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Back in the office and just sat down, Chen Cang heard the system sound!

[Ding! Congratulations, you have got a stomach-ten 2 finger anastomosis: Master Level. 】

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

Compared with colon surgery, the difficulty of stomach-ten 2 finger bowel surgery is relatively high.

Moreover, the key is the technical difficulty and characteristics, stomach 2 1 fingers have more research prospects!

Stomach-ten 2 anastomosis is a commonly studied operation in gastrointestinal surgery, but until now is also a difficulty that gastrointestinal surgery has been researching and overcoming.

Why do you say that?

Compared with the generally more difficult operations such as cardiac surgery, there are not many 3 A Hospitals nationwide.

However, stomach 2 finger surgery is different. Now many hospitals can complete Gastrectomy, and then perform stomach 2 finger surgery, but the key lies in this anastomosis.

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

Therefore, it is easy to get started, but it is very difficult to master.

Be aware that once these complications such as intestinal fistula occur, the trouble is not a little bit.

Chen Cang chose to study directly without any hesitation.

Li Yue himself is a General Surgery doctor and 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 took a break.

At more than 6pm, Chen Cang was about to get up to eat, and nurse Yang Jie helped Chen Cang bring a takeaway, which was quite hearty.

“Dr. Chen, thank you. My friend child is much better!” Yang Jie said excitedly. “It’s really what kind of Listeria infection. I checked it, but it was terrifying. If it was delayed, child But it’s dangerous!”

Chen Cang smiled slightly: “You’re welcome, you should do it, let alone, no effort at all that’s all.”

After speaking, Yang Jie hadn’t had time to speak, and several other nurses hurried in.

“Dr. Chen, Sister Yang is scared every day that we dare not use the refrigerator anymore. What about Listeria?”

“Yes, the past few days I almost closed the refrigerator. I used to put the refrigerator when I was milky. Now think about it.

“Yes, yes, I was a lot…”

Chen Cang unable to bear swallowed, not because he was hungry or greedy, but simply because he felt that this group of little nurses was teasing him, although he had no evidence!

Chen Cang misses Old Ma very much at this moment. Although this person is shameless a little, but…the deterrent is still very sufficient, at least not so surrounded by the little nurses…

Chen Cang quickly changed the subject, or else this group of people will only go further and further on the issue of who has more water and who has less water.

“In fact, not only is it related to the refrigerator, but Listeria can survive and reproduce in large quantities at room temperature.”

“But what to say, generally speaking bacteria cannot survive at low temperatures, so this gives Listeria an opportunity to take advantage of it, leading people to ignore the possibility of bacteria in the refrigerator.”

“What about bacteria like Listeria? Yes! This killer is not afraid of cold!”

After Chen Cang said it, the little nurse pretended to laugh very humorously.

Chen Cang sneered, it’s too fake, it’s nothing more than coveting my hue that’s all!

“Listeria monocytogenes is at 2-42 degrees, and it can multiply in large numbers regardless of pH, and can survive at low temperatures even below zero, so you should still pay attention!

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

“Yes, I have seen Listeria infections in the United States during this time. What should I do?”

Chen Cang laughed: “Actually, our country is okay, and it is related to eating habits. Foreign countries like to eat fruit and vegetable salads, but our domestic are basically cooked food. Basically, the Listeria is heated at 70 degrees Celsius for two minutes, so don’t do it. worry!”

“Regular refrigerator sterilization reduces the possibility of bacterial growth, and for people with immunity, try not to eat unpasteurized milk, cheese, sushi, sashimi, etc., try to clean the fruits.”

The nurse looked at Chen Cang efficiently and explained the problem clearly. There was no reason for harassment for a while, so he could only go back and find a solution!

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

The night shift in the emergency room is always disturbing, and there is basically no Patient, but must tell himself that 10000000 can’t be confused, because if you think about it, it will be possible immediately.

At ten thirty in the evening, a little girl came to the emergency department.

The little girl is not very young, she is very dressy… sexy, Rao is Beijing March, and she is also wearing a tight-fitting stockings and high-heeled ka ka ka with a donkey bag in her hand.

“I am registered.” The woman was very calm and could not see if she was sick.

Xiao Ke was nodded and hurriedly called Chen Cang.

Xiao Ke’s plain dress looks like an ugly duckling in front of the woman.

The woman showed off her car keys on the nurse’s desk and took out the money to start registering her ID card.

Chen Cang quickly asked, “Why are you uncomfortable?”

The woman sighed, frowning and said: “Stomach hurts, both sides hurt, and the pain did not bend down. It is better now, but it still hurts.”

Chen Cang nodded: “Can you go by yourself?”

Woman nodded.

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

“Have you been sick before?” Chen Cang asked casually.

“No, it’s fine.”

Chen Cang nodded, let the woman set up the posture, and begin to palpate the abdomen. However, it is inconvenient to pass the clothes, but when the dress worn by the woman is pulled up, it is naturally more embarrassing.

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

Chen Cang touched the abdomen gently.

“pain!”

“Aiya…it hurts!”

Chen Cang immediately frowned, and the peritoneal irritation sign was very obvious, and the abdominal tenderness was palpated, mainly in the lower abdomen or right lower abdomen, with rebound pain, and obvious abdominal muscle tension.

Have peritonitis?

wrong!

Is it a gynecological disease?

Thinking of this, Chen Cang said: “If you bear it, you may feel a little pain!”

The woman was calm, nodded clenching her teeth.

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

This made him frown immediately: “Isn’t she pregnant? Has she ever miscarried?”

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

When this sentence was spoken, the woman was very calm, just as I said that I ate 5 buns at noon, without any pride and mood swings.


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