Medical road
Chapter 648
During the operation, be careful not to go back.An operation consists of many, many steps, the simplest is to cut the appendix.
This thing does not mean that you can cut your stomach with a knife, then pull out the intestines to cut the appendix, and then put it in.
The first step is to separate and stop the bleeding layer by layer, then cut off the arteries and veins near the appendix, then cut off, sterilize, and suture.
Don't underestimate these separations and hemostasis. These are not simpler than the last cut. It can be said that they are really famous for being good fighters.
In the mid-to-late 1990s, there was an unhealthy trend in the medical industry. Not only patients and their families chose doctors by comparing the speed of surgery, but also doctors.
There has even been an appendix surgery in five minutes.To tell the truth, it's really awkward to kill people, not to mention other things, it takes half an hour to count the time of anesthesia.
But how is the five-minute operation done? The patient is pulled in. The most important thing is to tie the patient firmly, and then local anesthesia.
The anesthesia hasn't taken effect yet, his knife is already down, facing McGee's point, with a knife down, directly cut the skin and muscles completely.Then Erzhizhan pulls out the appendix and cuts it off.
To be honest, this kind of manipulation is not available for five minutes in case of a well-positioned appendix.But the damage to the patient is not great.
It can be said that both body and mind are damaged.
The operating room is like a slaughterhouse, and the bear-like sturdy patients cried and burst into tears.It can definitely make the patient tremble when he hears the operation leg, and when he sees the doctor egg.
Then there is the wound. The wound after healed is like a Tianjin twist. If you need to perform abdominal surgery again in the future, it is estimated that later doctors can scold the doctor who made the appendix to death.
A good doctor is a good doctor. After the surgical incision is healed, you can almost see the original level. This is a good doctor.Although everyone can't see it, but the heart knows.
Surgery does not need to be fast, of course it should be fast. This fast is based on scientific proficiency, not as fast as recklessly killing a pig.
The shorter the time and the shorter the exposure, the lower the chance of infection and injury.However, in the operation of lymph node removal, the time is really hard to tell.
This stuff is too scattered, sometimes a sesame-sized bit is not cleaned, maybe the operation will lead to failure in the future.
The general cleaning is to separate, take off the various coats covering the lymph, and after seeing clearly, remove them little by little, and even use tweezers one by one.
Lymphatic vessels and veins are similar in structure. There are a lot of clothes on the outside, layer by layer, which is particularly troublesome to separate, so it takes a lot of time.
As for Zhang Fan, he didn't know the lymphatic structure well, he had already established a structure in his mind.
Then, with super precise hands, holding a large curette, he started directly.
Why do ordinary doctors need to separate tissues and clean up after seeing the lymph? First, this stuff is scattered, and second, the lymph nodes are often crawling near large blood vessels, and some even directly crawl on the blood vessels.
The blood vessels are so soft, it is not the yellow throat you eat hot pot, even the yellow throat is soft and tender in the hot pot ingredients.
In layman's terms, lymph nodes are like some decorations on underwear, just like rhinestones on underwear. If you don’t cut the silk thread near the rhinestones, you can pull them directly. Maybe you will pull off the underwear. The originally happy girl, one Look, when the face is turned, the palm is light.
Therefore, regular doctors have to look carefully, and then slowly clean them, and when they encounter lymph nodes lying on the blood vessels, they often scan with their hearts. The blood vessels are actually the same as the undecided girl. It's the same, you might turn your face back at any time.
Old man Shan is so old that he can't afford to wait for such a long time. Now there are not many choices. Should the so-so cleaning end, how long he can live after surgery depends on his life.
Would you like to clean up the lymph carefully, but whether the old man can get off the operating table depends on his life.
But, can Zhang Fan leave the life of Old Man Shan to God at this time?Can't!
What is he doing for countless days and nights?Not to pretend to be in front of everyone!
In order to break the wrist with God at this moment.
In order to give patients a chance to survive.
The purpose is to allow patients to walk healthy in the sun.
The purpose is to allow patients to continue to enjoy the happiness of the family in the world like ordinary people.
The old man dares to believe Zhang Fan and dare to hand over his life to Zhang Fan. Zhang Fan has to give him an explanation. The most important contractual relationship in the medical relationship. In the era of becoming more and more paper-based, Zhang Fan’s bottom line is all Can't let him kill his life.
The curette started, then directly, from top to bottom, along the surface of the large blood vessels, Zhang Fan steadily started.
Old Lu's eyelids were shaking so intensely that he was so nervous that he didn't even dare to make a sound. He even seemed to hear the scoff of Zhang Fan's curette scraping his blood vessels.
To be honest, at this time Zhang Fan only needs to heavier his hand slightly, and the abdominal aorta will definitely open an opening. If this blood vessel is broken, the fountain is light, and it is directly a water cannon!The old man alone has to see the old horse in minutes.
laugh!laugh!I saw that the tissues on the blood vessels were like strawberry ice cream eaten by children, scooped out one by one, and the small particles on the strawberries were obviously dug out, and the particles were clear!
laugh!laugh!In one click, the blood vessels were beating under Zhang Fan's curette, and followed Zhang Fan's curette.
