"Here, Director Wen, take a look." Zhou Congwen was still very "special". He did not step down after the dissection on his own, but instead held the dissection appendix with a large gauze, and placed it next to Director Wen's eyes.

Zhou Congwen held the appendix with his hand and did not get close to the sterile area. Zhou Congwen was still very concerned about sterile operation and was very serious about it.

A 3mm-sized point can be seen in the appendix cavity, which has no active bleeding, but there is a small artery below.

Because the appendicular artery was cut off, it did not provide blood, so it appeared white, as if it was a connective tissue.

"Vascular vessels?" Director Wen carefully identified them.

Zhou Congwen put the hemostatic forceps in his hand on the "connective tissue" and gently picked them up.

The tip of the forceps is blunt to avoid damage during surgery.

However, Zhou Congwen's hand was very stable. Even with the blunt-headed pliers, he picked up the 3MM diameter artery at once.

Director Wen's eyes twitched.

Not to mention Zhou Congwen's diagnosis, this move alone is enough to win the Second Hospital of Medical University.

In the past, when deep vein puncture was not yet available, patients with severe bleeding were sent to rescue, and the nurse could not find the blood vessels and could not establish venous channels.

The most important thing at this time is to perform femoral vein incision and send the infusion tube to the patient's inferior vena cava.

Director Wen has seen many similar operations, and he is particularly clear about the difficulty.

Because the blood vessels of hemorrhagic shock are deflated and mixed with the surrounding connective tissue, it is difficult for even the skilled surgeon to find the femoral vein as soon as possible.

Many times, we have to follow the femoral artery in anatomical structure along the femoral artery.

But this one in front of you...

The difficulty is definitely more difficult than femoral vein incision.

The hemorrhagic shock is just because the blood pressure is insufficient, and there will be some blood flow. The appendix in Zhou Congwen's hand has been cut off and there is no blood flow at all.

Besides, the diameter of the femoral vein is more than twice that of the abnormally proliferated blood vessels in front of the eyes.

No matter from which perspective, Director Wen was surprised by Zhou Congwen's "inadvertent" use of blunt-headed pliers to pick up the hyperplasia vessels at once.

No wonder it is the world's number one,

It is truly the world's number one.

Director Wen had already knelt down unknowingly, and was impressed by Zhou Congwen's slightest technique.

Zhou Congwen just an inadvertent action, showing the style of a world-class giant.

"Director Wen, what are you watching?" Zhou Congwen said.

"Well……"

"Here, here, the abnormally proliferating blood vessels and ulcer surfaces are also very clear. Generally speaking, Dieulafoy disease can be seen in all age groups, but it is more common in the elderly with hypertension."

"During the New Year, I met a 15-year-old Dieulafoy patient with bleeding point still on the appendix. This is my life."

Zhou Congwen shook his head and said with emotion.

"Professor Zhou, Dieulafoy's disease...is called this name." asked the director of the Department of Gastroenterology.

"yes."

"It looks so dangerous. Many gastric ulcers in our gastroenterology department can also be said to be Dieulafoy's disease."

"There are several characteristics of this disease. The first is that the onset is sudden-no obvious symptoms. Tobacco and alcohol, hypertension and stress may be the cause. There is no history of cirrhosis, peptic ulcer and family genetic diseases."

"The second thing is that it is sudden and fatal gastrointestinal bleeding - 54.0% of people were already in shock when they visited the hospital, and only 33.0% of people complained about vomiting blood. Failure to rescue often leads to death, which is the reason for the high mortality rate."

"Third, Dieulafoy's disease is intermittent and refractory.

Blood scabs formed after rupture and bleeding of the constant diameter artery, which temporarily stopped bleeding, but with the infusion, blood pressure increased or irritated after blood transfusion treatment, the blood scabs fell off, causing heavy bleeding again, which showed recurrent attack characteristics."

"But it is really rare to happen in the appendix cavity." Zhou Congwen sighed again, "Director Han."

"Professor Zhou, you want to collect information." Director Han had a deep understanding of Zhou Congwen after more than a year of contact. Director Han immediately understood what he wanted to say when he opened his mouth.

This is the same as knowing what posture to pose when you raise your hand.

Director Han put his posture just right, and Zhou Congwen was very satisfied.

"Thank you for your hard work, Director Han." Zhou Congwen smiled, "Heavy caused by the appendix is ​​rare. The most common causes of appendix bleeding are intestinal constipation, vascular hyperplasia and diverticulitis. The active Dieulafoy disease of the appendix is ​​a challenge for doctors' diagnosis and treatment, and the boss must be very interested."

"I'll go and talk to the patient's family." Director Han responded with a smile.

"Let me find a camera." Zhou Congwen was about to step down and touch his phone, but then he remembered that it was still 2004, and he said helplessly.

"good."

"The appendix is ​​not in a hurry to send a pathology, I'll take a photo." Zhou Congwen put the pliers on the contaminated area of ​​the instrument platform, holding the appendix in both hands, as if he had found a treasure.

The director of the ICU looked at Zhou Congwen's expression and felt complicated.

It is indeed too difficult to do scientific research in clinical practice. Just like the disease Zhou Congwen said, there are very few cases. After seeing one, you need to collect information immediately.

This is Zhou Congwen. It is difficult to tell Director Han to talk to the patient's family in a "command" tone if he changes his words.

Although this matter is not a big deal, I will tell you that the patient's family should be able to allow it reasonably, but Zhou Congwen's high status in the world is outrageous.

Zhou Congwen happily held the appendix and turned back from the stage, leaving Director Wen alone and bitterly locked.

The operating room suddenly became deserted, and the instrument nurse breathed a sigh of relief.

"Director Wen, I didn't expect you to be today." The instrument nurse said with a smile, "You usually step down first."

"You said this." Director Wen said while suturing the peritoneum, "You don't look at what Professor Zhou is now."

“What level?”

"Two world firsts! Can I compare?" Director Wen knelt down steadily, without any awkwardness. "Director Chen must have been making a big face during the New Year and used his full favors to go to the provincial station news."

"Ah? What news?" asked the instrument nurse.

"You didn't see it?"

"What are you looking at? I've been playing mahjong these days."

Director Wen told the instrument nurse, the circuit nurse and the anesthesiologist what had happened in the past few days, and said with emotion, "Professor Zhou is probably leaving. If you encounter this situation in the future...ah."

"Director Wen, can you make a better future?" The instrument nurse contemptuously said, "No matter how you say you are a well-known expert in the province, relying on Professor Zhou? You are so embarrassed."

"What else?" Director Wen sighed, "It's like this patient. We were worried for a day and almost died. As a result, Professor Zhou told me that it was appendix bleeding..."

What he said made Director Wen feel a little dazed.
Chapter completed!