When the patient was sent, a systematic prompt appeared in the upper right corner of Zheng Ren's field of vision - chronic late-onset cholecystitis.

My heart sank, and Zheng Ren knew that this was probably a complication of acute food poisoning.

If you can rest antibiotics for about a week, the chances of complications will be minimized. But the trend of the country now refers to doctors' abuse of antibiotics, which are all bastards.

There are indeed bastards among doctors, such as giving minors three groups of antibiotics after simple acute appendectomy, including quinolones for kidney metabolism.

But most doctors are still good, and they are pursuing treatment and saving lives.

But all this was ruthlessly strangled.

Veterinarians in charge of the medical industry have issued clauses to restrict the clinical application of antibiotics. They must have signs such as fever, positive bacterial culture, routine blood abnormalities, and data support before they can use antibiotics.

However, few people think that the most antibiotics are used in the animal husbandry industry. A large amount of antibiotics are retained in the meat and milk they eat every day. However, the animal husbandry industry is also called a waste. If the output is not needed, how can the people's growing material demand be increased?

Everyone eats vegetables and leaves? Zheng Ren, who has always been interested in skewers, refused to agree.

There are too many twists and turns in this, and Zheng Ren doesn't want to solve it, and he can't solve it.

It would be great if you could handle the emergency department of the First Hospital of the City.

"I guess it's cholecystitis at the head of the emergency room." Zheng Ren quickly said the diagnosis.

"Mr. Zheng, why does it cause cholecystitis in good condition?" The patient's son was very upset.

"I have told you that acute toxic liver injury will exudate, and the exudate has a certain chance of remaining near the gallbladder. The physical function of the elderly will decline. If the stimulation is about 1 week, secondary cholecystitis will occur." Zheng Ren said.

That being said, but the chance of this cholecystitis is not 100%, or even less than 10%.

At this time, you have to try your luck. Obviously, the patient in front of you is not very lucky.

But if you are not lucky, you will definitely not be able to tell the patient. The patient's family members. Zheng Ren is a straight man, but that is limited to facing girls. The communication with the patient is still very smooth and full of emotional intelligence.

After putting the patient in the emergency ward, the old man was very honored to be the first patient in the emergency ward.

Ultrasound showed that the gallbladder size was 95x47mm, the tension was significantly increased, the cyst wall was rough and the thickness was 3mm, and no abnormal echo was seen on the cyst wall, and the sound in the wall was poor, and fine dot-like echoes were seen.

After seeing this emergency B-ultrasound report, it can be confirmed that it is chronic and late-onset cholecystitis. Then the admission emergency examination was conducted, blood routine, four items of coagulation, hepatitis B, HIV syphilis, liver and kidney function, etc.

Electrocardiogram reward: sinus rhythm, normal electrocardiogram.

Zheng Ren asked the nurse to indulge the gastric tube for the patient and perform gastrointestinal decompression. Then he called the patient's son to the office to communicate with the doctor.

The patient's family was a little frustrated, and he strongly advocated leaving the hospital for observation. The main reason was that the hospital was too noisy and the old man couldn't rest well.

Unexpectedly, I really had cholecystitis as Zheng Ren said.

Because when he was observing in the emergency room before, Zheng Ren and his family had a good relationship. They sat down and Zheng Ren first calmed the patient's family.

Then, the ultrasound development began to analyze the condition for the patient's family.

The cholecystitis in this patient is not acute simple cholecystitis. The cause has been said before, because acute food poisoning leads to transient abnormal liver function and exudate changes. Exudate remains in the gallbladder sockets, invading the gallbladder, and causing acute cholecystitis.

If you are a young man, there is not a high possibility of cholecystitis. After all, you are young, have good health and have high immunity, and this inflammation can be absorbed in minutes.

It’s different for the elderly. The slow absorption of inflammation has caused cholecystitis. If conservative treatment is treated with antibiotics, the effect will not be ideal.

After analyzing these things with the family, the family expressed that they obeyed Zheng Ren's arrangements.

