Medical road

Zhang Fan is really fortunate that after the system was in place, he chose a small and large tertiary hospital.

Small hospitals do not have operations, but large hospitals have so many operations that doctors urinate.But, let alone you cross-specialty, it is impossible to perform operations across groups.

And in the hospitals of small or small size, Zhang Fan was in his early days. Now, although his title has not been promoted, his position has been promoted.

It's really big over the small, and small over the big.Li Zixiong was helpless, and the dean moved out."During the operation, I have the right to take the position of your chief surgeon. If you insist on going your own way during the operation, I will..."

Li Zixiong stared at Zhang Fan and spoke word by word.He doesn't say this, or to the patient, maybe he will...

As the saying goes, it is good to bully the old and not provoke the young, and it is such a powerful young man.Director Li Zixiong is really competent to say such things!

"Okay." Zhang Fan nodded and said nothing.Xue Xiaoqiao, who was on the side, almost had to say: The words of this surgery I will not wait.

However, his unwillingness and curiosity urged him to take a look at the legendary Zhang Yuan to see how this orthopedic carpenter did it outside his head.

"Out of your head! Is this what your carpenter can do? When you open the skull, go on obediently! Rest assured that I won't laugh at you! Be your good carpenter!"

Xue Xiaoqiao would never think that Zhang Fan could do this operation.Not only him, but the other doctors outside the brain are all in one mind.

At the beginning of the operation, the first thing is to prepare the skin, which is to shave a bald scoop. Just like the more popular bright bald scoop later, in extra-brain surgery, under the sharp blade, Professor Yang's chic and elegant head becomes a bald egg.

Craniotomy!Drainage, Zhang Fan started the operation. Although Li Zixiong and Xue Xiaoqiao were very dissatisfied with Zhang Fan's forced operation, they were unambiguous when they cooperated.This is a manifestation of their high professionalism.

Moreover, Director Li Zixiong's spirit is tightened to the extreme, he is always preparing to prevent Zhang Fan from making mistakes.He can suppress his job title, but he is powerless in his job, which is also a kind of helplessness.

Why is brain hemorrhage terrible, because the brain has a very tough outer membrane for liquids, just like some people wrap a layer of plastic film on their fat belly in order to lose weight.

The blood vessels ruptured, blood spurted out, and there was a tough membrane facing outward. It couldn't break through and could only find space deep in the brain.

The spurted blood is soft to the epicranium, but to the brain tissue, it is a water jet.

Where it rushes, where it is broken.The organization of the brain, how can I say it, is just a look supported by fat.

The outer layer is wrinkled, and the inner layer is filled with various cavities. These cavities are the space for cerebrospinal fluid to flow, and the brain tissues from the cerebral cortex to these cavities perform various functions.

It can be said that wherever the bleeding rushes, it will be destroyed, and then the body will have corresponding discomfort.For example, Professor Yang is now bleeding in the left brain.If the place where the cavernous body is managed is washed away, then it will just be the bird crying.

This is his dominant brain, which manages the language center, and his bleeding directly ruined his proud language talent.

This kind of destruction is an organic change. In layman's terms, it is a change that cannot be restored. This is pitiful outside the brain. Seeing a doctor only prevents the further development of the disease. As for what has already appeared, no one can rely on God.

Professor Yang, relying on this talent for most of his life, finally this talent left him.There is a saying that it is good to live in evil, but you cannot live in evil!

Perhaps it was his profound virtue in his previous life that made him meet Zhang Fan.God accepted his talent, but he still pityed his life.This may be a lesson, a lesson God taught him.

For craniotomy, the cranium is really an extreme organ. The outer shell is the hardest existence in the whole body, and the inner is the softest existence.

Chisel bones to open windows is like melon farmers selling melons in summer. In order to let you buy melons, he will open a window for melons for you to find out.

Hemorrhage surgery outside the brain is very similar to this operation, but the melon dealer cuts a triangular cut, which will bring out the watermelon flesh, and the doctor outside the brain will not take the brain tissue out. It is not a triangle, but a square cut. , This is the difference.

Zhang Fan opened his skull and chiseled bones very neatly, without a trace of smoke, light, and absolutely light, unlike some two knives, which are as rude as a walnut.

Professor Li Zixiong's eyes are always fixed on Zhang Fan's bone knife, and his hands are always ready, preparing...

Xue Xiaoqiao looked at Zhang Fan's operation. Although he really didn't want to admit that Zhang Fan's method of craniotomy was really beautiful and clean, the truth was right in front of him.

