Chapter 691: 691
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Pancreatitis, if hypertension and diabetes are a small ghost around the crowd, then pancreatitis is a ghosts who can bite people.
In terms of costs, the annual cost of treatment for hypertension and diabetes is also very huge, but if it is counted in 12 months, it will still allow ordinary patients to bite and stick.
However, pancreatitis does not work. Once it occurs, money will be thrown out like water immediately. It is no exaggeration at all.
If the symptoms are serious, according to the current world price, an ordinary building in the second and third tier cities is estimated to be unstoppable.
Moreover, even if the money is spent, sometimes you may not be able to keep people. It's such a terrible disease.
In the early years, pancreatitis in China was almost always caused by problems in the biliary system, because after the bile from the gallbladder flowed out, it finally merged with the pancreatic duct and then flowed into the small intestine.
In the past, people didn't eat well and parasite control was not good, so these diseases often led to pipe blockage and pancreatitis.
With the improvement of living standards, pancreatitis in China also began to change from the complication of biliary system to overeating.
The patient who was operated by Wu Lao and Zhang Fan is the business manager of a company.
The position is not big or small. It can be regarded as a rootless child who can bite his teeth and work hard in a big city.
In order to survive in big cities, the young man also worked hard. He ranked among the top three in the company's business. At the end of a quarter, the company had some bad debts that could not be collected.
Then the boss promised that whoever wants to pay the bill can share it. The young man thought about the swaddling children at home. Because his daughter-in-law had little milk, he wanted to buy milk powder. Then he thought that the old man was in poor health and needed to eat more nutrition.
As soon as he gritted his teeth, the young man took over the job. At first, he couldn't even enter the door of the other company. He didn't give up and slept at the door of the other company with his bedding.
One week, it directly became a local landscape. The boss of the other company was helpless by the young man. Does the boss worth tens of millions have no face?
When the young man was brought to his office, he didn't talk much. He pointed to the piles of Bluebird beer in the corner of the office, "how much you drink in a bottle of 10000, I'll pay you back."
"What you say?"
"My big boss will tease you? Drink. "
Workplace and business are cruel, very cruel, human dignity, sometimes, really
He drank it for the children and the elderly.
One or two cans... I don't know how much I've drunk. The young man who has been drinking for a week goes from standing to sitting, and finally lying down. Drink the wine in your mouth, and then trickle out again, in and out.
Finally, his desperate posture also frightened the other party's boss. He wrote a check directly. The young man climbed out of the other party's office with the check.
When he came out of the door, he vomited fiercely and drank beer like a foam fountain. The sprayed wine was sprayed like bubbles on the water column.
Then, suddenly there was pain, extreme pain. After alcohol paralysis, he could clearly feel his back, which was like a knife stabbing.
Fortunately, a kind passer-by dialed 120, otherwise he might die on the road.
His illness is a typical pancreatitis caused by heavy drinking.
There is another kind, perhaps for life, perhaps for the sake of not knowing the so-called face. When drinking, ignore it.
Then, sneak to the bathroom, put your two fingers into your throat, take it out, spit it out, and then go to the court to drink.
Don't learn this way. If you vomit dozens of times, you may get a massive title. Once you cause pancreatitis, your family will be broken, your wife will be slept by others, and your children will be beaten by others.
It's no exaggeration.
The digestive system of the human body was originally evolved according to the principle that it can only go down and not go against it. Once forced vomiting, it is OK to vomit twice or even hundreds of times.
Once it causes system disorder and pancreatitis, it is a personal or family disaster.
Therefore, don't go in and out by holding the wall while eating, and don't drink to be a hero.
In the United States, 200000 people are hospitalized for pancreatitis a year, about 20% of them are 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, but a remission rate is used instead.
It can be imagined that this disease is terrible. The United States and the United States suddenly had a sharp increase in the number of alcoholics for unknown reasons after World War II or Vietnam War. Therefore, for the operation of pancreatitis, they did the best in the world.
However, in the highest level countries, the disease also makes doctors pale, and not all pancreatic doctors can do this kind of surgery.
And this disease is also very cruel to patients. Look at the treatment of this disease.
1. Pain relief, large dose of painkillers to relieve pain. 2. Inhibit pancreatic secretion. Drugs such as octreotide inhibit pancreatic secretion, and the price of octreotide can really make people smoke.
It's that simple. After the pain is covered up, let the patient's pancreas reduce secretion, and then rely on the patient to recover.
Pain, the pain of this disease, iron men can hurt to call their mother, which doesn't count. If it doesn't work, the next step is surgery.
