Medical road
Chapter 819
Ten minutes, ten minutes of suffering, ten minutes full of anger, ten minutes of tears of the doctors and nurses, it was really long.
The doctors stood beside the patient like a terracotta warrior, and the nurses were doing the doctors' orders.
The doctors are waiting. Although they don't know what this man is doing, look at the big man who is as strong as a cow outside and look at the dean's pearl sweat.
No matter how long the reflex arc, the slower the reaction will know that this person who urinates and urinates is not easy.
The trainee students have been taken away to clear the field, which is said to be unsightly.
In the emergency room, apart from the sound of Didi instruments and equipment, almost only the sound of suppressed breathing remained.
You have to speak responsibly, and most people estimate that this feeling is quite deep.
"I don't drink anymore!" My wife caught him and drank, and then crackled, the ears were like pig ears the next day.
As a doctor, especially at the critical moment, this thing can be used to find out what happened.
Therefore, doctors have spoken very carefully these years.
Don’t ask if you are sick, as soon as you ask, what you will tell you is like a paper with a lancet. The rigorous science is not leaking, but you just don’t understand.
However, there are still people who dare to take responsibility, and there are still people who dare to speak so that people can understand!
"Zhang Yuan, Zhang Yuan, please come out." The sweat from the head of the affiliated hospital was really, slick.
No assistant, Zhang Fan, who came to call in person.
Zhang Fan glanced, then glanced at the patient lying on the rescue bed.Then gently out of the rescue room.
Old Zhao, Zhao Jingjin hesitated a little, but still followed, and Old Xu followed immediately.
This following is not simply going in and out of the door, it means taking responsibility together and overcoming difficulties together.
So it makes sense that they did not compete for the dean.
"Who is mainly responsible for the rescue here now." A person wearing a navy blue jacket asked calmly.
The dean hesitated, but he still didn't stand up. This can't be blamed on others, who are from internal medicine after all.
"Me!" Zhang Fan didn't hesitate, took a step forward and looked at each other.
"He is Zhang Fan, the executive vice-president of the People's Hospital of Chasushi, and Dr. Zhang is a surgeon."
The dean stood aside and gave a quick introduction.
"Tea Su Zhang Fan!" The man thought for a while, like a memory, and then said: "I know you! Elder Lu's proud disciple, right?"
It seems that Zhang Fan has been paid attention.
Although it was easy to say, the expression on his face remained unchanged.
"Yes!" Zhang Fan nodded and didn't say much.
"How sure?"
"I'm not sure, if you postpone it any more, let alone grasp it, you won't even have the opportunity for treatment! At present, the only method is to open the stomach."
Zhang Fan quickly introduced the specific situation to the other party.
At this time, Zhao Jingjin also said: "Leader, let's make a decision, do it or not, there is no time."
"Professor Zhao also supports Dean Zhang's decision?"
This person looked at Zhao Jingjin, and Zhao's technology pacesetter was awarded by others.
"Ok."
The leader looked at Xu Guangwei, and Old Xu also had a name, "Leader, I also support Dean Zhang's decision, and I am responsible for what I say!"
He gritted his teeth and said to the person in front of him.
The person wearing the navy blue jacket thought for a moment, then looked at Zhang Fan, "Dean Zhang Fan, what do we need to do?"
"It's hard to say now, you can only know after surgery."
"Okay, I believe our doctor, please. Please put up your energy and go all out, but don't put too much pressure.
Don't worry, the government is your biggest backing, and everything is mine!Let's start the operation!"
"Okay!" Zhang Fan gave each other a deep look.Then he said to the dean attached: "Dean, I need the command of surgery and surgery."
"Okay, okay, okay, all the staff in the hospital are now on standby at any time, please give the order from Yuan Zhang."
Zhang Fan was in order to facilitate the operation, but the dean turned around and turned like Zhang Fan's biggest supporter.
"Start preparations before surgery." Zhang Fan nodded at the navy blue person, then turned and shouted.
I saw the emergency room, and began to rush to transfer patients.
"Director Zhao, Director Xu, I need the help of both of you."
"Will not hesitate."
"I need a doctor, who will come?" Zhang Fan said while sprinting towards the emergency room.
Lao Zhao looked at Lao Xu, as if to say again: Your chassis is in charge.
"Let Pu Yi's old Chen go."
Director Xu did not hesitate, and said quickly.
"Okay, then Director Chen will get on." After talking about Zhang Fan, they entered the elevator.
In the operating room, disinfection has already begun.
The provincial director of general surgery serves as an assistant, and the senior general staff is in charge of disinfection. The treatment is really high.
