When the patient was brought in, a system prompt of chronic delayed-onset cholecystitis appeared in the upper right corner of Zheng Ren's field of vision.
His heart sank, Zheng Ren knew that this was probably a complication of acute food poisoning.
If antibiotics can be given intravenously for about a week, the chance of complications will be minimized. But now the trend that is rising across the country is that doctors are abusing antibiotics, and they are all bastards.
There are indeed bastards among doctors. For example, they give three groups of antibiotics to minor patients after simple acute appendectomy, including quinolones that are metabolized by the kidneys.
But the vast majority of doctors are still good, and treating diseases and saving people is what they pursue.
But all this was ruthlessly strangled.
Veterinarians in charge of the medical industry have promulgated regulations to restrict the clinical use of antibiotics. Antibiotics must be supported by signs and data such as fever, positive bacterial culture, abnormal blood routine, etc.
But few people think that the largest application of antibiotics is in animal husbandry. The meat we eat and the milk we drink every day contain a large amount of antibiotics. But animal husbandry is also called humiliation. If it is not used, the output will decrease. How can it improve the people's growing material needs
Does everyone eat vegetable leaves? Zheng Ren, who has always been interested in skewers, refused.
There are too many twists and turns here, and Zheng Ren doesn't want to or can't solve them.
It would be good to be able to handle the emergency department of the first hospital in the city.
"Emergency bedside B-ultrasound, I guess it's cholecystitis." Zheng Ren quickly gave the diagnosis.
"Mr. Zheng, why did you recover from cholecystitis so well?" The patient's son was very distressed.
"I have told you that acute toxic liver injury will cause exudation, and there is a certain chance that the exudate will remain near the gallbladder fossa. The elderly's body functions will decline, and secondary cholecystitis will occur after about a week of stimulation." Zheng Rendao.
That being said, the probability of this type of cholecystitis occurring is not 100%, not even higher than 10%.
At this time, luck has to come into play. Obviously, the patient in front of him is not very lucky.
But you definitely shouldn’t talk about bad luck to patients and their families. It is true that Zheng Ren is a straight man, but that is only when facing girls. The communication with patients is still very smooth and full of emotional intelligence.
The patient was admitted to the emergency ward, and the old man was "honored" to be the first patient in the emergency ward.
B-ultrasound showed: the size of the gallbladder was 95x47mm, the tension was significantly increased, the cystic wall was rough, and the thickness was 3mm. There was no obvious abnormal echo on the cystic wall. The intramural sound transmission was poor and fine dot-like echoes were seen.
Seeing this emergency B-ultrasound report, it was already confirmed that it was chronic and delayed cholecystitis. Subsequently, emergency examinations were performed on admission, including blood routine, four coagulation tests, hepatitis B, HIV, syphilis, liver and kidney function, etc.
ECG report: sinus rhythm, normal ECG.
Zheng Ren asked the nurse to place a gastric tube in the patient for gastrointestinal decompression. Then the patient's son was called to the office for doctor-patient communication.
The patient's family members were a little frustrated, and he was the one who strongly advocated leaving the hospital for observation. The main reason is that the hospital is too noisy and the old man cannot rest well.
Unexpectedly, he really got cholecystitis as Zheng Ren said.
Because when they were observed in the emergency observation room before, Zheng Ren had a good relationship with the family members. The two sat down, and Zheng Ren first calmed down the patient's family members.
Then we began to analyze the condition of the patient's family with B-ultrasound imaging.
The cholecystitis in this patient is not acute simple cholecystitis. The cause of the disease, as mentioned before, is that acute food poisoning leads to transient abnormalities in liver function and exudative changes. Exudate remains in the gallbladder fossa and invades the gallbladder, leading to acute cholecystitis.
If you are a young man, the possibility of cholecystitis is not high. After all, you are young, in good health, and have high immunity. This inflammation is absorbed in minutes.
The elderly are different. They absorb inflammation slowly, which leads to cholecystitis. If treated conservatively with antibiotics, the effect will not be ideal.
After analyzing these matters with the family members, the family members said they would follow Zheng Ren's arrangements.