This kind of operation, not to mention ordinary hospitals, some provincial key hospitals can't do it.
The pancreas was separated very clearly under Mr. Wu's hand. The most difficult and critical place for the operation came.
Why is this operation so difficult.
Simply put, it's like a grape connected to a grape branch. When it shakes, a grape falls off and breaks.
Now what Wu Lao and Zhang Fan have to do is first cut off the broken grapes that may be damaged, then try to recover the grape skin, and finally connect the repaired grapes to the branches.
For example, it is so difficult to imagine the difficulty of this operation, and the pancreas is the largest secretory gland in the human body except the liver.
It can secrete, or a very large secretory gland, so the pipes in the pancreas extend in all directions, just like a honeycomb, connected by paths.
There are countless blood vessels, lymph vessels and secretory ducts, which will be blocked if the surgical technique is not good.
The blockage of the pancreas is not the blockage in the city. The driver scolds his mother. The pancreas secreted here will corrode like aqua regia. If it is not done well, it will be a bag of bombs that don't know when to explode.
"Look here, the swelling of the pancreas has been very severe. We must not be in a hurry for this operation. We must be fully prepared. We must predict the failure and successful results."
Old Wu, who didn't speak, began to speak. Zhang Fan, who used to speak, began not to speak.
If we compare the level of Zhang Fan and Wu Lao, Zhang Fan's current level is like a great Xia in the Jianghu.
A Xiake who can make peace is bullied. OK, go to find Zhang Fan. He can make peace for you.
And the level of Wu Lao is not very different from that of Zhang Fan.
But the old man's inside story is that the Jianghu people he knows will not have an accident. It's so awesome.
Zhang Fan is like a superb young Xia, and Wu Lao is a famous figure in the Jianghu world. Relying on his name, he can frighten a Jianghu.
This is the difference. This is the precious experience that the old man has worked hard for most of his life.
To tell the truth, sometimes doctors and soldiers are very similar. An army needs countless lives to build an iron and blood team.
In fact, doctors are almost the same. A good doctor is actually accumulated by human life.
In the medical industry, teachers are really just a guide, a simple cardiopulmonary resuscitation. To be honest, people with a little culture can do training.
However, doing well or badly is the difference between heaven and earth.
If you don't have a few people killed in cardiopulmonary resuscitation, you really can't do it well and can't improve much. In any case, training is not as good as killing a person in the hand. It's a cruel industry!
"Don't take the swelling here lightly. Once the pancreatic fluid is not cleaned up, no one can guarantee that this place will heal after operation."
The old man looked at Zhang Fan. Although Zhang Fan didn't look at the old man, he seemed to know that his martial uncle was looking at himself. Zhang Fan nodded gently.
With that, Wu inserted a needle into the pancreas, slowly punctured the swelling like a bladder full of urine, and then slowly began to extract pancreatic juice with a syringe.
The pancreas that has been absorbed is really like an extended tongue. Even the lines in the middle of the tongue are very similar in the pancreas.
"Knife!" The old man asked for a sharp knife himself.
The hand holding the knife, very steady, starts from the center of the pancreas, that is, the middle line of the tongue, and the blade crosses.
The old man's hands are quite sharp. He cuts, points and cuts the skin of his pancreas. The skin of his pancreas is like an old hand in love. He gently bites off the raised dry skin on his girlfriend's lips with his teeth and sharp teeth.
Bit by bit, without a trace of involvement, but let each other's clothes fall completely.
An expert is a person who can finish a terrible job in calm weather. Cut and separate the necrotic pancreas.
"Attention!
There can be no more, no less. If you cut more pancreas, it will have no function. If you cut less pancreas, it will be necrotic. "
The old man said and cut. Needless to say, Mr. Wu believes that Zhang fan can understand.
Flexible fingers are turning flowers in the white and greasy pancreas.
The doctors standing behind Zhang Fan were in a state at this time, "can I? Yes! But I just can't do it. "
Zhang Fan is different. What he needs is not the details, but the overall view of a disease.
When the old man began to do it from beginning to end, Zhang Fan kept making comparisons in his mind.
"What should I do? What should I do if I were in this step?"
Little by little, in the most critical place of the operation, Zhang Fan finally asked his own questions.
"Uncle, why not dredge the ducts in the glands before dividing the necrotic tissue under the incision line? Is it better to ensure the smoothness of the pancreas after dredging? "
"Hehe, it seems that you really understand. It's not impossible to dredge first, but it has a chance to damage the accessory pancreatic duct.
