"Xu Qiu, do you have another surgery?" Shen Hua asked excitedly.

There was silence on the other side of the phone.

Xu Qiu was silent.

Even though he is cheating, he can't open a new surgery every month...

Moreover, various operations in brain surgery have not yet been pioneered. They are basically related to the forbidden area of ​​​​life. If the patient moves a little, he may not be able to breathe. Otherwise, he may suffer from severe blood pressure disorders and abnormal heart function. How can it be so easy? ?

Xu Qiudao: "There is no new surgery."

"Oh." Shen Hua couldn't hide his disappointment.

"However, I plan to hold academic lectures again in the near future."

"Is it serious?!" Shen Hua immediately became excited again.

Pioneering new surgeries can enhance the international status of Daxia Brain Surgery.

But what can benefit patients the fastest is Xu Qiu’s lecture!

At the original Jinghai People's Hospital, after Xu Qiu's lecture, the level of doctors in the hospital improved a lot, and the overall score of the department rose by five points, making it very competitive.

If Xu Qiu could visit brain surgery hospitals across the country, he might be able to improve the average level of brain surgeons in the country!

"really."

Xu Qiu pulled out the list of liver and gallbladder experts, marked it on the map, and said: "However, according to my schedule, I will go to Hunan Province first, and then Gan Province..."

He plans to complete the academic lectures and expert group signatures together.

Shen Hua agreed, "I will notify the qualified hospitals in each province. They will definitely welcome you."

After hanging up the phone, Xu Qiu started worrying about the medical matters again.

This business trip may last a few weeks or even a month.

If all goes well, Liver Anning will be at the forefront of the limelight when we return, and will be listed among the banned drugs nationwide.

While leaving the hospital, he also had to arrange the affairs of the hospital.

After all, today's clinical medicine has many national key projects run with Xu Qiu as the core, including the brain surgery talent training base and training classes in various departments. Noah, Joseph and others are willing to stay in Linhai also because of Xu Qiu. Autumn.

…

The next day, during the morning shift handover, the patient Yuan Yu who was admitted yesterday was mentioned.

Emergency physicians are familiar with this name.

Rectus abdominis diastasis is a sign that is not mentioned in undergraduate textbooks. After that, no matter whether they continue their studies or enter clinical practice, except for gynecology and obstetrics doctors, many people have not seen it with their own eyes.

As for Yuan Yu, the phenomenon of diastasis of the rectus abdominis muscle in the upper layer of muscle and lower layer of fat gave all emergency doctors a personal explanation, leaving an indelible impression in this life.

In this sense, she is a teacher to many people present...

Yang Meng, the nurse who took over the shift, said: "The results of the liver function test this morning showed that the patient's serum aminotransferase was elevated, cholinesterase was reduced, and the bile pigment metabolism was abnormal..."

Mo Wan looked at Xu Qiu in surprise.

Is there really a problem?

She is also considered a good expert in hepatobiliary surgery and is very keen in diagnosing various liver diseases, but she did not realize that Yuan Yu had a problem...

Xu Qiu just took a few glances during the rescue and concluded that the patient's liver was damaged. This kind of clinical intuition and experience is too scary!

After the report, Xu Qiu said: "Do a comprehensive examination to confirm the specific cause."

There are too many causes of liver damage, such as hepatitis B, cirrhosis, fatty liver, etc., and the treatment methods and focuses are different.

For example, patients with tuberculosis may have drug-induced liver damage. At this time, if they follow the conventional drug treatment for patients with liver damage, the condition may be aggravated.

Some do not require treatment, such as transient increases in transaminases caused by strenuous exercise or extreme exertion, which can recover on their own after a few days of rest.

Abnormal liver function caused by active replication of HBV or HCV requires early antiviral treatment.

At present, Yuan Yu has only found liver function, and the causes of various causes are unclear and further examinations are needed.

…

Coincidentally, today it is the turn of teaching rounds again.

However, this time it was Xu Qiu who was in charge of teaching rounds.

After becoming the director, he, like Wang Ping and He Hai, also started to lead the team.

It's just that unlike other directors, it's not mandatory.

Moreover, when Xu Qiu was not the director, he was already leading the team in the emergency department. Wang Fan, Yun Mei and others all followed Xu Qiu...

Now these people have got their wish and have been assigned to Director Xu Qiu's team.

Among them, Wang Fan came over from the He Hai group, and Yun Mei came over from the Wang Ping group, and they pieced together things here and there to form Xu Qiu's group.

"It's terrible, it's terrible!"

After checking several patients, panicked screams came from the next ward.

Everyone immediately became interested and looked inside.

Xu Qiu's eyes also fell on the hospital bed.

This is a middle-aged woman in her fifties. He received it a few days ago. She also has liver function problems.

Xu Qiureng undergoes a physical examination.

Basic liver function tests.

"Liver function tests mainly include detection of liver protein metabolism, bilirubin and bile acid metabolism, enzymatic indicators, lipid metabolism function, liver excretion and detoxification function, etc..."

"Clinically, we mainly check alanine aminotransferase and aspartate aminotransferase, of which alanine aminotransferase is more sensitive. We use these two indicators to reflect whether the liver parenchyma is damaged or not. In addition, Tianmendong

The increase in aminotransferase often indicates serious liver parenchymal damage and aggravation of chronicity, so special vigilance is needed..."

"In addition, when the liver function is abnormal, an additional coagulation test must be performed. Everyone should be aware of this. The liver can synthesize all coagulation factors except the three factors and is the most important coagulation organ..."

While Xu Qiu was explaining, the movements of his hands were not slow.

Liver physical examination, like full body physical examination, also involves sight, touch and percussion.

Visual inspection looks at whether the entire abdomen is bulging, whether there are varicose veins in the abdominal wall, and whether specific indicators such as jaundice, spider nevi, and liver palms can be seen. Experienced doctors can even judge whether there are varicose veins in the patient's face and body shape from the patient's face.

Cirrhosis of the liver.

Palpation starts from the left lower abdomen farthest from the liver and finally to the right upper quadrant. It is necessary to determine whether the body surface can be touched, the texture of the liver, whether the spleen is enlarged, etc.

Percussion mainly looks at ascites.

A large proportion of patients with liver problems will have ascites.

As for auscultation, it is of little significance. Generally, patients with liver disease can at most detect ascites and reduced bowel sounds. Other signs are difficult to judge with a stethoscope...

"Typical signs of liver cirrhosis. If you are interested, you can come and check the individual."

After Xu Qiu finished speaking, he looked at the patient.

"You just said it was terrible, what happened?" he asked.
Chapter completed!