Just as I returned to the office, Chen Cang heard the system prompt sound!

[Ding! Congratulations, you have obtained the stomach-duodenal anastomosis: master level.]

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

Compared with colon surgery, the difficulty of gastroduodenal surgery is relatively much higher.

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

Gastric-duodenal anastomosis surgery is a commonly studied surgery in the field of digestive surgery, but it has always been a difficult problem that gastroscopic surgery has been researching and overcome.

Why do you say so?

Compared with cardiac surgery, which is generally more difficult, there are not many Grade A hospitals in the country.

However, gastroduodenal surgery is different. Now many county hospitals can complete major 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 the surgery and the possibility of complications, such as anastomotic fistula, a more common surgical complication.

Therefore, duodenal surgery is an easy-to-use surgery and very difficult to master.

You should know that once these complications such as intestinal fistula occur, the trouble will be no more than a little.

Chen Cang chose to study without any hesitation.

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

...

...

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

At around six o'clock in the evening, Chen Cang was about to get up to have a meal. Nurse Yang Jie helped Chen Cang bring takeout, which was quite sumptuous.

"Doctor Chen, thank you. My friend's child is much better!" Yang Jie said excitedly, "It's really a Listeria infection. I checked it. It's really terrible. If it's delayed, the child will be in danger!"

Chen Cang smiled slightly: "You are welcome, you should do it. Besides, it's just a simple task."

After saying that, before Yang Jie could speak, several other young nurses hurriedly ran in.

"Doctor Chen, Sister Yang has scared us so much that we don't dare to use the refrigerator every day. So what's wrong with Listeria?"

"Yes, I almost closed the refrigerator these days. When I was so milky, I put it in the refrigerator. Now I think about it, I feel sorry for you!"

“Yes, yes, I had a lot of them at that time…”

Chen Cang couldn't help swallowing, not because he was hungry or because he was greedy, but because he felt that these young nurses were teasing him, although he had no evidence!

Chen Cang missed Lao Ma very much at this moment. Although this person was a little shameless,... the shock was still very strong. At least he would not be surrounded by the young nurses like this...

Chen Cang quickly changed the topic, 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 the refrigerator, but Listeria can also survive and reproduce in large quantities at room temperature."

"But how to say it, generally speaking, bacteria cannot survive at low temperatures, so this gives Listeria an opportunity to take advantage of, leading people to ignore the possibility that there are actually bacteria in the refrigerator."

"How do you say a bacteria like Listeria? Yes! This killer is not afraid of the cold!"

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

Chen Cang sneered, it's too fake, it's just coveting my appearance!

"Listeria is between 2-42 degrees, and can reproduce in large quantities regardless of pH, and can survive at low temperatures even below zero degrees, so it should be noted!"

When everyone was worried when they heard Chen Cang say this, to be honest!

"Yes, I have seen patients with Listeria infection in the United States for a while. What should I do?"

Chen Cang smiled: "Actually, our country is fine, it is related to eating habits. Foreign countries like to eat fruits and vegetable salads, while our country is basically cooked food. Basically, Listeria is gone after heating above 70 degrees Celsius for two minutes, so don't worry!"

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

The young nurse saw that Chen Cang had explained the problem clearly, and there was no reason to harass him for a while, so she could only go back and find a way!

But at this moment, Chen Cang breathed a sigh of relief and finally could have a meal.

The night shift in the emergency room is always unsettling, and there are basically no patients, but you must also tell yourself that you must not think randomly, because once you think randomly, it may come immediately.

Just at 10:30 in the evening, a little girl came to the emergency room.

The little girl is not old and dresses very...sexy. Even in March, the capital, she is wearing a tight-fitting dress with stockings and high heels, and is carrying a donkey-branded 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 hurriedly ran over to call Chen Cang.

Xiao Ke dressed up in front of the woman in a simple manner and seemed to be like an ugly duckling.

The woman put the Ferrari's car keys on the nurse's table like a show of wealth, and then took out the money and started to take out her ID card to register.

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

The woman sighed and frowned and said, "The stomach hurts, both sides of it. I couldn't bend my waist just now. Now it's getting better, but it still hurts."

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

The woman nodded.

Chen Cang invited Xiao Ke 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, asked the woman to put on her position and began palpation of her abdomen. However, it was inconvenient to use her clothes, but when the dress she wore was pulled up, it naturally made a relatively awkward scene.

Fortunately, Xiao Ke was present, so it was fine.

Chen Cang gently touched his abdomen.

"pain!"

"Oh... it hurts!"

Chen Cang immediately frowned. The symptoms of peritoneal irritation were very obvious, and the abdominal tenderness was palpated. The lower abdomen or the right lower abdomen were mainly used, with rebound pain and obvious abdominal muscle tension.

Have peritonitis?

wrong!

Could it be a gynecological disease?

Thinking of this, Chen Cang said, "If you endure it, it may hurt a little!"

The woman was calm and nodded and gritted her teeth.

Just when Chen Cang touched his lower abdomen, he felt that the posterior dome was full, the cervix was poorly motile, and the attachment touched the inflammatory mass, which was obvious on the right side.

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

The woman was a little unhappy when she heard this, but she still said, "I have been pregnant for 5 times and all of them have miscarriage."
Chapter completed!