We can dredge slowly, but if we damage the accessory pancreatic duct, we can't recover. I figured this out when I was 50. "
"Well, fifty? Accessory pancreatic duct? "
When Dr. Sanshu was not convinced, he was convinced because he didn't understand.
As the director of the second assistant, he seemed to understand something and looked at Zhang Fan with a very grateful look.
As for the group of people behind the performer, they directly look at each other in the clouds. What else do they say?
Figured it out! Zhang Fan, who figured out the key points, was like window paper. After being pierced, the sky suddenly lit up. Uncle Shi's words made him understand, and the pancreatic operation was directly through.
"Oh, my God, so it is. How can I say that in the system, pancreatic surgery is sometimes successful and sometimes judged to fail. Obviously, the method is the same. The accessory pancreatic duct was ignored! "
What is to see the sun through the clouds, this is to see the sun through the clouds, what is a thousand gold words, this is. If there is no Wu Lao, even if Zhang Fan has a system, it is estimated that he can't figure it out when he doesn't enter the second class. This doesn't mean that Zhang Fan doesn't work hard, but it's less than time! Not enough people died at his hands!
Really, the people who hang up in Wu's generation are not for nothing. This is also the golden value of surgeons and senior surgeons. In one word, they can point out the problems that lower level doctors can't figure out for decades.
Repair, connection, figured out the pancreatic problem, Zhang Fan and Wu Lao cooperate more and more smoothly.
The operation is done faster and faster. The two hands cooperate quite tacitly, just as one brain commands.
At this time, Zhang Fan and Wu Lao were just like Biao's sports car.
Speed, accuracy and prediction do not need communication. They are directly synchronized.
As assistants, they are sweating and trying to catch up with Wu Lao and Zhang Fan.
"Too bullying. It's too bullying. " Sanzhu's tears are running down. He was wronged, really wronged.
He could still keep up with Wu's operation, and his pride was full.
A doctor under the age of 35, 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.
As a result, today, he didn't expect that a black guy who didn't know where he came from improved the difficulty of the operation and the speed of the operation, just as he negotiated with old Wu.
It's nothing, but he can't keep up. He can't keep up with it with all his strength.
"The first person below the vice high school and the leading young doctors in East China are all deceptive! Woo! Woo! Woo! "
He is extremely sad. The more he understands the difference in technical level, the deeper the human body will be.
Repair, fill, fill, dot, cut and cut. The original pancreas is like white tofu falling on the ground. It has been repaired by old Wu and Zhang Fan.
Zhang Fan, who has figured out the difficulties of the pancreas, is getting more and more transparent under the seduction of Wu's superb surgical skills.
Immersed in the cool feeling of permeability, Zhang Fan's Kung Fu began to play out slowly.
When he didn't figure it out, Zhang Fan couldn't give full play to his full strength, because he didn't know why the operation sometimes succeeded and sometimes failed in the system.
Now, when Zhang Fan figured it out, a group of people behind him opened their mouths!
"Darling, what else is this guy doing!"
In the operating room, especially in front of a very strict expert like Mr. Wu, if you talk nonsense, you will definitely be scolded.
However, even if Wu Lao was there, the observer standing behind the performer was so surprised that he even forgot the rules and said it.
Please report us if you find any errors so we can fix it asap!
Pancreatitis, if hypertension and diabetes are a small ghost around the crowd, then pancreatitis is a ghosts who can bite people.
In terms of costs, the annual cost of treatment for hypertension and diabetes is also very huge, but if it is counted in 12 months, it will still allow ordinary patients to bite and stick.
However, pancreatitis does not work. Once it occurs, money will be thrown out like water immediately. It is no exaggeration at all.
If the symptoms are serious, according to the current world price, an ordinary building in the second and third tier cities is estimated to be unstoppable.
Moreover, even if the money is spent, sometimes you may not be able to keep people. It's such a terrible disease.
In the early years, pancreatitis in China was almost always caused by problems in the biliary system, because after the bile from the gallbladder flowed out, it finally merged with the pancreatic duct and then flowed into the small intestine.
In the past, people didn't eat well and parasite control was not good, so these diseases often led to pipe blockage and pancreatitis.
With the improvement of living standards, pancreatitis in China also began to change from the complication of biliary system to overeating.
The patient who was operated by Wu Lao and Zhang Fan is the business manager of a company.
The position is not big or small. It can be regarded as a rootless child who can bite his teeth and work hard in a big city.
In order to survive in big cities, the young man also worked hard. He ranked among the top three in the company's business. At the end of a quarter, the company had some bad debts that could not be collected.
