Chapter 845: 845
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I don't know who said that if you want to play a certain thing, you have to see at least 100000 things before you can be an expert.
It's absolutely hard to say, but in medical treatment, this magnitude change will definitely lead to different levels of doctors.
Most simply, Li Jiapo and China had a relatively mild and friendly period in their early years.
Such a team of medical teams came to the frontier. At that time, the medical teams of others were all doctors and all young heroes under the age of 35.
At that time, most of the doctors in the frontier were specialized and undergraduate.
At that time, in order to support the scene, the leaders even pulled out the gray haired old professors in the medical school.
At the discussion stage of the meeting, it can be imagined that frontier doctors are all defeated, and people are more and more advanced in research from tissue embryos to future molecular biology.
Frontier doctors are like students. Really, in Ouyang's words, they worshipped others with an extremely eager look just like students.
At the end of the discussion stage, enter the operation observation. At that time, frontier doctors thought they were such a high-end doctor and such a senior doctor.
Why should people not underestimate the frontier and China.
The doctors who went to surgery were all experts in medical competition. Really, the whole frontier pulled a group of experts regardless of North and south, East and West.
At that time, several operations were arranged, from simple appendix, then gallbladder and hernia, and finally gastrectomy.
Chinese doctors went to the operating table first and watched the operation first. After cholecystectomy, the subsequent operation was stopped.
Why?
Because these doctors on the stage are too sneaky. Under the old shadowless lamp, they don't even have advanced surgical clothes.
Relying on the exquisite surgical skills honed over the years, Li Jiapo's doctors were ashamed. They didn't even dare to observe the operation.
With their energy and spirit in the most difficult time, China Medical has the possibility to catch up.
Therefore, in the medical industry, especially in basic hospitals, doctors must rely on time and efforts to polish.
Often what patients need is a perfect operation, not a perfect theory.
When Zhang Fan picked up the knife, Zhou Desen looked at Zhang Fan intently.
Conventionally, what can a doctor with an undergraduate degree do after two years of graduation?
It's hard to give a simple appendix and cut it off quickly.
It's all from this industry. The hardest thing for doctors is when, just a few years before graduation.
Pull the hook every day, pull the hook every day. If you want to get started, take the qualification certificate first, then get it, and then look at the teacher's face. If you don't let go, you pull the hook first.
Therefore, he thinks Zhang Fan has talent, but it is estimated that he has been spoiled by teachers and superiors.
I think I'm a genius. I can do everything and have no problem with any surgery.
I didn't see the operation of the chief's child at that time. I haven't done anything yet. Did the teacher pull a group of people to help punch.
Hula La pulled almost half of the ordinary foreign experts from North China to the bird market from the other end of China.
What are you doing here? Are you here for surgery? It's scary at this time, okay.
Even if the bird market boss is dead, he doesn't have the energy to convene so many experts at one time.
What kind of treatment is this? It's like a disgusting bear child swaggering around and causing trouble.
Then there are a group of people who support the bad news, such as Lao Xu and Zhao Jingjin of the central hospital.
Because when the bear child gets into trouble, he can make a big move. He can shake people. His master is Lu Lao, his uncle is Wu Lao, and his master's master is Qiu Lao.
I can't scare you!
Looking at Zhang Fan holding a knife, Lao Zhou sighed in his heart, "does medical treatment begin to pay attention to the door valve now?
You have so much resources that you don't want to be an instrument manufacturer. Thanks to you, why bother to do this! "
However, the superior can specify who will perform the operation or who will be the assistant.
However, Zhou Desen is not made of mud. As long as Zhang Fan feels strange during the operation today, he must have a good chat with Lao Xu. You can't be so confused when you are the dean.
"Be serious and turn on the light!" Watching Zhang Fan start to take a knife, Zhou Desen said to the itinerant nurse.
Whether Zhang Fan is a bear child or not, he must first fulfill his responsibility as a doctor, and also to avoid Zhang Fan having an excuse.
Zhang Fan, who got on the operating table, didn't know why. His face was not angular, but he was so serious under the shadowless lamp.
A slightly wrinkled forehead and focused eyes can't help but let others slowly enter a focused attitude. Maybe this is the aura.
