Chapter 267: 267
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At the beginning of the operation, Ouyang was angry. The director of general surgery and the director of Urology went on. Although Ouyang didn't specify who to go on, both directors went to the operation obediently. It's not necessary to find fault with Ouyang.
The director of the anorectal department was a little embarrassed. It was hard to get in and out. He rubbed his hands and looked at Ouyang. Although he was discouraged and was frightened, it was the director of the Department in the hospital. It was Ouyang's subordinate. The old lady said with a cold face: "what are you doing here if you don't go to work? Let me give you a medal!"
"Good! OK! Dean, I'm going to the clinic now. " As he walked, he wiped the sweat on his head. His pressure was not small. For the sake of the young lady, he was clean and went out of the house, so the more he cared about, the more he dared not go beyond!
With that, he turned to the border boss and said, "wait for the news! Give my regards to the Secretary General. " With that, he turned and left without paying attention to a few harbor people.
The boss of the frontier has a green face. He doesn't know medical treatment, but he always knows that the older the industry, the more popular it is. Ouyang let a hairy boy be the main knife. Can he have a good face. Ordinary people, in this case, either try to beg or fly into a rage.
Although the boss looks bad, he doesn't say a word. He's trying to find a way to save Ouyang. One is to find someone to put pressure on Ouyang. The other is that if the hospital in chasu City releases the boss of Gangwan today, what should he do and stop the loss in time? That's the difference between him and ordinary people.
In the operating room, doctors and nurses are busy. This kind of patient is the most hated patient by anesthesiologists. We should not only pay attention to anesthesia, but also pay attention to vital signs.
At the beginning of the operation, Zhang Fan and the two directors began the operation in an orderly manner. This operation is actually very simple if there is no damage to the abdominal organs. It is OK to repair the anus, but now there is damage to the abdominal organs. First, stop the bleeding in the organs and deal with the trauma.
Incision, exploration, this operation, the speed of entering the abdominal cavity should be fast. It was originally a state of blood loss. Now open another opening to bleed more. Therefore, it must be fast. Zhang Fan didn't speak, layer by layer, and entered quickly. The two directors cooperated well. Almost all the surgical approaches were engraved in their minds!
Exploratory laparotomy should be performed quickly, accurately, gently and in a certain order to avoid omission. In particular, some hidden organs must be explored.
After laparotomy, the type of visceral injury can be judged according to the contents of the abdominal cavity. When the peritoneum is cut, a large amount of blood overflows from the abdominal cavity, indicating the rupture of substantive organs or large blood vessels; Gas or gastrointestinal contents overflow, indicating gastrointestinal rupture; Bile like fluid indicates rupture of biliary system or duodenum; When there is fecal liquid or fecal odor, it indicates damage to the lower ileum or colon; When there is urine or smell urine, it indicates ureter or bladder injury.
When Zhang Fan opened his lower abdomen, direct urine rushed out! The meat colored urine is mixed in the blood and flows out directly“ boost! Gauze! Another medium order! "
Zhang Fan said to the instrument nurse and anesthesiologist. The sudden disappearance of pressure in the abdominal cavity sometimes leads to a sharp drop in blood pressure. Zhang Fan had to guard against it.
"This man is really unlucky. He inserted into the anus without saying, but also broke blood vessels and punctured the bladder. Do you say unlucky or not?" Lao Wang said to the director of urology.
It doesn't matter if you have an operation with Zhang Fan. Zhang Fan doesn't speak and others don't speak. But it's too uncomfortable for the superior doctor and Zhang Fan to have an operation. Zhang Fan's men are quick and don't say anything. They are also very focused and never talk much! They are embarrassed to talk even if they want to talk.
"Depending on the situation, this man has a lot of money. What's wrong with having money? Why do you run to the old forest! This is not to find something for chrysanthemum! It's estimated that you can't even eat pepper in half a year! "
"Southerners don't eat chili!" Zhang Fan ends the nagging of two old men. Zhang Fan hates others when he has surgery. This is practiced alone in the system.
In the past, I was not qualified to speak when others spoke, but now Zhang Fan has this qualification!
The treatment of visceral injury is based on the principle of "hemostasis first and then repair". A large amount of blood in the abdominal cavity should be sucked out quickly. Zhang Fan took out the blood clot with his hand, and then checked the parenchymal organs one by one. Fortunately, there are not many male pelvic organs!
After absorbing clean urine, Zhang Fan gently opened his bladder and found the bleeding vein! Just put your fingers on! A finger pressed the blood gushing out like a spring“ Come on, suck blood! " Zhang Fan is very fast. When the two directors are still looking for bleeding, Zhang Fan has pressed down.
Lao Wang, the director of general surgery, quickly drained the accumulated blood. Zhang Fan began ligation. This ligation is very taboo to tie blindly in the pool of blood.
When Lao Wang was ready to press with gauze, Zhang Fan had put on hemostatic forceps.
"Be careful! Blood vessels! " Lao Wang is in a hurry. This blind ligation is very easy to damage normal blood vessels, because there are abundant tissues here, and generally large veins and arteries are accompanied, that is to say, there are arteries next to the veins, and the distance between them is a few millimeters.
Many times, when the operating field is very clear, blood vessels will be damaged, not to mention this blind prick! At the moment when Zhang Fan took off the pliers, Lao Wang and the director of Urology came down in a cold sweat!