Then the boss promised that whoever wants to pay the bill can share it. The young man thought about the swaddling children at home. Because his daughter-in-law had little milk, he wanted to buy milk powder. Then he thought that the old man was in poor health and needed to eat more nutrition.
As soon as he gritted his teeth, the young man took over the job. At first, he couldn't even enter the door of the other company. He didn't give up and slept at the door of the other company with his bedding.
One week, it directly became a local landscape. The boss of the other company was helpless by the young man. Does the boss worth tens of millions have no face?
When the young man was brought to his office, he didn't talk much. He pointed to the piles of Bluebird beer in the corner of the office, "how much you drink in a bottle of 10000, I'll pay you back."
"What you say?"
"My big boss will tease you? Drink. "
Workplace and business are cruel, very cruel, human dignity, sometimes, really
He drank it for the children and the elderly.
One or two cans... I don't know how much I've drunk. The young man who has been drinking for a week goes from standing to sitting, and finally lying down. Drink the wine in your mouth, and then trickle out again, in and out.
Finally, his desperate posture also frightened the other party's boss. He wrote a check directly. The young man climbed out of the other party's office with the check.
When he came out of the door, he vomited fiercely and drank beer like a foam fountain. The sprayed wine was sprayed like bubbles on the water column.
Then, suddenly there was pain, extreme pain. After alcohol paralysis, he could clearly feel his back, which was like a knife stabbing.
Fortunately, a kind passer-by dialed 120, otherwise he might die on the road.
His illness is a typical pancreatitis caused by heavy drinking.
There is another kind, perhaps for life, perhaps for the sake of not knowing the so-called face. When drinking, ignore it.
Then, sneak to the bathroom, put your two fingers into your throat, take it out, spit it out, and then go to the court to drink.
Don't learn this way. If you vomit dozens of times, you may get a massive title. Once you cause pancreatitis, your family will be broken, your wife will be slept by others, and your children will be beaten by others.
It's no exaggeration.
The digestive system of the human body was originally evolved according to the principle that it can only go down and not go against it. Once forced vomiting, it is OK to vomit twice or even hundreds of times.
Once it causes system disorder and pancreatitis, it is a personal or family disaster.
Therefore, don't go in and out by holding the wall while eating, and don't drink to be a hero.
In the United States, 200000 people are hospitalized for pancreatitis a year, about 20% of them are 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, but a remission rate is used instead.
It can be imagined that this disease is terrible. The United States and the United States suddenly had a sharp increase in the number of alcoholics for unknown reasons after World War II or Vietnam War. Therefore, for the operation of pancreatitis, they did the best in the world.
However, in the highest level countries, the disease also makes doctors pale, and not all pancreatic doctors can do this kind of surgery.
And this disease is also very cruel to patients. Look at the treatment of this disease.
1. Pain relief, large dose of painkillers to relieve pain. 2. Inhibit pancreatic secretion. Drugs such as octreotide inhibit pancreatic secretion, and the price of octreotide can really make people smoke.
It's that simple. After the pain is covered up, let the patient's pancreas reduce secretion, and then rely on the patient to recover.
Pain, the pain of this disease, iron men can hurt to call their mother, which doesn't count. If it doesn't work, the next step is surgery.
This kind of operation, not to mention ordinary hospitals, some provincial key hospitals can't do it.
The pancreas was separated very clearly under Mr. Wu's hand. The most difficult and critical place for the operation came.
Why is this operation so difficult.
Simply put, it's like a grape connected to a grape branch. When it shakes, a grape falls off and breaks.
Now what Wu Lao and Zhang Fan have to do is first cut off the broken grapes that may be damaged, then try to recover the grape skin, and finally connect the repaired grapes to the branches.
For example, it is so difficult to imagine the difficulty of this operation, and the pancreas is the largest secretory gland in the human body except the liver.
It can secrete, or a very large secretory gland, so the pipes in the pancreas extend in all directions, just like a honeycomb, connected by paths.
There are countless blood vessels, lymph vessels and secretory ducts, which will be blocked if the surgical technique is not good.
The blockage of the pancreas is not the blockage in the city. The driver scolds his mother. The pancreas secreted here will corrode like aqua regia. If it is not done well, it will be a bag of bombs that don't know when to explode.
"Look here, the swelling of the pancreas has been very severe. We must not be in a hurry for this operation. We must be fully prepared. We must predict the failure and successful results."
Old Wu, who didn't speak, began to speak. Zhang Fan, who used to speak, began not to speak.
If we compare the level of Zhang Fan and Wu Lao, Zhang Fan's current level is like a great Xia in the Jianghu.
