Medical road
Chapter 659
It’s good to have a daughter in the family, and you can do everything from your heart.
As far as the current human diseases are concerned, 80% are either related to eating or drinking, and the remaining part is related to.... As for the others, they are accidents and inherited.
Ideally speaking, the total amount of appetite in a person's life is fixed. If you eat one more bite today, and another bite tomorrow, you might be able to live eighty years old, but it will disappear when you are sixty...
Although the old saying goes, it actually makes sense.Because the total number of times a person's heart beats is just hundreds of millions of times.
Just like a thin man and a fat man climbing a mountain, the mountain is the same high, but the consumption is different, the fat man's heart can really be regarded as carrying a load.Too tired, this thing is like a taxi. The mileage it runs in a month is dozens of times that of a private car. Can it break easily?
Not to mention that the heart consumes a lot of energy, Song Fatty's blood vessel damage is also very severe.
When Zhang Fan lifted the muscles surrounded by yellow fat like a pig's neck, Song Qiang's blood vessels were revealed.
What are the human blood vessels?Zhang Fan searched through all kinds of teaching materials from China, Europe, America, and Maruko, but there was no vivid description.
It is a bit general to say that the blood vessel is a muscular tube. It is not so accurate to say that it is like a rubber tube. After Zhang Fan has done a lot of anatomy in the system, he can finally describe the blood vessel vividly. This thing is like a woman's stockings. thing.
Moreover, this stocking is not the kind of conventional stockings, it is a large mesh stockings that ordinary women can't surrender. This kind of stockings is worn on the legs, and the white skin of each pattern is clearly revealed.
In fact, the enlarged blood vessels are similar to the mesh stockings. The blood vessels are hidden in the muscles and lurking in the gully of the bones. The surrounding area is not dry, but soaked in body fluids.
The size of this grid of blood vessels is fixed. For example, some cells and substances cannot come out, and substances like red blood cells, platelets, and albumin cannot come out of the blood vessel grid.
If these functional cells and functional protein substances are excreted, there is actually no difference between human body fluid and blood.
This also explains the terrible nature of diarrhea, because in the later stages of diarrhea, what is pulled is actually body fluids, that is, blood without protein and red blood cells.This is also the saying that a strong man can't stand the principle of three bubbles.
Blood vessels do not produce these functional cells and proteins, and these things can't come out, so how can they get in?
Small molecules such as water molecules can enter blood vessels freely. They can enter and exit freely, wherever they feel comfortable. If there is more water in the blood vessels, it will flow out and run into the tissues of the body. If there is more water in the tissues of the body, it Just ran into the veins.
Many people have high blood pressure, their faces are swollen, and their feet are also swollen. In fact, the pressure on the blood vessels is too high and the water in the blood is pressed into the tissues.
The cells and proteins are sent from the body to the blood vessels through energy switches.
In layman's terms, there is a big hand that pushes the mesh of the stockings, and then takes these things in.
This is the general principle of protein and cell one in and one out.Why do we say that toxins like venomous snakes are very dangerous? Not talking about nerve snakes, but blood clotting snakes.
If this thing bites you, it is equivalent to expanding the blood vessel grid of the human body. The red blood cells, albumin, platelets and the like that could not come out all escape from the expanded grid.
After these substances ran out, it was tantamount to escaping work. It stopped working, and no oxygen or energy could be delivered to the various organs of the human body.
This is why people who are killed by poisonous snakes are bruised all over, because there is iron in blood cells, this element will appear after this thing is inactivated and precipitated.
Fatty Song is not very old, but his body has already let the tiger wolf medicine and the high-fat and high-protein diet surrender.
When Zhang Fan pulled out the carotid artery, he had to stop the operation, "Give some dry gauze, there is too much fat, and the slippery gloves can't hold the forceps."
Vascular surgery, to sum up in one sentence, is dangerous and dangerous.Don't talk about the large arteries, even a nosebleed can sometimes make people faint, not to mention just coming out of the heart and going into the blood vessels of the brain.
How much this blood vessel pressure is, it can be said that the blood vessel of a three-meter-high roof can easily spray a roof.
Maybe you don’t have much idea. When you think about killing chickens at home during the New Year, you can feel it. Sometimes one accidentally cuts the chicken’s neck, and the chicken fails to grasp it, and then a wall full of red comes, spraying everywhere. .
Humans are actually the same. There are four major blood vessels entering the brain, two on the left and right.
Fatty Song ate too well. One blood vessel entering his brain was blocked. This situation is very dangerous. Because the brain is a big oxygen-consuming person, sometimes four blood vessels are not enough, and one blood vessel is blocked.