Because the two of them know what's below. After a guy goes down and hurts the artery, the direct person will be finished. They will maintain the basic blood pressure and open an artery! It's really unimaginable.
"Click", after clamping the pliers. Zhang Fan said, "suck blood!"
"Don't let go!" Lao Wang shook his hands a little, and then said to the itinerant nurse, "come on, go and get a lot of hemostatic cotton, a lot of hemostatic cotton!"
Zhang Fan was stunned“ What do you want a hemostatic cotton for? "
"If you go down with this pliers, the artery will be broken long ago! What do you say you want hemostatic cotton for! " Lao Wang is angry and anxious! He thought that Zhang Fan was very stable and skilled. Unexpectedly, he made such a low-end mistake ~!
"Ah! Still too young! " I feel a little sorry!
"Ha ha! ~" Zhang Fan smiled and said something else. As a result, Lao Wang said, "you still laugh, go on! Reflect on yourself! Give me the pliers! "
Because the pliers are still in Zhang Fan's hands. If it weren't for the blood vessels, Lao Wang would have taken the pliers! Isn't this nonsense! This is an operation. Can you blind stab it!
This is the gap, the gap brought by the system! Normal surgical training, even if you do 500 such operations, you don't dare to blind tie, but Zhang Fan dares. Don't mention this distance. Even if it's closer, Zhang Fan dares to blind tie. Without him, you can only be familiar with your hands!
Others can't train. He can train. Others have to wait for opportunities to train. As long as he has time and is willing to work hard, he can train at any time! Can you be unfamiliar!
"Certainly not! The absolute forceps pierced the bleeding point and didn't hurt the artery! " Zhang Fan also wanted to stop bleeding more quickly, so he had to show his unique skills!
"Bullshit! Go down! " Lao Wang is really angry!
Zhang Fan is really not in a hurry. At this time, his blood vessels are tied, so he doesn't have to worry“ Director Wang, really stop the bleeding and never damage the artery! "
"You can't go down, can you?" Lao Wang's face is blue! Make fun of the patient. It's not something a doctor can do, so he was angry.
Conventional methods can no longer calm Lao Wang's anger. After a little meal, Zhang Fan said, "if the artery breaks today, I will bear the responsibility, and I will never have another operation in the future!" What Zhang Fan said is very formal! Serious and serious!
"Well!" As soon as you say that. Lao Wang calmed down. He also knew Zhang Fan's past. He had never been so reckless! I don't have the heart to destroy such an excellent young doctor.
"What if the clamp is stuck and the artery is not damaged?" Watching the excitement is not afraid of big things. The director of Urology is relatively calm, which is caused by people's character.
"Hehe, it's up to Director Wang!" Someone set up a platform for Zhang Fan to speak. Zhang Fan said after looking at director Wang.
"What do you mean!" Lao Wang's tone was not very good, but his face was a little better, and his round eyes eased a little.
"If there is no blood vessel injury today, the surgery of general surgery must be open to me in the future, and the reason explained to the doctors in the Department will be said by director Wang!" Zhang Fan said, holding a needle and thread to prepare for sewing!
"Well!" Lao Wang was stunned. He stared at the pliers, because by this time, Zhang Fan had cleared the remaining blood around him!
"Stitch by stitch!" Zhang Fan ignored Lao Wang and began to sew blood vessels. After a few stitches, Zhang Fan removed the pliers and dipped it gently with gauze. After dipping, the gauze was clean!
Zhang Fan didn't mean to embarrass Lao Wang, but an excuse to calm his anger! This kind of doctor should be admired. It is really admirable that he cares about patients and can turn his face against such a young and excellent person as Zhang Fan regardless of the feelings of his colleagues. As the saying goes, it's better to bully Bai Xugong than to bully a young man who is poor! What's more, teenagers who have shown their level!
In the workplace, genius is privileged, and more people can understand genius's mistakes! But this is the medical industry!
Today, if there is no director of general surgery, but only Zhang Fan and the director of Urology do this operation, even if Zhang Fan pricks a blood vessel, the director of Urology will not turn his face! Maybe you'll help cover it up! Who makes Zhang Fan a genius!
Therefore, although Lao Wang was angry, Zhang Fan didn't take it to heart at all. This kind of doctor is his example. Although Lao Wang can't hold other deputy directors of the Department, he can really be called a doctor for the concern of patients for patients!
After fast suture, Zhang Fan is ready to repair the rectum first, because the relative pollution of the rectum is higher. Suture and repair early can also eliminate infection early!
"Metronidazole rinse!" Zhang Fan said to the itinerant nurse.
"Well!" Lao Wang was a little embarrassed, but he was not upset at all. After gently touching the stitched blood vessels, he didn't need to confirm, because there was no bleeding!
"Even if I didn't hurt the artery today, it's no big deal. It's only a few seconds away. Why don't you wait for the operation field to be clear and then clamp it? You don't know the result of breaking the artery? A few more seconds of venous blood, and puncturing an artery, that's a big risk? " Lao Wang is at least a director, but he still has two sons. Not only criticized Zhang Fan, but also resolved the embarrassing scene!
There's really no way to explain this. Is it true that an art expert is brave? If you dare to say this, you can directly let Lao Wang drive him down. This is an operation, not a tightrope!
The director of Urology said, "director Zhang is absolutely sure. Don't you see that people are not in a hurry! This is the level. I have to take it! "
"Hum!" Lao Wang can't say! After hemostasis, the operation is much smoother! After washing with a large amount of metronidazole, gently remove the wooden sign.
