Chapter 21: I ...... I won't! (Ask for a commuter pass)
Luo Zhewen was extremely worried at this time.
His father's sudden hospitalization made him a little panicked.
Guan Leshan drove the car himself, and Luo Zhewen and Liu Xun from the Second Affiliated Hospital of Shanhe Medical University sat in the back row.
The car sped down the road.
When Guan Leshan was at the traffic light, he hurriedly dialed the phone number of Zhao Lei, director of general surgery.
"Lao Zhao, where are you now?"
Zhao Lei was stunned for a moment: "I'm at home, Dean Guan, what's wrong?" ”
Zhao Lei is actually no stranger to Guan Leshan, who has just taken office, Guan Leshan has been the leader of the school's academic affairs office before, and there is a connection between him and Zhao Lei.
However, now that Guan Leshan has just arrived as the president of the affiliated hospital, Zhao Lei can't figure it out for a while.
Guan Leshan hurriedly said: "Director Luo's father is in the emergency department and is about to undergo surgery. ”
"The situation seems quite serious."
"You go over now, see what's going on, and call me back."
After hearing this, Zhao Lei's face suddenly changed.
Director Luo's father?
He immediately nodded and agreed: "Okay! ”
"Dean Guan, I'll go over now."
After hanging up the phone, Guan Leshan comforted: "Director Luo, don't worry about it first!" ”
"Director Zhao Lei is the pillar of general surgery in our hospital, and there is no problem with the level!"
"He'll be right over now."
Luo Zhewen nodded solemnly: "Trouble!" ”
Liu Xun behind him also nodded and comforted: "Director Luo, I am familiar with this old Zhao." ”
"His level, you can completely trust."
"Let's talk about it!"
……
At this moment.
In the operating room of the emergency department of the affiliated hospital.
Wang Fulei felt so exciting.
I was just asking for a consultation, but now I'm in the operating room by accident.
At this time, it was already past twelve o'clock in the afternoon.
Is it too late to call for help?
Laparotomy exploratory!
Thinking of this, Wang Fulei felt a little numb in his scalp.
Because so far, as an emergency surgeon, Wang Fulei has very few opportunities to participate in surgery independently.
Basically, it is admission diagnosis, routine treatment, dressing change disposal, and basic surgical operations...... And so on.
However, this does not affect Wang Fulei's clinical level.
It is precisely this experience that makes Wang Fulei's attainments in surgery flawed, but ...... The level in surgical diagnosis is not bad.
After Chen Gong and Zhao Xi finished talking just now, he immediately flipped through the books and inquired.
Sure enough, in the latest guidelines, regarding the treatment of peritonitis, it happens to be as Chen Gong said.
Diffuse peritonitis must be considered when the patient has decreased peritoneal irritation but intestinal paralysis on x-ray.
When diffuse peritonitis is diagnosed, it is necessary to pay attention to the changes in symptoms and physiological and biochemical influences.
The patient's sudden normalization of white blood cells in the past two days is obviously a special factor, in addition to the weakening of peritoneal irritation......
This is clearly a manifestation of an exacerbation of acute disseminated peritonitis!
Although this is rare in clinical practice, it is ...... However, it was clearly pointed out in the emergency abdominal symptom guideline.
So!
Wang Fulei was also extremely convinced of Chen Gong's diagnosis at this time.
It's just that......
Wang Fulei suddenly stopped Chen Gong and Zhao Xi, and asked with a nervous face:
"Wait a minute!"
"Zhao Xi, this operation ...... Can you do it? ”
Zhao Xi heard the sound and said seriously: "Compared with hesitation, open stomach is the best treatment plan now!" ”
"And if it's too late now, the situation will only get worse when the patient's symptoms worsen and the symptoms of toxic shock appear."
Compared with Wang Fulei's nervousness and entanglement.
Zhao Xi was relatively calm at this time.
"Now is not the time to think about this."
"We can only take one step at a time!"
"That's it, Brother Lei, you can contact and see who the director on duty is now, and if you can come over as soon as possible!"
"On our side, we try to find the cause as much as we can."
When Wang Fulei heard this, he felt that it was more secure, so he simply nodded and said, "Okay!" ”
"Then be careful."
Zhao Xi glanced at Chen Gong at this time, and his eyes were a little more resolute.