The main treatment for disinfection, although wearing a mask, can be seen from the tight muscles on his face, that he is clenching his teeth.
Large chunks of iodophor wiped the patient's legs over and over again, and the yellow paste was finally wiped clean by the crimson iodophor.
"Zhang Yuan, disinfection is complete!"
"Okay, start the operation." Zhang Fan took the lead and went directly to the operating table.
There were sparks in the eyes of Lao Zhao and Lao Xu, but Lao Xu still gave up a helping position.
This is the rule, whoever has a low title, who is humble, and who has the same title, is better than what you have.
Old Zhao had more hats of Jianghe scholars than Old Xu, and Old Xu could only give in.
"Knife!" Zhang Fan said softly.
Pop, the nurse steadily took the operation to the hands of this strange and young surgeon.
Abdominal surgery, such as the main purpose before the operation, is still exquisite, such as the liver and gallbladder, generally an oblique incision is made under the right rib and along the ribs.
The exploratory operation usually starts from the midline, directly in the middle of the rib fork, then avoids the belly button, and pulls to the lower abdomen.
It's directly like cutting a person's belly in the middle.
It is lying down, if it is hung up, it really looks like a dead food market...
Disinfectants with a strong taste still can't suppress the rotten smell that comes out after opening the stomach.
Wounds, or infected wounds, most people see are wounds on the surface of the body.
For example, a kitchen knife cut the finger and didn't disinfect it properly. After two or three days, the wound seemed to be moldy.
Milky white pus mixed with dark black blood, like a finger inserted into an ice cream that is half chocolate and half cream.
Although it looks disgusting, it doesn't seem to taste much.
This is because bacteria are different. Superficial wounds are exposed to air, and air inhibits the survival of anaerobic bacteria, so everyone just sees the nausea but not smells it.
However, the abdominal cavity is different. First of all, the temperature in the abdominal cavity is extremely suitable for the growth of bacteria, not to mention bacteria, it is estimated that a few mushroom spores can grow out after throwing in it.
Therefore, clostridia grows in large numbers, this thing is an anaerobic bacteria, just suitable for the condition of the abdomen.
This thing is still a kind of aerobic bacteria. How to describe the wounds caused by this bacteria.
Roughly speaking, for example, after the deep thigh of the human body was injured, it was not completely debrided or disinfected, and the result was infection.
Then the thighs began to swell, and they became hypertrophic. Not to mention, the skin was oily and shiny, just like the uncolored elbow meat that was made during the Chinese New Year, and it was shiny and smooth.
And this kind of wound has one of the most obvious characteristics. If you press it with your hand, your swollen thigh is like a fat bug in an autumn wheat field.
With one click, this thing secretes the yellow-green water, but it can also spit thick white phlegm from the mouth.
And after this swelling, the thigh looks exactly like the fermented bread, and the inside is full of holes formed by gas, which is quite scary.
When this kind of bacteria is infected in the abdominal cavity, behave, this situation is more serious than the deep thigh.
First of all, the temperature in the abdominal cavity is higher, there is less oxygen, and there is a lot of food. The bacteria live and mate happily.
This kind of bacteria was originally a native of the body, eating and drinking in the feces, various bacteria compete with each other, this kind of bacteria can not develop.
One hundred thousand are born, then fight with other bacteria, and one hundred thousand die. The number is beyond mention.
However, when there is an accident in the abdominal cavity and a bacterial spillover occurs, it is obedient and terrible. The bacteria that originally eaten the feces begin to swallow the body's organs and tissues.
Eat well, excrete a lot, and the abdominal cavity of the human body is like their happy field.
A large amount of insoluble gases are produced by them, such as hydrogen sulfide and nitrogen.
The wounds caused by this kind of bacteria are described in textbooks as follows: Gas accumulates in the tissues and emits a foul smell.
It can be described as a foul smell in textbooks. It is conceivable that this thing can be called a biochemical weapon.
When Zhang Fan and the others cut open the abdominal cavity, they saw that the inside of the abdominal cavity was directly like a moldy sewage ditch.
The moldy plaque moved slowly in the odorous liquid in the abdominal cavity like a boat. The yellowish-brown odorous liquid was like a manure storage tank in summer, gurgling and bubbling.
At the moment when the abdominal cavity was opened, the light hydrogen sulfide was stuffed into Zhang Fan's nasal cavity like countless rotten eggs. After the light gas was released, the heavy gas followed.
The stench also smelled like fried chili, and the slight sticking in the nostrils could make Zhang Fan's nostrils a burning sensation.