A Xiake who can make peace is bullied. OK, go to find Zhang Fan. He can make peace for you.
And the level of Wu Lao is not very different from that of Zhang Fan.
But the old man's inside story is that the Jianghu people he knows will not have an accident. It's so awesome.
Zhang Fan is like a superb young Xia, and Wu Lao is a famous figure in the Jianghu world. Relying on his name, he can frighten a Jianghu.
This is the difference. This is the precious experience that the old man has worked hard for most of his life.
To tell the truth, sometimes doctors and soldiers are very similar. An army needs countless lives to build an iron and blood team.
In fact, doctors are almost the same. A good doctor is actually accumulated by human life.
In the medical industry, teachers are really just a guide, a simple cardiopulmonary resuscitation. To be honest, people with a little culture can do training.
However, doing well or badly is the difference between heaven and earth.
If you don't have a few people killed in cardiopulmonary resuscitation, you really can't do it well and can't improve much. In any case, training is not as good as killing a person in the hand. It's a cruel industry!
"Don't take the swelling here lightly. Once the pancreatic fluid is not cleaned up, no one can guarantee that this place will heal after operation."
The old man looked at Zhang Fan. Although Zhang Fan didn't look at the old man, he seemed to know that his martial uncle was looking at himself. Zhang Fan nodded gently.
With that, Wu inserted a needle into the pancreas, slowly punctured the swelling like a bladder full of urine, and then slowly began to extract pancreatic juice with a syringe.
The pancreas that has been absorbed is really like an extended tongue. Even the lines in the middle of the tongue are very similar in the pancreas.
"Knife!" The old man asked for a sharp knife himself.
The hand holding the knife, very steady, starts from the center of the pancreas, that is, the middle line of the tongue, and the blade crosses.
The old man's hands are quite sharp. He cuts, points and cuts the skin of his pancreas. The skin of his pancreas is like an old hand in love. He gently bites off the raised dry skin on his girlfriend's lips with his teeth and sharp teeth.
Bit by bit, without a trace of involvement, but let each other's clothes fall completely.
An expert is a person who can finish a terrible job in calm weather. Cut and separate the necrotic pancreas.
"Attention!
There can be no more, no less. If you cut more pancreas, it will have no function. If you cut less pancreas, it will be necrotic. "
The old man said and cut. Needless to say, Mr. Wu believes that Zhang fan can understand.
Flexible fingers are turning flowers in the white and greasy pancreas.
The doctors standing behind Zhang Fan were in a state at this time, "can I? Yes! But I just can't do it. "
Zhang Fan is different. What he needs is not the details, but the overall view of a disease.
When the old man began to do it from beginning to end, Zhang Fan kept making comparisons in his mind.
"What should I do? What should I do if I were in this step?"
Little by little, in the most critical place of the operation, Zhang Fan finally asked his own questions.
"Uncle, why not dredge the ducts in the glands before dividing the necrotic tissue under the incision line? Is it better to ensure the smoothness of the pancreas after dredging? "
"Hehe, it seems that you really understand. It's not impossible to dredge first, but it has a chance to damage the accessory pancreatic duct.
We can dredge slowly, but if we damage the accessory pancreatic duct, we can't recover. I figured this out when I was 50. "
"Well, fifty? Accessory pancreatic duct? "
When Dr. Sanshu was not convinced, he was convinced because he didn't understand.
As the director of the second assistant, he seemed to understand something and looked at Zhang Fan with a very grateful look.
As for the group of people behind the performer, they directly look at each other in the clouds. What else do they say?
Figured it out! Zhang Fan, who figured out the key points, was like window paper. After being pierced, the sky suddenly lit up. Uncle Shi's words made him understand, and the pancreatic operation was directly through.
"Oh, my God, so it is. How can I say that in the system, pancreatic surgery is sometimes successful and sometimes judged to fail. Obviously, the method is the same. The accessory pancreatic duct was ignored! "
What is to see the sun through the clouds, this is to see the sun through the clouds, what is a thousand gold words, this is. If there is no Wu Lao, even if Zhang Fan has a system, it is estimated that he can't figure it out when he doesn't enter the second class. This doesn't mean that Zhang Fan doesn't work hard, but it's less than time! Not enough people died at his hands!
Really, the people who hang up in Wu's generation are not for nothing. This is also the golden value of surgeons and senior surgeons. In one word, they can point out the problems that lower level doctors can't figure out for decades.
Repair, connection, figured out the pancreatic problem, Zhang Fan and Wu Lao cooperate more and more smoothly.
The operation is done faster and faster. The two hands cooperate quite tacitly, just as one brain commands.
