Chapter 885 Listeria

Just after returning to the office and sitting down, Chen Cang heard the system beep!

【Ding! Congratulations, get gastro-duodenal anastomosis: master class. 】

After seeing the system prompt, Chen Cang was really surprised.

Compared with colon surgery, gastro-duodenal surgery is relatively more difficult.

Moreover, the key is the technical difficulty and characteristics, the gastroduodenum has more research prospects!

Gastro-duodenal anastomosis is a commonly studied operation in digestive surgery, but it has always been a difficult problem that digestive surgery has been studying and overcoming.

Why do you say that?

Compared with cardiac surgery, which is a generally more difficult operation, there are not many tertiary hospitals in the country.

However, gastroduodenal surgery is different. Now many county hospitals can complete subtotal gastrectomy and then perform gastroduodenal anastomosis, but the key lies in this anastomosis.

The success of anastomosis is directly related to the success rate of surgery and the possibility of complications, such as anastomotic leakage, a relatively common surgical complication.

Therefore, duodenal surgery is easy to learn, but very difficult to master.

You know, once these complications such as intestinal fistula occur, the trouble is not one or two points.

Without any hesitation, Chen Cang chose to study directly.

Li Yue himself is a general surgeon, and he is proficient in gastrointestinal surgery, so Chen Cang is very satisfied with obtaining such a surgical skill!

...

...

Tonight is Chen Cang's night shift. After calling Qin Yue in the duty room, Chen Cang takes a break.

At six o'clock in the evening, Chen Cang was about to get up to eat. Nurse Yang Jie brought Chen Cang takeout, which was quite plentiful.

"Dr. Chen, thank you, my friend's child is much better!" Yang Jie said excitedly, "It really is a listeria infection, I checked it, it's really scary, if it's delayed, child But it's dangerous!"

Chen Cang smiled slightly: "You're welcome, what should be done, let's talk about it, it's just a little effort."

After speaking, before Yang Jie had time to speak, several other nurses hurried in.

"Dr. Chen, Sister Yang is so scared that we don't dare to use the refrigerator recently. What's the matter with Listeria?"

"Yes, I almost closed the refrigerator these days. I kept it in the refrigerator when I had a lot of milk. Now that I think about it, I have lingering fears!"

"Yes, yes, I was a lot at the time..."

Chen Cang couldn't help swallowing, not because he was hungry, nor because he was greedy, but simply because he felt that these little nurses were molesting him, even though he had no evidence!

Chen Cang misses the old horse very much at this moment. Although this person is a bit shameless, but...the shocking power is still very strong, at least he won't be surrounded by the little nurses like this...

Chen Cang hurriedly changed the subject, otherwise this group of people would only go further and further on the issue of who has more water and who has less water.

"In fact, it is not only related to refrigerators, but Listeria can also survive and multiply in large numbers at room temperature."

"However, generally speaking, bacteria can't survive in low temperatures, so this gives Listeria an opportunity to take advantage of, and people ignore the possibility that there are bacteria in the refrigerator."

"What about the bacteria Listeria? Yes! This killer is not afraid of cold!"

After Chen Cang said it, the little nurse pretended to be humorous and began to laugh.

Chen Cang sneered, it's too fake, it's nothing more than coveting my appearance!

"Listeria can multiply at 2-42 degrees, and regardless of pH, it can survive at low temperatures even below zero, so it should be noted!"

Hearing Chen Cang say this, to be honest, everyone is a little worried!

"Yes, I have seen patients with Listeria infection in the United States during this period of time. What should I do?"

Chen Cang smiled: "Actually, we are fine in China, it is related to our eating habits. Foreign countries like to eat fruit and vegetable salads, while our domestic food is basically cooked food. Basically, Listeria will disappear when heated above 70 degrees Celsius for two minutes, so Don't worry either!"

"Regularly sterilize the refrigerator to reduce the possibility of bacterial growth, and for people with low immunity, try not to eat unpasteurized milk, cheese, sushi, sashimi, and clean fruits as much as possible."

The little nurse saw that Chen Cang explained the problem clearly, and there was no reason for harassment for a while, so she could only go back and find a solution!

But at this time, Chen Cang was relieved and finally able to eat.

The night shift in the emergency department is always disturbing, and there are basically no patients, but you must tell yourself that you must not think about it, because if you think about it, it will come soon.

At half past ten in the evening, a little girl came to the emergency room.

The little girl was young, and she was very... sexy. Rao was the capital of March, and she was also wearing a tight-fitting dress with stockings, high-heeled shoes, and carrying a donkey brand bag in her hand.

"I'll register." The woman was very calm and could not tell whether she was sick or not.

Xiao Ke nodded and hurried over to call Chen Cang.

Xiao Ke's simple dress seemed like an ugly duckling in front of the woman.

As if showing off her wealth, the woman put the Ferrari's car key on the nurse's desk, took out the money, and began to take out her ID card for registration.

Chen Cang hurriedly asked, "Why are you uncomfortable?"

The woman sighed, frowned and said, "My stomach hurts, both sides hurt. I couldn't bend down from the pain just now. It's better now, but it still hurts."

Chen Cang nodded: "Can you go by yourself?"

The woman nods.

Chen Cang greeted Xiao Ke to go to the rescue room together, and let the woman lie on the bed.

"Have you had any illness before?" Chen Cang asked casually.

"No, it's all good."

Chen Cang nodded, and asked the woman to put her body in a good position, and began to palpate her abdomen. However, it was inconvenient to see through the clothes, but when the dress worn by the woman was pulled up, it was naturally an embarrassing picture.

Fortunately, Xiao Ke was there, it was all right.

Chen Cang gently touched his abdomen.

"pain!"

"Oh...it hurts!"

Chen Cang frowned immediately, the signs of peritoneal irritation were very obvious, and the abdomen was tender when palpated, mainly in the lower abdomen or right lower quadrant, with rebound tenderness and obvious abdominal muscle tension.

Have peritonitis?

wrong!

Could it be a gynecological disease?

Thinking of this, Chen Cang said: "Just bear with it, it may hurt a little!"

The woman was calm, nodding her teeth.

Just when Chen Cang touched his lower abdomen, he felt that the posterior fornix was full, the cervical activity was poor, and the appendix touched an inflammatory mass, which was obvious on the right side.

This made him frown a little: "Have you ever been pregnant? Have you ever had a miscarriage?"

The woman was a little unhappy when she heard it, but she still said, "I have been pregnant 5 times, and all of them have miscarried."

When she said these words, the woman was very calm, as if she was saying that I ate five steamed buns at noon, without the slightest pride or mood swings.