Medical road

If you live forever, you will not wet the bed after three years old, and you will not rely on others and take care of yourself when you age. This is a winner in life.A lot of people, once swaying the rivers and lakes, the scenery is endless, but in the end...

"How many operations are there today?" After the morning meeting, Zhang Fan left Zhuang Hongxu and the head nurse of the anorectal department, and began to inquire about the work.

"There are five operations, two anal fistulas, two hemorrhoids, and a perianal abscess debridement." Zhuang Hongxu became the director of the department somehow, and he was also very nervous.

"Is it difficult?" As a leader, he can be approachable and can form a team with his subordinates, but when talking about work, he must have an attitude toward work.

Zhang Fan is young and high.Although young, but has the bottom of the technology, so unconsciously has its own unique momentum.

"There is an anal fistula that Director Zhao had done a few days ago!" Zhuang Hongxu brushed and blushed.Because there is an anal fistula, he is not sure, and because of Zhao's domineering, he can really do not many operations independently.

"Organize doctors and nurses to make rounds first. The head nurse, leave the nurses with liquids, and the doctors and nurses make rounds."

"Okay, I'm going to gather the nurses now." The head nurse hurriedly went out and out of the office. The head nurse couldn't help sticking out her tongue, and she was surprised: "The hospital and Director Zhang are not the same. Seven ups and downs."

The director of the department irresponsibly said to leave, whether the doctor or the nurse is panic.Zhang Fan must calm their shaking hearts as soon as possible.

The hospital is not a playhouse. Once the department makes a mistake due to the department's own reasons, then...

During the round, Zhuang Hongxu was on the left of Zhang Fan, and the head nurse was on the right of Zhang Fan.The doctor in the department followed immediately, followed by the nurse.

"This was performed yesterday. Thirty-four years old, with internal hemorrhoids, and a good recovery after the operation." Zhuang Hongxu introduced the patients to Zhang Fan one by one.

"Medical records." Zhang Fan looked at the patient's wound and said without looking back.The middle-aged man appeared in front of dozens of people with bare buttocks, and there were many girls who could burn even if they blushed.

At this time, the doctor in charge immediately came forward with the medical record."Zhang Yuan, medical record."

"Well, what kind of treatment is being given?" Zhang Fan didn't open the medical record, and directly asked about the treatment.

The significance of a ward round is that the superior doctor checks the patient number and solves the problems that the lower-level doctors cannot handle on the spot. Another feature is that the superior doctor inspects the doctor through the actual medical records.

Ouyang ward rounds, cardiologists, especially doctors who don't usually suffer, have liver tremors.Once Ouyang's question cannot be answered, she will not take care of the doctor's face.

"After the operation, he was given hemostasis, anti-inflammatory, and regular dressing changes. The patient is now recovering well." The doctor in charge began to report and report to Zhang Fan in front of the sick person.

In the entire ward, before the rounds, the head nurse had asked the nurses to clear the family members. Only the special patient number would leave the necessary one or two family members.

"How do you feel?" Zhang Fan smiled and asked the patient after listening to the doctor's report.

People are just like that.It is very strange that if Zhang Fan came alone today, without this battle, the sick number would not be nervous.

"Very good, very good." She stammered a bit.

"Your doctor, how many rounds a day?" Zhang Fan still asked with a smile.

"Several times, four times, three times, five times!" The patient looked at his doctor. The doctor was very responsible and very dedicated before and after the operation.

He could see the change of people's hearts.The questioner, although he is not very old, looks at his posture as a leader.So he also didn't want his doctor in charge to eat and lose.

"Tell yourself whether you have done three rounds a day." Zhang Fan looked back at the bedside doctor.

Today Zhang Fan is here to help Zhuang Hongxu on the platform, and to say something bad is to be a black face.

"No! Too busy..." The tube bed doctor lowered his head embarrassedly.

"Are other departments busy? Are general surgery not busy? Are orthopedics not busy? Why can they do it."

Zhang Fan didn't give a good face, and after talking about the doctor in charge, he said to Zhuang Hongxu: "Director Zhuang should come down to emphasize the discipline and rules of the department. The doctors and nurses who are not responsible should report to the hospital."

"Yes, Zhang Yuan." Zhuang Hongxu straightened his waist unconsciously.

