Back in 2002 as a doctor

There was no sound in the operating room.

This thing is too out of the ordinary, number one in the world, Zhou Congwen is number one in the world!After coming on stage, I smoked a tube of "fart", and then I was going to go down? !

Shouldn't he just come up and show off some difficult surgical skills?

Shouldn't he use the facts to teach the daring boss a lesson, be careful when seeing a doctor in the future, and avoid such bizarre misdiagnosis?

Is it...

Countless doubts, countless question marks rose in everyone's heart.

"Professor Zhou, I'll sew it myself? You won't help?" Mr. Hu said in surprise.

"Uh, don't you know? Still not sure." Zhou Congwen seemed more surprised than him, and asked back.

"!!!"

Mr. Hu was a little confused by this brain circuit.

"You sew yours, as long as you don't use an electric knife." Zhou Congwen said.

"why?"

"Try it." Zhou Congwen left the operation area with a 50ml syringe and drove Mr. Fang away.

He was ready to push the syringe with one hand, held the electrocautery in the other hand, and pressed the electrocoagulation button.

What could this be, Mr. Hu thought contemptuously.

Methane does form in the intestines, but it's a perforation, Professor Zhou, don't you know?If it could be ignited, it would have ignited when I opened the peritoneum just now.

However, to Mr. Hu's surprise, as Zhou Congwen pressed the electric button, a flame suddenly rose.

Zhou Congwen stopped pushing the syringe immediately, and let out a long breath, "It really is."

There was no sound in the operating room, and Zhou Congwen's movements were more irritating to the eyes than the gas in the patient's abdominal cavity.

Magic? !

A big change to a living person or a big change...

"Professor Zhou, what's going on?" Mr. Hu was dumbfounded.

When he saw the flame rising, he immediately realized that if Zhou Congwen hadn't stopped him just now, his hand would definitely be "ignited".

Damn, if that's the case it's fucking fucked!

Chapter 1035 Bean Sprouts

Like playing with a lighter, Zhou Congwen made a movement invisible to others, and the flame of the 50ml syringe went out.

Mr. Fang's eyes were fixed, his pupils shrunk and were pinpoint-sized.

I thought that the little uncle Zhou Congwen was going to show off his skills on the operating table, showing the amazing skills of a surgeon, but God knows that Zhou Congwen can do magic tricks.

"Professor Zhou, what's going on here?" The boss of Gastrointestinal was startled and terrified, his face was very ugly, and he asked in amazement.

"Ah? Biogas burning, haven't you encountered it before?" Zhou Congwen asked rhetorically.

"..."

I have never encountered or heard of it. Similar things are rare but not impossible.

Every time there is a fire on the operating table, it spreads quickly.

If you don’t understand, treat it as gossip, and if you understand, you should be careful to find the reason, so as to avoid encountering similar situations.

If it happens, it will be a proper medical accident.

Medical accidents are minor, and the worst is to resign and quit.

As for the flame just now, the boss of Gastrointestinal is sure that he will be burned, 2nd degree burns.As for patients... they will also suffer certain injuries.

Zhou Congwen came to the stage, laid out a hidden thunder, and then... tore off the sterile gown, turned to leave.

Hello.

"Professor Zhou, wait a moment." The boss of Gastrointestinal subconsciously called out.

"Can't do it? It can't be done." Zhou Congwen asked, "It's very simple, clean the abdominal cavity, and then..."

"Uh, it's not that I can't do it. How did you find out that it would catch fire just now?" The tone of the boss of Gastrointestinal became more and more "humble".

He knew that Huang Lao's closed disciple was really serious.

Obviously, the sole purpose of Zhou Congwen's coming to power was not to suture a ruptured intestine, but to solve the problem when he found a problem.

After solving it, Zhou Congwen left immediately without any hesitation.

"The high-frequency electric knife is to generate heat when the high-frequency high-voltage current comes into contact with the body tissue, so as to separate and coagulate the body tissue, so as to achieve the purpose of cutting and hemostasis. I know this, so I don't need to explain it."