The itinerant nurse took a wooden sign with gloves and looked at it. She was a little stunned and said, "it's so thick!"
"Pooh!" The director of Urology and anesthesia smiled“ It's very thick! "
"Annoying!" The tour's face was red. She realized that there was a little ambiguity and hurried out with a wooden sign.
"Zhang Fan, why don't you come to puwai? I'll be powerful for you. Corey's operation let you choose!" Lao Wang solicited Zhang Fan for the second time! Zhang Fanliang was shocked when he thought about it carefully! What a shock! This level is too high!
"Hehe, Lao Gao probably won't let people go." The director of Urology said.
"Does it have anything to do with you! Why are you everywhere! "
"Hehe, I'm not ashamed!"
The operation went well, and their tone was much easier, but Lao Wang still had a little liver tremor. Zhang Fan's move was too scary. It shifted slightly from left to right and shook a little. It might be the internal iliac artery! Lao Wang looked at Zhang Fan. He really had all kinds of feelings in his heart!
Repair the rectum and check the abdominal wall. There is no damage. Continue. At this time, you must change your gloves. Because the rectum is a contaminated area and the bladder is a relatively clean area, change gloves again.
The bladder is well sutured. This thing has a certain contractility and stretch. Like basketball, it has an internal capsule. First suture the inner layer, and then the outer layer. When suturing, you don't need to pay attention to anything else, and there are no blood vessels and nerves to pay attention to. The biggest thing to pay attention to is that there can't be leakage after suturing!
Finally, the anus! It's troublesome. Although the wooden sign is not triangular, the anus has been torn! Little by little. Circular muscle! physiological sphincter!
"Two leaders, which department does this patient belong to?"
"Put it in general!" Lao Wang said. Zhang Fan originally wanted to put this patient in the urinary tract, and there were fewer urinary tract patients. But the director of Urology is afraid of Ouyang and doesn't want to be contaminated at all!
After the operation, Zhang Fan, as the chief surgeon, had to explain to the patient's family with a wooden sign. Besides the operation, life secretary, bodyguard and frontier boss were all there. Several people and horses don't pay much attention to each other!
The frontier boss was really like an ant on a hot pot before the operation. People all over the world wanted to put pressure on Ouyang. As a result, I asked where Li Xiao was!
As soon as Li Xiao heard this, he said, "the main knife is Zhang Fan, Doctor Zhang?"
"Yes, I asked clearly. A little doctor who had just come to the hospital for two years! Mr. Li, save my brother! Find a way quickly, or I'll die! "
"Don't worry, there's nothing left. Just wait for it!" As soon as Li Xiao heard that it was Zhang Zhudao, she didn't worry. She had a good relationship with the boss. She sat down again when she was going to the hospital.
"What?" The frontier boss heard something wrong.
"President Ouyang has given face to the Secretary General. The young doctor is a knife in their hospital! First knife! I see! "
"Just him! A doll! " The frontier boss doesn't believe it directly!
"Yes! Just him, be polite later ~! A great doctor! "
After hanging up, he couldn't believe it. It's incredible. At least he knows about the medical industry.
"Lao Chang, are you familiar with the tea vegetable market?"
Director Chang, who has been away from the mainland, trembles when he listens to the tea vegetable market!
"Well, what's the matter!"
"Zhang Fan, does Doctor Zhang know?"
"That bastard! Did he say I'm not good at it? He's a cow! I'm careless. Do you understand! I was careless! " I'm so angry that I'm foaming at my mouth. I'm far away from the mainland. You still chase me! Interesting!
an accident! Zhang Fan feels a little feverish ears ~!
Please report us if you find any errors so we can fix it asap!
At the beginning of the operation, Ouyang was angry. The director of general surgery and the director of Urology went on. Although Ouyang didn't specify who to go on, both directors went to the operation obediently. It's not necessary to find fault with Ouyang.
The director of the anorectal department was a little embarrassed. It was hard to get in and out. He rubbed his hands and looked at Ouyang. Although he was discouraged and was frightened, it was the director of the Department in the hospital. It was Ouyang's subordinate. The old lady said with a cold face: "what are you doing here if you don't go to work? Let me give you a medal!"
"Good! OK! Dean, I'm going to the clinic now. " As he walked, he wiped the sweat on his head. His pressure was not small. For the sake of the young lady, he was clean and went out of the house, so the more he cared about, the more he dared not go beyond!
With that, he turned to the border boss and said, "wait for the news! Give my regards to the Secretary General. " With that, he turned and left without paying attention to a few harbor people.
The boss of the frontier has a green face. He doesn't know medical treatment, but he always knows that the older the industry, the more popular it is. Ouyang let a hairy boy be the main knife. Can he have a good face. Ordinary people, in this case, either try to beg or fly into a rage.
Although the boss looks bad, he doesn't say a word. He's trying to find a way to save Ouyang. One is to find someone to put pressure on Ouyang. The other is that if the hospital in chasu City releases the boss of Gangwan today, what should he do and stop the loss in time? That's the difference between him and ordinary people.
In the operating room, doctors and nurses are busy. This kind of patient is the most hated patient by anesthesiologists. We should not only pay attention to anesthesia, but also pay attention to vital signs.