"The skull is also a bone. If he can't even do a craniotomy, I am sorry for the title of carpenter!" Xue Xiaoqiao thought comfortingly.

Opening the window, Zhang Fan gently and skillfully opened a hole in the bluish skin and head.

At this time, the lens is zoomed out. If you stand on the shadowless lamp and look down, you will see such a scene.

A white hole appeared in the area covered by the green cloth sheet.No matter how clever Zhang Fan did, the skull would still bleed, because the blood supply of the skull is so rich that it would be impossible not to go to school at all.

Spots of blood stained the white brain tissue and the surrounding green surgical drape. As the brain moves, red blood flows slowly on the brain tissue.Just like tofu brain with chili oil.And this tofu brain will still move.

This scene is as direct as a child eating tofu brain and spreading a table.Bone scum and blood stains were scattered around the operation area.

The brain tissue actually moves like the heart, but the movement amplitude is relatively small, but it can definitely be seen with the naked eye.

Waves of ups and downs are like a big maggot in his head.When the brain tissue was exposed, the operation entered the most critical moment.

This thing is terrible, bleeding may not be visible to the naked eye, which is also one of the reasons for the very slow development outside the brain.

Because the brain tissue is a three-dimensional rather than a plane, positioning is very important, but even if the positioning is done, an inexperienced doctor, at this time, if the operation is careless, then it is not saving people, but killing.

It can be said that nothing can be wrong."Zhang Yuan, you can read the CT again." Li Zixiong was nervous, much more nervous than doing the operation himself.

"No, the hematoma is 4cm in diameter, which is no more than 5cm in diameter. The patient is in a severe coma..." Zhang Fan said as he took out a thick puncture needle, he was about to enter a cerebral hematoma.

This puncture is very particular, not only to remove the hematoma, but also to avoid secondary damage to the brain. Therefore, the doctor's hands must be stable and fairly stable, and the most important thing is to have a good understanding of the structure of the brain tissue. .

Holding the puncture needle in his hand, Zhang Fan began to enter the brain tissue a little bit, "Pay attention to the patient's vital signs!" Li Zixiong said gently to the anesthesiologist.

Killing and saving people, just in this instant.

Enter, slowly insert, the puncture needle is inserted into the brain tissue, and the chopsticks are inserted into the tofu, there is not much difference, at most, there is a sense of hierarchy in the brain, while tofu has no sense of hierarchy or breakthrough.

These two words, the sense of hierarchy and breakthrough in surgery, make some young doctors absolutely uncomfortable. This kind of feeling can only be felt after getting started and not knowing how many times.Unmarried singles are barking, and they don't even know what a sense of breakthrough is.

Enter gently, absolutely not shaking at this time, a shaking may damage a certain function of the brain.

Steady, too steady, Zhang Fan held the puncture needle in both hands, and his shaking was invisible to the naked eye. This is the skill under his hand. Li Zixiong looked at Zhang Fan's steady hands with a little admiration in his eyes.

Because he knew that to have such a stable pair of hands, he must have worked hard under the operating table.

Xue Xiaoqiao was envious, too envious. When he was in the Capital Hospital, he hadn't seen a master performing surgery, but he hadn't seen such steady hands like Zhang Fan.

"Orthopedics are so stable, how did this come out!"

"The glucocorticoid enters the pot to stabilize the patient's blood pressure. I want to draw blood." Zhang Fan felt a sense of breakthrough. He knew that the needle had entered the hematoma, and then slightly entered a little bit again, he said words.

"Zhang Yuan, if you don't go in a little bit, then the hematoma may not get clean!" Li Zixiong is also predicting, he thinks he should go in a little bit more.

"No, you can definitely get it clean, listen to me!" Zhang Fan said very domineeringly, without any humility at all. This is the temperament of a great surgeon.

Under the operating table, I can laugh as soon as I see people, I can be approachable, but after the operation, I am the only one!This is not only a manifestation of technology, but also a manifestation of confidence.

"It would be great if there was a surgical CT!" Xue Xiaoqiao said to himself, in a large hospital, when this kind of positioning is unclear, you can use surgical CT to solve it. Of course, this thing is super expensive.

"Haha!" Zhang Fan and Li Zixiong both laughed weirdly.

With suction, the blood was slowly absorbed from the puncture needle.Li Zixiong looked at the value in the container.

"10ml, 20ml, 30ml. I shouldn't be able to get it out. There are still 10ml I guess I have to go in a little bit more." Li Zixiong thought based on his own experience.

