Medical road

Examinations, especially pre-operative examinations, seem to be useless. After the doctor takes it in his hands, he just looks at it casually. In this way, it is necessary to ask the patient to queue for the examination.

In fact, every time Western medicine takes a leap, most of them have corresponding examinations or corresponding materials were invented or promoted.Surgery is a traumatic treatment, and if possible, the doctor would like to do all the examinations for the patient.

Because traumatic treatment is too unpredictable, and because the patient is either old or weak, the chances of problems are even greater.

But today, let alone X-films, there is not even a color Doppler ultrasound. Because time is too late, and a little bit of movement, this stupid boy is directly surging like a chrysanthemum spring, and there is no way to check it.

"What to do!" General Wai's director subconsciously said.It's not that he doesn't know what to do, and he doesn't know if he will succeed, or if he can be rescued.

Zhang Fan really wanted to say: "Cold!" But he couldn't say it."Let's do a laparotomy, what else can I do."

"I'm coming? Or you." The current director of general foreign affairs has put Zhang Fan in his own position, perhaps a little bit higher.

"I'll take it." Although the operation was difficult, Zhang Fan didn't want to miss it.

Since he had to decide to do the operation, Zhang Fan performed the operation as quickly as possible. This kind of operation is very troublesome, and no one is sure of the trouble.

"It's estimated that the damage to the intestines is all right, and the later recovery will be a troublesome thing." The director of General Wai seems to be very confident in Zhang Fan.

"Let's look at your eyes first, life and death are not clear." Zhang Fan rolled his eyes. Sometimes it is very happy to be relied on, and sometimes it feels like being pitted.

Why is this operation difficult? Let me talk about the digestive structure first.

To eat the meat, first chew in the mouth, then pass the pharynx, pass the esophagus, to the stomach, enter the duodenum, empty field, and ileum (the three are composed of the small intestine), and then the cecum, colon, and rectum (the three are Large intestine), anus.

After the food is eaten into your mouth, it is not swallowed by gravity. If you eat the meat upside down, it will not return from the intestines to the mouth.It is because of the peristalsis of the muscles, it is like pinching a pill, it can't go back after pinching it out.

Just like you eat popsicles, you can’t eat the last piece, you squeeze it from the bottom to your mouth with your hands, the truth is the same.

The muscles squeeze from the esophagus, and finally reach the anus.

Because of the peristalsis, there are not so many fixed systems in the entire digestive system. Popular water means that there are few ligaments, which are fixed and the intestines are not moving.

But don't let it move randomly, or else it will squirm and not squirm, and so many long things may become obstructed by themselves.

So there is a peritoneum hanging in the belly, like a mosquito net, hanging in the belly, from high to low, these intestines, like a snake, will pass through this yarn for a while to the belly, and then through the yarn to the lumbar spine. side.

Therefore, the basic position is still fixed, but this thing is very thin. Such a large suction force is happily sucking on the chrysanthemum. The vacuum formed after the water flows away, not to mention sucking his large intestine, even if he takes his esophagus from the anus It's not strange to suck it out.

"If it's not good to play, just play with this! Haha." The director of General Wai said, smiling or not.

"It's really tangled." Zhang Fan hesitated a little while holding the scalpel. The incision was enlarged, the damage was large, and it may not be necessary for a silly boy to resist it.

"Cut it!" the director of Puwai said.Suddenly, Zhang Fan seemed to have figured it out, yeah, now I don’t care about the postoperative recovery or not, let’s save my life first!

No matter how beautiful the operation is, it’s dead, but the hair doesn’t work.This operation is very troublesome. The known situation is that the rectum is injured and shocked.Know nothing about the rest.

Incision, cut open the skin, peel off the subcutaneous fat, open the various aponeurosis that wraps the muscle, enter the transverse abdominal fascia, extra-abdominal fascia, and finally the peritoneum.

These tissues are roughly a structure from the outside to the inside of the abdomen.Especially the various fascia that wraps the muscles, these tissues are the toughest besides bones.

When opening the peritoneum, Zhang Fan almost vomited.Really, during the operation for the first time, I almost couldn't hold back and threw up because it was too sudden.

Open the peritoneum, bleeding, especially the bleeding at the end of the mesentery, the color is slightly black, and then mixed with the yellow and mushy stool that is not completely absorbed.

In addition, there are all kinds of feces the size of walnuts that have absorbed moisture.What is more disgusting is that the rectum and sigmoid colon have been sucked by the huge suction.It was broken like small pieces of paper torn into pieces.

Fat particles the size of yellow cherries, flaky intestinal tissues, floating on a pasty chylo-like brown or soy sauce-colored liquid, the fishy smell of blood, the smell of semi-fermented intestines.

It's directly like putting more soy sauce in the hot spicy soup, and then adding the meatballs, slices of meat and the fat of yellow bumps.Because the bleeding continues, Guru!Gulu, slowly, it's really like a hot iron pot boiling soup.

Really, Zhang Fan directly sprayed the lunch he had eaten from his esophagus.Fortunately, he closed his mouth forcibly in time, and then forcibly swallowed it again. The stomach acid directly scratched his esophagus like a knife. It didn't count after the stroke, and he threw a handful of salt on the scar!

The sudden force of upheavals from his stomach caused Zhang Fan to flex his body."Heh!" Despite this, Zhang Fan's painful tears rolled in his eyes, and he didn't dare to delay under his hands, because at this time there was no ink.

Once the abdominal cavity is opened, the pressure suddenly decreases. If the bleeding point is not found in time, the bleeding speed will increase, and the person will die without thinking about it.The tingling pain in the esophagus and the stretching pain in the stomach removed this nausea at once.

"The rectum and the sigmoid colon are no longer visible. Directly clamp the stump of the intestine with forceps." Like a white wine thorn, Zhang Fan's nasal cavity was sour, said to the director of General Wai.

The General Foreign Affairs Director was also uncomfortable, but just nodded, and said nothing.It is estimated that he is also working hard to suppress and suppress this disgusting feeling. This kind of taste plus this super bursting visual stimulation is really anti-human.If you didn't spit it out, the door sphincter was powerful.

"Gauze! Count clearly, give a few more. Unfold it directly, don't close it." Zhang Fan said to the operating nurse.Because the gauze is folded up.

The surgical field of vision is not light, there is no bleeding point at all, and no intestinal stump can be found.And the suction device is as thick and thin as ordinary chopsticks, it can't suck all kinds of things inside.

The soy sauce-colored chylo-like liquid was sucked into the transparent plastic pipe, and the rest could only be taken out with gauze by hand.It is not without reason that general surgery is despised by doctors in other departments.

The white gauze entered the abdominal cavity, and then Zhang Fan forced himself to endure the smoked gas and dug it out one by one!The gauze was snow white when it came in, and soy sauce color when it came out, and it was still silky.

"Too much training." Zhang Fan snorted while holding his breath.As the temperature of the air conditioning in the operating room increases, the taste is even more compelling!

Sweat, the sweat in the neck flows down the body toward the bottom of the stomach, not tired, but sweating from my own stamina.