The beating that should be beaten, the compliment that should be praised, after checking 80 or 90 patient numbers in more than 40 wards, Zhang Fan said to Zhuang Hongxu: "Director Zhuang, there are many problems in the department. Next, it's up to you. What's the matter? , Report to me directly. Let's go for surgery."

Zhang Fan raised it high and put it down gently.A group of doctors and nurses hurriedly started work.It’s not a big deal whether to change the director or not. The most important thing is to solve your own problems, otherwise you will have a black face...

Six major diseases of anorectal department.

Anal fissure, a simple anal opening, the cause is currently unknown!However, mechanical anal fissures account for the majority, especially those with special hobbies.

Perianal abscess, the cause of perianal abscess is simple, it is caused by infection.

Anal fistula, with complex etiology, is one of the refractory diseases in anorectal surgery.

Hemorrhoids, the cause of which is unknown, most of them recommend conservative treatment.

Rectal prolapse, the cause is unknown, conservative treatment and surgical treatment are combined.

Constipation, if surgery is required, is an anorectal disease.

The last one is the boss in disease, cancer.

In the operating room, patients in the anorectal department are very special.Because it is a contaminated operation, there is a designated operating room.And most patients are stone cutting positions.

That is, the patient lies on the examination bed with the buttocks close to the bed, and puts it on the leg support to maximize the perineum exposure.It's actually lying in bed and squatting.

If the operating bed is advanced, the doctor can operate relatively well. If it is an old-fashioned operating bed, the doctor will suffer.Bent over, head down.After a few hours, the waist is not his own.

Today is an anal fistula operation, but the cause of this patient's anal fistula is very clear. It is an anal fistula caused by perianal infection.

The patient is young, twenty-six years old, female, unmarried, occupation: company clerk.Sitting in the office for a long time.

Why wear leather shoes? Not because the leather is beautiful, but because it is breathable.Human skin is actually the same, it must have a certain degree of air permeability.

The girl sat on the company's low-quality artificial leather chair for a long time. As the temperature rose, sweat-staining bacteria gathered on the buttocks.

As a result, one day, she felt a little itchy and painful around the anus, and she quietly touched it, a small lump, a small lump the size of a soybean, and the surface temperature of the lump was still a bit high.

The little pimple that grew up in this place, the girl was a little shy because she was not married and was a female, and she didn't tell anyone, let alone see a doctor.

She handled it herself.The girl has had pimples and has experience in dealing with this kind of pimple. She is also more hygienic. She scalded her eyebrows with a knife with hot water, and gave the bacteria a hot bath. As for killing the bacteria, she was just kidding. .

Then, groping for himself, he cut the little lump.Then she bent her arms and squeezed vigorously. The night after she squeezed, the girl had a good night's sleep. There was no friction pain, no burning pain, and no rising pain.

Very proud, good medical skills!

After three days, the small bumps next to the anus began to flow. The girl didn't care because it didn't hurt. As a result, a few days later, she suddenly developed a high fever, and her whole body was trembling like a chicken with plague.

The family rushed to the hospital. The doctor checked for bacteremia and then anti-inflammatory, but the effect was still not good.After repeatedly searching for the cause, it turned out to be a perianal abscess, and then transferred the girl to the anorectal department.

As a result, due to early improper treatment, perianal abscess complicated by anal fistula.

Early perianal abscess, to tell the truth, is a simple infection, as long as it is a regular hospital, it can be dealt with.But anal fistula is different, and hospitals with insufficient grades can't handle it well!

Let alone other things, the girl made a very mistake in the early processing.Abscesses on the skin can cause pain because of swelling, pulling and irritating the skin nerves.

This is an early warning from the body.

The girl made a small cut and squeezed hard.Yes, the swelling is reduced, and the pain is also reduced. This is deceiving the body's early warning system.

It also squeezed the pus infection into the deep tissues.

The structure of the human body is very complicated.It's also very scientific. Don't squeeze this kind of abscess.Because the original infection in the shallow tissues is because the squeezing allows bacteria to enter the deep tissues.

Most of the superficial tissues are very dense, and the infection generally does not expand anywhere. The bacteria will be wrapped in the dense tissue, which will make people feel painful.However, this is a very scientific protection mechanism.

In order to reduce friction, deep tissues are all soft and sparse.

Once the bacteria enter the deep tissues, they are happy to have children.A small abscess can kill many people.