Chen Gong nodded and smiled: "Okay!" ”
"There's me."
"Don't worry."
If other people heard this, they would most likely show disdain for Chen Gong's words.
A student, where did he get such a big breath.
But......
Zhao Xi has an incomparable trust in Chen Gong.
This is the sense of solidity brought about by the cooperation of the two of them many times, hundreds of times, and mutual trust.
To put it bluntly, Zhao Xi has encountered emergencies more than once, and Chen Gong has a very high level of dealing with such emergencies.
How many times he turned danger into a disaster made Zhao Xi's deep sense of dependence on Chen Gong increase day by day.
How could Zhao Xi not find this in his heart?
……
At this time, Wang Fulei had just returned to the emergency office when he saw Deputy Director Zhang Peng hurrying over.
"What about the patients?"
"It's time to get to the operating room."
Hearing this, Zhang Peng suddenly felt a little more anxious in his heart.
"What's the situation?"
"So anxious to get to the operating room."
Wang Fulei said with a solemn face: "The cause of the aggravation of acute diffuse peritonitis remains to be investigated. ”
"A laparotomy must be performed!"
As soon as these words came out, Zhang Peng also realized the seriousness of the situation.
If it is really as Wang Fulei said, it may really have to be operated on as soon as possible.
But......
As an experienced emergency doctor, Zhang Peng obviously had to look at the medical records himself before making conclusions.
There are many patients who are misdiagnosed or missed in clinical practice.
Even in diffuse peritonitis, some diseases cannot be operated on.
Even contraindications to surgery.
After trying to breathe calmly, Zhang Peng hurriedly said, "Give me the medical records!" ”
Wang Fulei nodded, and hurriedly took out Old Man Luo's medical records from the nurse's station and lowered his head.
"Director Zhang, Patient ...... Who is it? ”
Wang Fulei is not a white radish, and when he saw Zhang Peng so nervous, he quickly realized that something seemed wrong about the situation.
He seemed to guess that the patient might have a special identity in it.
Hearing Wang Fulei's words, Zhang Peng smiled bitterly: "That's right! ”
"You know what the old man's name is, right?"
Wang Fulei nodded: "Luo Yongwang." ”
Zhang Peng pursed his lips: "The director of the Health Commission is also surnamed Luo." ”
As soon as these words came out, Wang Fulei suddenly realized that it was ...... Director Luo's relatives? Or...... Father?!
Zhang Peng smiled: "Don't worry. ”
"No matter who the other party is, as long as we have a normal diagnosis and normal treatment, it's nothing."
"But to be honest, the families of these leaders are really a bit difficult to serve."
"The dean called me just now and asked me about the situation, I'll take a look now, and I'll know it in a while."
Wang Fulei nodded, he hummed, and said with a smile:
"But the old man is pretty good."
"No shelves at all!"
"I've been in the emergency room for a long time, and it's full of people who want to cut the queue or show off their might."
"However, this old man Luo, not only does he not have any shelf, but he is very cooperative throughout the whole process!"
"No information was revealed at all."
Hearing Wang Fulei's words, Zhang Peng nodded and smiled: "Hmm! ”
"It seems that this old man Luo also deliberately doesn't want to reveal it."
"The old man is a good person, and he doesn't want to make trouble for Director Luo."
"But...... No matter who the patient is, we still have to do our best to treat it. ”
While speaking, Zhang Peng opened the medical record book and read it carefully.
Not long after, Zhang Peng's eyes widened slightly, looked at Wang Fulei, and asked with some surprise:
"Yes!"
"Xiao Wang!"
"How quickly can you infer that this patient's condition is in the stage of acute disseminated peritonitis?"
"Good level!"
Wang Fulei smiled bitterly and shook his head: "Director, this is really not my diagnosis." ”
"I also checked the book later, and I found out."
"It was diagnosed by Chen Gong, the student of Zhao Xi, the doctor on duty in the Department of General Surgery."
"They're in the operating room now."
Hearing this, Zhang Peng hesitated for a moment and nodded: "Okay!" ”
"I'll go to the operating room first."
"If there is any situation in the emergency department, you can report it to me in time."
"Then Zhao Xi seems to have entered the hospital with you, this acute diffuse peritonitis can be mild or severe, and the difficulty of surgical laparotomy is not low."