How dangerous this kind of danger is, there is a more fun action, touch the place where your neck is pulsating, and then put your hands on it and press it. It doesn't take long, four or five seconds, you can feel what is black in front of you.
"Bring a microscope!" Zhang Fan said to Xue Xiaoqiao after exposing the surgical field.
Endometrial peeling operation is different from other operations. Once the operation starts, it must be done from the beginning to the end in an understatement. Once an accident occurs, the wall is full of blood.
In martial arts TV, the master slapped the human enemy's neck with a slap, and then the opponent fainted. Although this is a bit exaggerated, it is very obvious in neck vascular surgery.
If the action is slightly larger, heart failure may occur, because this place is a sensory organ, which is a little bit irritating. This thing is like a siren, making the heart and brain abnormal.
With the microscopes in hand, Zhang Fan and Xue Xiaoqiao were preparing to ligate the upper and lower loops of the blood vessels. "Did you have this kind of surgery when you were in the capital?" Zhang Fan asked while preparing.
"No! The level is not enough, this kind of surgery is in the capital, and I have no chance to pull the hook."
Xue Xiaoqiao glanced at Zhang Fan in surprise, because Zhang Fan seldom talked during the operation, let alone gossiping about other people's affairs, so our Xiao Xue was puzzled.
"Oh! In the capital, if you follow the normal order, when can you get this kind of surgery?" Zhang Fan asked again.
"Well, I'm at least 30 years old. And it's better to be hired as an attendant by the hospital smoothly."
"Oh! I think you have good skills. If you are a waste of your talent step by step, what do you think?"
"Uh!" Xue Xiaoqiao struggled, "What does Zhang Fan mean by this?"
In fact, Zhang Fan really felt that one thing, after he had gone through the holes and flying knives several times, was to build his own team. He couldn't wait.
The master has withdrawn from the clinic when he is old. It is impossible to rely on the master to find someone to fill the hole every time there is a special operation.
Outside of his head, Zhang Fan's target person is Xue Xiaoqiao, so Zhang Fan is going to start brainwashing this guy.
He also saw that this guy seemed to be a man who didn't lack money. Although he rarely smoked, he occasionally brought out soft Chinese when he smoked. The clothes he usually wears are low-key but not cheap.
Because once, Xue Xiaoqiao wore a sportswear, the little nurse asked very puzzledly: "Doctor Xue, is there still a brand of Huili now?" Zhang Fan took a look at that time and it was definitely not Huili.
There is no shortage of money, but you can still come to the frontier, which is probably the feelings. Now the feelings are probably gone. What can I rely on to impress others, which is the technology.
"This kind of surgery is not as good as I do. I guess you have a tea plant. If you want to see my method, it is very difficult!"
Zhang Fan ignored Xue Xiaoqiao's entanglement, and tempted him like Grandma Wolf. It was not business that caught up, so Zhang Fan slightly dug a hole for Xiao Xue.
"Uh, Zhang Yuan, this is a bit unique!" Although Xue Xiaoqiao also recognized Zhang Fan's skills, he still couldn't be subdued by that.
"Hehe, neither of us draws conclusions yet. We have surgery first. You will know by just looking at it!"
After speaking, Zhang Fan didn't speak anymore and started the operation directly.
In surgery, the precision of extra-brain surgery is quite high, but compared with carotid artery surgery, extra-brain surgery has a relatively low time requirement.
The carotid artery is different. It is not only fine, but also fast. Because of prolonged ischemia, the patient’s sequelae will become more and more serious. Therefore, this kind of surgery requires not only precision, but also speed, that is, The so-called fast but not chaotic.
This happened to be what Zhang Fan was best at, so he was going to bury Xiao Xue in this pit.
Xue Xiaoqiao looked at Zhang Fan. Although he didn't admit it very much, he still expected it in his heart. He was not stupid. According to his title, he would still go back to the capital.
But now, out of the brain, he is the only one who can follow Zhang Fan's footsteps. Therefore, the more powerful Zhang Fan is, the more things he can learn. Therefore, our Xiao Xue is also quite looking forward to it.
One shot and two draws, Zhang Fan’s pit, Xiao Xue jumped, this is how people are, and it is not as good as any kind of wooing.
In the beginning, Zhang Fan and Xue Xiaoqiao became serious once they entered the critical step of the operation. The carotid artery was not a joke. The large artery with thick fingers could directly give her a warm bath.
"Scalpel No. 11!" Zhang Fan took the surgical tape and made a very gentle and stable opening in the artery.
