Medical road

There is a fixed number for one drink and one peck.Whether it is a person or a certain unit, things that seem to be irrelevant, things that seem so small that they are not noticed are often the root of traceability.

In the huge country of China, orthopaedics was everywhere in China in the early years, and hospitals of various sizes had certain standards.

With the development of the economy, no one pays attention to the hand surgery division from orthopedics.

First of all, this operation is not easy to perform. A simple hand, the muscle structure and nerve structure inside are quite complicated.After all, the hand is the second special organ that humans can scorn all the animals and plants on the earth.

Secondly, this discipline is too unprofitable. In the past, I broke my finger and sent it to a public hospital. After two doctors did it for a few hours, the doctor's income was 30 yuan for an office fee.

Therefore, this area was abandoned by many doctors and many public hospitals.

On the other hand, Shanhua has a group of doctors who are at the forefront of the economic wave but don't care very much. They seem to be indifferent to things outside the window.

Decades of accumulation, and then from the hands, to the nerves, from relatively simple to relatively complex, it can be said that these two disciplines, a small Shanhua stands on the pinnacle of China.

This is the role of a leader in a hospital or an industry. Don't they love money?But they are from this most money-saving city in China, they have developed a subject that is the least profitable, and they have reached the peak of TN, which is really contradictory and incomprehensible.

The sublimation outside the hand indirectly makes neurosurgery go more smoothly.

So afterwards, Shanhua’s gods stepped up, no matter whether it was the capital or the devil, it was only a military general hospital to compete with it, and the rest were not opponents.What does the military hospital do? The military hospital is the last barrier to health in China.

It can be said that from this point, the original group of doctors can be admired.

Craniotomy and transplantation.Vascular transplantation, not to mention the inside of the brain, is a very troublesome operation even in other parts.

Blood vessels can be said to be a channel for oxygen transportation, so once ischemia and hypoxia, for a while, this guy’s underwear will destroy itself.

It's like a irritable chick who tore her clothes to pieces after she got drunk.

The vascular underwear is the explosive point of blood clotting in this coronary vascular system.In layman's terms, once the underwear of this thing is broken, the platelets in the blood, coagulation proteins and other adhesives, may coagulate and become thrombus at any time.

Therefore, it is best to complete blood vessel transplantation within half an hour.

Doctor Ye started the operation with his assistant.Standing on the edge of the operating table, Zhang Fan looked at the patient's vital signs and at the same time looked at the electroencephalogram, and took time to see Dr. Ye's technique.

Nerves mainly rely on electric waves to propagate, so brain waves are actually a regular graph.

A nerve sends out a wave, so there are countless wavy lines on the brain waves, just like the stock market graph.

There is a joke in it. It is said that a doctor in the gods is holding a mobile phone to look at the EEG transmitted by the patient. As a result, another patient took a look and saw: Hey, you still dare to look at the stock market when you go to the clinic, and then transfer to the doctor Reported.

The patient's vital signs were stable after entering the skull and medication.Dr. Ye started the transplant.

Extra-brain surgery pays attention to precision, but also a pre-surgery examination.

Moreover, the success rate of extra-brain surgery has actually only started to improve in the past ten years. It is not how high the surgeon has improved, but the improvement of diagnostic equipment.

A map was drawn on the patient's shaved head, and Gentian Violet drew the operation route on the skull early.

How to open the craniotomy?There are many ways. The hospital at the grassroots level is nothing more than old-fashioned drills and bone knives.Like a butcher, he used a hammer and chisel to smash the skull open. It is estimated that the patient will have a concussion after surgery.

First drill a few holes, then use a bone knife to pry open a piece of bone.Just like eating old-fashioned luncheon meat, I accidentally pulled the tab to break. There is no way to use a screwdriver to make a hole first, and then forcefully pull the iron cover open with pliers.

After the operation, the patient’s skull is often severely injured. There is no way to sew a metal mesh on the skull. It is cruel. Sometimes through the metal mesh, you can directly see the brain moving directly.