"Zhang Yuan, why is it so serious."
"This disease is not a day or two."
Zhang Fan blinked his eyes vigorously, trying to make the tears in his eyes flow out quickly to flush his eyeballs. It was too uncomfortable.
On the other side, gently knead the patient's abdominal wall with the index finger and thumb.
Zhang Fan is feeling!
The inner wall of the human abdomen is different from the outside of the belly.
Whether it is a beautiful girl full of collagen, or a wretched middle-aged man with a fat belly.
It's like closing your eyes and touching with your hands, you will only feel a soft state like touching cotton.
Sometimes, the sense of touch of a wretched middle-aged man is more comfortable than that of a beautiful girl.
This also shows from another aspect that fat not only makes humans like to eat, but also makes people like to knead and play.
The inner wall of the abdomen, the inner wall of the normal abdomen, is like smooth marble.
Because the intestines in the abdominal cavity are squirming a lot, if it is not smooth, the meat will stick to the meat and the meat will be ground.
And now, Zhang Fan pinched the patient's abdominal wall with a light pinch, and slightly hardened his two fingers, as if he had pinched the hair.
Obviously it is meat, but pinching it in your hand gives you the feeling of pinching a small amount of hair.
"The hair twist is obvious!" He said, without any delay.
I really don't understand what the twisting feeling is. You can pinch the air-filled plastic of the package express in your hand and feel it.
"Find the source of the lesion!"
The inside of the abdominal cavity was really messy, with holes in the liver and corrosion in the gallbladder.
The top of each intestine was like a prickly pear needle in a rainstorm, bubbling everywhere with fecal water pricked out.
When the doctors didn't pay attention, the feces splashed.
Really, this operation is done as if doctors are mixing their hands in a summer feces tank.
Super disgusting.
What's going on, in fact, things are simple, this person is located on a plateau, has a relatively high status, and is young and playful, but something went wrong.
People living on the plateau usually eat barley and dairy products.
But they are the future chiefs anyway, so of course they don't eat the barley.
Located on a plateau, it is of course inconvenient to cook and eat meat, let alone meat, your next noodles will not be cooked without a pressure cooker.
Perennial habits make these people of higher status accustomed to barbecue.
And their eating habits are very similar to those in the West. Barbecue likes to pay attention to a tender, bloody meat.
When the meat comes, it is baked, and the pasta is made into dough, which is also baked.
Moreover, in their territory, eating beef and mutton is not considered a status, and roasted camels demonstrate their status and status.
If it is a wild camel, which status is higher.
The young chief got a wild camel, but who would have thought that the wild camel was sick.
But the young chief didn't know, peeling and scraping meat, especially the hump of the wild camel, dear, which is the most beautiful place, just like human...
Cut off the knife, put it on the fire, mix up the complicated spices, and then cut the half-done with a knife and fork.
People love to eat fat, and so do parasites. With this half-baked roasting, the adults are roasted to death, and they are eaten into their mouths like special protein.
But the eggs of parasites don't. The eggs hidden deep in fat enter the human body, and the human intestine becomes a paradise for others.
Zhang Fanhan was all down, not smelly, but surprised by the symptoms before him.
Really, after the general promotion and his own sentiment, Zhang Fan rarely felt that he could not deal with his illness.
Zhang Fan finds it difficult to deal with, but Lao Zhao and Lao Xu are as dark as death.
"Zhang Yuan, it's too serious, it won't work, if it doesn't work, just stitch it up!"
Old Xu looked at the young Zhang Fan and said softly.
Really, saying this makes Old Xu feel as uncomfortable as a cat's claw.
Regardless of the special disease number, even if the general disease number is mentioned before the operation, the laparotomy is exploratory. If there is no opportunity for the operation, you can only return to the same path.
The family members agreed well, but when they went to the operating table for an incision, the doctor had no choice but to return the same way as the tumor metastasized to the stomach.
After the operation, the family members cried and scolded, pointing to the doctor’s nose and swearing. There were many such things.
This is because people do not understand or understand.
And this kind of special sick number, to be honest, it died after opening the belly and died after opening the belly. Really, the difference is too big for doctors.
This is why so many people, especially some special people, do not undergo surgery in their country. It is not that they don't want to, but that no doctor dared to do it for them.
Old Zhao wanted to say something but stopped. He knew Zhang Fan better than Old Xu, so Old Zhao kept waiting, waiting for Zhang Fan.
"To sew is to die, and not to sew is to die." Zhang Fan muttered lightly, then raised his head and said to Lao Zhao and Lao Xu, "Dare you gamble with me!"