"I'm worried that they won't be able to cope with something."
"And ...... When they come, you just bring them in. ”
"Dean Guan is already on his way."
Wang Fulei wiped a handful of sweat, good guy......
It's really a mess today.
OK!
OK!
Wang Fulei was a little lucky, but fortunately he called a consultation today and discovered the old man's situation in time.
If it's delayed for your own reasons.
It's a real problem.
Not to mention for the time being, this old man Luo is the father of Director Luo, the number one in the medical field in Shanhe Province, no matter whose father he is, this is a matter of human life.
It's kind of thrilling to think about.
Wang Fulei sat on the chair at this time, full of awe and apprehension, as a doctor, he really needs to be careful and careful, because any carelessness may lead to a big mistake!
……
The words are divided into two ends.
At this moment.
In the fast-moving car, Guan Leshan's phone rang, he was driving in a hurry, and the phone was handed directly to Liu Xun.
Liu Xun picked up the phone, and Zhao Lei's voice rang.
"I'm Liu Xun, Director Zhao, what's the situation now?"
Zhao Lei took a deep breath: "The good news is that there is no problem with the old man's diagnosis, and the cause of the aggravation of acute diffuse peritonitis is a special type to be investigated." ”
"The surgery has to start as soon as possible!"
"Here, Zhang Peng, deputy director of the emergency department, and Zhao Xi, a doctor from the general surgery department, have entered the operating room, and I estimate that in ten minutes, the operation will begin!"
"The bad news is ......"
"Liuyuan, I believe you are also very clear that this special type of acute disseminated peritonitis, if the cause is to be investigated, the condition of the abdomen is relatively difficult to predict."
"No matter who it is, even you and me, there is no way to guarantee what the situation in the abdominal cavity will be."
"Therefore, the current situation of the old man cannot give an accurate judgment."
"That's the situation at the moment."
"I'm already on my way to the operating room, and in about 15 minutes, I'll be at the hospital."
After listening to this, Liu Xun nodded and said, "We will probably need about ten minutes." ”
"There's no need to rush!"
"Director Zhao, pay attention to safety."
hung up the phone, Liu Xun analyzed the situation with Luo Zhewen.
"Director Luo, this is the case now, don't worry."
"Let's go to the hospital!"
"I don't think it's a big deal."
"Laparotomy is just a process, not a major operation, and there shouldn't be any big risk."
Liu Xun could only comfort as much as possible.
After all...... Who can guarantee that there is no problem until the cause of the disease is investigated?
There are too many uncontrollable factors of the disease!
The car was moving fast, and the people in the car were a little worried.
But......
At this time, it was not them who were most worried, but Zhao Lei.
Zhao Lei never thought of it!
Zhao Xi was on duty today and was able to encounter such a big trouble.
But...... Zhao Lei was also very happy, because encountering such a thing was a rare opportunity for Zhao Xi to exercise.
Truth be told, there are a few parents who want their children to go through these problems.
This is especially true for peritonitis in this difficult case.
Let's be honest...... There are so many factors that can predispose to the disease.
It's not easy to find the cause.
It is precisely because Zhao Lei is familiar with this kind of operation that he ...... He knew very well how much this operation would test Zhao Xi!
……
Compared to the nervousness of the crowd.
Chen Gong was very calm at this time.
That's not to say he wasn't worried.
It's just that...... What's the use of worrying?
For Chen Gong, he knew very well that at this moment, any superfluous thoughts were useless.
How to solve the problem?
Only one sword!
Cut open and break!
Until the truth is found, there is no point in worrying.
Thinking of this, Chen Gong couldn't care about using this operation to train Teacher Xiao Zhao at this time.
At this time, the anesthesiologist happened to be Zheng Chusheng today.
"Who's in charge?"
Zheng Chusheng asked straight to the point.
Because Zheng Chusheng knows very well that this operation is not low.
Zhao Xi was about to stand up.
And Chen Gong said directly: "Don't make trouble, this operation is more troublesome!" ”
After finishing speaking, Chen Gong said to Zheng Chusheng: "Teacher Zheng, I'll come!" ”
Hearing Chen Gong say this, Zheng Chusheng nodded and breathed a sigh of relief: "Well, good!" ”
Zhao Xi was directly stunned when he saw this scene.
No...... Wait a minute!