"know."

Although the boss of Gastrointestinal thought that Zhou Congwen was talking nonsense, he still nodded honestly.

"During this process, if the surgeon does not operate properly or prepares adequately, it can easily lead to burns, burns, and even explosions, endangering the safety of patients and medical staff."

"explode?"

"A while ago in the Second Hospital of Medical University, I was a patient with chronic obstructive pulmonary disease. The pure oxygen was given a little too much, and it overflowed along the arterial blood. At that time, it was on fire, and the fire was put out immediately. After I went back and thought about it carefully, I felt that there was an explosion. Possibility." Zhou Congwen said.

"..."

"Don't worry, the possibility of an explosion is very small. It can be said that it is very small. I heard that there are only one or two cases that can be relied on. Don't leave a psychological shadow. Just do the surgery and don't always think about these small-probability events."

"This……"

"The high-frequency electric knife causes combustion or explosion during the operation. Two conditions must be met at the same time: one is that the electric knife head reaches a certain temperature, and the other is that the hollow viscera contains a certain concentration of flammable gas." The hospital used oxygen that time, but this time it's...you are in gastrointestinal surgery, didn't your director tell you?"

"Professor Zhou." The boss of Gastrointestinal swallowed hard, "I was very careful when I opened my abdomen, and I didn't use electricity to burn it. After opening the abdomen, wait for the gas inside to float out, and then start to burn it with electricity after the concentration is low. .”

"Well, I've been very careful, not bad." Zhou Congwen praised.

He never held back his praise.

"But……"

"What is the chemical composition of the gas in the intestine?" Zhou Congwen, the boss of Gastroenterology.

"..."

Who the hell can remember the ingredients of "fart".

"There is a mixed gas in the normal colon, of which carbon dioxide accounts for 4% to 9%, oxygen accounts for 15% to 16%, nitrogen accounts for 74% to 79%, and there are some hydrogen and methane in addition, such a mixed gas will not occur. burning or exploding."

"As for the patient in front of you, what did you see when you washed it?" Zhou Congwen continued to ask, as if he was leading his graduate student.

"There are feces, digestive juices, and incompletely digested food." The boss of Gastroenterology answered Zhou Congwen's "nonsense" honestly.

"What's the food?" Zhou Congwen continued to ask.

"what?!"

The boss of Gastrointestinal was taken aback for a moment, and then realized how Zhou Congwen judged that the operation was high risk.

bean sprouts!

Bean sprouts for sure! !

Just after flushing and suctioning, it was found that there were incompletely digested bean sprouts in the patient's abdominal cavity!

That is to say, what the patient ate before had a certain amount of soy products.

Soy products are easy to ferment and produce gas.

Sure enough, Zhou Congwen later explained, "During the operation, we saw residues of watercress and bean skin among the undigested food residues, indicating that the patient had eaten soy products that are prone to gas production."

"Besides, I smell alcohol, which is very weak. I think the patient should have drunk alcohol before coming to the hospital."

"Emergency surgery did not carry out sufficient intestinal preparation, resulting in the retention of intestinal contents and gas, and eventually burns are likely to occur after exposure to the high-frequency electric knife. Next time you encounter a similar situation, if conditions permit, put a Take a breath."

"Yes." The boss of Gastrointestinal replied respectfully as if facing his own director.

"Intestinal perforation must ask the patient whether he has eaten soy products before. If the patient or the patient's family members do not remember, then they can see for themselves during the operation. Soy products are quite dangerous, but just remember." Zhou Congwen's mask moved, As if laughing at the boss of the stomach and intestines.

"I know about Professor Zhou." The boss of Gastrointestinal responded.

"The surgery can be done."

"can."

"Then I'll get off." Zhou Congwen said, "By the way, if you are not sure, prepare a few pieces of wet gauze at hand. Once it catches fire, don't pat it with your hands. The patient will have no major problems. The temperature of the outer flame and the inner flame It’s much worse, usually it’s the doctor who gets burned.”

