Medical road

Zhang Fan's plan to accompany his sister to Bayinbulak failed.Shao Hua and Jing Shu signed up for a two-day tour group and happily traveled to Bayinbulak.

Bayinbulak is an inter-alpine basin in the middle of the Tianshan Mountains. It is surrounded by snow-capped mountains. It is about 2500 meters above sea level and covers an area of ​​23,835 square kilometers, second only to NMG Ordos grassland.Bayinbulak means abundant springs in Mongolian—"abundant springs". The grassland is flat and abundant in water plants. It is a typical grass meadow grassland and one of the most important animal husbandry bases in the frontier.There is not only a paradise surrounded by snow-capped mountains, the Kaidu River with "nine bends and eighteen bends", and the elegant and charming Swan Lake.

During the Ming and early Qing dynasties, the Yuledus River basin was mainly the nomadic belt of the Lihuite tribe in western Mongolia.In the thirty-ninth year of Emperor Qianlong of the Qing Dynasty (1774), the Turgut Mongolian tribe led by Wubasi was placed.

On Saturday, surgery is performed.The patient is not old and his vital signs are not bad. Hela bought breakfast for Zhang Fan in the morning. This sick number belongs to him. During the big weekend, Zhang Fan came to the surgery. Although it was ordered by the director, he bought it specially as the doctor in charge. Thanks Zhang Fan for breakfast.He also specifically told Zhang Fan not to eat breakfast.After eating the buns in a few bites, the three of them were about to enter the operating room. The patient’s family had some connections in the local area. Li Jianguo gave his family a few words of comfort in the morning.Normally this kind of thing is done by the doctor in charge, and the director does not come forward.

In the operating room, position yourself, start anesthesia and disinfection. The incision and exposure steps vary depending on the location of the kidney and the lesion. Li Jianguo chooses conventional surgical incisions and cuts the perirenal fascia with various lumbar incisions to reach the perirenal fascia. Separate the back, make a small incision and expand it up and down. At this time, care should be taken to avoid damaging the peritoneum.

Hela assisted and Zhang Fan assisted. This kind of operation is not difficult for Li Jianguo and Zhang Fan is no problem. It is a bit difficult for Hela. However, kidney removal is a major urology operation, and it is impossible to let Zhang Where the chief knife.

Separate the kidney slowly. Use your fingers to separate the fascia around the kidney, starting from the convex surface and back of the kidney, then to the upper and lower poles and the front, and finally along the upper part of the ureter to the kidney hilum, separating it from the renal pedicle.

Li Jianguo's level is good, years of experience, and cautious personality, make his surgery look very clean, he does not worry about the operation, step by step is particularly solid, no matter how big or small the bleeding must be ligated to stop the bleeding, be especially careful.

Zhang Fan also learned a lot from Li Jianguo's surgery. Li Jianguo is the most careful surgeon he has ever seen, and the operation is also very meticulous.

Start processing the ureter to separate the waist section of the ureter, surround and lift it with a gauze strip, and separate it as far as possible.At the lowest part of the separation section, clamp the ureter with two hemostatic forceps, cut between the two forceps, and sterilize the two broken ends with a small cotton ball dipped in pure carbolic acid, 75% alcohol and normal saline.Then ligate and suture the distal end of the ureter.

In the second half of the operation, the preliminary work is to free the kidney, and the rest is to treat the blood vessels of the kidney, carefully separate the fatty tissue at the kidney hilum, and expose the renal arteries and veins.Renal pedicle forceps or large curved hemostatic forceps clamp the renal blood vessels.Cut the blood vessel between the two forceps at the distal end and remove the diseased kidney.

At this moment something happened!

Because the family members were very anxious, they also asked their superiors to say hello. Lao Li couldn't help but was anxiously pulling the patient into the operating room, and many checks were not done.

Originally, during the operation, Lao Li was very careful, afraid of something wrong.As a result, an accident happened.

The patient's kidney has mutated an extra renal blood vessel, and it is still an artery, although it is not thick, it is not thin.Because it was a mutated blood vessel and it was on the side of the kidney fossa, Lao Li didn't pay attention. He went down with scissors and cut off the ligated kidney pedicle, preparing to remove the affected kidney.

As a result, the blood spurted out, and the blood vessel mouth happened to be facing HeLa. The pressure on the renal blood vessels was not small, so it sprayed HeLa directly.Hela was dumbfounded at that time, the blood vessels were all ligated, where did the arterial blood come from, and with this spurt, Hela subconsciously closed his eyes and forgot to assist Lao Li.

Old Li still held the hemostatic forceps in his hand to clamp the blood vessel, and he didn't have any extra hands to stop the bleeding. His cold sweat broke out all at once, and a startled voice came out in his heart: "It's over! Today is a big one!"

This kind of moment is the moment that best reflects the assistant, but Hela has been covered by blood mystery!As soon as the blood cooled, the viscosity increased, and Hela bothered to open his eyes. Old Li was anxious, but there was no good way. He even dared not relax the hemostatic forceps in his hand, shouting: "Zhang Fan, Zhang Fan. Come on. Look, where are the blood vessels."

At this time, the hemorrhage cannot be attracted by the suction device. The hemorrhage pressure in the renal arterioles is large and the amount is large. In a few seconds, the bleeding has flooded the renal fossa.

At the moment when Lao Li yelled Zhang Fan's name, Zhang Fan didn't delay at all, and blocked his kidney with a fist."Quickly wipe Hela's face." Zhang Fan said to Tour, holding the kidney socket.His position is not good, and he can only do this step, and the rest will have to be assisted.

Then he said to the anesthesiologist: "Quickly reduce the blood pressure." Zhang Fan held the bleeding, and Lao Li had already stretched his nerves to the tightest at this time, and said to the anesthetist: "Yes! Yes! Yes! Quickly reduce the blood pressure."

The moment Hela was fascinated by blood, he was truly desperate.Fortunately, today's second assistant is Zhang Fan, if other transfer doctors are expected to be in trouble.Zhang Fan reacted too quickly, he had already dealt with it accordingly without his command.

Fast, stable and accurate.Zhang Fan directly sealed the bleeding with a fist.Hela, who had wiped the blood, was still in a daze, but she said something without thinking, "Did you not hold the kidney pedicle?"

Old Li is crazy.At this moment, I don’t hurry to find the blood vessel, and I am still staring at it, "Stop talking nonsense, are you blind? Where the hemostatic forceps are not clamped properly, this is a mutated blood vessel. Hurry!"

Lao Li's tone was very serious. Hela, who was not frightened by the bleeding, made Lao Li say that he was afraid. He was taken aback and knew that he had said something wrong.This means that Lao Li's surgery was not done!Did not do it carefully.Patients with imperfect examinations are afraid of such things. The doctors can’t say that if the examinations are imperfect, go for the operation. The error must be the doctor’s. At this time, there is no such thing as a leader calling or not calling.

"Blood transfusion, correct shock, increase fluid speed." Zhang Fan ignored the emotions of the two and gave the itinerant nurse an oral doctor's order. Not only did the blood spray on Hela's face, but also the walls of the operating room.

The itinerant nurse was in a hurry, and Zhang Fan knew what she was going to do as soon as Zhang Fan's oral doctor ordered.Knowing what to do will not mess around.

The blood pressure dropped and the bleeding was less. Hela quickly began to tie the knot. The atmosphere in the operating room was tense. Old Li looked cold and spoke coldly.Hela wanted to slap herself in regret.