"I ...... I'm ...... He's the surgeon, right? ”
Chen Gong said seriously: "That's right! ”
"You are!"
"Without you, I wouldn't be able to participate in the operation."
"Obedient, this operation, study hard."
"Okay?"
Zheng Chusheng also nodded: "Xiao Zhao, follow your teacher Xiao Chen to learn hard." ”
"The difficulty factor of this operation is uncertain, safety first!"
After saying that, he glanced at the patient, smiled and asked a few questions, and the anesthesia was about to begin.
Chen Gong took a deep breath to let his mind go completely, and after a moment, his mind began to think about all the circumstances related to this operation.
To be honest, laparotomy to detect acute peritonitis of this unknown condition is really not a simple job!
Because there are so many internal organs in the abdominal cavity, any situation can happen.
When the anesthesia is over!
Chen Gong said to the nurse: "Scalpel! ”
After picking up the scalpel, Chen Gong made a large incision directly in the middle of the abdomen.
To be honest, now that his condition is uncertain, Chen Gong must ensure the malleability of his opening.
The upper 1/3 of the incision is above the umbilicus and the lower 2/3 is below the umbilicus.
This length is interesting!
This is Chen Gong's experience of perfect-level abdominal exploration surgery.
Because of this, any risks can be avoided and the hand can be allowed to enter the abdominal cavity and can be extended as needed.
Sure enough, when this incision appeared, Zhao Xi didn't know why Chen Gong did it.
But...... But I think this opening is very appropriate.
Moreover, Chen Gong's incision does not have much bleeding, and the strength is appropriate, and the incision of the abdomen is perfectly completed.
When Zhao Xi opened the wound, he immediately saw the end point of the knife, which perfectly cut open the tissue of the abdomen.
Not deep, not shallow, just right!
Zhao Xi swallowed his saliva suddenly.
She can see clearly now, Chen Gong is really not lying to her, the gap between the two is indeed very big.
Moreover, when Chen Gong and Zhao Xi completed their separation, suddenly, the picture in front of them made the two swallow saliva at the same time!
At this point, the incision depth is just outside the peritoneum.
The termination point of Chen Gong's knife was perfect and did not let the peritoneum burst.
This is the perfect technique for surgical "incision".
Because...... If you are not careful, you may see hyperemia changes on the peritoneum.
If the peritoneum is cut when the skin is cut, it will destroy the peritoneal edema and congestion, causing bleeding again, and some signs will be destroyed.
Like at this time!
Chen Gong said with a solemn face:
"The subperitoneum is blue, indicating hemorrhage."
"There is a gas spill and there may be a rupture of the digestive tract."
"There's fluid in the abdominal cavity, have an aspirator ready."
……
Hearing Chen Gong's words, Zhao Xi hurriedly began to prepare.
And at this time......
The door of the operating room opened, and Zhang Peng hurriedly walked in.
"I'm Zhang Peng, deputy director of emergency surgery."
Zhang Peng reported to his home, and at this time, Zheng Chusheng booed at the other party.
After Zhang Peng saw Zheng Chusheng, he immediately nodded obediently.
No way!
Zheng Chusheng is the chief physician of the anesthesiology department, and his level is very high, so it is obviously reasonable for people to be quiet.
What's going on?
Isn't Zhao Xi operating?
Who is it?
Which expert is it?
Also, after all, it is Director Luo's father, so he should have invited an expert?
Thinking of this, Zhang Peng couldn't help but take a deep breath, and after getting dressed, he tiptoed to the side, for fear of disturbing the two.
From beginning to end, Chen Gong didn't look up at Zhang Peng, and the whole person's attention was all in the abdominal cavity.
It's not easy to find the answer.
Exploratory laparotomy is both an examination.
It's also a kind of surgery!
Moreover, for this surgery, there are few professional doctors to classify the surgical level.
It can be said that laparotomy can be difficult or easy, and it all depends on the disease.
Although Chen Gong was silent, he ...... Zhang Peng was stunned after seeing the details of the operation.
Because he found that this one incision was enough to kill 99% of the doctors in the hospital!
Such a perfect incision made the peritoneum without a single accident.
The layman looks at the bustle, and the insider looks at the doorway.
At this glance, Zhang Peng realized that the person who did the operation in front of him was definitely an expert.
Sure enough!
