Medical road

Zhang Fan refused, and Mr. Wang really couldn't help it.The middle-aged greasy man looked at Zhang Fan bitterly like a little resentful woman."It's not that I don't give you face. Really, surgery is not a trifle. There is no way to discuss this matter."

Zhang Fan did not let go.

In the afternoon, after eating and resting for a while, the patient came.The doctors of both teams opened their mouths wide because the patients were pregnant women with big bellies.

A good general surgery may not necessarily lead to a good gynecology department, and a good gynecology department may not necessarily lead to a good obstetrics department.

"Maternity!" Ma Yichen directly grew his mouth.He originally thought that maybe he could be on the operating table this afternoon.As a result, it was a pregnant woman who was about to have a C-section.

"Zhang Fan, we can't force it! Caesarean section is not a joke. If it doesn't work, it will kill two lives. We can't commit sins for money." Lu Ning was afraid that Zhang Fan would be confused by the $1 million, and hurriedly reminded him.

"Haha, Dr. Lu, don't you know that when our Zhang hospital was in the obstetrics department, we delivered children independently. The director of the gynecology department at the time particularly liked our Zhang hospital. They said that our Zhang hospital is a flower in the gynecology department!"

Before Zhang Fan spoke, the head nurse stood up and said to Lu Ning with a smile.

"I think you like US dollars too much!" Zhang Fan gave the head nurse angrily.

The nurse hurriedly stuck out her tongue and said nothing, but when Zhang Fan turned to look at the parturient, she whispered to herself: "Who doesn't like dollars!"

"Caesarean section is not a big problem, I'm afraid they are blind pregnant and blind students." Zhang Fan ignored the head nurse anymore, and instead stood in front of the car door watching the two slowly walking in the middle of the crowd. Pregnant woman.

Pregnant women and babies are taken care of as long as they are in a normal social group.Especially in the grassland, because of the harsh natural environment, herders attach great importance to pregnant women and infants.

"Little brother, I didn't expect that you can even have a caesarean section! You are still a frontier exerciser!" Lu Ning was full of emotion. To be honest, he has not been in the obstetrics internship at Jade Bird's top three hospitals.

But in the obstetrics department of tertiary hospitals, where can you get undergraduate interns to get started? The general resident, the doctors who have just entered the department, the doctors who have just entered the department, and the doctoral students and graduate students led by the directors and deputy directors, said An unpleasant remark, a joke on the Internet is: it is not your undergraduate's turn to get started.

"Show me the checkup during pregnancy." Zhang Fan got out of the car and greeted him. When the doctor in Istanbul saw Zhang Fan approached, they quickly came out and walked over.

Zhang Fan looked at the results of the examination, "Don't worry, the examinations are all appropriate, that is, the fetal position is not correct, and it is more dangerous if you give birth successfully." The tribe's private doctor said to Zhang Fan and the doctor in Istanbul.

"That's fine." Although Zhang Fan said it was okay, Zhang Fan didn't relax at all. He read it carefully. After reading it, Zhang Fan found no major problems, and the month came.

"Do you agree to let us have a C-section today and take out the baby?"

"Yes! You are all great doctors from big countries, and today is a good day, we are all willing." The crowd chattering, the translator just chose to translate the words of the pregnant woman.

"Okay, get in the surgery cart." The pregnant women were taken care of by the tribe's doctors to make prenatal preparations. They were waiting for today's surgery.

The doctor in Istanbul ignored Zhang Fan.Of course, Zhang Fan also regarded him as air.The colleagues can't wait to die, and the benefits involved in these operations are not small.So, nothing polite.

Lu Ning had to step down this time on the surgical cart on the Hua Guo side. Although he is a doctor, he has been in a big city, and he really can't get such a span of surgery.The doctors who came together, except Ma Yichen who just graduated, do not know about obstetric surgery.

Several other doctors can almost do caesarean section independently.In the past ten years, when the obstetrics department of the Chasu City Hospital was not separated from the Department of General Surgery, none of them had given birth to a few children.

After obstetrics entered the 20th century, the best era has arrived.With the vigorous development of medical treatment, the mortality rate of pregnant women and infants has plummeted.And caesarean section is one of the most common operations in the United States.Lao Mei admires caesarean section more than China, and it is hard to say whether it is good or bad.

Inside the operating vehicle, the anesthesiologist started anesthesia.Zhang Fan and the others began to prepare for surgery.Although gynecology is divided from surgery, in fact it can be regarded as a self-contained discipline.

Regardless of other things, as for surgical instruments, gynecology has its own special instruments.For example, what cervical dilator, such as what O-line retractor.

Wash hands, disinfect, and start surgery.Caesarean section has more steps than other operations. It is to prepare a raincoat-like bioplastic to cover the mother’s belly.

Because the amniotic fluid will contaminate the surgical incision, this raincoat is to protect the incision, so the raincoat has many functions.

However, Zhang Fan didn't know how to calculate it. He even had a C-section.So, he didn't bring this kind of thing!

"Zhang Yuan, what should I do if there is no plastic film?" The deputy chief doctor of Hepatobiliary Surgery asked the doctor Zhang Fan.Today, he is Zhang Fan's assistant, and Dr. Xiang was born in a major surgery department.

He can do almost routine surgery from head to toe.The upper part can open the skull for cerebral hemorrhage, the lower part can open the chrysanthemum to cut hemorrhoids, and in three quarters he can still be a midwife!Routine surgery can't trouble him.

"Head nurse, did you wear a long incision protection strip?" After Zhang Fan was called a flower in obstetrics, she had nothing to say to her.

"I brought it, Zhang Yuan, I brought it here!" The head nurse also knew that he was not paying attention to what he said before, and he had provoke Zhang Fan, so he didn't dare to tease Zhang Fan.

"Reluctantly use the protective strip and start the operation." Zhang Fan started the operation after he finished speaking.

There are two types of incisions for caesarean section.One is the incision made under the belly button, and the other is a slightly curved transverse incision.

Two kinds of incisions have their own advantages, and the transverse incision is more cosmetic and stronger after suture, so the transverse incision is generally used.

The skin was opened, the muscles were cut to expose the uterus, the incision was protected, and the bladder was separated.The uterus is exposed.

The uterus in the full month is like a basketball full of breath, and this basketball is full of blood vessels. With the punches and kicks of children living in it, small bumps will appear on the surface of the uterus from time to time.Just like the alien brood in the movie, it keeps squirming.

You need to use a scalpel to open the uterus. At this time, you must be careful. If you don't pay attention, maybe the little kid in the womb will greet you with fists or feet.

Zhang Fan carefully opened a two-centimeter opening in the uterus, and then used hemostatic forceps to bluntly separate the muscle layer of the uterus. At this time, I really dare not use a knife. The kid who eats amniotic fluid is unreasonable. .

Blunt separation and sharp separation, in fact, the postoperative complications are the same, most of the blunt separation in surgery is to prevent other organs from being injured by sharp instruments.

Gently enter the uterus, "aspirator!" At this time, the amniotic fluid began to flow out. After Zhang Fan quickly inserted his fingers into the uterus to block the baby, he directly used scissors to quickly cut the uterus.

As soon as the uterus opened, the little kid's wrinkled face appeared, and he was lying in the pool like an uncle, spitting bubbles.A child with amniotic fluid is super ugly, just like a little old man, and a closer look reveals that there may be feces-green meconium on his forehead.

Reaching out, Zhang Fan grabbed the child's neck with one hand, and put the other hand into the abdominal cavity and dragged his butt, completely taking out the child with the umbilical cord attached to his belly.