Chapter 54： System training again

The patient was sent, and there was a system prompt in the upper right corner of Zheng Ren's field of vision - chronic delayed cholecystitis.

As soon as the heart sinks, Zheng Ren knows that this is a complication of acute food poisoning.

If you can calm the antibiotics for a week or so, the incidence of complications will be minimized. But now the rise of the country is pointing to the abuse of antibiotics by doctors.

There are indeed **** in the doctors. For example, three groups of antibiotics are used in patients with under-authentic simple appendectomy, including quinolones for kidney metabolism.

But the vast majority of doctors are still good, and it is their pursuit to cure people.

But all this was ruthlessly killed.

Veterinarians in charge of the medical profession have issued provisions to limit the clinical application of antibiotics. They must have signs of fever, positive culture, abnormal blood tests, and data support in order to apply antibiotics.

Few people think that the most applied antibiotics are animal husbandry. There are a lot of antibiotics in the meat and milk that you eat every day. However, the animal husbandry industry is also called Qu, and if it is not used, the output will decline. How can it increase the growing material demand of the people?

All the people eat the leaves? Zheng Ren, who has always been interested in the string, does not agree.

There are too many bends in it, and Zheng Ren doesn't want to, and there is no way to solve it.

It is good to be able to handle the emergency department of the First Hospital.

"Emergency bedside B ultrasound, I guess it is cholecystitis." Zheng Ren quickly said the diagnosis.

"Zheng Zong, how is it good to have cholecystitis?" The patient's son was very upset.

"It has been explained to you, acute toxic liver damage will have exudation, and there is a certain chance that exudate will remain in the vicinity of the gallbladder fossa. The body function of the elderly will decline, and about 1 week will cause secondary cholecystitis." Zheng Rendao.

That is to say, but the chance of this cholecystitis is not 100%, or even higher than 10%.

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

But if you are not lucky, you must not talk to the patient or the patient's family. Zheng Ren is a straight man of steel, but that is limited to facing girls. The communication with the patient is still very smooth, and the emotional intelligence is full.

The patient was admitted to the emergency ward, and the father was "honored" to be the first patient in the emergency ward.

B-ultrasound showed: the size of the gallbladder was 95x47mm, the tension was obviously increased, the wall of the capsule was rough, and the thickness was 3mm. There was no obvious abnormal echo on the wall of the capsule. The sound in the wall was poor, and the echo was fine.

Seeing this emergency B-ultrasound report, it has been confirmed that it is chronic and delayed cholecystitis. Subsequently, he was admitted to the emergency department for examination, blood routine, blood coagulation, hepatitis B, AIDS, liver and kidney function.

ECG return: sinus rhythm, normal ECG.

Zheng Ren asked the nurse to leave the stomach tube for the patient and do gastrointestinal decompression. Then call the patient's son to the office to communicate with the doctor.

The family members of the patient were somewhat frustrated. At that time, he insisted on leaving the hospital to observe. The main reason is that the hospital is too noisy and the father is not resting well.

I did not expect that, as Zheng Ren said, he had cholecystitis.

Because of the observation in the emergency room, Zheng Ren and his family had a good relationship. When they sat down, Zheng Renxian calmed the family members' emotions.

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

Cholecystitis like this patient is not acute simple cholecystitis. The cause was said before because acute food poisoning caused a transient abnormality in 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 boy, the possibility of cholecystitis is not great. After all, young, good health, high immunity, this inflammation is absorbed in minutes.

The elderly can be different, and the slow absorption of inflammation triggers cholecystitis. If conservative treatment with antibiotics, the effect will not be ideal.

After analyzing these things and their families, the family members expressed their obedience to Zheng Ren’s arrangement.

This is the performance of a certain trust to the doctor after some contact.

If there is no success in the first aid of nitrite poisoning, the family members of the patient will not say anything that they listen to Zheng Ren’s arrangement.

"Then do the cholecystectomy." Zheng Ren finally decided to do surgery.

Because the old man is uncomfortable in the morning, there is no time to eat and drink, and fast time is enough. Plus the pain is severe, so simply do the preoperative preparation.

After half an hour, the results of the emergency test were returned. The patient had no surgical contraindications. After the family had finished communicating and signed the operation, Zheng Ren took the patient to the operating room on the third floor of the emergency building.

At the time of designing the emergency building, the first floor was an auxiliary department such as emergency department, observation room, B-ultrasound, CT, and inspection. The second floor is the ward, and the planned bed is fifty-two. The third floor is a surgical operating room, several thousand flat operating rooms, and a full advection design, which is top in the country.

The reason why the director of the old Pan is so anxious to carry out the emergency surgery is because the operating room is the embarrassment of the various departments in the inpatient department. Such a good operating room must not be idle, the emergency department does not need, naturally there are people who want to use.

The innermost part of the operating room on the third floor has an interventional catheter room dedicated to interventional surgery.

The design of the interventional catheterization room is based on the latest protocol and is a hybrid operating room.

The so-called hybrid operating room means that you can do an interventional operation or a surgery.

This is very advanced, and there is no hybrid operating room at all in the top three hospitals.

The hybrid operating room in the first hospital of Haicheng was idle, and it was necessary to take advantage of the time to use it, and there was suspicion of violent things.

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

Let other doctors carry the patient, Zheng Ren takes the replacement of the surgical gown.

It's time to take advantage of all skill points and experience points! Zheng Ren determined that the system uncle did not engage in any intrigue, but had a foresight to let himself do cholecystectomy. At this time, he did not go to the system operating room to train LC (laparoscopic cholecystectomy) surgery. What are you waiting for?

In the smoking room in the locker room, Zheng Ren lit a cheap purple cloud, took a deep breath, and went through the system space.

After coming in, Zheng Ren did not add skill points. After all, it is impossible to reach the master level and there will be no qualitative change.

He opened the system store click on the cholecystectomy, and converted all the 75000 points of the task reward into 20.83 hours of operation time, then entered the system operating room and began training.

Because here, the patients are anesthetized, so it is very time-saving.

On the outside, do a cholecystectomy, calculate the time before and after, at least 2 hours. In the system operating room, Zheng Ren does not have to consider the patient's condition, do not consider the patient's postoperative recovery, do not wait for anesthesia, do it.

The first laparoscopic cholecystectomy, Zheng Ren took nearly an hour to finish. After all, when he was a general subject, he was not qualified to go to the main knife for cholecystectomy, even if the procedure belonged to the first-level surgery.

After getting familiar with it, the operation will be much smoother.

The time is getting shorter and shorter, just like the training of appendectomy. In a sense, surgery is the only hand.

In the end, Zheng Ren only takes about ten minutes to do a laparoscopic cholecystectomy.

The system training time was only less than 21 hours. Zheng Ren took advantage of the time and did 80 operations.

But this is enough, Zheng Ren feels very good.

The system training ended, looking back at the skill tree, the general surgery skills have increased from 1692 to 1930. The increase is very obvious, is it related to the difficulty of surgery, Zheng Ren does not know.

Zheng Ren returned to the world, and the smoke that had just spit out has not completely dissipated. He smashed the purple cloud that had only taken a sip, carefully put it back into the cigarette case, and then changed the surgical gown and entered the operating room.

The Shea people are ready to stand in front of the instrument table. See Zheng Ren coming in and smiled at him. The eyebrows are bent and the smile is full.

The first cholecystectomy is about to begin.