At the beginning of the operation, Zhang Fan and the two directors began the operation in an orderly manner. This operation is actually very simple if there is no damage to the abdominal organs. It is OK to repair the anus, but now there is damage to the abdominal organs. First, stop the bleeding in the organs and deal with the trauma.
Incision, exploration, this operation, the speed of entering the abdominal cavity should be fast. It was originally a state of blood loss. Now open another opening to bleed more. Therefore, it must be fast. Zhang Fan didn't speak, layer by layer, and entered quickly. The two directors cooperated well. Almost all the surgical approaches were engraved in their minds!
Exploratory laparotomy should be performed quickly, accurately, gently and in a certain order to avoid omission. In particular, some hidden organs must be explored.
After laparotomy, the type of visceral injury can be judged according to the contents of the abdominal cavity. When the peritoneum is cut, a large amount of blood overflows from the abdominal cavity, indicating the rupture of substantive organs or large blood vessels; Gas or gastrointestinal contents overflow, indicating gastrointestinal rupture; Bile like fluid indicates rupture of biliary system or duodenum; When there is fecal liquid or fecal odor, it indicates damage to the lower ileum or colon; When there is urine or smell urine, it indicates ureter or bladder injury.
When Zhang Fan opened his lower abdomen, direct urine rushed out! The meat colored urine is mixed in the blood and flows out directly“ boost! Gauze! Another medium order! "
Zhang Fan said to the instrument nurse and anesthesiologist. The sudden disappearance of pressure in the abdominal cavity sometimes leads to a sharp drop in blood pressure. Zhang Fan had to guard against it.
"This man is really unlucky. He inserted into the anus without saying, but also broke blood vessels and punctured the bladder. Do you say unlucky or not?" Lao Wang said to the director of urology.
It doesn't matter if you have an operation with Zhang Fan. Zhang Fan doesn't speak and others don't speak. But it's too uncomfortable for the superior doctor and Zhang Fan to have an operation. Zhang Fan's men are quick and don't say anything. They are also very focused and never talk much! They are embarrassed to talk even if they want to talk.
"Depending on the situation, this man has a lot of money. What's wrong with having money? Why do you run to the old forest! This is not to find something for chrysanthemum! It's estimated that you can't even eat pepper in half a year! "
"Southerners don't eat chili!" Zhang Fan ends the nagging of two old men. Zhang Fan hates others when he has surgery. This is practiced alone in the system.
In the past, I was not qualified to speak when others spoke, but now Zhang Fan has this qualification!
The treatment of visceral injury is based on the principle of "hemostasis first and then repair". A large amount of blood in the abdominal cavity should be sucked out quickly. Zhang Fan took out the blood clot with his hand, and then checked the parenchymal organs one by one. Fortunately, there are not many male pelvic organs!
After absorbing clean urine, Zhang Fan gently opened his bladder and found the bleeding vein! Just put your fingers on! A finger pressed the blood gushing out like a spring“ Come on, suck blood! " Zhang Fan is very fast. When the two directors are still looking for bleeding, Zhang Fan has pressed down.
Lao Wang, the director of general surgery, quickly drained the accumulated blood. Zhang Fan began ligation. This ligation is very taboo to tie blindly in the pool of blood.
When Lao Wang was ready to press with gauze, Zhang Fan had put on hemostatic forceps.
"Be careful! Blood vessels! " Lao Wang is in a hurry. This blind ligation is very easy to damage normal blood vessels, because there are abundant tissues here, and generally large veins and arteries are accompanied, that is to say, there are arteries next to the veins, and the distance between them is a few millimeters.
Many times, when the operating field is very clear, blood vessels will be damaged, not to mention this blind prick! At the moment when Zhang Fan took off the pliers, Lao Wang and the director of Urology came down in a cold sweat!
Because the two of them know what's below. After a guy goes down and hurts the artery, the direct person will be finished. They will maintain the basic blood pressure and open an artery! It's really unimaginable.
"Click", after clamping the pliers. Zhang Fan said, "suck blood!"
"Don't let go!" Lao Wang shook his hands a little, and then said to the itinerant nurse, "come on, go and get a lot of hemostatic cotton, a lot of hemostatic cotton!"
Zhang Fan was stunned“ What do you want a hemostatic cotton for? "
"If you go down with this pliers, the artery will be broken long ago! What do you say you want hemostatic cotton for! " Lao Wang is angry and anxious! He thought that Zhang Fan was very stable and skilled. Unexpectedly, he made such a low-end mistake ~!
"Ah! Still too young! " I feel a little sorry!
"Ha ha! ~" Zhang Fan smiled and said something else. As a result, Lao Wang said, "you still laugh, go on! Reflect on yourself! Give me the pliers! "
Because the pliers are still in Zhang Fan's hands. If it weren't for the blood vessels, Lao Wang would have taken the pliers! Isn't this nonsense! This is an operation. Can you blind stab it!
This is the gap, the gap brought by the system! Normal surgical training, even if you do 500 such operations, you don't dare to blind tie, but Zhang Fan dares. Don't mention this distance. Even if it's closer, Zhang Fan dares to blind tie. Without him, you can only be familiar with your hands!
Others can't train. He can train. Others have to wait for opportunities to train. As long as he has time and is willing to work hard, he can train at any time! Can you be unfamiliar!
"Certainly not! The absolute forceps pierced the bleeding point and didn't hurt the artery! " Zhang Fan also wanted to stop bleeding more quickly, so he had to show his unique skills!