This is a manifestation of gaining some trust in the doctor after certain contact.

If there was no successful first aid incident of nitrite poisoning, the patient's family would not have said anything like Zheng Ren's arrangement.

"Then let's do a cholecystectomy." Zheng Ren finally decided to have an operation.

Because the old man felt uncomfortable in the morning, he had no food and water to drink, and had enough time to fast. In addition, the pain was severe, so he simply made preparations before the operation.

Half an hour later, the emergency test result was reported. The patient had no surgical contraindications. After communicating with his family and signing the operation, Zheng Ren took the patient to the operating room on the third floor of the emergency building.

When the emergency building was designed, the first floor was an emergency department, observation room, B-ultrasound, CT, and inspection and other auxiliary departments. The second floor was a ward, with fifty-two planned beds. The third floor was a surgical operating room, an operating room of several thousand square meters, with a full advection design, which is among the top in China.

The reason why Director Pan is so anxious to carry out emergency surgery is because the operating room alone has attracted the coveting of various surgical departments in the inpatient department. Such a good operating room must not be idle, and the emergency department is not used, so naturally some people need it.

At the bottom of the operating room on the third floor, there is an interventional catheter room, which is specially designed for interventional surgery.

The design of the interventional catheter chamber completely adopts the latest solution, which is a hybrid operating room.

The so-called hybrid operating room means that interventional surgery can be performed or surgical.

This is very advanced. Ordinary Grade A hospitals do not have hybrid operating rooms at all.

The hybrid operating room of Haicheng First Hospital is idle. If you take the time to use it, it will be suspected of wasting natural resources.

The temperature in the laminar flow operating room is constant, and the complete disinfection facilities are complete. When you breathe the air here, you will feel the illusion that the whole body is purified.

Asked other doctors to transport the patients, Zheng Ren took to change the surgical gown.

It is time to use all the skill points and experience points! Zheng Ren is sure that the system master did not make any conspiracy, but had predicted that he would have cholecystectomy. He would not go to the system operating room to train LC (laparoscopic cholecystectomy) surgery, what are you waiting for?

In the smoking room in the locker room, Zheng Ren lit a cheap purple cloud, took a deep breath, felt comfortable all over, and then entered the system space.

After coming in, Zheng Ren did not add skill points. After all, no matter how much he added, he would not reach the master level, and there would be no qualitative change.

He opened the system mall, clicked cholecystectomy, exchanged all the 75,000 points of experience rewarded by the task to 20.83 hours of surgery, and entered the system operating room and started training.

Because the patients are all treated with anesthesia here, it saves time.

Outside, if you have a cholecystectomy, it will take at least 2 hours to count the time before and after. In the system operating room, Zheng Ren does not have to consider the patient's condition, the patient's postoperative recovery, and does it without waiting for anesthesia.

Zheng Ren took nearly an hour to complete the first laparoscopic cholecystectomy. After all, when he was in the first general surgery department, he was not qualified to undergo a cholecystectomy, even if this procedure belongs to the category of first-level surgery.

After getting familiar with it, the operation went much smoother.

Time is getting shorter and shorter, just like the appendectomy training, in a sense, surgery is just a matter of proficiency.

In the end, Zheng Ren only took about ten minutes to undergo a laparoscopic cholecystectomy.

The system training time was only pitiful for less than 21 hours. Zheng Ren seized the time to use it and did not have 80 surgeries.

But that's enough, Zheng Ren feels very good about himself.

After the system training camp ended, I looked back at the skill tree and saw that the general technology technology has increased from 1692 points to 1930 points. The increase is obvious. Zheng Ren doesn't know whether it has something to do with the difficulty of the surgery.

Zheng Ren returned to the present world, and the smoke he had just vomited had not completely dissipated. He extinguished Ziyun, who had only taken one mouthful, carefully put it back into the cigarette box, then changed the surgical gown and entered the operating room.

Xie Yiren was ready and stood in front of the equipment table. Seeing Zheng Ren coming in, she smiled at him with curved eyebrows and smiled.
Chapter completed!