The next step-by-step operation made him completely stunned.
Chen Gong pinched it with his hand slightly.
"There is gas, there is a perforation of the cavity viscera!"
"No fecal samples and fecal odor were found, and the disease site was not in the colon or appendix area, which ruled out the ulceration and exudation of the appendix."
"No rice-like liquid was found, and there was no ileal typhoid perforation."
……
Chen Gong observed an area at a time.
There will be a test result.
Can it be ......
At this time, he had not yet cleaned the blood and oozing in his abdominal cavity.
It's kind of scary.
This indicates that the other party has a great understanding of disseminated peritonitis in the abdominal cavity.
Soon......
After the first step is complete.
Chen Gong glanced at Zhang Peng directly: "Suction device, absorb the blood." ”
Zhang Peng nodded hurriedly and began to operate on his own.
And right now.
When Zhao Lei arrived at the hospital, the car didn't even have time to stop and was directly given to the security guard.
And at this time, a Hongqi H9 appeared behind him, and Guan Leshan, Luo Zhewen and Liu Xun came down on it.
Zhao Lei hurriedly walked over.
"This way, please!"
As he spoke, he led the three of them towards the emergency room.
At this time, Wang Fulei was waiting on the first floor.
At this moment, it is already half past twelve.
Even in the emergency department, there aren't many people.
Seeing Zhao Lei and a few people hurrying over, Wang Fulei hurriedly walked over.
"Director Zhao!"
"Director Zhang asked me to wait for you here."
Zhao Lei nodded: "Well, how is the patient's condition?" ”
Wang Fulei said directly: "It's been fifteen minutes since the operation started!" ”
After listening to this, Zhao Lei said directly: "Give me the medical records." ”
Then he led a few people towards the operating room.
After entering the operating room, Zhao Lei settled Guan Leshan and Luo Zhewen in the conference room to watch the operation.
And he took Liu Xun and the two of them had already finished changing into surgical gowns and began to brush their hands.
There was no conversation between the two of them.
Each other's eyes were full of solemnity.
Moments later, the two changed their clothes and entered the operating room.
Zheng Chusheng saw Zhao Lei coming, and he didn't make much movement, just nodded and booed to keep quiet.
Seeing this, Zhao Lei naturally knew that the other party had already begun to conduct a laparotomy exploration.
As the head of the surgical department of the Second Affiliated Hospital, Liu Xun is now older and no longer on the front line, but his perennial surgical experience makes him very sensitive to all this.
The two quietly changed their clothes and hurriedly went to the side of the operating table.
After Zhao Lei saw that the chief surgeon turned out to be Chen Gong, he was stunned for a moment, but ...... But there was no sound.
It's not a good thing to change the battle on the spot.
Especially when the other person is already in the groove.
Unless Chen Gong has a problem, Zhao Lei does not plan to disturb the other party's operation.
It's just that his heart is even more worried.
After all, Chen Gong was just a student of Zhao Xi.
But......
Why did Zhao Xi let Chen Gong do the main surgery?
Although Zhao Lei also knew that Chen Gong's talent was very powerful, and he won the first place in this anatomical knowledge and skills competition.
But......
Clinical is clinical.
A race is a race.
Zhao Lei will not confuse the two.
What's more, the difficulty of this operation is likely to be relatively high.
After a short analysis of the case just now, Zhao Lei knew that the situation of this old man might not be optimistic.
This time the operation was very difficult!
However, when Zhao Lei continued to observe, he was full of shock.
Because of the details of the operation that have been revealed so far, he feels extremely shocked.
Whether it is the choice of incision, the depth of the incision, the degree of peritoneal protection, the near-perfect integrity of the abdominal cavity...... Almost all the details can be described in just two words.
"Perfect!"
This scene simply shocked Zhao Lei, if it weren't for the fact that he knew Chen Gong too well.
He would almost instinctively think that the operation was performed by a top specialist from the capital.
Is Xiao Chen's progress so fast?
For a while, Zhao Lei was silent.
It's not just him......
After Liu Xun on the side glanced at it at the same time, his pupils widened and he looked at Zhao Lei.
How could they have such a great specialist in their hospital?
Let's be honest......
There are three affiliated hospitals of Sunward Medical University.
One hospital, two hospitals, and three hospitals.