At this time, Zhang Fan and Wu Lao were just like Biao's sports car.
Speed, accuracy and prediction do not need communication. They are directly synchronized.
As assistants, they are sweating and trying to catch up with Wu Lao and Zhang Fan.
"Too bullying. It's too bullying. " Sanzhu's tears are running down. He was wronged, really wronged.
He could still keep up with Wu's operation, and his pride was full.
A doctor under the age of 35, 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.
As a result, today, he didn't expect that a black guy who didn't know where he came from improved the difficulty of the operation and the speed of the operation, just as he negotiated with old Wu.
It's nothing, but he can't keep up. He can't keep up with it with all his strength.
"The first person below the vice high school and the leading young doctors in East China are all deceptive! Woo! Woo! Woo! "
He is extremely sad. The more he understands the difference in technical level, the deeper the human body will be.
Repair, fill, fill, dot, cut and cut. The original pancreas is like white tofu falling on the ground. It has been repaired by old Wu and Zhang Fan.
Zhang Fan, who has figured out the difficulties of the pancreas, is getting more and more transparent under the seduction of Wu's superb surgical skills.
Immersed in the cool feeling of permeability, Zhang Fan's Kung Fu began to play out slowly.
When he didn't figure it out, Zhang Fan couldn't give full play to his full strength, because he didn't know why the operation sometimes succeeded and sometimes failed in the system.
Now, when Zhang Fan figured it out, a group of people behind him opened their mouths!
"Darling, what else is this guy doing!"
In the operating room, especially in front of a very strict expert like Mr. Wu, if you talk nonsense, you will definitely be scolded.
However, even if Wu Lao was there, the observer standing behind the performer was so surprised that he even forgot the rules and said it.
Pancreatitis, if hypertension and diabetes are a small ghost around the crowd, then pancreatitis is a ghosts who can bite people.In terms of costs, the annual cost of treatment for hypertension and diabetes is also very huge, but if it is counted in 12 months, it will still allow ordinary patients to bite and stick.However, pancreatitis does not work. Once it occurs, money will be thrown out like water immediately. It is no exaggeration at all.If the symptoms are serious, according to the current world price, an ordinary building in the second and third tier cities is estimated to be unstoppable.Moreover, even if the money is spent, sometimes you may not be able to keep people. It's such a terrible disease.In the early years, pancreatitis in China was almost always caused by problems in the biliary system, because after the bile from the gallbladder flowed out, it finally merged with the pancreatic duct and then flowed into the small intestine.In the past, people didn't eat well and parasite control was not good, so these diseases often led to pipe blockage and pancreatitis.With the improvement of living standards, pancreatitis in China also began to change from the complication of biliary system to overeating.The patient who was operated by Wu Lao and Zhang Fan is the business manager of a company.The position is not big or small. It can be regarded as a rootless child who can bite his teeth and work hard in a big city.In order to survive in big cities, the young man also worked hard. He ranked among the top three in the company's business. At the end of a quarter, the company had some bad debts that could not be collected.Then the boss promised that whoever wants to pay the bill can share it. The young man thought about the swaddling children at home. Because his daughter-in-law had little milk, he wanted to buy milk powder. Then he thought that the old man was in poor health and needed to eat more nutrition.As soon as he gritted his teeth, the young man took over the job. At first, he couldn't even enter the door of the other company. He didn't give up and slept at the door of the other company with his bedding.One week, it directly became a local landscape. The boss of the other company was helpless by the young man. Does the boss worth tens of millions have no face?When the young man was brought to his office, he didn't talk much. He pointed to the piles of Bluebird beer in the corner of the office, "how much you drink in a bottle of 10000, I'll pay you back.""What you say?""My big boss will tease you? Drink. "Workplace and business are cruel, very cruel, human dignity, sometimes, reallyHe drank it for the children and the elderly.One or two cans... I don't know how much I've drunk. The young man who has been drinking for a week goes from standing to sitting, and finally lying down. Drink the wine in your mouth, and then trickle out again, in and out.Finally, his desperate posture also frightened the other party's boss. He wrote a check directly. The young man climbed out of the other party's office with the check.When he came out of the door, he vomited fiercely and drank beer like a foam fountain. The sprayed wine was sprayed like bubbles on the water column.Then, suddenly there was pain, extreme pain. After alcohol paralysis, he could clearly feel his back, which was like a knife stabbing.Fortunately, a kind passer-by dialed 120, otherwise he might die on the road.His illness is a typical pancreatitis