The knife cuts through the skin and gently separates the skin stained with yellow iodophor.
Like a child's mouth, it split in an instant.
The superficial venous capillaries are like a mother insect hiding in a hole and spitting out.
The superficial arterial capillaries, like a grumpy male insect, stood at the mouth of the cave and bared red urine to the doctor.
Pop! When the electric knife passed, the worms were scalded and blocked the urethra.
In the quiet operating room, in addition to the dripping sound of instruments, there was only the sound of luotie scalding meat.
Zhang Fan's technique is very clever. But this is the basis of doctors. If they do well, there is nothing to be surprised.
Zhou Desen nodded softly in his heart, "I have some skills. The ancestral disciples still have something."
Then he looked up at Zhang Fan, "it's just that he has a bad heart and is a little arrogant. It's a pity!"
People are like this. They have no strength and ability. Even if you are handsome and beautiful, you will be despised by people.
I don't know why.
Cut open the skin, shallow capillaries can not be avoided, but Zhang Fan perfectly avoided the blood vessels under the skin.
The open skin, under the yellow skin, is a layer of white dermis, and under the dermis is a layer of whiter mucosal tissue like eggshell membrane.
There is little fat layer in the neck. If it is the abdomen, cut the skin, followed by the yellow fat layer.
Zhang Fan puts down the scalpel, turns his finger into a knife, and slides gently along the gap between the muscles.
Like a killer whale, fresh flesh colored muscles are separated, one layer and two layers.
Zhang Fan's left thumb and index finger are separated, the tiger's mouth is open, and the index finger of his right hand is like a hook.
Just as the old tailor cuts the whole cloth, the muscles are separated like water.
Then, fat tumors appear. There are obvious differences in appearance between benign tumors and malignant tumors.
Benign is like a simple fat man, harmless to humans and animals, and seems to be shy. He is the big fat boy next door, always secretly looking at the beautiful sister in the street.
Malignant tumors are bandits and bullies. The first thing they grow is to show their teeth and claws, with rotten mouths and broken teeth.
And very aggressive, it can be said that many malignant tumors are like a legion of coagulated blood clots and coagulated thick phlegm and rotten meat.
Benign tumors generally have no obvious new vessels on the surface, while malignant tumors not only eat the nutrition of other tissues, but also produce blood vessels to directly capture nutrition from the body.
Really, advanced malignant tumors are directly like a bag of rotten meat, with fresh blood vessels on the surface. Cut the rotten meat, which is full of rotten meat and rotten liquid.
After Zhang Fanyou left the tissue, a benign tumor appeared, just like a skinned, half cooked egg.
There was a little yellow fat hanging on the surface of the tumor, and with a slight touch, it was like lack of support, flickering like falling.
This thing is just like the egg white has just solidified, but the egg yolk has just changed into sugar. It can definitely make people want to take a quick SIP and don't let it flow out.
"Gauze!" Zhang Fan didn't talk much from beginning to end. He was quietly in the operation.
Zhou Desen has been staring at Zhang Fan, while several other doctors are comparing Zhang Fan with Zhou Desen.
"Well, he seems to be a little faster than the director and a little softer than the director. Maybe it's because of his slender fingers."
Zhou Desen looked more advanced, "I didn't hesitate when hiding from the artery. It seems that I have some skills.
Well, when hiding from the recurrent laryngeal nerve, it seems that this boy can't do more than a thousand neck operations. "
Zhang Fan doesn't have a little idea in his heart.
His heart is the tissues and organs in front of him, just like a child playing with building blocks, focusing!
How to describe the stripping of benign tumors? It's like a child swallowing an egg. Parents are deeply afraid of children choking.
You must take it out, squeeze your mouth and index finger into it, and then take it out bit by bit.
The dissection of benign tumors is similar.
However, everything has its roots, and this thing also has its roots. Its fat and enlarged body does not adhere to other parts of the body, but it does not mean that others do not follow.
Many tumors often have a pedicle at the bottom. The more well-developed tumors are, the deeper the pedicle is.
Sometimes it is connected to blood vessels, sometimes it is connected to nerves, especially when it is connected but not connected, the instrument can't detect it at all.
