Chapter 899： : Xiao Qin, you talk 1

Chen Cang looked at Qin Yue who ran away, and suddenly hesitated.

He thinks ... a little early!

When I thought of this, Chen Cang suddenly regretted it. If I had known intimidation and lure, I might get a little benefit ...

I do n’t have to do this now, I have to wash the bowls by myself.

Hey……

It's all right in the afternoon, Chen Cang can also rest,

I hummed, I didn't know where to hear "Eight Kills", and the rhythm of washing dishes was a little bit cheerful.

When Chen Cang was washing the dishes, I suddenly thought of something, and suddenly stopped.

Diagnosis just now!

我 曹?

沧 Cang Cang suddenly realized what awesome special reward he just got!

Perfect Digestive System Diagnosis!

Is this too strong?

I just listened to it a few times just now, the logical thinking in my head kept thinking, and various signs, examinations, and tests began to serve the diagnosis.

Just like the same high-speed computer!

When thinking of this, Chen Cang suddenly felt excited.

This perfect diagnosis of the digestive system is really amazing ...

Uh ...

Uh ...

Xiehehe General Surgery Office.

多 More than three in the afternoon.

At this time, more than a dozen medical staff of the general surgery gastrointestinal team are conducting a case discussion.

This kind of case discussion is often held, it will be held every three to five, or it is a discussion of difficult cases, or a discussion of death cases, the discussion is actually the daily work of medical staff.

Tomorrow Wednesday, the director's big round will have to find out all patients beforehand, or Director Sun will lose his temper.

Zhuang Yueming, who is in the gastrointestinal surgery team, looked at everyone and came and nodded, "Xiao Qin, let's get started!"

Xiehehe general surgery is a national key specialty!

Even in the history of Chinese medicine, there are indelible brilliance and achievements, many national and even medical experts have emerged.

Under the leadership of the leaders of various disciplines, Concord General Surgery established the earliest detailed professional groups in China according to the characteristics of general surgery: including pancreas, biliary tract, gastrointestinal, vascular, breast, liver, surgical nutrition, critical and related clinical professional laboratories .

She Qinyue's mentor Sun Guangyu is the chief director of general surgery. She has great achievements in the field of digestive system and has research on the pancreas, liver, gallbladder and gastrointestinal tract.

Qin Yue is now following her sister in the gastrointestinal group, and the proportions of professors, associate professors, and attendants in each professional group are also perfectly regular triangles.

This also allows each group to solve the problem independently.

After hearing from Director Zhuang, Qin Yue quickly stood up, posted the patient's condition on the big screen, and then began to talk about the patient's condition.

Speaking of them, Qin Yue was also curious, and today she is not nervous at all!

Even if I saw so many experts and professors present, a group of Ph.D. supervisors, and directors ... I was as stable as a mountain, without any panic.

窃 My heart is pleased, my husband has already announced the answer!

You are farther away than me!

Girls can't swear, or her husband doesn't like it.

I think of Chen Cang, Qin Yue is very satisfied inside, this is a superb boyfriend.

To be beautiful, to be talented, even the indicators and data of private life are very satisfactory!

Thought of this, Qin Yue felt that he was making a lot of money.

I prepared the manuscript and Qin Yue began to read it.

"A female patient, 34 years old, because of" intermittent right abdominal pain, diarrhea with fever for more than a month ... with abdominal distension, diarrhea, cough ... given penicillin in the local hospital, no significant improvement after dexamethasone. Came to our hospital four days ago ... "

After combing and deriving from Chen Cang, Qin Yue's regulations for patients are very clear, and each index and data are recorded in her heart.

Qin Yue introduced the patient's situation so that Zhuang Yueming's eyes brightened and he nodded with satisfaction.

"Yes! It seems Xiao Qin has enough understanding of the patient. Xu Rui, what do you think of this patient you have received?" Zhuang Yueming asked.

Xu Xu Rui is Qin Yue's sister and Sun Guangyu's student.

Xu Rui saw that Qin Yue had memorized the medical records, and could not help but stunned, and nodded and said, "This patient's situation is more complicated. After being admitted to the hospital yesterday, he improved the various examinations!

B ultrasound showed peritoneal effusion, intestinal rectification, thickening of the omentum; abdominal X-ray showed rich multiple adhesions, enclosing effusion. I was admitted to the hospital with "gastric perforation, peritonitis". "

但是 "But the temperature control is still not very good, and the headache is obvious, there is a loss of spirit, the drainage fluid is more viscous, the overall condition continues to deteriorate, and the condition is critical."

Xu Rui is really worried. This patient has four history of gastrointestinal surgery and two gastrectomy. She is only 34 years old, but now there is muddy mucus on the right side of the gallbladder under the liver, and 80ml of muddy fluid is drawn from the uterine rectal space. The key is that I had a cough all night last night, the fever could not stop, I couldn't control it at all, and I was relaxing!

For a moment, there was silence in the office.

The case is very long, and the results of the inspection are so many that everyone seems to be struggling.

After more than ten minutes ... even twenty minutes, this analysis of the patient's situation was completed, and then began to talk one after another.

Xinzhuang Yueming also looked up, looking at this case, the inner diagnosis gradually became clear.

The more I think, the more I think this is a rare and good case!

病例 This case is definitely a difficult disease ~ www.novelhall.com ~ There are a lot of things to consider. If you pay little attention, you will fall into the trap of the disease.

Very valuable for discussion and interesting!

The more I looked at him, the more surprised Zhuang Yueming was.

病例 This case is rare for everyone's clinical thinking exercise and test.

In fact, for doctors, these rare cases are like rare objects. People can't help but want to see more. If such patients can be cured, this is definitely a sense of accomplishment Things.

Of course, those who ca n’t understand the cure are better not to appear ...

Soon afterwards, everyone started to discuss.

I say, I am very lively.

This discussion is not a quarrel. Every point of your opinion must be analyzed and justified, not nonsense.

Everyone is very interested, and express their opinions, so lively!

Soon, opinions are growing!

"I feel this is more like a purulent peritonitis. I saw a perforation of the digestive tract during the operation, but ... it's a bit unclear here: the indwelling drainage tube is correct after surgery, and the temperature continues to rise, proving that the peritonitis is not controlled Well, the incision does not heal, which proves that the operation was unsuccessful. The problem is that there may be a leak in the upper digestive tract! "

"Well, it makes sense, but the reason for such a cough is that the digestive system does not cause coughing and chest tightness. If you consider a central venous catheter infection, remove the catheter and cut the tip of the bacterial culture without growth. The treatment with antibiotics such as levofloxacin, ceftriaxone and metronidazole has not improved, which is obviously not clear! "