Medical road

Pancreatitis, if hypertension and diabetes are a ghost that surrounds the crowd, then pancreatitis is a ghost king that can eat people.

In terms of costs, the cost of treatment for hypertension and diabetes for a year is also very large, but if it is divided into 12 months, it can still allow ordinary patients to grit their teeth.

However, pancreatitis is not good. Once it develops, money will be poured out like water, which is not an exaggeration.

If the symptoms are severe, a set of ordinary buildings in second- and third-tier cities is probably unstoppable at the current world price.

Moreover, even if the money is spent, sometimes it may not be possible for you to keep people behind. It is such a terrible disease.

In the early years, pancreatitis in China was almost always caused by problems with the biliary system, because after the bile from the gallbladder flows out, it finally merges with the ducts of the pancreas and then flows into the small intestine.

People in the past did not eat well, and they did not control the parasites well, so these diseases often caused pancreatitis due to clogged pipes.

With the improvement of living standards, pancreatitis in China has also begun to change from a concurrent biliary system to overeating.

The patient in charge of Wu Lao and Zhang Fan is the business manager of a company.

The position is not big or small, and he can be regarded as a rootless child who can grit his teeth in a big city.

In order to survive in the big city, the young man also desperately, the company's business, he ranked in the top three, a quarter is over, the company has some bad debts that cannot be collected.

Then the boss promised that whoever asked for the account would be divided.The young man was thinking about the infant child in the family. Because the wife had little milk, she had to buy milk powder, and the old man was in poor health and needed more nutrition.

After gritting his teeth, the young man took the job. At first, he couldn't even enter the other company's door. He didn't give up, and slept at the other's company door with a blanket.

One week, it became a local landscape, and the boss of the other company was also helpless by the boy. Isn't the boss worth tens of millions faceless?

After asking people to bring the young man to his office, he didn't talk much, so he pointed to the piles of blue bird beer in the corner of the office, "A bottle of ten thousand, how much you drink, I will pay you back."

"keep your word?"

"A boss like me, will tease you? Drink it."

The workplace and business are cruel, very cruel, human dignity, sometimes, really...

For the children in the family, for the elderly in the family, he drank it.

One can, two cans...I don't know how much I drank. The young man who has been drinking for a week just drank from standing, to sitting, and finally to lying down.The wine that you drank in your mouth went in and then trickled out again, in and out.

In the end, his reckless posture made the opponent's boss scared, and he wrote the check directly, and the young man crawled out of the opponent's office with the check.

When he went out, he vomited violently, and the beer he drank was like a fountain of foam, and the spurting out of the wine spurted out like a pillar of water.

Then, suddenly there was pain, extreme pain. After alcohol numbness, he could feel his back very clearly, and it hurt like a knife.

Fortunately, a kind passerby called 120, otherwise he might die on the road.

His illness is a typical pancreatitis caused by heavy drinking.

There is another kind, perhaps for the sake of life, or perhaps for the so-called ignorance of face, regardless of when drinking.

Then, secretly went to the bathroom and put two fingers into his throat to dig out, and then went to the court to drink after he vomited.

Do not learn this way. You may get a massive title by vomiting dozens of times. Once pancreatitis is caused, the family will be ruined if you fail. Your wife is sleeping by others, and your child is beaten by others.

Not an exaggeration at all.

The digestive system of the human body originally evolved according to the principle that it can only follow and cannot go backwards. Once forced vomiting, once or twice, or even hundreds of times, there is no problem.

Once a system disorder is caused and pancreatitis occurs, then it is a disaster for you personally or family.

Therefore, don't support the wall to go in, support the wall to come out while eating, and don't drink to be a hero.

In the United States, 200,000 people are admitted to hospital for pancreatitis each year, and about 20% have severe pancreatitis, and the mortality rate is as high as 25%.

The remission rate of pancreatic surgery is about 60%, that is, when patients with severe pancreatitis need surgery, the success rate is quite low, and there is no healing rate, and a remission rate is used instead.

It is conceivable that this disease is terrible. After World War II or Vietnam War, Lao Mei suddenly increased the number of alcoholics for unknown reasons. Therefore, pancreatitis surgery was the best in the world.

However, in the country with the highest level, this disease is what makes doctors talk about it, and not all pancreatic doctors can perform this kind of surgery.

Moreover, this disease is also very cruel to the patient. Look at the treatment of this disease.

