Surgical artist

Chapter 600 He really hit the spot
After seeing the X-ray results, Professor Xiao confirmed that the patient was indeed a spontaneous rupture of the rectum!
Moreover, judging from the results taken on the X-ray, the patient is indeed more suitable for "perforation repair plus proximal fistula!

At this moment, Professor Xiao's heart trembled fiercely!
He was so surprised!
Who was that white coat before?

How can it be possible to see that the patient has spontaneous rectal rupture and the most suitable surgical method with just a pair of naked eyes before the X-ray results?
This level is too good, right?This was discerned abruptly by relying on rich experience and knowledge, relying on a pair of naked eyes and brain!
At this moment, the door was knocked.

The man came in with the X-ray result sheet: "The results of my examination seem to have been confirmed by that white coat!"

Professor Xiao nodded: "I have read the results of your examination on the computer. It is basically certain that your condition is a spontaneous rectal rupture. Surgery must be arranged as soon as possible."

The man's face turned pale: "Is my operation complicated? Is it easy to do? Will it affect me a lot?"

Professor Xiao comforted him and said, "It's okay, the operation is not complicated. After the third day, you can work in bed, and you can recover in up to ten days. This is just a minor operation, and there will be no sequelae in the future."

Only then did the man feel relieved.

He said: "Okay, I believe you, you can arrange an operation for me as soon as possible, and I will call my family."

Professor Xiao looked at the man with a complicated expression: "I almost misdiagnosed your disease."

"Your spontaneous rectal rupture is really diagnosed, and it is actually very simple to perform surgery. But the difficulty is that it is too difficult to find."

"Many people have long-term constipation and abdominal pain, and they don't take it seriously. They go to see some low-level clinic doctors, and they can't tell the difference..." Speaking of this, he smiled wryly at the doctor: "Don't talk about those clinic doctors, it's me , I almost didn’t notice it just now.”

"This disease has no specific symptoms, and it is difficult to distinguish. Only experienced and rich old doctors can start from the subtleties..."

Speaking of this, he suddenly said: "By the way, what does that white coat you mentioned look like?"

He really wanted to know, in this Zhongxing Hospital, which one has such a high level?
The man described Zhao Peiru's appearance, and said: "He is about 50 years old. He wears gold-rimmed glasses and has a good temperament. He looks like a famous doctor. He is slightly taller than me..."

He was describing it here, but he didn't notice that Professor Xiao over there suddenly thought of something, and his face suddenly changed.

"Could it be...Academician Zhao Peiru?"

Professor Xiao knew that Academician Zhao Peiru and Academician Li Rujia were doing a peritoneal lavage experiment in their hospital these days.Could it be that the man was so lucky that he happened to meet Academician Zhao Peiru?

Listen, it seems that he is really Academician Zhao Peiru!

Professor Xiao quickly found a report on Zhao Peiru on his mobile phone, with a photo of Zhao Peiru on it.

The man looked at the photo and immediately said, "Yes, yes, that's him! He's still an academician?"

Professor Xiao nodded: "This is an academician of the National Academy of Engineering, an expert consultant to international health and medical organizations, and the honorary director of our National Gastric Tumor Research Institute."

The man opened his mouth as he listened, and then realized how awesome the white coat he met was.

"Fortunately!" Professor Xiao said, "Fortunately, you were lucky enough to meet him, so that your spontaneous rupture of the rectum can be discovered and diagnosed early, otherwise I will let you go back today and wait for you to be diagnosed in a few months. It will be too late then."

"I'll arrange an operation for you right now. In five days in the afternoon, I will repair the perforation and perform a proximal fistula operation."

……

In the afternoon, Professor Xiao performed the operation.

During the laparotomy during the operation, it turned out to be spontaneous rectal perforation. There was a [-] cm perforation in the rectum close to the mesenteric border of the colon. The abdominal cavity was seriously polluted and the local inflammatory reaction was obvious.

It is this local inflammation that causes the patient's abdominal pain, and when going to the toilet, he will feel the pain as soon as he exerts himself.

Professor Xiao performed local debridement, repaired the breach with single-layer suture, and made a proximal fistula.

Soon, this simple operation was completed.

After getting off the operating table, Professor Xiao wiped the sweat from his forehead.

This sweat is not from tiredness, but from fear.

"Fortunately, Academician Zhao Peiru saw it. I have to thank him."

This incident may be just a trivial matter for Academician Zhao, but for the patient, it is a major event that will affect his life.For him, Professor Xiao, it is also an extremely important matter in his career. If it is delayed this time because of his misdiagnosis, he will probably remember this matter in his heart for the next ten or decades.

……

Professor Xiao found Zhao Peiru and expressed his gratitude.

Zhao Peiru smiled.

This matter was really just a trivial matter for him, and it was just a matter of completing [Task [-]] by the way.It happened to be able to treat a patient, which is naturally a great thing.

Professor Xiao immediately asked him for advice.

"Academician Zhao, this kind of spontaneous rectal rupture is extremely difficult to distinguish clinically. There is no specific examination method, so it is difficult to diagnose. How did you see it? Can you teach us?"

Along with Professor Xiao, there were also other gastroenterologists from Zhongxing Hospital, a total of more than [-] white coats.

They heard that Professor Xiao was going to visit Zhao Peiru, and when they heard the reason for the visit, everyone was even more willing to come.

Zhao Peiru immediately gave a small lesson to everyone.

Not only do I have to tell everyone, but I also care about everyone, so I picked up my mobile phone, recorded this lecture, and shared it with other colleagues in the gastroenterology department.

When everyone saw that Zhao Peiru was so willing to teach them, and was willing to share with them, they couldn't help but rejoice, and said in their hearts that Academician Zhao had no airs at all, and no self-preservation at all.

Zhao Peiru's second task this time is to ask him to solve the difficult problem of spontaneous rupture of the rectum.

So he not only had to solve that one case, but also taught everyone how to discover the problem of spontaneous rupture, so as to complete the task.

Zhao Peiru gave a lecture:

"Spontaneous rectal rupture has the following clinical characteristics: it occurs frequently in the elderly, especially those over 60 years old. The course of the disease is short, the onset is sudden, and there is sudden severe abdominal pain. It is necessary to assist in the examination. X-rays..."

"Physical examination diagnostic criteria, no visible lesions at the rupture site, no abnormal passage in the intestinal tract, abdominal puncture can extract turbid and turbid digestive..."

Zhao Peiru started from the etiology and pathogenesis, and then explained all the diagnostic strategies, differential diagnosis methods, clinical features and other key points to everyone.

(End of this chapter)