If you rashly peel off, it is either massive bleeding or nerve damage. Just like when you take off your clothes, people obviously wear suspenders and pants. You work hard to find the belt and tear your pants with reckless strength. This is inappropriate. It is definitely a slap to meet you.
Therefore, when stripping the tumor, in fact, the left side is stripped three times with the finger, and then the right side is stripped three times, extending bit by bit to the end.
Then gently shake and judge by experience whether this thing is connected with blood vessels or nerves.
Is it possible to peel off under direct vision. Yes, for example, the abdominal cavity can be used in places with large operation space. Even if the stomach is so big, there is no problem at all.
But the neck can't. If you want to look straight, do you want to turn all your neck open? Impossible, even when eating sheep's neck, I can't open it all.
In the neck, the knife edge is so little. In order to be beautiful, how small can it be? The operation completed by inserting the index finger can not be opened to the size of the thumb.
This is the bottom line of medical treatment.
After dissociating the surrounding connection, Zhang Fan closed his eyes and gently shook the separated tumor around.
The strength of tumor movement was fed back to the brain from the hand. Zhang Fan directly created a three-dimensional anatomical map in his mind.
"No adhesion!" Zhang Fanzhen opened his eyes. He was sure.
When Zhang Fan's hand left the tumor, Zhou Desen also put it on the tumor.
"Knife!"
Zhang Fan said to the instrument nurse.
Zhou Desen's hair stood up when he heard it.
From the operation to the most important step of the operation, all the steps are quite good.
Why are you fooling around at the last step.
Shouldn't you use your fingers to separate? The following is either an artery or a nerve. Why use a knife.
Zhou Desen opened his five fingers to cover the wound. "Dr. Zhang, why do you use a knife? Don't you know what organization is down here? "
Zhang Fan looked at him. He stared at Zhang Fan, although his tone was interrogative.
However, from now on, he has put Zhang Fan in the same position as him.
"Have you ever seen Qiu Dao? Have you ever seen the serious Qiu Dao technique? "
Zhang Fan asked softly.
"Well!" Zhou Desen Khan has come down. Aren't you bullying people.
"Even the most accurate knife technique will have an accident!" Zhou Desen reluctantly said to Zhang Fan.
The situation is better than people. This boy has seen the world.
"Hehe, the damage caused by hand separation and blunt separation will be more serious, but this is not a muscle, so the effect of sharp tool separation is better.
Come on, help me pull the hook! Make the field clearer. "
After finishing speaking to Zhou Desen, Zhang Fan turned to the second assistant around him and said, "wrap the tumor with gauze."
Zhou Desen looked at Zhang Fan. He hoped to see panic in Zhang Fan's eyes, but he didn't!
"Are you sure? Can you? "
"I'm sure I can!"
This is the Aura!
Please report us if you find any errors so we can fix it asap!
I don't know who said that if you want to play a certain thing, you have to see at least 100000 things before you can be an expert.
It's absolutely hard to say, but in medical treatment, this magnitude change will definitely lead to different levels of doctors.
Most simply, Li Jiapo and China had a relatively mild and friendly period in their early years.
Such a team of medical teams came to the frontier. At that time, the medical teams of others were all doctors and all young heroes under the age of 35.
At that time, most of the doctors in the frontier were specialized and undergraduate.
At that time, in order to support the scene, the leaders even pulled out the gray haired old professors in the medical school.
At the discussion stage of the meeting, it can be imagined that frontier doctors are all defeated, and people are more and more advanced in research from tissue embryos to future molecular biology.
Frontier doctors are like students. Really, in Ouyang's words, they worshipped others with an extremely eager look just like students.
At the end of the discussion stage, enter the operation observation. At that time, frontier doctors thought they were such a high-end doctor and such a senior doctor.
Why should people not underestimate the frontier and China.
The doctors who went to surgery were all experts in medical competition. Really, the whole frontier pulled a group of experts regardless of North and south, East and West.
At that time, several operations were arranged, from simple appendix, then gallbladder and hernia, and finally gastrectomy.
Chinese doctors went to the operating table first and watched the operation first. After cholecystectomy, the subsequent operation was stopped.
Why?
Because these doctors on the stage are too sneaky. Under the old shadowless lamp, they don't even have advanced surgical clothes.
