Medical road

Dig!Dig!"How much food did this child eat!" Zhang Fan could not speak without speaking during the operation, but this was too suffocated. Zhang Fan took advantage of the talk to breathe out the unpleasant gas.

"En!" Puwai's director just nodded, and barely responded.

"Pliers!" Suddenly, Zhang Fan said to the instrument nurse, because he discovered the intestinal stump during the digging process.

"Clamp directly?"

"I can only clamp it directly, there is no other way." Zhang Fan replied.

The structure of the human body is like a closed loop.The left heart pumps oxygen-rich blood into the aorta, and then relies on the strong heart power and the elasticity of the arteries to spread the arterial blood throughout the body.

The aorta was first divided into two, one went to the head and the other went down to the abdominal cavity.When one organ is encountered in the abdominal cavity, one is separated.

In the end, it becomes extremely small arterioles, and then these arterioles slowly derive into venules. These veins begin to converge, and finally enter the right heart, enter the lungs to exchange carbon dioxide, and then enter the left heart.

Human blood circulation is probably such a situation.Especially after arriving in the intestines, the branches of blood vessels are extremely thin, almost thin into hairballs.

According to conventional intestinal surgery, the blood vessels attached to the intestine must be separated first, and then subsequent operations, such as appendix surgery, must be ligated.

The difficulty of appendix surgery is not its location, no matter where it is hidden, find the cecum, or along the cecum, it can be lifted out.The difficulty is the artery in this cecum.If the ligation is not good, or the separation is not good, it will bleed and die.

"Can't keep it, the rectum and sigmoid colon have become rotten cotton wool!" After clearing the intestinal contents of the abdominal cavity, Zhang Fan sighed.The young man was young and he was delivered in time. If it is later, it is estimated that everyone will be gone.

"It's good to be able to save your life!" The director of General Wai was not surprised at all. From what Zhang Fan took out, he could see a large amount of intestinal tissue, piece by piece.

This is equivalent to stuffing a big cannonball directly in the chrysanthemum, and the intestines really bloom.

Although the two exchanged occasionally, they were not idle at all.The cooperation is quite tacit, and the speed is relatively very fast. After the intestines are clamped by the forceps, the blood pressure finally improves.

"It's not easy!" Zhang Fan took a long sigh of relief. The air was mixed with this special smell, as if he was stuffed in a small closed room in the hottest weather in summer, eating sheep offal. The offal has not been cleaned yet~!

Outside the operating room, Ms. Jiang was on the phone. No matter what, she is responsible for explaining the situation to her sister.

"Sister, something happened to Xiaoguang! Don't worry, it has already been sent to the hospital. But the situation is more critical."

"What the hell is going on, did he fight again or drive fast!" The mother knew her son too well.

Ms. Jiang was embarrassed to open her mouth to say this, and directly said, "Your son Juhua blows the trumpet!" It is estimated that her sister will be pissed to death. Her tangled tone made her sister even more anxious.

"Come on, give it to me!" Ouyang promptly called over, "Hello, I am the dean of the Chasu City People's Hospital. Your son is currently undergoing surgery because of a ruptured intestine."

"How broken~!"

"While swimming, you may accidentally have your buttocks facing the repelling tube, and then the intestines will be broken due to the high suction." Ouyang thought for a while, then spoke out in the most concise language.

"How is the situation now, doctor?"

"It's very dangerous. There may be heavy bleeding and..., so please come to the hospital as soon as possible."

While the other party was speechless, he hung up the phone.I am embarrassed to ask for this matter, and be the child of the parents who knows their own best.Had it not been for the government's repeated emphasis on paying attention, Ouyang would not have rushed forward.What is it? After hanging up the phone, Ouyang thought about the child's problem, and couldn't help but cock his mouth.

In the operating room, "What's the difference between this operation and rectal cancer?" After Zhang Fan cleaned his abdominal cavity, the General Surgery Director said after looking at the probe.

"Rectal cancer is not so dangerous, but fortunately there is no need to clean the lymph." Because the suction power of the swimming pool is so great, the rectum and sigmoid colon are no longer visible.

The anus, rectum, and sigmoid colon are as if they were bitten by the flat-headed brother, the internal damage is very terrible.

Hemostasis, holding the superior rectal artery, looking for the sigmoid colon artery, but also looking for the middle rectal artery.To be honest, the intestinal tract like a mess is too difficult to find.

The intestines are not very sensitive to cutting and temperature. In other words, if you pull it with a knife, it will break at most, but it will not work.

After this thing is pulled several times, the intestines feel unsafe, and then it will have intestinal paralysis, that is, it will not peristalize, and it will directly lead to obstruction.

Therefore, Zhang Fan didn't dare to touch the intestines too often. He could only slowly look for all the places where arteries should appear. The conventional tissues were already sucked and looked like.

This operation made Zhang Fan an effort.The broken pieces of organizational relationships are like blood vessels in a spider web, which are more difficult to ligate.

"If it doesn't work, ligate the inferior mesenteric artery directly from a high place, and then ligate the middle mesenteric artery branching out of the internal iliac artery from the high place, and the fistula has been re-ostomy." The director of General Wai Wai looked at Zhang Fan with a distressed look and suggested. .

"I want to keep a little more sigmoid colon, if there is too little..."

"The time for vascular clamping is not short now. If you hesitate any more, intestinal necrosis may occur after surgery." General Surgery Director Zhao Pingquan gritted his teeth and said.

There is a reason why Zhang Fan wants to keep a little more sigmoid colon. Here I will talk about the function of the large intestine.The large intestine is composed of ascending colon, transverse colon, descending colon, and sigmoid colon, which roughly encircles the abdomen for a week.

The place where the large and small intestines meet is the cecum. The digestive matter in the small intestine contains a large amount of water in a chylo-like paste-like liquid. After the cecum enters the large intestine, the water begins to be absorbed until the sigmoid colon. Will be formed into feces.

If once the large intestine tissue is damaged, it is too serious, then terrible things will come.The water cannot be completely absorbed, and the patient has to excrete a lot of feces, and also has to replenish a lot of water, otherwise symptoms of dehydration will occur.In other words, you can't do without the toilet and the kettle.

The reason why the operation is difficult is that it must be dealt with according to the basic knowledge and the specific conditions. The general operation variables are not big, but once there are variables, the difficulty will increase by orders of magnitude.

I want to keep my intestines longer, but time is not allowed.If you don't stay long, the life quality of the patient will be unspeakable in the future, and Zhang Fan hesitated.

"Can't hesitate anymore, hesitate again, there is a large area of ​​intestinal necrosis, the problem is not a matter of length, but a matter of life and death."

"Legation!" Zhang Fan made up his mind. There is no other way but to avoid its vitals and give up the relatively unimportant organization.Because of bleeding, blood vessels are very poorly filled, and many arteries fluctuate very weakly like veins.

"Procaine is diluted." Since he decided to ligate, Zhang Fan didn't worry about it anymore.The mesenteric artery fluctuates poorly, and procaine injection will increase its fluctuation.

One blood vessel was ligated.Pieces of intestinal tissue were cleaned up, and two hours have passed.