The competition between the first and second courts can be said to have lasted for many years.
The third hospital is a cancer hospital, so let's not talk about it for the time being.
The surgeries of one hospital and two hospitals have always been evenly matched.
Zhao Lei and Liu Xun have also been fighting for me for many years, and they know each other too well.
But......
Now Liu Xun is not paying attention, and he actually finds that there is such a young talent hidden in the first courtyard?
When did it happen, how did he not know?
It stands to reason that they have been staring at the introduction of talents from the First Academy?
Why haven't you heard of it?
You say it's not talent!
Fuck it.
Not talent, can do the surgery so well?
And......
At this moment.
Zhang Peng saw Zhao Lei coming, but he didn't move, and stood aside without saying a word.
Naturally, I realized that maybe this master knife is really a master!
Otherwise, Director Zhao wouldn't be silent?
Soon......
The abdominal cavity is cleaned of blood and exudate.
Next, it's time for the crucial step of surgery.
Explore!
Probing is sequential.
Probing, in fact, is not only a test of the eyes, but also of the hands.
Visible wounds or defects, these are the norm.
But......
Intraperitoneal, most wounds are invisible.
You need to use your hands to solve the problem.
Because the fingers can feel the toughness, saturation, feedback strength, and vascular filling of the organs...... Wait a minute.
These are the real eyes.
When the naked eye cannot judge all this, the sense of touch is the eye.
There is a surgeon abroad who relies on the amazing strength of his fingers to clearly detect the disease.
However, this is extremely demanding for the surgeon, and the other party needs to have enough surgical experience to be able to make a judgment according to the situation!
First of all, the liver is explored!
Exploration requires a sense of damage, inflammation, cysts, cancer, sclerosis, or stones in the liver.
It's a tough test of technology.
Probing should be gentle and detailed!
And it should be in place in all directions.
And Chen Gong handed the scalpel to Zhao Xi on the side at this time.
At this moment, his hands were like spring breeze nomadic grasslands, and he felt them carefully.
The whole process takes less than a minute!
After a while, Chen Gong said directly:
"The liver is intact!"
"Next, esophageal exploration."
In this step, it was originally necessary to use a retractor to pull the left lobe of the liver to the upper right, and then push the gastric cardia to the lower left with your hand to expose the cardia part.
And at this time!
Chen Gong directly exerted force with both hands, and the three fingers of the left and right hands exerted force at the same time.
I saw that the liver and stomach cardia that were originally blocked on the esophagus were all cleverly separated.
Moreover, this gentle separation technique is gradual.
Step by step, it's slow, it's gentle, it's meticulous!
Even as a bystander, you can clearly judge the extreme delicacy of this exploration technique.
This scene!
Zhao Lei on the side was directly dumbfounded.
What a great separation.
How?
Maybe......
Even Han Shifeng can't be so gentle, right?
Liu Xun held his breath and stared, eager to print this scene in his mind.
Terrible!
It's really amazing!
But......
They don't know that all this is just the beginning, just an appetizer!
Chen Gong's next operation has completely exceeded their understanding of laparotomy exploration.
Revolutionized the technique of exploratory laparotomy that they once prided themselves on.
If we talk about the esophageal exploration just now, they saw the ultimate delicacy.
So......
Exploring the spleen area, they clearly saw the ultimate understanding of the blood vessels around the spleen.
And the exploration of the duodenum made them feel the smoothness of laparotomy exploration.
The pancreas originally needed to be treated gently, but Chen Gong directly lifted the transverse colon and pulled it, fully exposing the head, body, and tail of the pancreas.
What an amazing technique!
It turns out that this is the switch?
Boy......
I have gained knowledge.
Time......
It seems that this is no longer a simple exploratory laparotomy.
and gradually evolved into a solo show of Chen Gong.
But!
Chen Gong was not happy at this time.
Because so far......
He still couldn't find the patient's lesions.
The core point of laparotomy is to look for lesions.
If you can't find it, any flashy operation is a shame.
Medical treatment has always been based on the treatment of diseases.
Chen Gong's methods are getting faster and faster!
He couldn't wait.
Thereupon!
Small bowel exploration! No problem!
Appendiceal and ascending colon probing, normal!
Exploration of the transverse colon and omentum remains normal.