"If you see something abnormal, just cover it with wet gauze."

While talking, Zhou Congwen walked over to Mr. Wei who was crouching in the corner.

"Boss Wei, right?"

The daring hospital always stood up quickly, bowed and stretched out his hand.

"Professor Zhou, I have admired you for a long time."

"You're welcome. I'm here to see a patient who was sent for a liver transplant a few days ago. Are you free?"

Zhou Congwen said this before, and now it's here, and he brought it up again.

"Yes, yes, yes." President Wei said yes three times in a row.

"Go down and take a look at the test sheet, I always feel that things are weird."

While talking, they left the operating room.

The operating room became quiet, and the boss of Gastroenterology hesitated for at least a minute, finally sighed deeply, and continued the operation.

No one asked him why he sighed, and countless emotions condensed into the last sigh, so complicated that even he couldn't explain it clearly.

Chapter 1036 Guiding Light

"Mr. Wei, tell me briefly what's going on with the patient." Zhou Congwen asked after walking out of the operating room.

"Professor Zhou, I also find it strange." The daring boss said quickly, "I have always paid attention to the patients, after all, Director Deng personally called to greet them.

It was fine at first, the admission examination and other things went well, and the liver source was also contacted.But a few days ago, suddenly one day the nurse and the hygienist came to me together. "

"Oh? Did you smell alcohol while cleaning the bathroom?" Zhou Congwen guessed what happened.

"Yes." The boss of Gastrointestinal said, "Dr. Deng took care, our Director Yang specially reserved a single room. The hygienist said that the bathroom in the single room smelled of alcohol. Let me tell you, don't let the family members of the patients drink alcohol in the ward." .”

"I went to the side to find out. The only escort was the patient's daughter. She insisted that the patient did not drink alcohol."

As he said that, the daring boss scratched his head, "He's in the hospital, and he's going to have a liver transplant. I'm wondering who's in the mood to drink. You say it's Professor Zhou."

"It's true." Zhou Congwen said.

"But when I passed by the private bathroom of the single room, I also smelled alcohol. Later, I simply did a urine routine, and the nurse could smell the smell of urine while wearing a mask."

"To do a liver transplant, I actually drank a lot of alcohol before... We don't see many patients like this. But there are still a very small number of people who will do this. In our words, this is suicide."

Zhou Congwen nodded.

After hearing what he said, things were still a little weird in general, but for a while Zhou Congwen didn't know exactly what was weird.

Doctors and nurses have "personal evidence" and "physical evidence" from objective tests, but Zhou Congwen thinks from the perspective of patients, but there is no reason to drink.

It is true that liver transplantation is a trivial matter for alcoholics, as long as they can drink a sip of alcohol, everything else can be ignored.

But following Mr. Wei to the ward to have a look at the patient, and chatting for a few minutes, Zhou Congwen became more and more sure that the patient was not the kind of person who was addicted to alcohol.

Back in the office, Mr. Wei showed Zhou Congwen all the patient's test sheets.

Flipping through the test sheets one by one, Zhou Congwen pondered them intently.

"Professor Zhou, I also find it strange, but Director Yang's opinion is that the patient is not sure whether the patient is addicted to alcohol, and the operation should be suspended first. Otherwise, once the liver is transplanted, the patient..."

"The blood alcohol content is almost non-existent, but the urine alcohol content is very high." Zhou Congwen pulled out the abnormal test sheet and said softly.

"Yes." President Wei nodded, "Look..."

The daring boss was very knowledgeable and did not interrupt Zhou Congwen's thinking.

In 912, there is an old man in the family.When Mr. Huang didn't go to the front line, when encountering intractable diseases, everyone's first thought was Mr. Huang.

Regardless of whether it is a disease of cardiothoracic surgery or not, as long as there is a problem that cannot be solved, everyone will go to Huang Lao's office for advice.