217. The bone is broken
"Teacher Qin, this is not a cardiology department. I remember there are many pens in the pen holder that can be used..."
As Hu Dongsheng said, he looked at the empty plastic pen holder in the corner of the desk, and was stunned for a moment. Thinking about it carefully, the emergency doctor would notify Wang Ting before the rotation of the job, and everyone was here. When he met such a deputy highman who was fond of pens, the pen in the pen holder might have been hidden long ago.
"This pen holder is like a decoration, and I have never seen a pen insert." Qin Xuefeng's gaze gradually moved downward and slid towards the pen in Hu Dongsheng's pocket, "Borrow it and use it, and I will return it to you later."
Hu Dongsheng didn't mind, so he pulled out the pen and sent it to his hands respectfully.
The two of them started to do their own business when they handed over the record book. Just when Gao Jian thought Hu Dongsheng's pen could not be returned to his hands, he suddenly found that the pen that Qin Xuefeng was trying to insert into his pocket had no pen cap.
It turned out that the pen cap that played a key role was always in Hu Dongsheng's own hands.
This is not a spring pen. You need to write with a pen, but you usually need to keep it with a pen cap. No matter how much Qin Xuefeng loves pens, it is impossible for the water pen to bump into his pockets so barely. In this blue-black pen game, it is really a magical demon that is one foot taller, and Hu Dongsheng successfully saved his pen.
Just as Gao Jian was still savoring the pen protection operation at the teaching and department level, Ji Qing's voice came in from the corridor: "Gao Jian! Where is the person?"
"Ah, here we are here!" Gao Jian's heart tightened, he immediately filled the next few words, picked up the ct and ran out in one go.
Hu Dongsheng looked at him: "Teacher Qin, is he Gao Jian?"
"Well, why don't you recognize me?" Qin Xuefeng wanted to raise his hand to get the pen that he couldn't accept just now, but he didn't expect that Hu Dongsheng had already defended himself, and the pen holder was inserted into his pocket earlier.
"What do you mean? How do you guard against me like a thief?"
"You are my teacher, how could you be a thief?" Hu Dongsheng smiled and brought his own record book: "Mr. Qin, goodbye~"
......
At this time, in the 307 operating room, Pei Hongying was already lying on the operating table and had complete anesthesia.
A small duodenal abscess is not as big as the last time. The main surgery is not Xin Cheng. In addition, it happened to be noon, and no one came to watch at all, and there was not even a question. Cui Yuhong looked at a graduate student and an undergraduate intern at hand, and could only lower his head and sigh: "It's so annoying that people are more awesome."
"Director Xin treats you very well. Do you still want to compete with him?"
Qi Jing smiled and looked at the top of his head. A purple-red surgical cap filled with colorful bubbles was particularly eye-catching: "Looking at so many attending doctors in the surgery department, how many of them can wear private customized surgical caps? By the way, the color you choose is too ugly."
Cui Yuhong's two assistants were very clear about his temper in the surgery. He became an emperor when he entered the operating room. He also cared about his taste and could not tolerate others saying anything.
But why did this guy complain? This is the surgical hat that Zhuzhi carefully selected for himself after he had just finished his retreat.
However, the anger that should come did not come, but instead caused a burst of laughter: "You dare to say this now. The bet is not big or small. Let's wait until your stomach is opened. If I win, you have to treat me to a meal!"
"no problem."
The incident originated from Xin Cheng's visit to the patient, and everyone was very concerned about what caused the abscess.
Some say that ascaris larvae and eggs are ulcerated and necrotic, and some say that the duodenal fistula, diverticulum, and ca. There are many different opinions. Xin Cheng and Cui Yuhong insist that it was caused by the damage caused by the ascaris, but Qi Jing insisted that it was an external object, which might be caused by improper eating.
Cui Yuhong still remembers Qi Jing's belief just now. Now that he thinks about this possibility, the reason he gave is weird enough. He even sent someone with a saying "Southeast Asians like to eat fish."
"This is not the case with fish bones..."
"Is there any basis?" Even Xin Cheng, who trusts Qi Jing very much, has some meaning to this conclusion. "It is not a good reason to like eating fish. I also like eating fish. Is it a problem with my stomach that causes the fish bones?"
"According to this, the proportion of confusion is very high, so I can only talk about it after I open it."
In order to make the dull surgery more exciting, Cui Yuhong took supper as a bet and played some tricks with Qi Jing in private. He insisted that it was caused by roundworms, and Qi Jing chose fish bones.
"I thought you would choose a ca."
"Isn't it too boring?" Qi Jing smiled, "Teacher Cui thinks so too."
"That's necessary." Cui Yuhong chose the most common central incision, and the electric knife brought a burst of burnt smell. "If it's ca, then the main surgery will have to be returned to Director Xin, and I will become a helper. You have never been the main surgery and don't understand how big the psychological gap is."
Pei Hongying is thin and has a thin fat layer. Cui Yuhong's technique is skillful enough and he enters the abdominal cavity in just a few seconds: "Below the stomach, duodenum... Where is this little duodenum..."
His fingers were fumbled in his stomach, and after a while, he found the target of the operation.
The entire operation is actually not difficult, it is to enter the abdominal cavity, find the duodenum, and then find the pus foci, and then separate the surrounding mesangial. After the intestinal canal is incised, check the degree of the abscess. If it is superficial, choose to remove the pus and clean the abscess foci. If the range is large and the intestinal wall is thin, you can directly choose to resection.
Cui Yuhong's fingers were very sensitive. After exploring the intestinal ducts, he suddenly felt a change in the feel: "It's here! Hehe, this soft feel is probably not caustic, take intestinal forceps."
The sides were fixed, avoiding the blood vessels and nerves, and he chose an incision a few centimeters next to the lump. After turning on the intestinal duct, a white abscess was exposed: "It's out...it's really not big. I'm convinced by your kid's level."
Qi Jing walked up to take a look in the front of the surgical gown, "How about the intestinal wall?"
"It's okay." Cui Yuhong repeatedly confirmed the thickness with his fingers, "Don't worry, the last time he went into seclusion was not a waste of time. Take the syringe and see what's under the pus..."
Pull out the pus and cut the thin surface of the abscess foci, and you can clearly see a white bone fragment stuck on the intestinal wall of the duodenum, and the surroundings have long been eroded by bacteria and changed their appearance.
Cui Yuhong had already made a judgment when he saw this. He probably lost the bet, so his momentum suddenly faded: "Tweezers."
With a dull sound, the long bone fragments were thrown into the tissue tray by him, and a few drops of blood were raised, and then he quickly threaded the needle: "You won, what do you want to eat for dinner? At most, KFC, no matter how expensive I am, I won't agree. Otherwise, go to the cafeteria and eat too much fried chicken..."
"Teacher Cui, don't worry first." Qi Jing looked at the tray and thought about it was definitely not after he won, "This bone is broken."
"I know it's broken, what's wrong?"
"This is the long rib on the abdomen of a big fish." Qi Jing poked with the abandoned scalpel on the side, "This hardness is not so easy to bite off."
His implication is very obvious. Since it was not bitten by Pei Hongying, it should have been stirred together by food residues in the gastrointestinal tract and twisted after peristalsis. Since one end can poke the mucosa and cause abscess, the other end can be.
"But this is the duodenum..." Cui Yuhong looked at his open abdomen and the pink intestines in his hand, "Do you want me to check the entire intestines in all sizes?"
Chapter completed!