Medical road

Appendicitis, this kind of surgery, can be used as the question of the general outpatient examination for intern doctors. If you want to take this level of surgery to consider Zhang Fan and their level of doctors, it would be a little tricky.

Not only on Zhang Fan's side, but even the medical team in Istanbul next door is not very happy. It is really child's play that a very famous doctor in the capital of the country was considered by others for a small appendix operation.

However, since the patient is put on the surgical cart, the doctors will still do their best to complete the operation.Zhang Fan is a fat aunt here, and Istanbul is an old man.

It is hard to talk about whose operation is more difficult, anyway, it is just an acute appendicitis attack.

Acute appendicitis attacks, this disease belongs to acute abdomen, and is also the most common acute abdomen. There are many inducements for the onset.But there are two main reasons.

One is infection due to obstruction caused by lymphoid follicular hyperplasia, and the other is infection due to fecal stone blockage.

What is the lymphatic system?If you want to explain in detail, there is no way to say it, but everyone can understand it as a twin sister or brother of blood.

When progenitor cells generate blood cells, they are divided into two categories, one is the so-called red cells, which are various cells in the blood, and the other is lymphocytes.Red cells can be understood as working cells, like worker bees in honey powder, while lymphocytes can be regarded as soldier bees.

Why does the appendix proliferate?Why do humans suffer such cruel appendix disease?What causes inflammation of the appendix?

To sum up in one sentence, it is actually war!

Greedy humans will never stop trying new foods with strange tastes.For example, the spicy strips are not clean.After eating, war is going on from mouth to anus.

"Yeah! My mouth is blistering and my gums are swollen! My stomach feels a little uncomfortable. I want to have diarrhea. Chrysanthemum feels uncomfortable and uncomfortable bloating!"

In fact, this is a local allergy.Various soldiers in the lymphatic system fought with foreign objects layer by layer throughout the body.And these swollen tissues are the battlefields and corpses of these fighting factors and various exotic foods.

Once the combat factor feels that it can't do it, it will start to smash the field. Whether it is a foreign object or the original tissue in the body, it will be attacked by a factor that feels about to fail.Once attacked, the body's original orderly system will collapse.

This is how allergies can be fatal.

Especially the intestines, the intestines more than ten meters long, the fight is very tragic, endless!Once the fight begins, the thin intestinal tissue begins to swell.

The intestines in other places are relatively thick, and they are not afraid of edema, but the human appendix is ​​not good. Its lumen is too thin. If it is edema, it will be blocked.

Blockage begins to pull the intestinal mucosa, and then it begins to pain.This is the principle of appendicitis pain. Swelling is followed by infection.To avoid this disease, as long as you eat less unclean food, you can avoid the 65% trigger rate.

Surgical instruments and medicines are all brought from China.It's very smooth, but the surgical platform car donated by the petroleum system is hard to say.

Anyway, it's the things that are expensive and inferior, things that fool people.

"Start!" Zhang Fan started the operation with the knife in his hand.Local anesthesia comes quickly and disappears quickly, and the effect of local anesthesia by masters is very good. If you encounter a doctor with a low level, no patient will forget the pain in this life.

If you dare to use local anesthesia for the appendix, Zhang Fan is quite sure of the positioning of the appendix. Zhang Fan must cut the skin and open the membrane to see the appendix.

Otherwise, if you open your stomach and find that you can't find an appendix, the scene is terrible.Because local anesthesia only anesthetizes the skin to the intestinal wall, the depth and width are not large, only a range of ten square centimeters.

The intestines are not afraid of cutting, but they are afraid of stretching. You can imagine that if you open your stomach, you can't find the appendix.

Anesthesia, too late, the stomach is opened, you have to cut off the appendix, the doctor can only pull the intestines, pull it out, put it in, and pull it out again.

As it dragged and pulled, the patient's abdominal cavity was like a hungry mouse, tearing the patient's intestines.Usually, even if my stomach hurts, I can't feel the intestines in my abdominal cavity.

Stretching at this time can definitely let the patient realize that there are intestines in the belly.The most brutal criminal law in the world is estimated to be no more than that.

Therefore, appendectomy is not difficult, but it is difficult to locate.Many doctors do not do a detailed physical examination before the operation. During the operation, they open the incision at the Mc’s point very dogmatically.

As a result, the appendix could not be found, and then just like Popeye pulling a rope, the large intestine was pulled out of the belly and pulled into it. For mmp, you can’t do a careful physical examination before surgery!Where is the most painful point of the appendix?

After the operation, he even exaggerated to tell people.My God, I made a very strange appendix today, and it’s almost reaching the pelvic cavity!A good doctor can only say one thing to this kind of person: a second class with academic qualifications but no knowledge!

Zhang Fan determined the location of the appendix early before the operation.Otherwise, he really dare not do appendix under local anesthesia.Anesthetized layer by layer, Zhang Fan cut the abdominal cavity, of course, also layer by layer.

Open your mouth!The length of the skin is about two or three centimeters, and absolutely no more than four centimeters.Opening his skin, Lu Ning said to Zhang Fan, "The opening is small and not too small. Would you like to extend it a bit?"

The blade is too small, and it takes a lot of trouble to even put the smallest hook.

"Let's talk about it later." Zhang Fan did not directly refuse, although he was confident that he could find the appendix by opening his abdominal cavity.

Cut through the skin to leak fat.It is estimated that the difficulty of this operation lies in this fat.People who have lived in rural areas should know that pigs are killed during the Chinese New Year. When the pig’s belly is opened, people will use their fingers to measure the thickness of the fat on the pig’s belly.

The fat of the two horizontal fingers is estimated to be about 100 jin for this pig, and the fat for the four horizontal fingers is about 150 jin.In the operation that Zhang Fan performed today, the patient's fat layer was too thick, and it had long surpassed the thickness of a slap!

The fat under the electric knife, Zrazra was cut away.Cut the fat, that is the muscle, open the muscle, at this time, the depth of the incision has already passed ten centimeters, like a deep hole.

Zhang Fan inserted his fingers in, and he couldn't touch the abdominal wall without any effort.

"Head nurse, adjust the shadowless lamp, I can't see it!" It was too deep, and the shadowless lamp began to have a shadow, Zhang Fan said to the head nurse.

"Okay!" Standing behind Zhang Fan, the head nurse began to adjust the shadowless lamp across his shoulder. With the swing of his arm, something soft swept over the back of Zhang Fan's head.

"Zhang Yuan, okay?"

"Row!"

Peel off the yellow fat, with a faint blood streak in the middle, and the crystal-clear fat particles hang abruptly on the incision like a plump pomegranate.

The ophthalmic hook gently hung the fat.The incision was too small, so Zhang Fan's two fingers could only be inserted into Zhang Fan, and Zhang Fan gently picked up the peritoneum with pliers, and pulled out a small lump.

After Erzhi Zen entered, he pinched the small peritoneal lump lifted by the forceps, "Well, there is no intestine inside! Scalpel."

The nurse passed the scalpel to Zhang Fan and swiped it lightly without doing anything.The swollen appendix is ​​like the little brother of a three or four-year-old child in the morning."Boom!" With the sound of opening champagne, the appendix suddenly came out from the incision!

Starting from the bottom of the cecum, the entire appendix is ​​swollen and congested, like the cavernous body is congested.At the very top of the appendix, because it is an infection, white pus can already be seen.

"It's all purulent and liquefied. I guess it might be perforated in a few days. Your positioning is too accurate. There is no more than a centimeter!" Lu Ning stared at the appendix, staring at the male appendix, smiling to Zhang. Fan said.