1. Analgesic, high-dose analgesics for pain relief.2. Inhibit pancreatic secretion. Drugs such as octreotide inhibit pancreatic secretion, and the price of octreotide is really exciting.

It's as simple as that. After the pain is covered, let the patient's pancreas reduce secretion, and then rely on the patient to recover.

Pain, the pain of this kind of disease, even a man of iron can be so painful to call his mother, that's not even counted, if it doesn't work, the next step is surgery.

This kind of operation, not to mention ordinary hospitals, some provincial-level key hospitals, can't do it.

The pancreas was separated very clearly under Wu Lao's hands. The most difficult and most critical part of the operation was here.

Why is this operation so difficult?

To put it simply, it is like grapes are connected to the branches of grapes, and a grape falls off and breaks under the shaking.

Now what Wu Lao and Zhang Fan have to do is first cut off the damaged part of the grapes, and then restore the grape skins to completeness, and finally connect the patched grapes to the branches.

The examples are so difficult, you can imagine the difficulty of this operation, and the pancreas is the largest secretory gland in the human body except the liver.

It can secrete, but it is still a very large secretory gland, so the ducts in the pancreas extend in all directions, like a honeycomb, connected by paths.

There are countless vascular lymphatic and secretory ducts in it, once the operation technique is not good, it will be blocked.

The blockage of the pancreas is not a blockage in the city. The driver scolds a few words. The pancreas secreted here is just like aqua regia. It will corrode. If it is not done well, it will be like a pack of bombs that do not know when to explode. .

"Look at this, the pancreas is already very swollen. This kind of surgery must not be anxious. You must make complete preparations. Failure and success must be predicted."

Mr. Wu, who was silent, began to speak, and Zhang Fan, who had originally spoken, began not to speak.

If you compare the level of Zhang Fan and Wu Lao, then Zhang Fan's current level is like a hero in the arena.

A knight who can do things is bullied, well, go to Zhang Fan, he can do things for you.

As for the level of Mr. Wu, there is really little difference between Mr. Zhang and Mr. Zhang in terms of unevenness.

But the old man's background is that he knows the people in the world, so there will be no accidents, it is so awesome.

Zhang Fan is like a superb young knight, and Wu Lao is a famous figure in the world, relying on his famous head to scare a whole world.

This is the difference, this is the precious experience that the old man has spent most of his life trying to persist.

To be honest, sometimes doctors and soldiers are very similar. An army needs countless lives to build an iron-blooded team.

And doctors are actually the same. A good doctor is actually accumulated by human lives.

In the medical industry, the teacher is really just a guide, a simple cardiopulmonary resuscitation. To be honest, people with a little education can do training and training.

However, good and bad things are the difference between heaven and earth.

If a few people have not died on CPR in the hand, it is really bad and it will not improve much.No matter how the training is, it’s not as good as killing someone in your hands, a cruel industry!

"The swelling here must not be taken lightly. Once the pancreatic fluid is not removed, no one can guarantee whether this place will heal after the operation."

The old man glanced at Zhang Fan. Although Zhang Fan didn't look at the old man, he seemed to know that his uncle was looking at him. Zhang Fan nodded gently.

After speaking, Old Wu pierced the pancreas with a needle, slowly puncturing the swelling like a urine-filled bladder, and then slowly began to draw pancreatic juice with a syringe.

The pancreas with pancreatic juice sucked is really like a protruding tongue. Even the lines in the middle of the tongue are very similar to the pancreas.

"Knife!" Once again, the old man asked for a sharp knife.

The hand holding the knife steadily started from the center of the pancreas, that is, the middle line of the tongue, and the blade slashed across.

The old man cuts, points, and cuts neatly under his hands. The epidermis of the pancreas is like an old lover who gently bites the cocked dry skin on his girlfriend's lips with his teeth and sharp teeth.

Between the drips, without a trace of involvement, they let the other party's clothes fall completely.

The master is doing a terrible thing in the calm.Cut and separate the necrotic pancreas.

"note!

There can be no more, no less.If the pancreas is cut too much, there will be no function, and if the pancreas is cut too little, the pancreas will die."

The old man said while cutting.Needless to say, Mr. Wu believes Zhang Fan can understand.

The flexible fingers turned the flowers on the white pancreas.