Shanhua is not comparable to primary hospitals.Their craniotomy is much more elegant.

When the air drill opens the eye, the damage of this air drill is much smaller than that of the old-fashioned drill.Draw a heart-shaped picture along the head, and then make a small hole at 3 cm and a small hole at 3 cm.

The skull is like sewing clothes on a sewing machine, with small holes forming a heart-shaped picture.

Then in the center of the heart-shaped chart, use sutures to penetrate and tie a knot, and then gently pull, the skull is completely pulled up, simple and small.

Pulling up the skull, the brain immediately appeared in front of the surgical staff.At this time, the brain was panicked like a girl whose skirt was blown away by the wind.

Grumbling squirmingly, more like a boiling brain flower in a pot of clear water.

Looking for blood vessels, 0.3mm surgical forceps are looking for blood vessels.

Just like using chopsticks to constantly fiddle with the brain flower when eating hot pot, it is necessary to make the brain flower evenly heated without being pierced by the chopsticks.

It is very particular.

Zhang Fan looked at Dr. Ye's technique, and he kept sighing in his heart, "Too great, Dr. Ye and his family don't know how many pig brains they have eaten."

Zhang Fan, who is practicing in the system, is too aware of the difficulty of this operation. This operation, if there is no system, without fiddle with thousands of pig brains, it will definitely not be able to take it off.

The outer layer of the mucous membrane is as thin as a cicada's wings, not to mention the large errors in the movement, even if the tweezers of a few millimeters are slightly shaken, it can be broken.

How thin the outer layer of this mucosa is, ordinary people don't know what cicada wings are.

The simplest, sorghum syrup is a local specialty of Dongshan, sorghum syrup, which many people have eaten when they were young.

Open the sugar paper, the thin white transparent thing that wraps the sugar cube is actually similar to this film, and it can be blown through when the wind is strong.

Everyone can think about how difficult it is to transplant the icing from one candy block to another with needle and thread without destroying the icing.

Zhang Fan looked at him and kept making comparisons in his heart, "Well, I can do it this way."

"Well, I should do better than Doctor Ye!"

"Well, I can't do what Dr. Ye can do at this point. It seems I have to go back and practice again."

Three people must have my teacher, doctor, this profession, it is so sad, there will always be areas for improvement, there will always be areas for improvement.

"Director, the patient's blood pressure has dropped! It is estimated that the digestive tract has bleeding."

"Blood transfusion!" Doctor Ye did not dare to speak. At this moment, Wu Laoteng stood up like a leopard and said to the itinerant nurse.

With the outer membrane in his hand, Dr. Ye can jump up and bite if he is anxious, he will not bleed early, and he will not bleed late. At the most critical moment, the patient is bleeding!

"Zhang Fan!" Wu Lao shouted in a low voice.

This is like an order to charge.The old man knew that Zhang Fan might be a bit worse than him in terms of surgical maturity, but in terms of the speed of entering the abdominal cavity, he is definitely not the opponent of this kid. This is the difference in age.

Therefore, Mr. Wu did not stand in the position of the chief sword, but gave the position of the chief sword to Zhang Fan.

Zhang Fan didn't hesitate either. This is not the time to be polite. You must have the spirit of doing your part.

Life and death are on the line.

How to say the brain thing.It will crash just like a computer.Especially under some special circumstances.

Under normal circumstances, when the brain is okay, such as bleeding in the digestive tract, the brain is like a very powerful general: the blood vessels begin to shrink, and the generals go and repair the mucous cavity in my stomach.

Hulala, a group of platelets, protein, blood vessels, adhesive bonding, contraction and contraction, the opening is filled.

This is why people with extreme qi sometimes vomit blood out of qi, only one or two mouthfuls of blood, and most of them can be remedied by the brain.

It feels very handsome.

However, once the brain starts to be ischemia and hypoxia, many factors and hormones in the body are not controlled by commands, just like the last dynasty everywhere, each has its own rules and regulations.

Moreover, the digestive tract is often the first to jump back. I quit. Why would I still carry stool while serving food?

