Medical road
Chapter 521: Money, Fate, Guilt
Removal of the uterus is too simple.This operation is much simpler than stomach or liver resection.After all, the uterus is just a pocket. If Zhang Fan didn't choose surgery, he chose gynecology.
He would definitely not be able to cut the stomach piercing.No matter how his liver is, Zhang Fan will never get a major surgery in just two years.
Surgery is optional, and he has been in various departments for a long time, and gynecology is also called minor surgery.Therefore, cutting the uterus is really not a problem for Zhang Fan.
Separation, precise separation, blood vessel ligation ahead of time, and saying something bad, Zhang Fan was like dissecting a corpse, because there was no bleeding at all.
The uterus is connected to the Yin (a) channel, these two structures are very strange.The unpregnant uterus is like a flask, and the Yin (a) channel is like a tube over the flask.Once pregnant, at this time, the uterus is like a big watermelon with a pedicle.
As early as ancient times, Chinese medicine believed that the kidney is related to reproduction.The predecessors of the year did not have the current equipment, and did not know how they confirmed it, their thinking was really awesome.
According to modern embryology, the testis (a) pill, yin (a) essence, uterus, and yin (a) tract are actually formed by the mesorenal tube, because the amount of male hormones determines what it grows into. .
In human terms, it means that the body first gets the kidneys, and then the rest of the material gets a wave of the reproductive system.The peculiar thing is that the sex and the uterus are originally the same cell, but this thing has changed when it grows.
The cells of the uterus become more stretchable and shed cells, while the female (a) tract cells become wear-resistant squamous cells.They were originally twins, but in the end they didn't look alike at all.
The junction between the yin (a) tract and the uterus is difficult for the cervix. The yin (a) tract is close to squamous epithelium, and the side close to the uterus is not squamous.
Conventional human cancers mostly occur at the junction of these two types of tissues.And it is particularly prone to disease, so the annual free census of the double glands in China is really great.Once a woman is 30 years old, it is necessary to check it every year.
Ligation, ligaments are opaque.Just like cow slats, it is creamy yellow or bright yellow. Although human ligaments are not as tough as cows, they are also opaque.Moreover, the ligaments of the uterus are like a fan covering the left and right sides of the uterus. Then, where the arteries and veins walk, it thickens into ducts.
The uterus is like a beautiful fish hanging up. The left and right hands are the ovaries, the left and right arms are the arteries and veins on both sides, the uterus is the body of a mermaid, and the cervix and yin (a) are the tail of the mermaid.
Really, think about it, this thing is very vivid.
Now, what Zhang Fan was doing was to break the mermaid's arm first, sew thick threads on both ends, and click in the middle with scissors, and the arm broke."Hmm!" Xiang Doctor originally wanted to remind Zhang Fan.
But after Zhang Fan cut the artery very neatly, there was no liquid coming out, and no more gnawing.Because it is very dangerous here, 2cm below the artery is the ureter, which is the so-called under-bridge water!
After cutting off the artery, Zhang Fan gently pressed the uterus with his hand, and then asked the anesthesiologist: "How about it, Lao Cheng."
Of course the anesthesiologist knew what Zhang Fan was asking, "The blood pressure is starting to rise slowly. But, I just listened to it, and a large area of wet rales appeared in my lungs."
"It's swollen, hey!" Zhang Fan sighed helplessly.
"That's good, Yuan Zhang. Today, if it weren't for our smooth cooperation, we might have been on the stage. Now it's up to her fate, and she might be able to resist the past." The doctor comforted Zhang Fan.
This kind of thing is really helpless, embolism, terrible.Although Zhang Fan and the others stopped the continuation of the illness early, the few minutes of hypoxia may have caused irreparable damage.
"Big curved forceps!" Zhang Fan took the big curved forceps handed by the nurse and clamped it directly on the free lower part (a) of the uterus. There was no bleeding from the cervix, so there was no need to cut the cervix.To be honest, cutting the cervix is too troublesome, but the patient is young, so you can keep it.Wang Wang Wang knows Mao!
If the uterus does not talk about cellular components, it is just a bladder that is one size bigger than the naked eye.The inner layer is the mucous membrane, the middle is the muscle, which is much thicker than the bladder, and the outer layer is the anti-friction coat.
Anyone who has eaten a small belly should know.
The hand lifted the knife and fell, cold light flashed, and the uterus fell off all along the upper part held by the large curved forceps.
Stitching, the stitching here must be exquisite, it must be stitched tightly, otherwise it will be troublesome if there are gaps."Absorbable thread!" Zhang Fan took the absorbable thread and began to sew up.
The non-absorbable threads are all black, while the absorbable threads are generally blue.The advantage of this type of stitching is that the stitching is more precise.
What is Bazi stitching is very simple. For example, if someone talks a lot, just sew his lips together and use Bazi stitches.
The curved needle goes in first from the left side of the lower lip and then comes out from the left side of the upper lip.Then pull across the lip, enter directly at the lower right side of the lower lip, and then come out from the upper right side, then pull it sideways, and cut the knot at the lower edge of the left side.
Then the surface of the lips was hit with an X.This is the so-called horoscope stitching.
Zhang Fan sutured, tied the knot, and cut the thread to the doctor. The two cooperated very neatly. I really want to thank Ouyang for his transfer rules. Otherwise, today, Zhang Fan would just stick his fingers with chili.
Little by little stitching, little by little closure.In the end, you can only see something like a fleshy passage standing alone in the pelvic cavity.
If you don't look carefully, you think that the man's stuff was stuffed into his stomach!
The operation is over.However, the woman was only pulled half of her body out of Hades.The other half is still in the hands of Hades.Life or death!
As for whether he can live or not, really, Zhang Fan is not sure. He can only say now that the patient will not die from hemorrhage.
In ordinary operations, the adrenaline of the doctors usually does not soar, but this kind of obstetric hemorrhage plus amniotic fluid embolism, the adrenaline soaring is almost exhausted.
When Zhang Fan finished the operation and sutured his abdominal cavity, a group of doctors sat on the floor of the operation cart. They were too tired. After the adrenaline declined, their bodies tremble slightly.
The head nurse looked at these doctors enviously, she couldn't rest yet.She has to change the fluid and adjust the monitor.
"How about? Is there any hope for her?" The white doctor who was squatting in the corner of Grali suddenly asked. He was like an orphan without a mother.
Zhang Fan had forgotten him. As the interpreter spoke, Zhang Fan and the others looked at the white doctor. Over these two hours, the doctor seemed to have spent more than ten years, suddenly he seemed old. a lot of.
"The bleeding has been stopped, and the uterus has been removed. However, whether the amniotic fluid embolism has caused her irreversible symptoms is still unknown."
"Hu Da! Thank you, thank you!" With his trembling lips, tears circled in his eyes.Guilt, unspeakable guilt, although the words are not clear, Zhang Fan understands him.
If he is a gynecologist and has amniotic fluid embolism today, even if the patient is not rescued, he will not feel guilty.Because he tried his best, but he is not a gynecologist. He felt that his factors caused the patient to embolize.