions.

Even if it is peritonitis, if there is no complication of acute edematous pancreatitis; primary peritonitis; pelvic organ infections in women; Retroperitoneal infections, none of which can be treated surgically.

So!

Before the diagnosis, Chen Gong didn't dare to start.

Fortunately, the results came out quickly.

Although several manifestations of contraindications to surgery are excluded.

But......

But there is a not-so-good sign.

Patients with exudate as evidenced by abdominal puncture and rapid deterioration of the condition after onset.

This is a sign of a rapidly progressing condition.

Thinking of this......

Chen Gong immediately said: "Prepare for surgery!" ”

"Hurry up!"

"It could be worse than we thought!"

Zhao Xi nodded hurriedly at this time, and Wang Fulei was also frightened, and hurriedly asked the old lady to sign.

Instead, at this time, the old man's condition became more and more uncomfortable, and the old lady was so frightened that her hands were trembling.

Wait until after signing!

The elderly man hurriedly arranged for an emergency surgical investigation.

And at this time......

Before entering, the old man hurriedly said: "Don't disturb my son, he is busy with work!" ”

The old lady wiped her tears, shook her head and waved her hands.

At this time......

The old lady still picked up her mobile phone and dialed her son's number.

"Your dad has surgery!"

At this time, Luo Zhewen was in a meeting, and when he heard the phone, his face suddenly changed.

Hurry up and get up!

Suddenly, he hurriedly asked, "In which hospital?" ”

"Mom, what's going on?"

The old lady then explained the situation.

After listening, Luo Zhewen looked at everyone present with a serious face: "I'm sorry, I have some things, and this is the end of today's meeting." ”

"I'm sorry!"

As he spoke, he got up and walked out.

Not long after, he suddenly thought of something and found Guan Leshan:

"Dean Guan, excuse me, my father is operating in your hospital!"

"The meeting is temporarily dissolved."

"I need to go to the hospital first."

Hearing this, Guan Leshan was dumbfounded.

Today's meeting is the President's Conference, and Luo Zhewen has invited many deans to attend.

Guan Leshan nodded hurriedly: "Director Luo, take my car!" ”

"Let's go over first and see how it goes."

Luo Zhewen nodded, and at this time...... The dean of the people of the province next to him suddenly said:

"Director Luo, I am an expert in digestive surgery, and I am estimated to be a doctor on duty on today's rest day."

"I'll go with you!"

Luo Zhewen nodded hurriedly: "Okay!" ”

"I'm sorry for you!"

"You're welcome, you're welcome!"

……

ps: Thank you for the 5000 tip of "Wenhuang", thank you.

Thanks to "Pippi Rabbit" for the 1000 tip, thank you.

Mao then recommended himself.

Well, this book is just beginning, it's too short, if you are interested in medical literature, and you are a veteran.

You can take a look at the old book "When the Doctor Opened a Plug-in", or the Chinese medicine "Doctor Chen's Don't Coward".

After all, the book isn't long enough.

(End of chapter)