Relying on the exquisite surgical skills honed over the years, Li Jiapo's doctors were ashamed. They didn't even dare to observe the operation.
With their energy and spirit in the most difficult time, China Medical has the possibility to catch up.
Therefore, in the medical industry, especially in basic hospitals, doctors must rely on time and efforts to polish.
Often what patients need is a perfect operation, not a perfect theory.
When Zhang Fan picked up the knife, Zhou Desen looked at Zhang Fan intently.
Conventionally, what can a doctor with an undergraduate degree do after two years of graduation?
It's hard to give a simple appendix and cut it off quickly.
It's all from this industry. The hardest thing for doctors is when, just a few years before graduation.
Pull the hook every day, pull the hook every day. If you want to get started, take the qualification certificate first, then get it, and then look at the teacher's face. If you don't let go, you pull the hook first.
Therefore, he thinks Zhang Fan has talent, but it is estimated that he has been spoiled by teachers and superiors.
I think I'm a genius. I can do everything and have no problem with any surgery.
I didn't see the operation of the chief's child at that time. I haven't done anything yet. Did the teacher pull a group of people to help punch.
Hula La pulled almost half of the ordinary foreign experts from North China to the bird market from the other end of China.
What are you doing here? Are you here for surgery? It's scary at this time, okay.
Even if the bird market boss is dead, he doesn't have the energy to convene so many experts at one time.
What kind of treatment is this? It's like a disgusting bear child swaggering around and causing trouble.
Then there are a group of people who support the bad news, such as Lao Xu and Zhao Jingjin of the central hospital.
Because when the bear child gets into trouble, he can make a big move. He can shake people. His master is Lu Lao, his uncle is Wu Lao, and his master's master is Qiu Lao.
I can't scare you!
Looking at Zhang Fan holding a knife, Lao Zhou sighed in his heart, "does medical treatment begin to pay attention to the door valve now?
You have so much resources that you don't want to be an instrument manufacturer. Thanks to you, why bother to do this! "
However, the superior can specify who will perform the operation or who will be the assistant.
However, Zhou Desen is not made of mud. As long as Zhang Fan feels strange during the operation today, he must have a good chat with Lao Xu. You can't be so confused when you are the dean.
"Be serious and turn on the light!" Watching Zhang Fan start to take a knife, Zhou Desen said to the itinerant nurse.
Whether Zhang Fan is a bear child or not, he must first fulfill his responsibility as a doctor, and also to avoid Zhang Fan having an excuse.
Zhang Fan, who got on the operating table, didn't know why. His face was not angular, but he was so serious under the shadowless lamp.
A slightly wrinkled forehead and focused eyes can't help but let others slowly enter a focused attitude. Maybe this is the aura.
The knife cuts through the skin and gently separates the skin stained with yellow iodophor.
Like a child's mouth, it split in an instant.
The superficial venous capillaries are like a mother insect hiding in a hole and spitting out.
The superficial arterial capillaries, like a grumpy male insect, stood at the mouth of the cave and bared red urine to the doctor.
Pop! When the electric knife passed, the worms were scalded and blocked the urethra.
In the quiet operating room, in addition to the dripping sound of instruments, there was only the sound of luotie scalding meat.
Zhang Fan's technique is very clever. But this is the basis of doctors. If they do well, there is nothing to be surprised.
Zhou Desen nodded softly in his heart, "I have some skills. The ancestral disciples still have something."
Then he looked up at Zhang Fan, "it's just that he has a bad heart and is a little arrogant. It's a pity!"
People are like this. They have no strength and ability. Even if you are handsome and beautiful, you will be despised by people.
I don't know why.
Cut open the skin, shallow capillaries can not be avoided, but Zhang Fan perfectly avoided the blood vessels under the skin.
The open skin, under the yellow skin, is a layer of white dermis, and under the dermis is a layer of whiter mucosal tissue like eggshell membrane.
There is little fat layer in the neck. If it is the abdomen, cut the skin, followed by the yellow fat layer.
Zhang Fan puts down the scalpel, turns his finger into a knife, and slides gently along the gap between the muscles.
