Back to the office, just sat down, Chen Cang heard the prompt sound of the system!


    [Ding! Congratulations on obtaining gastroduodenal anastomosis: master.]


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


    Compared with colon surgery, gastroduodenal surgery is relatively more difficult.


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


    Gastroduodenal anastomosis is a widely studied operation in digestive surgery, but it has always been a difficult problem for digestive surgery to study and overcome.


    Why do you say that?


    Compared with heart surgery, which is generally more difficult, there are not many top three hospitals in China.


    However, gastroduodenal surgery is different. Now many county hospitals can complete subtotal gastrectomy and then gastroduodenal anastomosis, but the key lies in this anastomosis.


    The success of anastomosis is directly related to the success rate of operation and the possibility of complications, such as anastomotic fistula.


    Therefore, duodenal surgery is easy to start and very difficult to master.


    You know, once these complications such as intestinal fistula occur, the trouble is not one or two.


    Without any hesitation, Chen Cang directly chose to study.


    Li Yue himself is a general surgeon and is proficient in gastrointestinal surgery. Therefore, 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 has a rest.


    At more than six in the evening, Chen Cang was ready to get up for dinner. Nurse Yang Jie helped Chen Cang bring takeout. It was very rich.


    "Thank you, Dr. Chen. My friend''s child is much better!" said Yang Jie excitedly. "It''s really Listeria infection. I checked it. It''s terrible. If it''s delayed, the child will be dangerous!"


    Chen Cang smiled: "you''re welcome. What you should do. Besides, it''s just a little effort."


    After that, before Yang Jie could speak, several other little nurses hurried in.


    "Dr. Chen, recently, sister Yang has scared us to use the refrigerator every day. What''s the matter with Listeria?"


    "Yes, I almost closed the refrigerator these days. When I had more milk, I put it in the refrigerator. Now think about it, I''m more than sorry!"


    "Yes, I had many..."


    Chen Cang couldn''t help swallowing his saliva, not because he was hungry or greedy, but simply because he felt that these little nurses were flirting with him, although he had no evidence!


    Chen Cang misses old ma very much at this moment. Although he is shameless, he still has enough deterrent. At least he won''t be surrounded by little 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 also Listeria can survive and reproduce in large numbers at room temperature."


    "But how to say, generally speaking, bacteria can''t survive at low temperature, so this gives Listeria an opportunity to take advantage, leading people to ignore the possibility of bacteria in the refrigerator."


    "What about Listeria? Yes! This killer is not afraid of cold!"


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


    Chen Cang sneered. It''s too fake. It''s just coveting my hue!


    "Listeria can reproduce in large numbers at 2-42 degrees, regardless of pH, and can survive at low temperature even below zero, so we should pay attention to it!"


    Hearing Chen Cang say so, to tell you the truth, everyone is a little worried!


    "Yes, I''ve seen patients infected with Listeria in the United States these days. What should I do?"


    Chen Cang smiled: "in fact, it''s OK in China. It''s related to eating habits. Foreign countries like to eat fruit and vegetable salad, while our domestic food is basically cooked food. Basically, Listeria disappeared after heating at more than 70 ℃ for two minutes, so don''t worry!"


    "Disinfect the refrigerator regularly to reduce the possibility of bacterial breeding. Moreover, for people under immunity, try not to eat milk, cheese, sushi and sashimi without pasteurization, and try to clean the fruit."


    The little nurse looked at Chen Cang and explained the problem clearly. For a time, there was no reason for harassment, so she had to go back and find a way!


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


    The night shift of emergency is always disturbing. There are basically no patients, but you must tell yourself that you can''t think about it, because it''s possible to think about it right away.


    At 10:30 p.m., a little girl came to the emergency room.


    The little girl is young and dressed very... Sexy. Rao is the capital in March. She is also wearing silk stockings, a close fitting dress, high heels and a donkey bag in her hand.


    "I registered." the woman was very calm and couldn''t see if she was ill at all.


    Xiao Ke nodded and hurriedly ran to call Chen Cang.


    Xiao Ke''s simple dress seems like an ugly duckling in front of the woman.


    The woman showed off her wealth, put the Ferrari car key on the nurse''s desk, took out the money and began to take out her ID card for registration.


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


    The woman sighed, frowned and said, "my stomach hurts. I can''t bend down just now. It''s better now, but it still hurts."


    Chen Cang nodded, "can you go by yourself?"


    The woman nodded.


    Chen Cang asks Xiao Ke to go to the rescue room and let the woman lie in bed.


    "Have you had any diseases before?" Chen Cang asked casually.


    "No, everything was very good."


    Chen Cang nodded and asked the woman to position herself and begin abdominal palpation. However, it was inconvenient to wear clothes, but when the woman''s dress was pulled up, it was naturally an embarrassing picture.


    Fortunately, Xiao Ke was there. It''s all right.


    Chen Cang gently touched his abdomen.


    "It hurts!"


    "Oh... It hurts!"


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


    Peritonitis?


    incorrect!


    Can it be a gynecological disease?


    Thinking of this, Chen Cang said, "if you bear it, it may hurt a little!"


    The woman nodded and gritted her teeth.


    When Chen Cang touched his lower abdomen, he felt that the posterior fornix was full, the cervical activity was poor, and the accessories touched an inflammatory mass, which was obvious on the right.


    This made him frown: "have you been pregnant? Have you had an abortion?"


    The woman was a little unhappy, but she still said, "I''ve been pregnant five times, and all of them miscarried."


    When this sentence came out, the woman was very calm, just like saying that I ate five steamed buns at noon, without any pride and mood fluctuations.