The doctors standing behind Zhang Fan were in a state at this moment, "Am I going to do it? Yes! But I just can't do it."

But Zhang Fan is different. What he needs is not the details, what he needs is the overall view of the disease.

When the old man started from beginning to end, Zhang Fan kept making comparisons in his mind.

"What should I do? If this step is mine, what should I do."

A little bit of confirmation, Zhang Fan finally asked his doubts at the most critical part of the operation.

"Uncle, why not unclog the ducts in the glands before dividing the necrotic tissue under the incision line? Isn't the pancreas better to ensure patency after unclogging?"

"Hehe, it seems that you really understand it. It is not impossible to clear it first, but there is a chance that it will damage the accessory pancreatic duct.

We can dredge a little bit more slowly, but if the accessory pancreatic duct is damaged, there is no way to recover. This is what I figured out when I was fifty."

"Uh, fifty years old? Vice pancreatic duct?"

The doctor who was Misuke was originally unconvinced, but he was convinced because he didn't understand.

As the director of Nisuke, he seemed to understand something and looked at Zhang Fan with a very grateful look.

As for the group of people behind the surgeon, they are directly looking at each other in the clouds and mist, what else do they say?

Figured out!Zhang Fan, who figured out the key points, was like window paper. After being pierced, the sky suddenly lit up.A word from the uncle made him clear, and the operation of the pancreas was straightforward.

"Oh my God, it turned out to be like this, how can I say, in the system, sometimes pancreatic surgery is successful, sometimes it is judged to be a failure, obviously the technique is the same. It turns out that the accessory pancreatic duct is ignored!"

What is a cloud to see the sun, this is the cloud to see the sun, and what is a word of money, this is it.If there is no Elder Wu, even if Zhang Fan has a system, it is estimated that he would not be able to understand this when he did not enter the second class. This is not to say that Zhang Fan did not work hard, but that there was no time!Not enough people died in his hands!

Really, Mr. Wu, the people of his generation, didn't give it for nothing.This is also the golden point of surgeons and senior surgeons. It is often just a single sentence that can point to a problem that lower-level doctors can't figure out after decades.

Repairing, connecting, Zhang Fan and Wu Lao, who had figured out the pancreas problem, became more and more comfortable.

The operation is also done faster and faster, and the two hands, like a brain commanding, cooperate quite tacitly.

At this time, the second and third helpers discovered what a master is. Zhang Fan and Wu Lao are like sturdy sports cars.

Speed, accuracy, and anticipation do not require communication, and the two are directly synchronized.

As assistants, they were sweating profusely trying to catch up with Wu Lao and Zhang Fan.

"Too TM bullying. Too TM bullying." Third aid tears were almost streaming down.He was wronged, really wronged.

Originally, Mr. Wu's operation could still follow him, and the pride in his heart was also full.

A doctor under thirty-five years old, he thinks he can sit in the first place.

This is not only his own idea, but also recognized by all colleagues in the hospital's department.

As a result, today, he did not expect that a black guy who didn't know where he came from would make the operation more difficult and speed up at the same time as if he had negotiated with Mr. Wu.

This is all right, but he can't keep up, and he can't keep up even after all his strength.

"The first person below the subtropical high, and the best young doctors in East China, are all deceiving! Ooo! Ooo! Ooo!"

He was extremely sad, and the more he understood the difference in technical levels, the deeper his body would be.

Repairing, filling, replenishing, tapping, cutting, and cutting, the original pancreas was like a white tofu that fell to the ground, and it slowly took shape after being repaired by Mr. Wu and Fan.

Zhang Fan, who had figured out the difficulties of the pancreas, and Zhang Fan, who was pushed away by the dark cloud by Mr. Wu, became more and more transparent under the seduce of Mr. Wu's superb surgical skills.

Immersed in the transparent sense of refreshment, the kung fu under Zhang Fan's hands slowly began to show.

Before he could figure it out, Zhang Fan could not give full play to his full strength, because he didn't know why the operation in the system would sometimes succeed and sometimes fail.

And now, I figured it out, I don't need to worry, and then, when Zhang Fan figured it out, the group of people behind him opened their mouths!

"Hey, what else is this guy doing!"

In the operating room, especially in front of very strict experts like Mr. Wu, speaking nonsense will definitely be reprimanded.

But even if Mr. Wu was there, the observer standing behind the surgeon was so surprised that he had forgotten the rules.