Chapter 54 System Training Again

When the patient arrived, a system prompt appeared in the upper right corner of Zheng Ren's field of vision - chronic delayed cholecystitis.

With a sinking heart, Zheng Ren knew that this was probably a complication of acute food poisoning.

If you can stop antibiotics for about a week, the chances of complications will be minimized. But now the trend of the whole country is pointing to the abuse of antibiotics by doctors, they are all bastards.

Doctors do have bastards. For example, three groups of antibiotics are given to minors after simple acute appendectomy, including quinolones that are metabolized by the kidneys.

But the vast majority of doctors are still good, and it is their pursuit to treat patients and save talents.

But all this was ruthlessly strangled.

The veterinarians in charge of the medical industry have promulgated provisions to limit the clinical application of antibiotics. Only when there are signs and data support such as fever, positive bacterial culture, abnormal blood routine, etc., can antibiotics be used.

But few people think that the most widely used antibiotics are animal husbandry. There are a lot of antibiotics left in the meat you eat and the milk you drink every day. However, animal husbandry is also a shame. If it is not used, the output will decline. How can it increase the growing material demand of the people?

Everyone eats 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 it.

It would be good to be able to handle the emergency department of the first hospital in the city.

"Urgent bedside ultrasound, I guess it's cholecystitis." Zheng Ren quickly said the diagnosis.

"Mr. Zheng, why did you have cholecystitis?" The patient's son was very distressed.

"I explained to you that there will be exudation in acute toxic liver injury, and the exudate has a certain chance of remaining near the gallbladder fossa. The elderly's physical function declines, and secondary cholecystitis will occur after stimulation for about a week." Zheng Rendao.

That being said, the chances of this type of cholecystitis appearing are not 100%, not even higher than 10%.

At this time, it is time to fight for luck. Obviously, the luck of the patient in front of him is not very good.

But if you are unlucky, you must not tell the patient and the patient's family. It's true that Zheng Ren is a straight man of steel, but that's only for girls. The communication with patients is still very smooth and full of emotional intelligence.

When the patient was admitted to the emergency ward, the old man was "honored" to be the first patient in the emergency ward.

B-ultrasound showed that the gallbladder was 95x47mm in size, the tension increased significantly, the cyst wall was rough, and the thickness was 3mm.

Seeing this emergency B-ultrasound report, it can be determined that it is chronic and delayed cholecystitis. Afterwards, emergency examinations were carried out, including blood routine, coagulation, hepatitis B, AIDS and syphilis, liver and kidney function, etc.

ECG return: 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 was a little frustrated, and he was the one who insisted on leaving the hospital for observation. The main reason was that the hospital was too noisy, and the old man didn't rest well.

Unexpectedly, as Zheng Ren said, he got cholecystitis.

Because when they were observed in the emergency observation room before, Zheng Ren had a good relationship with his family members. The two sat down and Zheng Ren first appeased the patient's family members.

Then began to analyze the condition of the patient's family members on the B-ultrasound imaging.

Cholecystitis like this patient is not acute simple cholecystitis. The cause was mentioned before, because acute food poisoning leads to transient abnormality of liver function and exudative changes. The exudate remains in the gallbladder fossa and invades the gallbladder, resulting in acute cholecystitis.

If it is a young man, the possibility of cholecystitis is not high. After all, you are young, in good health, and your immune system is high. This inflammation will be absorbed in minutes.

The elderly are different. The slow absorption of inflammation leads to cholecystitis. If conservative treatment with antibiotics, the effect is not too ideal.

After analyzing these matters and the family members, the family members expressed that they would obey Zheng Ren's arrangement.

This is the performance of having a certain degree of trust in the doctor after some contact.

If there was no successful emergency rescue of nitrite poisoning, the family members of the patients would not have said that everything was arranged by Zheng Ren.

"Then do the gallbladder removal." Zheng Ren finally decided to have the operation.

Because the old man was uncomfortable in the morning, he did not eat or drink water, and the fasting time was enough. In addition, the pain is severe, so simply do the preoperative preparation directly.

Half an hour later, the emergency examination results reported that the patient had no contraindications for surgery. After communicating with the family and signing 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 the emergency department, observation room, B-ultrasound, CT, inspection and other auxiliary departments. The second floor is the ward, and the planned number of beds is fifty-two. On the third floor is the surgical operating room, which is thousands of square meters and has a full advection design, which is among the top in China.

The reason why Director Pan is so anxious to carry out emergency surgery is because the operating room alone has attracted the covetousness of various surgical departments in the inpatient department. Such a good operating room must not be idle, the emergency department does not need it, and naturally some people use it.

In the innermost operating room on the third floor, there is actually an interventional catheterization room, which specializes in interventional surgery.

The design of the interventional cath lab is completely adopting the latest scheme, which 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, and there is no hybrid operating room at all in ordinary tertiary hospitals.

And the hybrid operating room of Haicheng No. 1 Hospital is actually idle. If you don't hurry up and use it, you will be suspected of mischief.

The temperature in the laminar flow operating room is constant, with a full set of disinfection facilities, and one breath of the air here gives the illusion that the whole body is purified.

Let other doctors carry the patient, and Zheng Renzuo changes the surgical gown.

Time to put all your skill points and XP to good use! Zheng Ren made sure that the system uncle did not engage in any conspiracy, but had a foreknowledge to let himself do cholecystectomy. At this time, he did not go to the system operating room to train LC (laparoscopic cholecystectomy) surgery, so what are you waiting for?

In the smoking room in the locker room, Zheng Ren lit a cheap purple cloud, took a deep breath, felt comfortable, and then entered the system space.

After entering, Zheng Ren did not add 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 into 20.83 hours of operation time, and entered the system operating room to start training.

Because here, the patients are all anesthetized, so it saves time.

Outside, do a cholecystectomy, counting the time before and after, at least 2 hours. In the operating room of the system, Zheng Ren does not need to consider the patient's condition, does not need to consider the patient's recovery after surgery, and does not need to wait for anesthesia.

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 as the chief surgeon, even if this operation belonged to the category of first-level surgery.

Once you get used to it, the surgery goes a lot better.

The time is getting shorter and shorter, and like the training camp for appendectomy, in a sense, surgery is a familiar one.

In the end, Zheng Ren only needed about ten minutes to perform a laparoscopic cholecystectomy.

The training time of the system was only a pitiful less than 21 hours. Zheng Ren made use of the time and did only 80 operations.

But this is enough, Zheng Ren feels very good about himself.

After the system training was over, I looked back at the skill tree. The general surgery skill had increased from 1692 to 1930. The increase is obvious. Zheng Ren doesn't know if it has something to do with the difficulty of the operation.

Zheng Ren returned to the world, and the smoke he just exhaled had not completely dissipated. He snuffed out Ziyun who had only smoked one mouthful, put it back into the cigarette case carefully, then changed into the surgical gown and entered the operating room.

The Shay people are ready and standing in front of the equipment table. Seeing Zheng Ren come in, he smiled at him. Eyebrows and eyes, smiling.

The first cholecystectomy is about to begin.

New levels, strong points. Also please support a lot and ask for a new recommendation ticket, thank you.