Exploration of the descending colon, sigmoid colon, and rectum was still normal, without any strictures, obstructions, masses, inflammatory lesions, and diverticulums.
Even, Chen Gong even looked at the ureter and left kidney.
Still not found.
This moment!
As the tense atmosphere continued to ferment, the surrounding atmosphere gradually became more and more solemn.
Zhao Lei didn't say anything!
Liu Xun didn't say a word!
They were all waiting, thinking, frowning.
Even with their eyebrows tightened, they didn't find anything they hadn't explored.
They know very well that this is not Chen Gong's problem.
Because, even if they go into battle in person, what can they do?
In the face of complex diseases, no matter how exquisite the technology is, it is a little beyond the reach.
This moment!
Chen Gong was sweating profusely, he was not anxious, nor nervous, but under excessive thinking, a large amount of ATP in the human body was rapidly degraded, turned into energy, and worked hard to supply the consumption of his mind.
Seeing this, Zhao Lei hurriedly picked up the gauze and wiped Chen Gong's sweat.
He really wanted to tell Chen Gong: Child, don't worry, take your time!
It's not your fault!
Your surgery is perfect enough.
But......
Chen Gong didn't raise his head all the time.
Instead, continue to stare at the abdominal cavity, probe, probe, continue probe!
If there is a horn sound at this moment, Chen Gong's ears are definitely the sound of attack.
Because......
There was no turning back from the bow.
Disembowelment will definitely find the real murderer!
As a good surgeon, he is well aware of his duties.
Liu Xun's eyebrows tightened.
He thought hard, hoping to use his rich clinical experience to help Chen Gong provide some clues.
But......
I didn't think of anything.
Time......
The operation was at a stalemate.
Because, Chen Gong has basically checked all the areas in the abdominal cavity that can be explored.
But...... Why is there still no answer?
This doesn't make sense!
Chen Gong believes that everything is traceable.
So, at this time, Chen Gong took a deep breath and closed his eyes.
Since the eye can't find the clue.
Then put everything ...... Hands it up.
Because...... Eyes can deceive.
Zhao Lei was about to wipe Chen Gong's sweat at this time, thinking that Chen Gong closed his eyes because he was eroded by sweat.
But......
Soon, he found out that this was not the case.
Chen Gong's hands gently touched the organs, perceiving and squeezing them......
Seeing this scene, Zhao Lei was shocked in place like a lightning strike.
He knew that Chen Gong was definitely not acting without a target, let alone acting maliciously.
He's ...... Foregone vision to increase the sense of touch.
This kind of operation requires an absolute understanding of human organs.
Sufficient perceptual talent is required.
But...... Is Chen Gong okay?
Equally!
This scene was also discovered by Liu Xun on the side, Liu Xun was already observing the operation and did not have any operation.
Therefore, this scene is even more shocking!
Why is this a bold operation?
But......
Next, Chen Gong perceived it carefully.
Time passes minute by minute.
At this moment, no one made a single sound, because everyone knew that the operation had reached the node of the joint.
If Chen Gong can't find out, it may ...... It's really bad that happens.
Because exploratory laparotomy found no abnormalities, this in itself is not true.
There is definitely an area they haven't discovered before.
Where is it?
Where is it!
At this time, Chen Gong's hands were really doing their best.
He followed each area again, and began to wander slowly.
liver, spleen, gallbladder......
One area after another glides through it.
Finally!
Chen Gong took a deep breath, and the corners of his mouth rose slightly.
Got it!
You've hidden a lot of depth.
At this moment, Chen Gong opened his eyes, and there seemed to be a light shining out from inside.
Seeing this, Zhao Lei couldn't help but look curiously at the area where Chen Gong's hands were pinching.
Is this it?
But here...... Doesn't seem to have anything out of the ordinary?
Liu Xun was also a little puzzled.
It's just that......
At this moment, Chen Gong whispered: "Give me the scalpel!" ”
As soon as these words came out, the nurse hurriedly handed them over.
Chen Gong picked up the scalpel and gently scratched it at the mucosa in the gastrointestinal area.
When the mucosal layer is cut, the muscular layer is slowly revealed.
After the muscular layer is exposed!
Chen Gong pointed here and pinched it gently.
Sure enough, the surrounding digestive tract began to ooze liquid.
At this moment, everyone was dumbfounded!
This is...... What's going on?