"Bullshit! Go down! " Lao Wang is really angry!
Zhang Fan is really not in a hurry. At this time, his blood vessels are tied, so he doesn't have to worry“ Director Wang, really stop the bleeding and never damage the artery! "
"You can't go down, can you?" Lao Wang's face is blue! Make fun of the patient. It's not something a doctor can do, so he was angry.
Conventional methods can no longer calm Lao Wang's anger. After a little meal, Zhang Fan said, "if the artery breaks today, I will bear the responsibility, and I will never have another operation in the future!" What Zhang Fan said is very formal! Serious and serious!
"Well!" As soon as you say that. Lao Wang calmed down. He also knew Zhang Fan's past. He had never been so reckless! I don't have the heart to destroy such an excellent young doctor.
"What if the clamp is stuck and the artery is not damaged?" Watching the excitement is not afraid of big things. The director of Urology is relatively calm, which is caused by people's character.
"Hehe, it's up to Director Wang!" Someone set up a platform for Zhang Fan to speak. Zhang Fan said after looking at director Wang.
"What do you mean!" Lao Wang's tone was not very good, but his face was a little better, and his round eyes eased a little.
"If there is no blood vessel injury today, the surgery of general surgery must be open to me in the future, and the reason explained to the doctors in the Department will be said by director Wang!" Zhang Fan said, holding a needle and thread to prepare for sewing!
"Well!" Lao Wang was stunned. He stared at the pliers, because by this time, Zhang Fan had cleared the remaining blood around him!
"Stitch by stitch!" Zhang Fan ignored Lao Wang and began to sew blood vessels. After a few stitches, Zhang Fan removed the pliers and dipped it gently with gauze. After dipping, the gauze was clean!
Zhang Fan didn't mean to embarrass Lao Wang, but an excuse to calm his anger! This kind of doctor should be admired. It is really admirable that he cares about patients and can turn his face against such a young and excellent person as Zhang Fan regardless of the feelings of his colleagues. As the saying goes, it's better to bully Bai Xugong than to bully a young man who is poor! What's more, teenagers who have shown their level!
In the workplace, genius is privileged, and more people can understand genius's mistakes! But this is the medical industry!
Today, if there is no director of general surgery, but only Zhang Fan and the director of Urology do this operation, even if Zhang Fan pricks a blood vessel, the director of Urology will not turn his face! Maybe you'll help cover it up! Who makes Zhang Fan a genius!
Therefore, although Lao Wang was angry, Zhang Fan didn't take it to heart at all. This kind of doctor is his example. Although Lao Wang can't hold other deputy directors of the Department, he can really be called a doctor for the concern of patients for patients!
After fast suture, Zhang Fan is ready to repair the rectum first, because the relative pollution of the rectum is higher. Suture and repair early can also eliminate infection early!
"Metronidazole rinse!" Zhang Fan said to the itinerant nurse.
"Well!" Lao Wang was a little embarrassed, but he was not upset at all. After gently touching the stitched blood vessels, he didn't need to confirm, because there was no bleeding!
"Even if I didn't hurt the artery today, it's no big deal. It's only a few seconds away. Why don't you wait for the operation field to be clear and then clamp it? You don't know the result of breaking the artery? A few more seconds of venous blood, and puncturing an artery, that's a big risk? " Lao Wang is at least a director, but he still has two sons. Not only criticized Zhang Fan, but also resolved the embarrassing scene!
There's really no way to explain this. Is it true that an art expert is brave? If you dare to say this, you can directly let Lao Wang drive him down. This is an operation, not a tightrope!
The director of Urology said, "director Zhang is absolutely sure. Don't you see that people are not in a hurry! This is the level. I have to take it! "
"Hum!" Lao Wang can't say! After hemostasis, the operation is much smoother! After washing with a large amount of metronidazole, gently remove the wooden sign.
The itinerant nurse took a wooden sign with gloves and looked at it. She was a little stunned and said, "it's so thick!"
"Pooh!" The director of Urology and anesthesia smiled“ It's very thick! "
"Annoying!" The tour's face was red. She realized that there was a little ambiguity and hurried out with a wooden sign.
"Zhang Fan, why don't you come to puwai? I'll be powerful for you. Corey's operation let you choose!" Lao Wang solicited Zhang Fan for the second time! Zhang Fanliang was shocked when he thought about it carefully! What a shock! This level is too high!
"Hehe, Lao Gao probably won't let people go." The director of Urology said.
"Does it have anything to do with you! Why are you everywhere! "
"Hehe, I'm not ashamed!"
The operation went well, and their tone was much easier, but Lao Wang still had a little liver tremor. Zhang Fan's move was too scary. It shifted slightly from left to right and shook a little. It might be the internal iliac artery! Lao Wang looked at Zhang Fan. He really had all kinds of feelings in his heart!
Repair the rectum and check the abdominal wall. There is no damage. Continue. At this time, you must change your gloves. Because the rectum is a contaminated area and the bladder is a relatively clean area, change gloves again.
The bladder is well sutured. This thing has a certain contractility and stretch. Like basketball, it has an internal capsule. First suture the inner layer, and then the outer layer. When suturing, you don't need to pay attention to anything else, and there are no blood vessels and nerves to pay attention to. The biggest thing to pay attention to is that there can't be leakage after suturing!
Finally, the anus! It's troublesome. Although the wooden sign is not triangular, the anus has been torn! Little by little. Circular muscle! physiological sphincter!