This is a sign that you have a certain degree of trust in the doctor after some contacts.
If there had not been a successful first aid incident for nitrite poisoning, the patient's family would not have said that everything was done according to Zheng Ren's arrangements.
"Then let's have a gallbladder removal." Zheng Ren finally decided to have the surgery.
Because the old man felt unwell in the morning and did not eat or drink, so he had enough time to fast and drink. In addition, the pain was severe, so I simply started preoperative preparation.
Half an hour later, the emergency test results were reported. The patient had no contraindications for surgery. After communicating with his family and signing for the surgery, Zheng Ren took the patient to the operating room on the third floor of the emergency building.
When the emergency building was designed, the first floor was for the emergency department, observation room, B-ultrasound, CT, examination and other auxiliary departments. The second floor is the ward, with 52 planned beds. The third floor is the surgical operating room, which is several thousand square meters in size and has a fully horizontal design, which is among the best in the country.
The reason why Director Lao Pan is so anxious to carry out emergency surgery is because the operating room alone has attracted covetous attention from various surgical departments in the inpatient department. Such a good operating room must not be left idle. The emergency department is not in use, and naturally there are many people who need to use it.
In the innermost part of the operating room on the third floor, there is actually an interventional catheterization laboratory that specializes in interventional surgeries.
The design of the interventional cath lab adopts the latest solutions and is a hybrid operating room.
The so-called hybrid operating room means that both interventional operations and surgical operations can be performed.
This is very advanced. Ordinary tertiary hospitals do not have hybrid operating rooms at all.
The hybrid operating room in Haicheng City No. 1 Hospital is actually idle. If we don't seize the time to use it, it is suspected of being a waste of natural resources.
The laminar flow operating room has a constant temperature and a full set of sterilization facilities. Breathing in the air here gives you the illusion that your whole body has been purified.
Let other doctors move the patient while Zheng Renqi changes into surgical clothes.
It's time to put all your skill points and experience points to use! Zheng Ren was sure that the system uncle was not up to any conspiracy, but had foreseen the cholecystectomy. If he didn't go to the system operating room to train for LC (laparoscopic cholecystectomy) surgery, what were he waiting for
In the smoking room in the locker room, Zheng Ren lit up a cheap Ziyun, took a deep breath, and felt comfortable all over, and then entered the system space.
After coming in, Zheng Ren did not add any skill points. After all, no matter how much he added, he would never reach the master level and there would be no qualitative change.
He opened the system mall, clicked on cholecystectomy, exchanged all the 75,000 experience points rewarded by the task for 20.83 hours of operation time, then entered the system operating room and started training.
Because here, the patients are all under anesthesia, so it saves time.
A cholecystectomy performed outside will take at least 2 hours including the time before and after. In the system operating room, Zheng Ren does not need to consider the patient's condition, postoperative recovery, or wait for anesthesia. He can just do it right away.
The first laparoscopic cholecystectomy took Zheng Ren nearly an hour to complete. After all, when he was in the first department of general surgery, he was not qualified to perform cholecystectomy, even though this operation was a first-level surgery.
After getting familiar with it, the surgery went much smoother.
Time is getting shorter and shorter, and like appendectomy training, in a sense, surgery is a matter of familiarity.
In the end, it only took about ten minutes for Zheng Ren to perform a laparoscopic cholecystectomy.
The system training time was less than 21 hours, so Zheng Ren took advantage of the time and only performed 80 operations.
But that's enough, Zheng Ren feels very good about himself.
After the system training was over, I looked back at the skill tree and saw that the general surgery skills had increased from 1692 points to 1930 points. The increase was obvious. Zheng Ren didn't know if it was related to the difficulty of the operation.
Zheng Ren returned to the present world, and the smoke he just exhaled has not completely dissipated. He stubbed out Ziyun who had only taken a puff, carefully put it back into the cigarette case, then changed into surgical clothes and entered the operating room.
Xie Yiren has finished preparations and is standing in front of the equipment table. Seeing Zheng Ren come in, he smiled at him. His eyebrows are curved and his smile is full of smiles.
The first cholecystectomy is about to begin.