Medical road

At the beginning of the operation, Ouyang was angry, and the director of General Wai and the director of urology were both performed. Although Ouyang did not specify who to let it, the two directors obediently went to the operation.It's unnecessary to find fault for Ouyang.

The director of the anorectal department was a little embarrassed. It was difficult to get in or out. He rubbed his hands and looked at Ouyang awkwardly. Although he was frightened and frightened, he was always the director of the hospital. Ouyang's subordinates are not. The old lady said with a cold face: "If you don't go to work, why are you standing here and let me give a medal!"

"Okay! Okay! Dean, I'm going to the clinic now." As he walked, he wiped the sweat from his head. His pressure was not small. For the sake of the young lady, he was a cleansing person, so he cared more about what The more I dare not go beyond anything!

After speaking, he turned to the frontier boss and said, "Wait for the news! Give me my regards to the Secretary-General." After speaking, he turned and left, ignoring a few harbor people.

The frontier boss has a green face. He doesn't understand medical treatment, but he always knows that the industry becomes more popular as it gets older. Ouyang let a hairy boy take the lead, can he have a good face.Ordinary people, when they encounter this situation, they either find a way to beg, or they are furious.

Although the boss had a bad face, he didn’t say a word. He was trying to find a way to save him. One was to find someone to put pressure on Ouyang, and the other was that if the hospital in Chasu City should give the boss of the harbor to Let go, what should he do, how to stop the loss in time, this is the difference from ordinary people.

In the operating room, doctors and nurses are busy nervously. This kind of patient is the most anesthetist's annoying patient. Not only should he pay attention to anesthesia, but also his vital signs.

At the beginning of the operation, Zhang Fan and the two directors began the operation methodically. This kind of operation, if there is no damage to the abdominal organs, is actually very simple. Repair the anus, but now that there is damage to the abdominal organs, first of all After the bleeding in the organs is stopped, the trauma is handled.

Incision and exploration. In this operation, the speed of entering the abdominal cavity must be fast. It was originally a state of blood loss. Now if you open an opening, you will have more bleeding. Therefore, it must be fast.Zhang Fan didn't speak, layer by layer, and he entered quickly. The two directors cooperated very well under their hands. Almost all of this surgical approach was engraved in their brains!

Laparotomy exploratory surgery requires rapid, accurate, gentle, focused, and in a certain order to avoid omissions.Especially some hidden organs must be explored.

After opening the abdomen, you can judge the type of visceral injury based on the contents of the abdominal cavity. When the peritoneum is cut, a large amount of blood overflows from the abdominal cavity, which means that there is a substantial organ or large vessel rupture; there is gas or gastrointestinal contents overflow, It means that the gastrointestinal tract is ruptured; when there is bile-like fluid, it means that there is a rupture of the biliary system or the duodenum; when there is fecal fluid or fecal odor, it means that there is damage to the lower ileum or colon; when there is urine or the smell of urine, Indicates a ureter or bladder injury.

When Zhang Fan opened his lower abdomen, direct urine rushed out!The flesh-colored urine is mixed with the blood and flows out directly."Boost! Gauze! Another mid laner!"

Zhang Fan said to the equipment nurse and anesthesiologist.The pressure in the abdominal cavity suddenly disappears, sometimes resulting in a sharp drop in blood pressure.Zhang Fan had to guard.

"This person is really unlucky. He didn't say he inserted into the anus, he broke his blood vessel and punctured his bladder. You said he was unlucky." Lao Wang said to the director of the urology department.

When performing surgery with Zhang Fan, the lower-level doctors don’t care, Zhang Fan doesn’t speak, and others don’t speak, but it’s too uncomfortable for the higher-level doctors to perform the operation with Zhang Fan. Zhang Fan’s subordinates are quick and focused, and never talk too much!They are embarrassed to talk even if they want to talk.

"It depends on the situation. This person is very rich. Why don't you say that it is not good to have money? Why do you want to run into the old forest! Isn't this looking for chrysanthemum! It is estimated that you can't even eat chili in the next six months!"

"Southerners don't eat chili!" Zhang Fan ended the babbling of the two old men. Zhang Fan had surgery and hated others to talk.This is done by one person in the system.

In the past, he was not qualified, others just talked, but now Zhang Fan is qualified!

The treatment of visceral injuries is based on the principle of "stop bleeding first, then repair". A large amount of blood in the abdominal cavity should be sucked out quickly. Zhang Fan holds the blood clots in his hand, and then examines the actual organs one by one.Fortunately, there are not many male pelvic organs!

After sucking clean urine, Zhang Fan gently opened his bladder and found the bleeding vein!Just point your finger!A finger went up and suppressed the blood gushing out like spring water!"Quick, suck blood!" Zhang Fan was so fast, Zhang Fan had already held it down while the two directors were still finding the blood.

Lao Wang, the director of General Foreign Affairs, quickly sucked up the blood, and Zhang Fan began to ligate. This ligation is very taboo to blindly tying in a pool of blood.