Suddenly, Liu Xun exclaimed: "Occult ectopic pancreas? ”
Chen Gong glanced sideways and smiled slightly: "That's right!" ”
"It's hidden, it's deep enough."
"I almost hid by him."
"Good thing I found out."
Zhao Lei also couldn't help but gasp.
The 21-degree air conditioner tastes really bold, and it is more penetrating than the cold beer.
"No wonder, no wonder!"
"Ectopic pancreas!"
Ectopic pancreas, also known as vagus pancreas or parapancreas, is isolated pancreatic tissue outside of the normal pancreatic anatomy!
It has no anatomical or vascular relationship with the normal pancreas, has an independent blood supply and innervation, and is a congenital malformation that may occur in many parts of the digestive tract or outside the digestive tract.
The ectopic pancreas can also produce and secrete various pancreatic enzymes and pancreatic juices, and can also occur acute and chronic pancreatitis or even any lesion that can occur in the normal pancreas such as cysts and tumors.
And the reason why the patient has so many strange expressions is because of this insidious ectopic pancreas at work.
In fact, there are many types of ectopic pancreas.
obstructive, hemorrhagic, ulcerative, neoplastic, diverticular, and...... Insidious.
Insidiousness is one of the most headaches in clinical practice.
Because the ectopic pancreas is a congenital developmental abnormality, some cases can be asymptomatic for life.
Because the disease mostly occurs in adulthood, congenital diseases are rarely considered, and because of the wide distribution of ectopic pancreas, many complications, many clinical types, complex manifestations, low positive rate of physical examination, and few special diagnostic methods, it is either preoperative diagnosis or ...... Intraoperative diagnosis is difficult.
And Chen Gong found it with his eyes closed.
Zhang Peng couldn't help but widen his eyes and asked, "Is this ...... Ectopic pancreas? ”
Chen Gong nodded and smiled: "Yes!" ”
Zhang Peng couldn't help but say: "I've heard it a few times, but ...... It's really the first time I've seen it in the clinic. ”
Liu Xun nodded: "That's right!" ”
"Originally, the probability of ectopic pancreas appearing was very low."
"Moreover, it is still a hidden type of ectopic pancreas, which is even more difficult to find."
"Good Fellow......"
"It was ...... Found it with your eyes closed?! ”
As soon as these words came out, everyone around them felt that this moment was too magical.
Witnessing such an operation was already shocking.
But......
Chen Gong found it with his eyes closed!
They have even figured out how to pretend to be forced when they go out.
"Ectopic pancreas is hard to find!"
"Is it hard to find?"
"Isn't it difficult? And it's insidious, so it's hard to spot? ”
"Really? Just like that, you can find it with your eyes closed! ”
"Gan!"
……
That's it, no one believes in jokes.
At this moment.
Everyone's eyes were already focused on Chen Gong.
They all want to ask, how did you do it?
Liu Xun looked at Chen Gong with burning eyes, and ten thousand thoughts appeared in his mind.
How can such a talent appear in the First Affiliated Hospital?
Don't we have any money in the second house?
No, no!
Liu Xun was a little nervous in his heart, and he admitted that he was greedy and wanted to poach people.
And Zhao Lei looked at Chen Gong with fierce eyes, his eyes were full of appreciation.
This moment......
Zhao Lei and Liu Xun glanced at each other, and there seemed to be lightning in their eyes......
……
But......
Just when everyone is struggling.
At this time, Chen Gong suddenly coughed and looked at Zhao Xi: "This...... Teacher Zhao ......"
At this time, Zhao Xi was still immersed in the operation just now and couldn't extricate himself.
Hearing Chen Gong's words, he was obviously stunned: "What's wrong?" ”
Chen Gong's eyes were a little more shy:
"This ......"
"This ectopic pancreas ...... What should I do? ”
"I'm not very good at this surgery, or ...... Are you coming? ”
As soon as these words came out!
Suddenly everyone was dumbfounded.
Are you kidding?
Eldest brother!
Compared with the verification of 1+1=2 just now, the difficulty of your current sentence is equivalent to ...... What is 1+1?
Are you kidding us?
……
ps: Thank you for the 10,000 reward from the boss of the alliance "Ignore it", thank you, brother.
Thank you for the 5000 tip from Brother "Blade", thank you!
(End of chapter)