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

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

If you can take antibiotics for a week or so, you will minimize the chance of complications. But now the nationwide trend is pointing to the abuse of antibiotics by doctors, and they are all bastards.

There are indeed bastards among doctors, such as giving three sets of antibiotics to underage patients with uncomplicated acute appendectomy, including quinolones that are metabolized by the kidneys.

But the vast majority of doctors are still good, and they pursue to treat diseases and save talents.

But all this was ruthlessly stifled.

Veterinarians in charge of the medical profession have issued regulations restricting the clinical use of antibiotics, and antibiotics can only be used if they are supported by signs and data such as fever, positive cultures, and abnormal blood count.

But few people think that the most widely used antibiotics are in animal husbandry. There are a lot of antibiotics in the meat and milk we eat and drink every day. However, animal husbandry is also aggrieved, and if it is not used, the output will decline, how can it increase the growing material needs of the people?

All the people eat vegetable leaves? Zheng Ren, who has always been interested in masturbation, did not agree.

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

It would be good to be able to handle the emergency of the first hospital in the city.

"Emergency bedside ultrasound, I guess it's cholecystitis. Jung in quickly said the diagnosis.

"Mr. Zheng, why is it good to get cholecystitis?" the patient's son was very distressed.

"I have explained to you that there will be exudate from acute toxic liver injury, and there is a certain chance that the exudate will remain near the gallbladder fossa. Secondary cholecystitis occurs in the elderly with a decline in physical function and stimulation for about 1 week. Zheng Rendao.

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

At this time, it is necessary to fight luck, and it is obvious that the patient in front of him is not very lucky.

But if you are unlucky, you can't talk about it with the patient or the patient's family. It's true that Jung Ren is a straight man of steel, but that's only for girls. The communication with the patient is still very smooth and full of emotional intelligence.

Admitted the patient to the emergency ward, the old man was "honored" to be the first patient in the emergency ward.

B-ultrasound showed that the size of the gallbladder was 95x47mm, the tension was significantly increased, the cyst wall was rough, the thickness was 3mm, there was no obvious abnormal echo on the cyst wall, the intramural sound transmission was not good, and fine punctate echo was seen.

Seeing this emergency B-ultrasound report, it can already be determined that it is chronic, late-onset cholecystitis. Subsequently, he was admitted to the hospital for emergency examination, blood routine, coagulation, hepatitis B, HIV syphilis, liver and kidney function, etc.

ECG return: sinus rhythm, normal ECG.

Zheng Ren asked the nurse to place an indwelling gastric tube on the patient for gastrointestinal decompression. Then call the patient's son to the office and do doctor-patient communication.

The patient's family was a little frustrated, and it was he who insisted on leaving the hospital for observation. The main reason is that the hospital is too noisy, and the old man does not rest well.

I didn't expect it to be like Zheng Ren said, I got cholecystitis.

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

Then the B-ultrasound imaging began to analyze the patient's family.

Cholecystitis, like this patient, is not acute simple cholecystitis. The cause was previously mentioned as a transient abnormality in liver function caused by acute food poisoning, with exudative changes. Acute cholecystitis occurs when the exudate remains in the gallbladder fossa and invades the gallbladder.

If you are a young man, it is not very likely that you will develop cholecystitis. After all, young, in good health, and with high immunity, this inflammation is absorbed in minutes.

The elderly are different, and the slow absorption of inflammation causes cholecystitis. If conservatively treated with antibiotics, the effect is not very good.

After analyzing these things with the family, the family said that they would obey Zheng Ren's arrangement.

This is a sign of a certain amount of trust in the doctor after certain contacts.

If there was no successful nitrite poisoning first aid incident, the patient's family would not have said that everything was arranged by Zheng Ren.

"Then let's have a gallbladder removed. "Jung in finally decided to have surgery.

Because the old man was uncomfortable in the morning, he didn't eat or drink, and the fasting time was enough. In addition, the pain is severe, so simply prepare for the operation.

Half an hour later, the results of the emergency examination reported that the patient had no contraindications to surgery, and after communicating with the 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 occupied by the emergency department, observation room, ultrasound, CT, laboratory and other auxiliary departments. The second floor is a ward with a planned bed of fifty-two. The third floor is the surgical room, with thousands of square meters of operating rooms and full advection design, which are 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 covetousness of various surgeons in the inpatient department. Such a good operating room must not be idle, and the emergency department is not used, so naturally there are people who want to use it.

In the innermost part of the operating room on the third floor, there is an interventional catheterization laboratory, which specializes in interventional surgery.

The design of the interventional catheterization laboratory, completely using the latest protocol, is a hybrid operating room.

The so-called hybrid operating room means that it can perform both interventional and surgical procedures.

This is very advanced, and ordinary tertiary hospitals do not have hybrid operating rooms at all.

And the hybrid operating room of Haicheng No. 1 Hospital is idle, if you don't hurry up and use it, there is a suspicion of destroying the heavens.

The temperature in the laminar flow operating room is constant, the whole set of disinfection facilities, and a breath of air here gives the illusion that the whole body has been purified.

Let other doctors carry the patient, and Zheng Renzhi will change the surgical gown.

It's time to make use of all the skill points and experience points!Zheng Ren is sure that the system uncle is not engaged in any conspiracy, but has a premonition to let himself have a cholecystectomy, and at this time, he will 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, and then entered the system space.

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

He opened the system mall, clicked on cholecystectomy, exchanged all the 75,000 experience points rewarded by the task for 20.83 hours of operation time, and then entered the system operating room and began training.

Because the patients are anesthetized here, it is very time-saving.

Outside, a cholecystectomy is done, and it takes at least 2 hours to count the time before and after. In the system operating room, Zheng Ren does not need to consider the patient's condition, does not need to think about the patient's postoperative recovery, does not need to wait for anesthesia, and does it as soon as he gets started.

The first laparoscopic cholecystectomy took Zheng Ren nearly an hour to complete. After all, when he was in the first department of general surgery, he was not qualified to go to the main surgery for cholecystectomy, even if this operation belonged to the category of first-class surgery.

Once you got acquainted with it, the surgery went a lot smoother.

The time is getting shorter and shorter, and like the intensive training for appendectomy, in a sense, surgery is only familiar.

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

The training time of the system was only a pitiful less than 21 hours, and Zheng Ren seized the time to use it, and he could not perform 80 surgeries.

But that's enough, Jung in feels very good about himself.

At the end of the system training, I looked back at the skill tree, and the general surgery skill had increased from 1692 points to 1930 points. The increase is obvious, whether it has something to do with the difficulty of the operation, Zheng Ren doesn't know.

Zheng Ren returned to the present world, and the smoke he had just exhaled had not completely dissipated. He snuffed out the purple cloud that he had only smoked, carefully put it back into the cigarette case, then changed into a surgical gown and entered the operating room.

The Shay were ready and stood in front of the instrument table. Seeing Zheng Ren come in, he smiled at him. The eyebrows and eyes are crooked, and the smile is bright.

The first cholecystectomy is about to begin.