Like a killer whale, fresh flesh colored muscles are separated, one layer and two layers.
Zhang Fan's left thumb and index finger are separated, the tiger's mouth is open, and the index finger of his right hand is like a hook.
Just as the old tailor cuts the whole cloth, the muscles are separated like water.
Then, fat tumors appear. There are obvious differences in appearance between benign tumors and malignant tumors.
Benign is like a simple fat man, harmless to humans and animals, and seems to be shy. He is the big fat boy next door, always secretly looking at the beautiful sister in the street.
Malignant tumors are bandits and bullies. The first thing they grow is to show their teeth and claws, with rotten mouths and broken teeth.
And very aggressive, it can be said that many malignant tumors are like a legion of coagulated blood clots and coagulated thick phlegm and rotten meat.
Benign tumors generally have no obvious new vessels on the surface, while malignant tumors not only eat the nutrition of other tissues, but also produce blood vessels to directly capture nutrition from the body.
Really, advanced malignant tumors are directly like a bag of rotten meat, with fresh blood vessels on the surface. Cut the rotten meat, which is full of rotten meat and rotten liquid.
After Zhang Fanyou left the tissue, a benign tumor appeared, just like a skinned, half cooked egg.
There was a little yellow fat hanging on the surface of the tumor, and with a slight touch, it was like lack of support, flickering like falling.
This thing is just like the egg white has just solidified, but the egg yolk has just changed into sugar. It can definitely make people want to take a quick SIP and don't let it flow out.
"Gauze!" Zhang Fan didn't talk much from beginning to end. He was quietly in the operation.
Zhou Desen has been staring at Zhang Fan, while several other doctors are comparing Zhang Fan with Zhou Desen.
"Well, he seems to be a little faster than the director and a little softer than the director. Maybe it's because of his slender fingers."
Zhou Desen looked more advanced, "I didn't hesitate when hiding from the artery. It seems that I have some skills.
Well, when hiding from the recurrent laryngeal nerve, it seems that this boy can't do more than a thousand neck operations. "
Zhang Fan doesn't have a little idea in his heart.
His heart is the tissues and organs in front of him, just like a child playing with building blocks, focusing!
How to describe the stripping of benign tumors? It's like a child swallowing an egg. Parents are deeply afraid of children choking.
You must take it out, squeeze your mouth and index finger into it, and then take it out bit by bit.
The dissection of benign tumors is similar.
However, everything has its roots, and this thing also has its roots. Its fat and enlarged body does not adhere to other parts of the body, but it does not mean that others do not follow.
Many tumors often have a pedicle at the bottom. The more well-developed tumors are, the deeper the pedicle is.
Sometimes it is connected to blood vessels, sometimes it is connected to nerves, especially when it is connected but not connected, the instrument can't detect it at all.
If you rashly peel off, it is either massive bleeding or nerve damage. Just like when you take off your clothes, people obviously wear suspenders and pants. You work hard to find the belt and tear your pants with reckless strength. This is inappropriate. It is definitely a slap to meet you.
Therefore, when stripping the tumor, in fact, the left side is stripped three times with the finger, and then the right side is stripped three times, extending bit by bit to the end.
Then gently shake and judge by experience whether this thing is connected with blood vessels or nerves.
Is it possible to peel off under direct vision. Yes, for example, the abdominal cavity can be used in places with large operation space. Even if the stomach is so big, there is no problem at all.
But the neck can't. If you want to look straight, do you want to turn all your neck open? Impossible, even when eating sheep's neck, I can't open it all.
In the neck, the knife edge is so little. In order to be beautiful, how small can it be? The operation completed by inserting the index finger can not be opened to the size of the thumb.
This is the bottom line of medical treatment.
After dissociating the surrounding connection, Zhang Fan closed his eyes and gently shook the separated tumor around.
The strength of tumor movement was fed back to the brain from the hand. Zhang Fan directly created a three-dimensional anatomical map in his mind.
"No adhesion!" Zhang Fanzhen opened his eyes. He was sure.
When Zhang Fan's hand left the tumor, Zhou Desen also put it on the tumor.
"Knife!"
Zhang Fan said to the instrument nurse.
Zhou Desen's hair stood up when he heard it.