caused by heavy drinking.There is another kind, perhaps for life, perhaps for the sake of not knowing the so-called face. When drinking, ignore it.Then, sneak to the bathroom, put your two fingers into your throat, take it out, spit it out, and then go to the court to drink.Don't learn this way. If you vomit dozens of times, you may get a massive title. Once you cause pancreatitis, your family will be broken, your wife will be slept by others, and your children will be beaten by others.It's no exaggeration.The digestive system of the human body was originally evolved according to the principle that it can only go down and not go against it. Once forced vomiting, it is OK to vomit twice or even hundreds of times.Once it causes system disorder and pancreatitis, it is a personal or family disaster.Therefore, don't go in and out by holding the wall while eating, and don't drink to be a hero.In the United States, 200000 people are hospitalized for pancreatitis a year, about 20% of them are 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, but a remission rate is used instead.It can be imagined that this disease is terrible. The United States and the United States suddenly had a sharp increase in the number of alcoholics for unknown reasons after World War II or Vietnam War. Therefore, for the operation of pancreatitis, they did the best in the world.However, in the highest level countries, the disease also makes doctors pale, and not all pancreatic doctors can do this kind of surgery.And this disease is also very cruel to patients. Look at the treatment of this disease.1. Pain relief, large dose of painkillers to relieve pain. 2. Inhibit pancreatic secretion. Drugs such as octreotide inhibit pancreatic secretion, and the price of octreotide can really make people smoke.It's that simple. After the pain is covered up, let the patient's pancreas reduce secretion, and then rely on the patient to recover.Pain, the pain of this disease, iron men can hurt to call their mother, which doesn't count. If it doesn't work, the next step is surgery.This kind of operation, not to mention ordinary hospitals, some provincial key hospitals can't do it.The pancreas was separated very clearly under Mr. Wu's hand. The most difficult and critical place for the operation came.Why is this operation so difficult.Simply put, it's like a grape connected to a grape branch. When it shakes, a grape falls off and breaks.Now what Wu Lao and Zhang Fan have to do is first cut off the broken grapes that may be damaged, then try to recover the grape skin, and finally connect the repaired grapes to the branches.For example, it is so difficult to imagine the difficulty of this operation, and the pancreas is the largest secretory gland in the human body except the liver.It can secrete, or a very large secretory gland, so the pipes in the pancreas extend in all directions, just like a honeycomb, connected by paths.There are countless blood vessels, lymph vessels and secretory ducts, which will be blocked if the surgical technique is not good.The blockage of the pancreas is not the blockage in the city. The driver scolds his mother. The pancreas secreted here will corrode like aqua regia. If it is not done well, it will be a bag of bombs that don't know when to explode."Look here, the swelling of the pancreas has been very severe. We must not be in a hurry for this operation. We must be fully prepared. We must predict the failure and successful results."Old Wu, who didn't speak, began to speak. Zhang Fan, who used to speak, began not to speak.If we compare the level of Zhang Fan and Wu Lao, Zhang Fan's current level is like a great Xia in the Jianghu.A Xiake who can make peace is bullied. OK, go to find Zhang Fan. He can make peace for you.And the level of Wu Lao is not very different from that of Zhang Fan.But the old man's inside story is that the Jianghu people he knows will not have an accident. It's so awesome.Zhang Fan is like a superb young Xia, and Wu Lao is a famous figure in the Jianghu world. Relying on his name, he can frighten a Jianghu.This is the difference. This is the precious experience that the old man has worked hard for most of his life.To tell the truth, sometimes doctors and soldiers are very similar. An army needs countless lives to build an iron and blood team.In fact, doctors are almost the same. A good doctor is actually accumulated by human life.In the medical industry, teachers are really just a guide, a simple cardiopulmonary resuscitation. To be honest, people with a little culture can do training.However, doing well or badly is the difference between heaven and earth.If you don't have a few people killed in cardiopulmonary resuscitation, you really can't do it well and can't improve much. In any case, training is not as good as killing a person in the hand. It's a cruel industry!"Don't take the swelling here lightly. Once the pancreatic fluid is not cleaned up, no one can guarantee that this place will heal after operation."The old man looked at Zhang Fan. Although Zhang Fan didn't look at the old man, he seemed to know that his martial uncle was looking at himself. Zhang Fan nodded gently.With that, Wu inserted a needle into the pancreas, slowly punctured the swelling like a bladder full of urine, and then slowly began to extract pancreatic juice with a syringe.The pancreas that has been absorbed is really like an extended tongue. Even the lines in the middle of the tongue