Zhang Fan's hands were too steady. At this time, Li Zixiong was also a little relieved, at least Zhang Fan was not foolish.Next, he can instruct Zhang Yuan how to enter a little further, and instruct him on what he needs to pay attention to.

Just when he was about to speak, the blood in the container still slowly began to rise, 40ml!When the blood reached 40ml, Zhang Fan's needle did not move.

"How is this possible! Is it bleeding again? Impossible, the patient's vital signs have not changed!" Li Zixiong said directly, he was really shocked.

"I relied on the lateral ventricle to enter. This place happens to be the lowest point of the brain but not the lowest point of the hematoma. If you choose another place at this depth, the hematoma is not cleaned up, and if the needle is inserted again, it will cause secondary damage. ."

Zhang Fan gently explained.

"What? You entered the lowest point, how could it be possible, where will hurt the brain ventricle!" Xue Xiaoqiao broke out in cold sweat.

"No, no, no, Zhang Yuan should have entered straight, clinging to the brain tissue wall and then slightly pressing the brain tissue to form an artificial low position." Li Zixiong turned his head to look at the CT, and then slowly said.

"Yes! Director Li is right." Zhang Fan was a little proud, not because of the surgery, but because his brilliance was discovered. Jinyi Night Walk may be someone else's high quality, but if he can be When others find wise, Zhang Fan is willing, after all, he is still a hairy boy.

"No brain damage?" Xue Xiaoqiao asked again in surprise.

"Look at the patient's physical signs!" Director Li Zixiong said.

"The patient's vital signs are now improving, and the operation is effective!" The anesthesiologist also confirmed Zhang Fan's operation in real time.

"Zhang Yuan, you are awesome!" Xue Xiaoqiao said directly, after all, he is a young man."Zhang Yuan, how did you do it, can you teach me?"

"Surgery first!" Director Li Zixiong glanced at Xue Xiaoqiao. He is not angry. If he meets a director who is not forgiving, he will definitely wear shoes for Xue Xiaoqiao. Does the girl take the director as a cadre?

Director Li Zixiong was a little bit reflective at this time. After Zhang Fan came to the hospital, he first set up a banner in the orthopedics department. At the beginning, he was a fixed-post orthopedics department. This is also the past.

Then Liwei in Puwai.This can also be said in the past. After all, General Surgery is the largest surgical department in the hospital, and the old Mrs. Zhao has met, and the department must be reorganized.

However, Zhang Fan has never been out of his head, even when he transferred outside his brain, there was no display.

"Is it because I'm too domineering? Is it because I let Zhang Yuan look down on it?" Director Li Zixiong felt more uncomfortable as he thought about it.

When Zhang Fan started to inject urokinase and slowly withdrew the needle, Director Li Zixiong muffled and said: "Zhang Yuan, do you have any opinion on me?"

"Uh!"

"Uh!" Zhang Fan and Xue Xiaoqiao made surprised sounds at the same time.

"Director Li, how do you say this, I will have some opinion on you." Zhang Fan was a little proud of the successful operation, but when he heard Director Li's words, he didn't understand.

"No opinion, why you never come out of your brain? This should be the first time you take the initiative to perform surgery outside of your brain. If you have any opinion on me, you can tell it." Director Li Zixiong was really angry.

"Extra-brain surgery technology is so powerful, but it has never been out of the brain, and has never interfered with the work outside the brain, what does this mean!"

He felt aggrieved, and his brain was originally the most difficult department in hospital surgery.

If Zhang Yuan didn't have this ability, he wouldn't force it, but if he had this ability and ignored it, that would be to look down upon people naked!

Director Li Zixiong, a tall man, like an angry little daughter-in-law, put his hands on his belly and began to strike!

"No, Director Li, why do I have any opinion on you, this, this..."

Zhang Fan's brain is turning rapidly. If you open Zhang Fan's head at this time, you can definitely see that Zhang Fan's brain is about to jump up.

This is really hard to explain. I can't say that I couldn't climb out of the pit of the general public at the beginning, and I couldn't get out of my mind!

"Hey!" Xue Xiaoqiao, the bastard smirked again, which made Director Li even more angry.

"Xiao Xue, tell me how difficult it is outside our minds, tell me how difficult it was for us to perform an operation.

Tell Yuan Zhang, let us aloft Zhang Yuan also understand our difficulties.

My waist is not so good recently, I think I should ask Zhang Yuan for leave, take annual leave!"

"Yes! Back then..." Xue Xiaoqiao started to add firewood unkindly. He also began to admire Zhang Yuan as soon as he performed this operation, but after all, he was still a young man, and there was still unconvincing existence in his subconscious mind.