"Two leaders, which department does this patient belong to?"
"Put it in general!" Lao Wang said. Zhang Fan originally wanted to put this patient in the urinary tract, and there were fewer urinary tract patients. But the director of Urology is afraid of Ouyang and doesn't want to be contaminated at all!
After the operation, Zhang Fan, as the chief surgeon, had to explain to the patient's family with a wooden sign. Besides the operation, life secretary, bodyguard and frontier boss were all there. Several people and horses don't pay much attention to each other!
The frontier boss was really like an ant on a hot pot before the operation. People all over the world wanted to put pressure on Ouyang. As a result, I asked where Li Xiao was!
As soon as Li Xiao heard this, he said, "the main knife is Zhang Fan, Doctor Zhang?"
"Yes, I asked clearly. A little doctor who had just come to the hospital for two years! Mr. Li, save my brother! Find a way quickly, or I'll die! "
"Don't worry, there's nothing left. Just wait for it!" As soon as Li Xiao heard that it was Zhang Zhudao, she didn't worry. She had a good relationship with the boss. She sat down again when she was going to the hospital.
"What?" The frontier boss heard something wrong.
"President Ouyang has given face to the Secretary General. The young doctor is a knife in their hospital! First knife! I see! "
"Just him! A doll! " The frontier boss doesn't believe it directly!
"Yes! Just him, be polite later ~! A great doctor! "
After hanging up, he couldn't believe it. It's incredible. At least he knows about the medical industry.
"Lao Chang, are you familiar with the tea vegetable market?"
Director Chang, who has been away from the mainland, trembles when he listens to the tea vegetable market!
"Well, what's the matter!"
"Zhang Fan, does Doctor Zhang know?"
"That bastard! Did he say I'm not good at it? He's a cow! I'm careless. Do you understand! I was careless! " I'm so angry that I'm foaming at my mouth. I'm far away from the mainland. You still chase me! Interesting!
an accident! Zhang Fan feels a little feverish ears ~!
At the beginning of the operation, Ouyang was angry. The director of general surgery and the director of Urology went on. Although Ouyang didn't specify who to go on, both directors went to the operation obediently. It's not necessary to find fault with Ouyang.The director of the anorectal department was a little embarrassed. It was hard to get in and out. He rubbed his hands and looked at Ouyang. Although he was discouraged and was frightened, it was the director of the Department in the hospital. It was Ouyang's subordinate. The old lady said with a cold face: "what are you doing here if you don't go to work? Let me give you a medal!""Good! OK! Dean, I'm going to the clinic now. " As he walked, he wiped the sweat on his head. His pressure was not small. For the sake of the young lady, he was clean and went out of the house, so the more he cared about, the more he dared not go beyond!With that, he turned to the border boss and said, "wait for the news! Give my regards to the Secretary General. " With that, he turned and left without paying attention to a few harbor people.The boss of the frontier has a green face. He doesn't know medical treatment, but he always knows that the older the industry, the more popular it is. Ouyang let a hairy boy be the main knife. Can he have a good face. Ordinary people, in this case, either try to beg or fly into a rage.Although the boss looks bad, he doesn't say a word. He's trying to find a way to save Ouyang. One is to find someone to put pressure on Ouyang. The other is that if the hospital in chasu City releases the boss of Gangwan today, what should he do and stop the loss in time? That's the difference between him and ordinary people.In the operating room, doctors and nurses are busy. This kind of patient is the most hated patient by anesthesiologists. We should not only pay attention to anesthesia, but also pay attention to vital signs.At the beginning of the operation, Zhang Fan and the two directors began the operation in an orderly manner. This operation is actually very simple if there is no damage to the abdominal organs. It is OK to repair the anus, but now there is damage to the abdominal organs. First, stop the bleeding in the organs and deal with the trauma.Incision, exploration, this operation, the speed of entering the abdominal cavity should be fast. It was originally a state of blood loss. Now open another opening to bleed more. Therefore, it must be fast. Zhang Fan didn't speak, layer by layer, and entered quickly. The two directors cooperated well. Almost all the surgical approaches were engraved in their minds!Exploratory laparotomy should be performed quickly, accurately, gently and in a certain order to avoid omission. In particular, some hidden organs must be explored.After laparotomy, the type of visceral injury can be judged according to the contents of the abdominal cavity. When the peritoneum is cut, a large amount of blood overflows from the abdominal cavity, indicating the rupture of substantive organs or large blood vessels; Gas or gastrointestinal contents overflow, indicating gastrointestinal rupture; Bile like fluid indicates rupture of biliary system or duodenum; When there is fecal liquid or fecal odor, it indicates damage to the lower ileum or colon; When there is urine or smell urine, it indicates ureter or bladder injury.When Zhang Fan opened his lower abdomen, direct urine rushed out! The meat colored urine is mixed in the blood and flows out directly boost! Gauze! Another medium order! "Zhang Fan said to the instrument nurse and anesthesiologist. The sudden disappearance of pressure in the abdominal cavity sometimes leads to a sharp drop in blood pressure. Zhang Fan had to guard against it."This man is really unlucky. He inserted into the anus without saying, but also broke blood vessels and punctured the bladder. Do you say unlucky or not?" Lao Wang said to the director of urology.It doesn't matter if you have an operation with Zhang Fan. Zhang