are very similar in the pancreas."Knife!" The old man asked for a sharp knife himself.The hand holding the knife, very steady, starts from the center of the pancreas, that is, the middle line of the tongue, and the blade crosses.The old man's hands are quite sharp. He cuts, points and cuts the skin of his pancreas. The skin of his pancreas is like an old hand in love. He gently bites off the raised dry skin on his girlfriend's lips with his teeth and sharp teeth.Bit by bit, without a trace of involvement, but let each other's clothes fall completely.An expert is a person who can finish a terrible job in calm weather. Cut and separate the necrotic pancreas."Attention!There can be no more, no less. If you cut more pancreas, it will have no function. If you cut less pancreas, it will be necrotic. "The old man said and cut. Needless to say, Mr. Wu believes that Zhang fan can understand.Flexible fingers are turning flowers in the white and greasy pancreas.The doctors standing behind Zhang Fan were in a state at this time, "can I? Yes! But I just can't do it. "Zhang Fan is different. What he needs is not the details, but the overall view of a disease.When the old man began to do it from beginning to end, Zhang Fan kept making comparisons in his mind."What should I do? What should I do if I were in this step?"Little by little, in the most critical place of the operation, Zhang Fan finally asked his own questions."Uncle, why not dredge the ducts in the glands before dividing the necrotic tissue under the incision line? Is it better to ensure the smoothness of the pancreas after dredging? ""Hehe, it seems that you really understand. It's not impossible to dredge first, but it has a chance to damage the accessory pancreatic duct.We can dredge slowly, but if we damage the accessory pancreatic duct, we can't recover. I figured this out when I was 50. ""Well, fifty? Accessory pancreatic duct? "When Dr. Sanshu was not convinced, he was convinced because he didn't understand.As the director of the second assistant, he seemed to understand something and looked at Zhang Fan with a very grateful look.As for the group of people behind the performer, they directly look at each other in the clouds. What else do they say?Figured it out! Zhang Fan, who figured out the key points, was like window paper. After being pierced, the sky suddenly lit up. Uncle Shi's words made him understand, and the pancreatic operation was directly through."Oh, my God, so it is. How can I say that in the system, pancreatic surgery is sometimes successful and sometimes judged to fail. Obviously, the method is the same. The accessory pancreatic duct was ignored! "What is to see the sun through the clouds, this is to see the sun through the clouds, what is a thousand gold words, this is. If there is no Wu Lao, even if Zhang Fan has a system, it is estimated that he can't figure it out when he doesn't enter the second class. This doesn't mean that Zhang Fan doesn't work hard, but it's less than time! Not enough people died at his hands!Really, the people who hang up in Wu's generation are not for nothing. This is also the golden value of surgeons and senior surgeons. In one word, they can point out the problems that lower level doctors can't figure out for decades.Repair, connection, figured out the pancreatic problem, Zhang Fan and Wu Lao cooperate more and more smoothly.The operation is done faster and faster. The two hands cooperate quite tacitly, just as one brain commands.At this time, Zhang Fan and Wu Lao were just like Biao's sports car.Speed, accuracy and prediction do not need communication. They are directly synchronized.As assistants, they are sweating and trying to catch up with Wu Lao and Zhang Fan."Too bullying. It's too bullying. " Sanzhu's tears are running down. He was wronged, really wronged.He could still keep up with Wu's operation, and his pride was full.A doctor under the age of 35, 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.As a result, today, he didn't expect that a black guy who didn't know where he came from improved the difficulty of the operation and the speed of the operation, just as he negotiated with old Wu.It's nothing, but he can't keep up. He can't keep up with it with all his strength."The first person below the vice high school and the leading young doctors in East China are all deceptive! Woo! Woo! Woo! "He is extremely sad. The more he understands the difference in technical level, the deeper the human body will be.Repair, fill, fill, dot, cut and cut. The original pancreas is like white tofu falling on the ground. It has been repaired by old Wu and Zhang Fan.Zhang Fan, who has figured out the difficulties of the pancreas, is getting more and more transparent under the seduction of Wu's superb surgical skills.Immersed in the cool feeling of permeability, Zhang Fan's Kung Fu began to play out slowly.When he didn't figure it out, Zhang Fan couldn't give full play to his full strength, because he didn't know why the operation sometimes succeeded and sometimes failed in the system.Now, when Zhang Fan figured it out, a group of people behind him opened their mouths!"Darling, what else is this guy doing!"In the operating room, especially in front of a very strict expert like Mr. Wu, if you talk nonsense, you will definitely be scolded.However, even if Wu Lao was there, the observer standing behind the performer was so surprised that he even forgot the rules and said it.
