Chapter 885: : Listeria

Just returned to the office and sat down, Chen Cang heard the system prompt!
【Ding! Congratulations on your stomach-duodenal anastomosis: Master. 】
After seeing the system prompt, Chen Cang was really surprised.
Compared to colon surgery, gastric-duodenal surgery is relatively more difficult.
Moreover, the key is the technical difficulty and characteristics. The gastroduodenum has more research prospects!
Stomach-duodenal anastomosis is a commonly studied operation in digestive surgery, but it has also been a difficult problem for research and conquer in digestive surgery.
Why did you say that?
Compared to cardiac surgery, which is generally more difficult, there are not many top three hospitals in the country.
But the gastroduodenal surgery is different. Now many county hospitals can complete major gastrectomy and then perform gastroduodenal anastomosis, but the key lies in the anastomosis.
The success of anastomosis is directly related to the success rate of surgery and the possibility of complications, such as a more common surgical complication such as anastomotic fistula.
So duodenal surgery is easy to get started and very difficult to master.
Know that once these complications such as intestinal fistula occur, the trouble is not a little bit.
Chen Cang chose to study without any hesitation.
越 Li Yue is a general surgeon himself. He is proficient in gastrointestinal surgery, so Chen Cang is still very satisfied with such a surgical skill!
Uh ...
Uh ...
晚 Tonight is Chen Cang's night shift. After calling Qin Yue in the duty room, Chen Cang took a break.
多 At six o'clock in the evening, Chen Cang was going to get up for dinner. The nurse Yang Jie brought Chen Cang for takeout, which was very rich.
"Dr. Chen, thank you, my friend and child are much better!" Yang Jie said excitedly, "It is really what Listeria infection, I checked it, but it is terrible, if it is delayed, child It's dangerous! "
沧 Cang Cang smiled slightly: "You're welcome, you should do it, and let's just raise your hand."
After I finished speaking, Yang Jie hadn't had time to talk, and several other little nurses hurried in.
"Dr. Chen, recently, Sister Yang has scared us every day and dare not use the refrigerator. What's going on with Listeria?"
"Yes, I almost closed the refrigerator these days. When I had a lot of milk, I kept the refrigerator. Now think about it, I have no heart!"
"Yes, yes, I was quite a lot ..."
Cang Cang couldn't help swallowing saliva, not because he was hungry, or because he was stingy, but simply because he felt that these little nurses were teasing him, although he had no evidence!
Cang Cang misses the old horse very much at this moment, although this person is shameless, but ... the deterrent is still very sufficient, at least not to be surrounded by the little nurses like this ...
沧 Cang Cang hastened to shift the topic, otherwise this group of people will only go further and further on the issue of who has more water and who has less water.
"In fact, not only is it related to the refrigerator, Listeria can survive and reproduce in large numbers at room temperature."
但是 "How do you say, in general, bacteria can not survive at low temperatures, so this gives the opportunity for Listeria monocytogenes, causing people to ignore the possibility of bacteria in the refrigerator."
"What do you think of Listeria bacteria? Yes! This killer is not afraid of cold!"
After Chen Cang said it, the little nurse started to laugh and pretended to be humorous.
Cang Cang sneered, it was too fake, it was nothing more than my hue!
"Listeria monocytogenes is at 2-42 degrees, and can reproduce in large numbers regardless of pH, and can survive low temperatures even below sub-zero, so you should still pay attention!"
I heard Chen Cang say so, to be honest, everyone is a little worried!
"Yes, I have seen patients with Listeria infection in the United States this time. What should I do?"
Chen Cang smiled: "In fact, our country is okay, and it is related to dietary habits. We like to eat fruit and vegetable salads abroad, but we are basically cooked food in China. Basically, the Listeria is heated for two minutes at 70 degrees Celsius, so it is gone, so Don't worry too! "
"Regular refrigerator disinfection to reduce the possibility of bacterial growth, and for people under the immune system, try not to eat unpasteurized milk, cheese, sushi, sashimi, etc., eat fruits and wash them as much as possible."
Little Nurse 护士 saw Chen Cang's explanation of the problem by clearing it down three times and five divisions two. There was no reason for harassment for a while, so she had to go back and try again!
However, at this time, Chen Cang was relieved and was finally able to eat.
Evening night shifts in the emergency department are always disturbing. There are basically no patients, but you must also tell yourself that you must not think about it, because if you think about it, it may come immediately.
At ten thirty in the evening, a little girl came to the emergency department.
The little girl is very young and very dressed ... sexy, Rao is the capital of March, and she also wears a tight dress with stockings, a high-heeled Kaka, and a donkey bag in her hand.
"I register." The woman was very calm and could not see whether she was sick.
Xiao Xiaoke nodded and hurriedly called Chen Cang.
Xiao Xiaoke's plain dress in front of the woman seemed like an ugly duckling.
The woman who showed off her richness easily put the car keys of Ferrari on the nurse's table, took out the money and started to bring out her ID card for registration.
Chen Cang asked quickly: "Why are you uncomfortable?"
The woman sighed and frowned. "The stomach hurts, and it hurts on both sides. I just couldn't bend down. UU reading www.uukanshu.com is better now, but still hurts."
沧 Cang Cang nodded: "Can you go by yourself?"
The woman nodded.
Chen Cang greeted Xiao Ke together to the rescue room and let the woman lie on the bed.
"Have you ever been sick before?" Chen Cang asked casually.
"No, everything is fine."
沧 Chen Cang nodded and asked the woman to position herself and begin abdominal palpation. However, it was not convenient to cross the clothes, but when the woman wore a dress, it was naturally awkward.
Fortunately, Xiao Ke was all right, but it was fine.
沧 Cang Cang gently touched the abdomen.
"It hurts!"
"Oh ... it hurts!"
沧 Cang Cang suddenly frowned, the peritoneal irritation was very obvious, and palpation of abdominal tenderness, the lower abdomen or right lower abdomen was the main, with rebound pain, abdominal muscle tension was obvious.
Has peritonitis?
Oh no!
Is it a gynecological disease?
Thinking of this, Chen Cang said, "You can bear it, it may hurt a bit!"
The woman was calm, nodded and gritted her teeth.
陈 When Chen Cang touched the lower abdomen, he felt that the posterior fornix was full, the cervix was poor in mobility, and the attachment touched the inflammatory mass, which was obvious on the right side.
This made him frown suddenly: "Have you ever been pregnant? Have you had an abortion?"
The uncle was a little unhappy when she heard it, but she said, "I have had 5 miscarriages.
When this sentence was spoken, the woman was very calm, just like saying that I had eaten five buns at noon, without the slightest pride and mood swings.