Fan doesn't speak and others don't speak. But it's too uncomfortable for the superior doctor and Zhang Fan to have an operation. Zhang Fan's men are quick and don't say anything. They are also very focused and never talk much! They are embarrassed to talk even if they want to talk."Depending on the situation, this man has a lot of money. What's wrong with having money? Why do you run to the old forest! This is not to find something for chrysanthemum! It's estimated that you can't even eat pepper in half a year! ""Southerners don't eat chili!" Zhang Fan ends the nagging of two old men. Zhang Fan hates others when he has surgery. This is practiced alone in the system.In the past, I was not qualified to speak when others spoke, but now Zhang Fan has this qualification!The treatment of visceral injury is based on the principle of "hemostasis first and then repair". A large amount of blood in the abdominal cavity should be sucked out quickly. Zhang Fan took out the blood clot with his hand, and then checked the parenchymal organs one by one. Fortunately, there are not many male pelvic organs!After absorbing clean urine, Zhang Fan gently opened his bladder and found the bleeding vein! Just put your fingers on! A finger pressed the blood gushing out like a spring Come on, suck blood! " Zhang Fan is very fast. When the two directors are still looking for bleeding, Zhang Fan has pressed down.Lao Wang, the director of general surgery, quickly drained the accumulated blood. Zhang Fan began ligation. This ligation is very taboo to tie blindly in the pool of blood.When Lao Wang was ready to press with gauze, Zhang Fan had put on hemostatic forceps."Be careful! Blood vessels! " Lao Wang is in a hurry. This blind ligation is very easy to damage normal blood vessels, because there are abundant tissues here, and generally large veins and arteries are accompanied, that is to say, there are arteries next to the veins, and the distance between them is a few millimeters.Many times, when the operating field is very clear, blood vessels will be damaged, not to mention this blind prick! At the moment when Zhang Fan took off the pliers, Lao Wang and the director of Urology came down in a cold sweat!Because the two of them know what's below. After a guy goes down and hurts the artery, the direct person will be finished. They will maintain the basic blood pressure and open an artery! It's really unimaginable."Click", after clamping the pliers. Zhang Fan said, "suck blood!""Don't let go!" Lao Wang shook his hands a little, and then said to the itinerant nurse, "come on, go and get a lot of hemostatic cotton, a lot of hemostatic cotton!"Zhang Fan was stunned What do you want a hemostatic cotton for? ""If you go down with this pliers, the artery will be broken long ago! What do you say you want hemostatic cotton for! " Lao Wang is angry and anxious! He thought that Zhang Fan was very stable and skilled. Unexpectedly, he made such a low-end mistake ~!"Ah! Still too young! " I feel a little sorry!"Ha ha! ~" Zhang Fan smiled and said something else. As a result, Lao Wang said, "you still laugh, go on! Reflect on yourself! Give me the pliers! "Because the pliers are still in Zhang Fan's hands. If it weren't for the blood vessels, Lao Wang would have taken the pliers! Isn't this nonsense! This is an operation. Can you blind stab it!This is the gap, the gap brought by the system! Normal surgical training, even if you do 500 such operations, you don't dare to blind tie, but Zhang Fan dares. Don't mention this distance. Even if it's closer, Zhang Fan dares to blind tie. Without him, you can only be familiar with your hands!Others can't train. He can train. Others have to wait for opportunities to train. As long as he has time and is willing to work hard, he can train at any time! Can you be unfamiliar!"Certainly not! The absolute forceps pierced the bleeding point and didn't hurt the artery! " Zhang Fan also wanted to stop bleeding more quickly, so he had to show his unique skills!"Bullshit! Go down! " Lao Wang is really angry!Zhang Fan is really not in a hurry. At this time, his blood vessels are tied, so he doesn't have to worry Director Wang, really stop the bleeding and never damage the artery! ""You can't go down, can you?" Lao Wang's face is blue! Make fun of the patient. It's not something a doctor can do, so he was angry.Conventional methods can no longer calm Lao Wang's anger. After a little meal, Zhang Fan said, "if the artery breaks today, I will bear the responsibility, and I will never have another operation in the future!" What Zhang Fan said is very formal! Serious and serious!"Well!" As soon as you say that. Lao Wang calmed down. He also knew Zhang Fan's past. He had never been so reckless! I don't have the heart to destroy such an excellent young doctor."What if the clamp is stuck and the artery is not damaged?" Watching the excitement is not afraid of big things. The director of Urology is relatively calm, which is caused by people's character."Hehe, it's up to Director Wang!" Someone set up a platform for Zhang Fan to speak. Zhang Fan said after looking at director Wang."What do you mean!" Lao Wang's tone was not very good, but his face was a little better, and his round eyes eased a little."If there is no blood vessel injury today, the surgery of general surgery must be open to me in the future, and the reason explained to the doctors in the Department will be said by director Wang!" Zhang Fan said, holding a needle and thread to prepare for sewing!"Well!" Lao Wang was stunned. He stared at the pliers, because by this time, Zhang Fan had cleared the remaining blood around him!"Stitch by stitch!" Zhang Fan ignored Lao Wang and began to sew blood vessels. After a few stitches, Zhang Fan removed the pliers and dipped it gently with gauze. After dipping, the gauze was clean!Zhang Fan didn't mean to embarrass Lao Wang, but an excuse to calm his anger! This kind of doctor should be admired. It is really admirable that he cares about patients and can turn his face against such a young and excellent person as Zhang