Using Chen's pancreaticojejunostomy, in the final stage of the operation, you only need to gently pull the suture, and the pancreas will automatically be inserted into the intestinal cavity.

And this is the only way in the world that can do this.

It is an original cutting-edge suturing technique created by academicians of Daxia.

Other anastomoses,

Often people need to push and pull.

In surgery, the emphasis is on "less is more".

To achieve the same effect, the fewer movements and steps, the stronger the surgeon's ability and the better the surgical prognosis.

However, Chen's pancreaticojejunostomy requires only a few stitches and the pancreas can fall into the cavity easily as soon as the suture is pulled.

Naturally, it can be regarded as the top surgical procedure among pancreaticojejunostomy.

…

"I didn't expect that there are so many different things in there..." Xu Qiu sighed with emotion after absorbing the knowledge in his mind.

He also knew this anastomosis technique in his previous life.

And, it’s pretty well done.

But after obtaining the master-level Chen's pancreaticojejunostomy, he looked back and realized that in his previous life, he was rated as an expert at most in this technique!

Still a long way from being a master!

But Xu Qiu soon felt relieved.

In his previous life, his energy was not focused on this. It was already very difficult to achieve an expert level in a technique that could be regarded as "interlacing".

"Doctor, I've finished the infusion. Do I need another infusion tonight?"

At this time, a man wearing a hospital gown knocked on the door and entered the office, and Xu Qiu also came back to consciousness from the system.

In the office.

Everyone took a look and said, "He is a patient in charge of Chen Jia."

Chen Jia pulled up the medical record from the computer and replied at the same time: "No need for infusion tonight."

The patient asked tentatively: "Can I go back and take a shower?"

Chen Jia glanced at the patient and said, "Pay at your own expense or be reimbursed by medical insurance?"

"Hey, didn't you say that I don't meet the conditions for medical insurance reimbursement?"

"At your own expense?"

The patient nodded grimly.

Chen Jia stared at the computer and said intentionally or unintentionally: "You have been admitted to the hospital now. In principle, you cannot go back. If you ask me, I will advise you to stay in the hospital, but we don't have time to keep an eye on you."

The patient smiled, understood Chen Jia's hint, thanked him and left.

Chen Jia shook her head helplessly and also smiled.

She just looked at the patient's medical record, and there were no risk factors. It was paid for at her own expense. If she didn't monitor her at night and didn't draw fluids, there wouldn't be much difference between being in the inpatient department and going home.

Of course, as a doctor, she must have the obligation to "strictly follow hospitalization procedures."

As for the specific results, the legs grew on the patient.

Many patients must personally say "you can go back" from the doctor.

When treating such people, doctors often require that they "must stay in the hospital and cannot go home."

There is another category of people that doctors will strictly prohibit leaving the ward, and they are medical insurance patients.

Because people from the Medical Insurance Bureau often come to the inpatient department in the middle of the night to order people.

Once a medical insurance patient's bed is found to be unoccupied, the hospital will be severely punished and the patient's own reimbursement qualifications will also be cancelled.

besides,

If the risk of the disease is very low and the patient has a strong desire to go home, the doctor will slightly hint that "as long as he doesn't get hit by a car on the road, it doesn't make any difference whether he stays in the hospital or not."

After all, rules are also flexible.

…

…

The next morning, when the morning shift was handed over, the doctor who took over the shift specially emphasized a few patients.

"There were 11 new admissions yesterday, and four were admitted last night."

“The first three are 15 beds, 21 beds and 26 beds.

Their names are Yan Jing, Deng Dexiang, and Tong Lin.

Yan Jing complained...

…”

"The fourth patient is in bed 35, his name is Ma Pingchuan, he is 31 years old.

Main complaint: back pain. Physical examination showed persistent and worsening pain in the middle of the upper abdomen, like a knife cutting. Nausea and vomiting, weight loss...

The patient came to see the doctor at three o'clock last night...

The diagnosis was 1. Acute pancreatitis.

2. Acute perforation of peptic ulcer.

3. Myocardial infarction.

…”

Xu Qiu sat quietly in her seat.

The condition of the others is quite clear, but for the last one, because many examinations are not performed in the emergency department at night, it is not possible to fully diagnose it.

At this time, Wang Ping called him by name and said: "Xu Qiu, go take a look at this Ma Pingchuan."

The director's keen intuition made him feel that this patient needed special attention.

Back pain is a dangerous sign.

Angina pectoris, acute aortic dissection, myocardial infarction, ankylosing spondylitis, acute nephritis, etc. may all cause back pain.

The first few are even more fatal diseases.

Therefore, he looked around and finally felt that Xu Qiu was the most reassuring.

"Okay." Xu Qiu also agreed.

There is no teaching rounds this morning.

Wang Ping has to go to the clinic.

Therefore, the attending physician and deputy director took on the task of ward rounds.

Xu Qiu did not participate, but took Chen Qiao and a nurse to Ma Pingchuan's ward.

The patient's face looked very bad, his lips were gray, and the trash can next to him was full of his vomit.

There is also half a steamed bun and a pack of unopened pickles on the bedside——

The patient's financial situation may not be very good.

At this time, in the ward.

Ma Pingchuan complained as he sat up: "Doctor, please let me go back. I just have gastroenteritis. Just give me some painkillers and stomach medicine. There is no need to do this or that test!"

Xu Qiu ignored him and said, "Check the individual first."

Ma Pingchuan was a little angry when he saw that Xu Qiu ignored his words.

But after Xu Qiu put on the gloves, his anger suddenly dissipated a lot, and he felt that this doctor was very responsible.

"It's not easy for the doctor, so let's cooperate with him..." Ma Pingchuan compromised.

On the side, Ma Pingchuan's wife was surprised.

When did my husband, who usually has a bad temper, become so easy to talk to?

…

On this side, Xu Qiu quickly completed the physical examination.

What is more characteristic is that the skin on both sides of the patient's ribs and abdomen is dark in color and is faintly gray-blue.

If Xu Qiu's judgment was correct, it should be gray-tumer syndrome.

The mechanism is: pancreatic enzymes, necrotic tissue and bleeding penetrate into the abdominal wall along the peritoneal space and muscle layer, causing the skin on both sides of the ribs and abdomen to appear dark gray-blue.

And these are the special signs of acute pancreatitis.

In addition, the patient also had positive signs of pancreatitis such as decreased bowel sounds and shifting dullness.

Nine times out of ten, it's acute pancreatitis.
To be continued...