It seems to be mocking, come on, come on if you have the ability!Or, like the secret door in the early years, shaking his handkerchief, tempted to shout: Come and play!
People have a characteristic. They have the urge to jump down when standing on a high place. For example, standing on the roof of a high-rise building and looking down, I definitely don't want it in my heart. It's so broad, it must be, I want to jump down.
And when you encounter throbbing, you must want to open it and see what is going on inside.
Therefore, when the red arteries were beating, every time Zhang Fan started, every time the curette rose and fell, Lu Lao's eyelids were like eating popping candy, and his breathing was not smooth.
At this time, Lao Lu had no regrets in his heart, and he didn't even think about opening and pointing, because the whole TM is nervous, not to mention the palms of his hands, even the palms of his feet are rolling with sweat.
In the audio-visual classroom, the atmosphere is particularly strange.The big guys in the front row, clenched their fists, straightened their torso as if they were feeling their bodies, their eyes staring like cows. As Zhang Fan moved up and down, they breathed in and out, as if they were scraping.
If you put them and Zhang Fan together in a row at this time, it would be like a chorus, everyone breathed together and shook together!
Because they know the difficulty too well, they have done it this way before, more or less, at this level of danger, they know too well.
One step from heaven and one step from hell is no exaggeration.
The young doctor in the back row is different.The highly savvy doctor carefully looked at Zhang Fan's technique. Although he couldn't see anything, his eyes didn't want to leave for a moment. It was like peeping under a door crack, his heart beating fast.
Those with poor understanding and lack of self-motivated spirit are like watching a pantomime, "What do you say he did this for? Stupid?"
"Dan, you are stupid. Can someone stand in this place and perform surgery on such an important person?"
"He can't do it more securely? If you don't clean it, it won't be clean. Who can eat him? If luck is good, the old man lives for three or two years, he won't be mad?"
As soon as I said this, the other one stopped talking. Yes, Lao Li, who had been blindly cut back then, is now in outpatient clinics for a long time, and he is not even allowed to enter the operating room!
Blind cutting and blind scraping, if done well, it is a good talk or a legend or a story, if it is not done well, it is an accident.Many, many talented doctors don't bury their careers in this technique too little.
You are an expert if the car is not overturned, and everyone is holding you, but when the car is overturned, you are a sinner.
Zhang Fan's heart was full of emptiness. He had been able to achieve a kind of emptiness and a state of ignoring temptation in his surgery through countless exercises day and night.
In his eyes, the beating arteries were slow and slow, as slow as a snail, unattractive.
Every time the artery jumped down, Zhang Fan shot, and every time the artery jumped up, Zhang Fan stopped his hand, just like comforting a puppy, showing his effort between up and down.
The taut god level maximized the stability of Zhang Fan's hands. A little bit, a metal curette, in Zhang Fan's hand, was like the soft and flexible tongue of an old customer.
The first lick, licked off the rouge.
The second lick, licked off the grease.
The third lick, licked off the gray and black dirt.
After a while, the lymph nodes like freckles were finally scraped by Zhang Fan.
Finally, Zhang Fan gently put down the curette. When the curette was put down, the bright red arteries were beating very clearly.
Just as the robbers put down their guns, those who understand, unanimously let out a long sigh of relief.
Mr. Lu, who was dressed in white hair and sweat, pursed his trembling lips vigorously.
The experts of the chorus couldn't help feeling the sweat like dewdrops on the high hairline.
"Too courageous!" After an operation, the experts in the audio-visual room forgot Zhang Fan's technique and precision. They only had one idea, "Too courageous!"
This kind of technique was too much to scrape once and twice as a last resort, but they did not expect that Zhang Fan would not stop from scraping to the end.
"Guru!" Lu Lao's voice was especially clear, "Zhang Fan, like this..."
He can't tell, nor can he tell, this technique can already be said to have surpassed him in technique, even when he was at the peak, he couldn't do this step.
The old man looked up and looked at Zhang Fan. Finally, he saw the crystal beads of sweat under Zhang Fan's fortune.
The old man smiled and asked softly: "Are you tired? Can you still persist? If you are tired, go and rest. Let me finish the rest."
"Master, it's okay. Would you go down and have a rest? Help me get on the platform below?"
The old man seemed to be waiting for this sentence, "Okay, okay, okay, let your brothers come to help you, I will go to rest now!"
The seniors waiting at the door of the operating room came in and looked at Zhang Fan with strange smiles.
"Little Junior Brother! When will you come to the Magic City?"
"Little brother, how did you exercise this hand!"
In a joke, the operation is over.The family members waiting outside don't know, they don't know what the doctor has done, and they can only expect the doctor to do their best.
Yes, the doctor really did his best!