Fan regardless of the feelings of his colleagues. As the saying goes, it's better to bully Bai Xugong than to bully a young man who is poor! What's more, teenagers who have shown their level!In the workplace, genius is privileged, and more people can understand genius's mistakes! But this is the medical industry!Today, if there is no director of general surgery, but only Zhang Fan and the director of Urology do this operation, even if Zhang Fan pricks a blood vessel, the director of Urology will not turn his face! Maybe you'll help cover it up! Who makes Zhang Fan a genius!Therefore, although Lao Wang was angry, Zhang Fan didn't take it to heart at all. This kind of doctor is his example. Although Lao Wang can't hold other deputy directors of the Department, he can really be called a doctor for the concern of patients for patients!After fast suture, Zhang Fan is ready to repair the rectum first, because the relative pollution of the rectum is higher. Suture and repair early can also eliminate infection early!"Metronidazole rinse!" Zhang Fan said to the itinerant nurse."Well!" Lao Wang was a little embarrassed, but he was not upset at all. After gently touching the stitched blood vessels, he didn't need to confirm, because there was no bleeding!"Even if I didn't hurt the artery today, it's no big deal. It's only a few seconds away. Why don't you wait for the operation field to be clear and then clamp it? You don't know the result of breaking the artery? A few more seconds of venous blood, and puncturing an artery, that's a big risk? " Lao Wang is at least a director, but he still has two sons. Not only criticized Zhang Fan, but also resolved the embarrassing scene!There's really no way to explain this. Is it true that an art expert is brave? If you dare to say this, you can directly let Lao Wang drive him down. This is an operation, not a tightrope!The director of Urology said, "director Zhang is absolutely sure. Don't you see that people are not in a hurry! This is the level. I have to take it! ""Hum!" Lao Wang can't say! After hemostasis, the operation is much smoother! After washing with a large amount of metronidazole, gently remove the wooden sign.The itinerant nurse took a wooden sign with gloves and looked at it. She was a little stunned and said, "it's so thick!""Pooh!" The director of Urology and anesthesia smiled It's very thick! ""Annoying!" The tour's face was red. She realized that there was a little ambiguity and hurried out with a wooden sign."Zhang Fan, why don't you come to puwai? I'll be powerful for you. Corey's operation let you choose!" Lao Wang solicited Zhang Fan for the second time! Zhang Fanliang was shocked when he thought about it carefully! What a shock! This level is too high!"Hehe, Lao Gao probably won't let people go." The director of Urology said."Does it have anything to do with you! Why are you everywhere! ""Hehe, I'm not ashamed!"The operation went well, and their tone was much easier, but Lao Wang still had a little liver tremor. Zhang Fan's move was too scary. It shifted slightly from left to right and shook a little. It might be the internal iliac artery! Lao Wang looked at Zhang Fan. He really had all kinds of feelings in his heart!Repair the rectum and check the abdominal wall. There is no damage. Continue. At this time, you must change your gloves. Because the rectum is a contaminated area and the bladder is a relatively clean area, change gloves again.The bladder is well sutured. This thing has a certain contractility and stretch. Like basketball, it has an internal capsule. First suture the inner layer, and then the outer layer. When suturing, you don't need to pay attention to anything else, and there are no blood vessels and nerves to pay attention to. The biggest thing to pay attention to is that there can't be leakage after suturing!Finally, the anus! It's troublesome. Although the wooden sign is not triangular, the anus has been torn! Little by little. Circular muscle! physiological sphincter!"Two leaders, which department does this patient belong to?""Put it in general!" Lao Wang said. Zhang Fan originally wanted to put this patient in the urinary tract, and there were fewer urinary tract patients. But the director of Urology is afraid of Ouyang and doesn't want to be contaminated at all!After the operation, Zhang Fan, as the chief surgeon, had to explain to the patient's family with a wooden sign. Besides the operation, life secretary, bodyguard and frontier boss were all there. Several people and horses don't pay much attention to each other!The frontier boss was really like an ant on a hot pot before the operation. People all over the world wanted to put pressure on Ouyang. As a result, I asked where Li Xiao was!As soon as Li Xiao heard this, he said, "the main knife is Zhang Fan, Doctor Zhang?""Yes, I asked clearly. A little doctor who had just come to the hospital for two years! Mr. Li, save my brother! Find a way quickly, or I'll die! ""Don't worry, there's nothing left. Just wait for it!" As soon as Li Xiao heard that it was Zhang Zhudao, she didn't worry. She had a good relationship with the boss. She sat down again when she was going to the hospital."What?" The frontier boss heard something wrong."President Ouyang has given face to the Secretary General. The young doctor is a knife in their hospital! First knife! I see! ""Just him! A doll! " The frontier boss doesn't believe it directly!"Yes! Just him, be polite later ~! A great doctor! "After hanging up, he couldn't believe it. It's incredible. At least he knows about the medical industry."Lao Chang, are you familiar with the tea vegetable market?"Director Chang, who has been away from the mainland, trembles when he listens to the tea vegetable market!"Well, what's the matter!""Zhang Fan, does Doctor Zhang know?""That bastard! Did he say I'm not good at it? He's a cow! I'm careless. Do you understand! I was careless! " I'm so angry that I'm foaming at my mouth. I'm far away from the mainland. You still chase me! Interesting!an accident! Zhang Fan feels a little feverish ears ~!