When Lao Wang was about to press with gauze, Zhang Fan had already used the hemostatic forceps.

"Be careful! Blood vessels!" Old Wang was anxious.This kind of blind ligation is very easy to damage the normal blood vessels, because the tissue here is very rich, and in general, large veins and arteries are accompanied, that is to say, the veins are next to the arteries, and the distance between each other is also a few. Mm distance.

Many times, when the surgical field is clear, blood vessels will be damaged, not to mention this blind puncture!The moment Zhang Fan lowered his pliers, the general foreigner Wang and the director of urology had a cold sweat!

Because the two of them understand and know what's underneath. After one guy goes down and hurts the artery, the person will be finished. The basic blood pressure that was already maintained will be opened up!It's really unimaginable.

"A click", after catching the pliers.Zhang Fan said: "Vampire!"

"Don't let go!" Pharaoh's hands were shaking a little, and he said to the itinerant nurse: "Quickly, get the hemostatic cotton, a lot of hemostatic cotton!"

Zhang Fan was shocked!"What do you want to stop bleeding cotton for?"

"Go down with this forceps, the arteries are prematurely broken! What do you want to do with hemostatic cotton!" Old Wang was angry and anxious!He originally thought that Zhang Fan was performing the operation very securely, and the technique was good, but he did not expect that he made such a low-end mistake~!

"Hey! It's still too young!" I felt a little sorry!

"Haha!~" Zhang Fan smiled and wanted to say something.As a result, Lao Wang said: "You still laugh, go down! Think about it! Give me the pliers!"

Because the pliers are still in Zhang Fan's hands, if it wasn't for the blood vessels to be clamped, Lao Wang would have snatched the pliers! Isn't this a nonsense!This is surgery, can you blindly puncture it!

This is the gap, the gap brought by the system!Normal surgical training does not dare to perform blind puncture even if performing 500 operations like this, but Zhang Fan dares, let alone this distance, even if it is closer, Zhang Fan dared to blindly puncture. !

Others can't train, they can train, others have to wait for the opportunity to train, as long as he has time and is willing to work hard, he can train at any time!Can you be unfamiliar?

"Definitely not! The bleeding point was definitely clamped, and the artery has not been injured!" Zhang Fan also wanted to stop the bleeding more quickly, so he had to show his skills!

"Bullshit! Go on!" Old Wang was really angry!

Zhang Fan is really not in a hurry. At this time, the blood vessels are also stuck, so there is no need to worry."Director Wang, really stopped the bleeding, and there was absolutely no damage to the arteries!"

"You won't go down, are you!" Old Wang's face turned blue!Joking about the sick number, this is not something a doctor can do, so he is angry.

Conventional methods can no longer calm the anger of Lao Wang. Zhang Fan said after a short pause: "If the artery breaks today, I will bear the responsibility, and I will never do surgery again!" Zhang Fan said very formally!A serious and serious tone!

"Um!" said this.Pharaoh's mind has calmed down, and he also knows Zhang Fan's past. He has never been so reckless!I can't bear to ruin such an excellent young doctor.

"If it's clamped, it doesn't damage the arteries?" Watching the excitement is not afraid of big things, the director of the urology department is relatively calmer. This is due to the personality of the person.

"Hehe, then it's up to Director Wang!" Zhang Fan said after someone set up a platform to ask Zhang Fan to speak.

"What do you mean!" Lao Wang's tone was not very good, but his face was a little better, and his round eyes were a little relaxed.

"If there is no damage to the blood vessels today, general surgery must be open to me in the future, and the reason explained to the department doctor, Director Wang will come to help me!" Zhang Fan said, holding the needle and thread to prepare for suture!

"Um!" Old Wang was stunned.He stared at the pliers, because at this time, Zhang Fan had already cleared the remaining blood around him!

"One stitch, one thread!" Zhang Fan ignored Lao Wang and began to sew blood vessels.After a few stitches, Zhang Fan removed the pliers and dipped it lightly with gauze. The gauze was clean!

Zhang Fan didn't deliberately embarrass Lao Wang, but made an excuse to calm his anger!This kind of doctor is to be admired. It is really admirable to care about the patient and turn his face on Zhang Fan such a young and outstanding person regardless of the feelings of his colleagues.As the saying goes, it is better to bully the white bearded man than to bully the young and poor!What's more, the young man who has shown his level!

In the workplace, geniuses are privileged, and geniuses who make mistakes can be forgiven by more people!But this is the medical industry!

Today, if there is no general surgery director, but only Zhang Fan and the urology director perform this operation, even if Zhang Fan punctures the blood vessel, the urology director will not turn his face!Maybe it will help cover up!Who made Zhang Fan a genius!

Therefore, although Pharaoh was angry, Zhang Fan didn’t take it to heart. This kind of doctor is his role model. Although Pharaoh cannot handle the other deputy directors of the department, he is concerned about the patient’s concern for the patient. , Can really be called a healer!

