Liu Susu took a while before curling her lips and said, "You did a good thing. Today I won't urge you to insert a urinary catheter into the patient."

Wang Fan was in a good mood: "Thank you Sister Liu!"

Liu Susu did not comment, came to Xu Qiu, helped clean the table, and reminded: "Doctor Xu, you can rest more in the future."

Xu Qiu nodded: "Thank you Su Su."

Liu Susu smiled gently, returned to the station and brought all the snacks over.

"It's almost time to open a convenience store."

Wang Fan was envious.

Soon, the sound of ambulances sounded again in the hall, and everyone present stopped their movements.

"Let's go."

Xu Qiu got up, grabbed the red pen and stuffed it into his chest pocket, and led everyone to the hall.

...

Emergency department hall.

The patient was quickly transferred to the emergency flat car. When Xu Qiu arrived, the doctor with the car paused and immediately came up.

"Doctor Xu!"

Xu Qiu walked towards the patient and asked, "What's the situation?"

"Female, Du Lingling, 23 years old, suddenly twitched and fell to the ground while dancing salsa dance on the bar, and her abdominal pain continued!"

Women of this age... ectopic pregnancy?

This is Xu Qiu's first judgment.

He stepped forward to check the body.

The abdomen is slightly raised, with some small scars scattered, and there is tenderness and backlash pain throughout the abdomen.

"The skin is slightly yellowed..."

Seeing this scene, Xu Qiu probably had a guess in his heart.

He placed his hand on the gallbladder area of ​​Du Lingling's right upper abdomen and "take deep breath."

The patient endured the pain and cooperated. When she took a deep breath halfway, she suddenly screamed and then suddenly vomited gas from her lungs.

"It hurts! It hurts so much!"

Xu Qiu took off his gloves.

Just then, he touched the inflamed and swollen gallbladder, and it was precisely because of this that the patient was forced to stop taking deep breaths due to sudden severe pain.

This is the Murphy sign.

Acute inflammation of the gallbladder is so typical.

"Blood routine, biochemical, b-ultrasound..." Xu Qiu arranged inspection measures.

After a few hours, the results are rewarded.

The blood is routinely elevated and has symptoms of infection.

Mild anemia.

b Ultra dynamics show that there are multiple stones in Du Lingling's gallbladder area, with a maximum of 6.1*3.9cm.

It indicates obstruction and thickening of the gallbladder wall.

"Do another liver exercise."

Thickening of the gallbladder wall is a long-term manifestation of stone inflammation. In addition, obstruction is caused by high vigilance.

"Communicate with the patient and arrange hospitalization."

A three-centimeter stone must be removed surgically. If it is not treated, it will be life-threatening.

In the afternoon of the same day, Du Lingling was admitted to the hospital, and her boyfriend arrived and was preparing to sign the operation.

When handing over the shift the next morning, the shift doctor focused on Du Lingling who was 41 beds.

"The pain in the whole abdomen is intermittent, and it is radiated to the right shoulder and back.

No headache, dizziness, no nausea, vomiting, no acid reflux...

He was admitted to the hospital with "cholecystitis", and was treated with anti-inflammatory, gallbladder, symptomatic oral medications...

Examination of abdominal b ultrasound confirmed that '1. Chronic cholecystitis; 2. Gallbladder stones (multiple)'...

Schedule a deadline for surgery.”

In the surgical arrangement, there are three levels according to priorities.

Emergency surgery is the most serious, which means that emergency surgery must be performed in the shortest time, otherwise it may lead to a critical life.

Deadline-lapse surgery is relatively safe, but it also needs to be performed as soon as possible, otherwise it will delay the condition.

Finally, elective surgery is required. Compared with the operation time, it requires waiting for the best operation time, so it is often waited until it is fully prepared and observed before proceeding.

Du Lingling's disease is a deadline surgery and will not endanger her life, but if she is not dealt with quickly, it may cause liver damage.

After hearing this, Wang Ping nodded, "I'll talk about her when checking the rounds."

...

According to the routine procedure, Du Lingling should have been sent to the hepatobiliary surgery department long ago.

The emergency department does life-saving work. Sometimes there are emergency surgery, so it will be mixed with two or three surgeries.

There are often little boys who run over in the middle of the night, basically they are not honest after the foreskin surgery. They are too big and too small, and the sutures are broken.

Only people like this can help disinfect and sanitize them for two stitches.

However, since Xu Qiu came, the status of the emergency department has undergone subtle changes.

I dared to take many surgeries.

Moreover, it is better than a junior college.

Du Lingling's gallbladder surgery was detained by Xu Qiu, and he planned to do it himself.

"The inflammation of the gallbladder is very serious. These stones must be taken out as soon as possible. If you drag it down, the entire gallbladder must be cut off..."

After checking the room, Wang Ping reminded Xu Qiu.

However, the more he spoke, the less he sounded. When facing Xu Qiu, he suddenly felt a little unconfident.

"What surgery are you planning to do?" Wang Ping asked.

“Endoscope.”

"Endoscopic surgery is good, the wound is small and the recovery is fast, but the patient's stones are so big, classic open laparotomy is more helpful for comprehensive judgment..."

Wang Ping is a conservative.

For such patients, he will not pursue small wounds, but will first ensure safety.

Of course, this is just his surgery.

He covered the patient with a quilt and was about to end the rounds.

"Wait a minute."

Suddenly, Du Lingling stopped everyone.

"What's wrong?" Wang Ping asked.

The interns also watched it at the same time.

Du Lingling's throat moved several times, her eyes flashed, and finally she mustered up the courage and said, "You, can you go out? I want to tell Dr. Xu alone!"

"Okay."

"Doctor Xu, give me some good treatment!"

"It's true that it's a society that looks at the face. I don't even tell us about the ugly timids, wuwu..."

Wang Ping took everyone to continue to go to the rounds.

In their eyes, with Xu Qiu here, there will be no problem.

...

"Tell me." Xu Qiu looked at Du Lingling on the hospital bed.

"My boyfriend went to buy breakfast..." Du Lingling explained.

Xu Qiu was silent.

What is this to do.

"I asked him to buy you one too. Do you want to eat it later?"

Xu Qiu shook his head.
To be continued...