Abscess, the treatment method in the hospital is a cross incision.Just like cutting a watermelon, split the block horizontally and vertically, open it, and drain it.It's not that the doctor is cruel, it's for decompression and thorough debridement.

The doctors were afraid that the bacteria would enter the deep tissues, and the girl squeezed and squeezed, causing a catastrophe.

The human body, especially the mass around the lips and the mass around the anus, should not be easily handled by yourself.These two places are very dangerous.

The area under the nose and on the lower lip is medically called the danger triangle, and the area called the triangle in medicine is not easy to provoke, not to mention this place is called the danger triangle, and it is not easy to provoke.

Some people have an acne at the corner of their mouths, and their hands are squeezed.

This kind of thing is similar to dancing on the edge of a high-rise window.

Jump well, you are awesome, you don't jump well, and you are sloppy.Because the blood vessels in this place are directly connected to the brain, once infected, bacteria will enter the brain directly, and it will be fatal without any delay.

The perianal is also very troublesome.There is a loose layer of fat under the perianal skin. Once infected...

Zhang Fan and Zhuang Hongxu entered the operating room as well as the tube bed doctor.The girl hadn't been anaesthetized. When she saw three young male doctors entering the operating room aggressively, her shame was gone. Now she hoped that the doctor would heal her.

Anesthetized and disinfected, the girl was made to split her legs, with her anus parallel to the operating bed.At this time, stand at the end of the operating bed and look at the girl's buttocks.

Not to mention any desires, people without long-term medical training can have a psychological shadow.Next to the anus, on the white skin, there is a very obvious hole.

The bloody hole, the hole ticking bloody water, is directly a hole with the size of a fist. At first glance, he would never pay attention to other places, and was directly attracted by the hole.

In order to prevent the infection from continuing, the doctor had to selectively remove the fat around the infection, and the depth was very deep.Just looking at it can make people cringe.

The intestines in the abdomen are protected by thick abdominal fat and a strong and dense muscle layer.Moreover, the mobility of the abdominal intestines is relatively high.

But when it comes to the rectum and anus, the intestines here are fixed. In order to reduce the friction here, the body has only one muscle fixed, which is the anal sphincter, and the rest is thick fat.

Once the bacteria break through the dermis and enter the fat layer, it will be a terrible thing. This girl is now such a terrible thing.

Even more frightening is the concurrent anal fistula.

What is an anal fistula, in short, is that the rectum and skin form a pathological duct.The pipeline is wide or narrow, and the narrow one will be blocked by feces, and the infection will not stop, the infection will be re-infected, and the long-term infection may become cancer.

A wider anal fistula is directly the second or third anus. Stool will squat out of it, wipe the buttocks and waste paper, and infection will also occur, because this leakage channel has no mucosal protection!

30%~50% of the perianal area will be complicated by anal fistula.So the small pimple around the anus is not something you can cause. Don’t have a bad hand, don’t have a bad hand, don’t have a bad hand!

Especially women of childbearing age, do not irritate them. Once an anal fistula develops, it will be very troublesome. Because of the particularity of physiology, women of childbearing age have very weak anal sphincter.

Once a serious anal fistula occurs, it will definitely damage the anal sphincter during the treatment process, and then the originally weak sphincter may become abnormal.

There may be permanent sphincter muscles that are not controlled by the brain.In other words, there may be random stools.For a young and beautiful woman, defecation is not under self-control. It is conceivable that it is so painful.

Disinfect and wear surgical gown.Surgical gowns for anorectal surgery are more elaborate, because they are contaminated surgery, and surgical gowns are all disposable.Ordinary surgical gowns, although thick, are made of cotton, so they don’t feel uncomfortable to wear.

Disposable surgical gowns are made of plastic and airtight. After an operation, the doctor will be like a chicken. The scrubbing gown inside directly allows the sweat to penetrate.

After the anorectal surgery is completed, there is a special treatment.Just stick tape.Yes, it is tape.

There is more fat in the buttocks. Although the legs are aside, the perineum is still not well exposed.Zhang Fan was wearing gloves, and Zhuang Hongxu and the doctor in charge were busy applying tape.

Start sticking a three-finger-wide medical sterilization tape near the anus, pull it vigorously, and then stick the other end to the thigh.

At this time, looking at the perineum at the tail of the operating bed, the anus is like a blooming chrysanthemum.