"Small stripper!" Step by step, Zhang Fan took the microscope and couldn't turn his head to look at the nurse. The equipment nurse was very gentle when passing the equipment.
Opening the blood vessel, Zhang Fan's stripper started.
How does this operation work? It is actually simple. It is to close the two ends of the blood vessel, then open an opening in the blood vessel, use a stripper to peel off the plaque attached to the blood vessel, and then suture the blood vessel to repair the blood vessel wall. .
In fact, the difficulty of the operation lies in closing the blood vessels, clearing plaques and sutures to repair the blood vessel walls.
The blood vessel wall is very troublesome. Although it itself is a sieve like a stocking, once its continuity is broken, the plaque is removed this time, and it will continue to appear after a short time. Form new emboli.
Just like a wall, the white painted wall looks very white and smooth, with its practical magnifying glass open, and it is full of potholes.
This is the case with blood vessels, that is to say, this repair must not be able to see the potholes with the naked eye, otherwise platelets will adhere to this place and form emboli.
And why people with high blood pressure and high blood sugar are prone to form blood clots.In fact, it is very simple. When the blood in the blood vessel flows, it will still hit the blood vessel wall.
And when the blood pressure is high, or the blood sugar in the blood increases, it is like the pressure of the water flow, or as the sand inside, the pressure of the sand is high, so long washing will damage the blood vessel wall in advance.
The blood vessel wall is damaged. Platelets and coagulation protein are like repair workers. They lie on the damaged area and fix them. Repeatedly, the blood vessel wall is like a patch on the trousers, layer by layer until the blood vessel is finally channeled by this patch. It's blocked.
The knife opened the wall of the tube, and the stripper was directly inserted into the bottom of the patch just like a shovel.
Xue Xiaoqiao's mouth opened, "Zhang Yuan, is it a one-time peel? The blood vessel wall will break!"
The voice of the young man didn't even dare to shake his throat.To be honest, Zhang Fan's approach is too domineering, just like a snow shovel or icebreaker, going straight.
Xue Xiaoqiao was afraid that his voice would be louder, and then Zhang Fan scratched the wall of the blood vessel, and he could hear a tremor in his voice.
"The blood vessel wall is exposed to the air, the longer the time the greater the damage, so it must be fast!"
"Guru!" Xue Xiaoqiao drooled, the baby's sweat, and even the sweat beads like dew on the hair, "Too rough!"
The blood vessel wall is so thin that it looks as thin as a cicada's wing with a microscope, and Zhang Fan’s stripper blatantly started directly.
When other doctors do this kind of operation, they all separate little by little, and they will never do this.
The stripper is a chisel, a flat metal chisel, and a chisel braving the metal air-conditioning, and shovel down without any hesitation.
Xue Xiaoqiao almost called out, he didn't dare to look, he was worried that Zhang Fan would go down with a chisel, and then a big hole would appear in his blood vessel.
If there is a hole in the carotid artery, you don't have to think about it, it will directly put Fatty Song on the operating table.
"There is a certain gap between the plaque and the blood vessel wall. This kind of operation must be performed between the gaps to find their breakthrough feeling. Just like gently bursting a bubble gum bubble, there must be a slight bursting feeling. It's not the rupture of tearing some kind of film!"
Zhang Fan explained to Xue Xiaoqiao while doing it.
Fatty Song is too much to die. Other people's plaque plugs are like the small pearls in passion fruit or milk tea.
As for Fatty Song, he ate and drank. It was just shredded pork, or a piece of meat, hanging in the blood vessel wall. There was oil in the blood and fat floating in the oil. It was not an exaggeration at all. The inside is directly like a bloody dish.
"Gauze!" Just like phlegm, when Zhang Fan went down with a chisel, the plaque was separated, and then the phlegm-like meat was gently wiped out by Zhang Fan with gauze.
Xue Xiaoqiao looked at the intact blood vessel wall, and then at the gauze in Zhang Fan's hand, the baby's heart almost came out of his throat.
But looking at the intact blood vessel wall, his unworthy heart went frantic. What is technology, this is technology, what is level, this is level.
"How can you feel this sense of breakthrough? How do you feel it.
When I was in the capital, no one had just stripped it as a whole. All strips were done bit by bit, so that the operation time can be cut by half!
How did you feel this breakthrough?"
"Hehe, want to know?"
"Yes!" Xue Xiaoqiao with a microscope raised his head and looked at Zhang Fan, like a teletubbies.
"Hehe, come, let's see how I patched my blood vessels!"