After Zhang Fan sutured quickly, he was ready to repair the rectum first, because the rectum is relatively more contaminated. If you suture and repair it earlier, you can also stop the infection!

"Metronidazole rinse!" Zhang Fan said to the itinerant nurse.

"Uh!" Old Wang was a little embarrassed, but he was not upset at all. After gently touching the stitched blood vessel, he didn't need to confirm it, because there was no bleeding anymore!

"Even if the artery is not damaged today, it is nothing great. It's only a few seconds away. Why don't you wait for the surgical field to be clear and clamp again? Would you not know the result of breaking the artery? A few more seconds of venous blood flow, And piercing the artery, is that risky?" Lao Wang is a director anyway, or he has two tricks.Not only criticized Zhang Fan, but also resolved the embarrassment!

There is really no way to explain this matter, can it be said that an art master is bold?If you dare to say this, you can directly let Lao Wang drive him off. This is an operation, not a tightrope!

The director of the urology department spoke: "Director Zhang is absolutely sure, are you not in a hurry if you haven't seen others! This is the level. I have to take it!"

"Huh!" Old Wang couldn't say anything!The operation went much smoother after hemostasis!After washing a lot of metronidazole, gently remove the wooden stick.

The itinerant nurse took a look at the wooden sign with gloves, and said in a daze, "It's so rough!"

"Puff!" The director of urology and anesthesia smiled."It's pretty rough!"

"I hate it!" Touring blushed, and she realized that she was a little bit ambiguous, and quickly went out with a wooden sign.

"Zhang Fan, if you want to come to General Surgery, I will give you power, and Corey's surgery will let you choose!" Pharaoh has recruited Zhang Fan for the second time!Zhang Fanliang took a hand, he thought about it carefully, and he was shocked!Really shocked!This level is too high!

"Hehe, Lao Gao wouldn't let anyone go." The urinary director said, pickingly.

"Does it have anything to do with you? How come you are everywhere!"

"Hehe, I'm not ashamed!"

The operation went smoothly, and the two of them had a much easier tone, but Lao Wang actually still had liver tremors. Zhang Fan's view was too scary. It was slightly shifted and swayed from the left and right. It might be the internal iliac artery!Lao Wang looked at Zhang Fan, he was really full of feelings in his heart!

Repair the rectum, check the abdominal wall, there is no damage, continue, this time you must change the gloves.Because the rectum is a contaminated area and the bladder is relatively clean, change gloves again.

The bladder is easy to suture. This thing has a certain degree of contraction and stretchability. Just like a basketball, it has an internal capsule. First suture the inner layer and then the outer layer. When sewing, you don’t need to pay attention to other things. There is nothing to pay attention to. The biggest point of attention There is no leakage after stitching!

The last is the anus!Very troublesome, although the wooden stick is not triangular, but the anus has been torn!Stitch little by little.Ring muscle!Sphincter!

"Two leaders, which department is this sick number in!"

"Let's put it to the general public!" Old Wang said.Zhang Fan originally wanted to put this number on the urinary patients, and there were fewer urinary patients.But the director of urology was afraid of Ouyang and didn't want to get infected at all!

After the operation was finished, Zhang Fan, as the chief surgeon, had to go and explain to the patient's family with a wooden sign.Outside the operation, the life secretary, bodyguard, and frontier boss were all there.Several people don't pay much attention to each other!

Before the operation, the frontier boss was really like an ant on a hot pot. The world was looking for people to put pressure on Ouyang.As a result, I asked where Li Xiao was!

When Li Xiao heard this, he said, "Zhang Fan, Doctor Zhang?"

"Yes, I asked clearly, a young doctor who has just come to the hospital for less than two years! President Li, save my brother! Hurry up and find a way, or I will die!"

"Don't worry, it's okay, you just wait for it with peace of mind!" Li Xiao heard that it was Chief Zhang, and was no longer anxious. She had a good relationship with the boss, and she sat down again when she was planning to go to the hospital.

"What?" The frontier boss heard something wrong.

"Dean Ouyang has given the secretary-general face, that young doctor is a knife in their hospital! The first knife! Get it!"

"Just him! A baby!" The frontier boss didn't believe it directly!

"Yes! Just him, you will be polite later~! Very good doctor!"

When he hung up the phone, he couldn't believe it, it was incredible, he knew the medical industry anyway.

"Old Chang, are you familiar with the tea market!"

Director Chang, who was away from the mainland, his liver trembled when he heard of the tea market!

"Well, what's the matter!"

"Zhang Fan, does Doctor Zhang know!"

"That bastard! Did he say that I am not technically good? He is bullshit! I am careless, I don't understand! I am careless!" Foaming in my mouth, I have gone to the mainland, you still Keep chasing!Is this interesting!

No disaster!Zhang Fan touched his feverish ear~!