Under the stimulation of various hormones, a state of stress occurred and the digestive tract began to bleed.At this time, the stomach is still under the direction of the brain.

But the brain, because of ischemia and hypoxia, I can't take care of it anymore. The nerves of the digestive tract feed back to the brain: Boss, the digestive tract is bleeding, do you shrink the blood vessels?

"Shrink the egg, I will be hypoxic and ischemic, so I will expand the blood vessels and increase the delivery!"

Then the heart began to beat faster for the first time, and the blood vessels began to become congested and enlarged like the cavernous body.This time, just like Domino, the sea was broken.

There is a saying that the most powerful part of the brain is the heart and lungs.

Simply, I have heard of drowning, but I have never heard of suffocating myself to death. Therefore, the heart and lungs are not controlled by human will, but listen to the brain.

Once the brain fails, the first task of the heart is to protect the brain directly.

The digestive tract is different. This thing is like a person on the edge. Most of the time, it listens to the boss's brain, but sometimes it doesn't listen to the brain's greeting.

For example, the peristalsis of the intestines, the brain said: Let me dance a fast-paced disco, the intestines ignore the brain at this time, or move slowly on the side.

And once there is a stimulus, such as eating inappropriate things, poisonous mushrooms, etc., this thing immediately crawls wherever it is and pretends to be dead, I won't move.Does the poisonous mushroom poison it?No, but it just lay there pretending to be dead and not squirming, as if to say "how can I!"

Therefore, when the brain is ischemia and hypoxia, the digestive tract bleeds.

The current situation is that cerebral hemorrhage is about to improve, but the digestive tract has no longer listened to greetings, "You will be congested for a while, and will not be congested for a while, I will not play with you!"

The focus of the operation has gradually changed from the brain to the digestive tract.

The blood vessel suture for half an hour is about to end, and the digestive tract may be bleeding.

Doctor Ye suffocated his breath, and did not dare to have a little extra voice in his ears, because he was worried that he would fall short after being affected.

"It's okay, it's okay, it must be okay, Mr. Wu is here, Mr. Wu will be in charge, he will be okay." He muttered in his heart, and the anastomosed blood vessels were sutured continuously under his hands.

With a stitch and a thread, the blood vessel is like a pocket, and the opening is slowly closed.

After the last stitch was sutured, Dr. Ye dared to take a breath, "Quickly, open the closed blood vessel! What about the blood pressure."

The first half is for the assistant, and the second half is for the anesthesiologist.

"The blood pressure continues to drop, and the bleeding is estimated to be severe. Four hundred cc has been entered, and there is no improvement."

The heart that was originally clenched even lifted up. Before his eyes were removed from under the microscope, a sentence popped out of his mind: "Successful operation, people are dead!"

This is the scene that all doctors are unwilling to see in the medical industry.Obviously the operation was successful, but he died.So the comprehensiveness of a human body is too nonsense.

Seeing the assistant open the closed blood vessel, Dr. Ye moved his eyes away from the microscope at this time.

As soon as he turned his head, Lao Ye's originally clenched heart almost broke out of a heart failure.

He didn't speak, but he burst out in his heart: "How can old man Wu be able to do this, such a big operation, and such a big bleeding, he actually gave the help of the operation to a young man!"

The thrills of the operation made Lao Ye almost jump up and scold someone. To be honest, it was Lao Wu today. If the doctor in their own hospital, it is estimated that Dr. Ye could jump up and scold his mother at this time.

The green-faced Doctor Ye immediately left the operation position of the brain, "You closed the skull!" The harsh words made Dr. Ye's assistant feel hairy.

"What's wrong with the boss?"

Leaving the position of the main knife, Lao Ye lay behind Zhang Fan and looked over.

He is not an expert at General Wai, and he has nothing to do with heavy bleeding, but his eyes are on, have you never seen a pig run without eating pork?

Doctor Ye, who was probing behind Zhang Fan, couldn't speak.

In the scene in front of him, the clenched heart slowly began to relax.