From the operation to the most important step of the operation, all the steps are quite good.
Why are you fooling around at the last step.
Shouldn't you use your fingers to separate? The following is either an artery or a nerve. Why use a knife.
Zhou Desen opened his five fingers to cover the wound. "Dr. Zhang, why do you use a knife? Don't you know what organization is down here? "
Zhang Fan looked at him. He stared at Zhang Fan, although his tone was interrogative.
However, from now on, he has put Zhang Fan in the same position as him.
"Have you ever seen Qiu Dao? Have you ever seen the serious Qiu Dao technique? "
Zhang Fan asked softly.
"Well!" Zhou Desen Khan has come down. Aren't you bullying people.
"Even the most accurate knife technique will have an accident!" Zhou Desen reluctantly said to Zhang Fan.
The situation is better than people. This boy has seen the world.
"Hehe, the damage caused by hand separation and blunt separation will be more serious, but this is not a muscle, so the effect of sharp tool separation is better.
Come on, help me pull the hook! Make the field clearer. "
After finishing speaking to Zhou Desen, Zhang Fan turned to the second assistant around him and said, "wrap the tumor with gauze."
Zhou Desen looked at Zhang Fan. He hoped to see panic in Zhang Fan's eyes, but he didn't!
"Are you sure? Can you? "
"I'm sure I can!"
This is the Aura!
I don't know who said that if you want to play a certain thing, you have to see at least 100000 things before you can be an expert.It's absolutely hard to say, but in medical treatment, this magnitude change will definitely lead to different levels of doctors.Most simply, Li Jiapo and China had a relatively mild and friendly period in their early years.Such a team of medical teams came to the frontier. At that time, the medical teams of others were all doctors and all young heroes under the age of 35.At that time, most of the doctors in the frontier were specialized and undergraduate.At that time, in order to support the scene, the leaders even pulled out the gray haired old professors in the medical school.At the discussion stage of the meeting, it can be imagined that frontier doctors are all defeated, and people are more and more advanced in research from tissue embryos to future molecular biology.Frontier doctors are like students. Really, in Ouyang's words, they worshipped others with an extremely eager look just like students.At the end of the discussion stage, enter the operation observation. At that time, frontier doctors thought they were such a high-end doctor and such a senior doctor.Why should people not underestimate the frontier and China.The doctors who went to surgery were all experts in medical competition. Really, the whole frontier pulled a group of experts regardless of North and south, East and West.At that time, several operations were arranged, from simple appendix, then gallbladder and hernia, and finally gastrectomy.Chinese doctors went to the operating table first and watched the operation first. After cholecystectomy, the subsequent operation was stopped.Why?Because these doctors on the stage are too sneaky. Under the old shadowless lamp, they don't even have advanced surgical clothes.Relying on the exquisite surgical skills honed over the years, Li Jiapo's doctors were ashamed. They didn't even dare to observe the operation.With their energy and spirit in the most difficult time, China Medical has the possibility to catch up.Therefore, in the medical industry, especially in basic hospitals, doctors must rely on time and efforts to polish.Often what patients need is a perfect operation, not a perfect theory.When Zhang Fan picked up the knife, Zhou Desen looked at Zhang Fan intently.Conventionally, what can a doctor with an undergraduate degree do after two years of graduation?It's hard to give a simple appendix and cut it off quickly.It's all from this industry. The hardest thing for doctors is when, just a few years before graduation.Pull the hook every day, pull the hook every day. If you want to get started, take the qualification certificate first, then get it, and then look at the teacher's face. If you don't let go, you pull the hook first.Therefore, he thinks Zhang Fan has talent, but it is estimated that he has been spoiled by teachers and superiors.I think I'm a genius. I can do everything and have no problem with any surgery.I didn't see the operation of the chief's child at that time. I haven't done anything yet. Did the teacher pull a group of people to help punch.Hula La pulled almost half of the ordinary foreign experts from North China to the bird market from the other end of China.What are you doing here? Are you here for surgery? It's scary at this time, okay.Even if the bird market boss is dead, he doesn't have the energy to convene so many experts at one time.What kind of treatment is this? It's like a disgusting bear child swaggering around and causing trouble.Then there are a group of people who support the bad news, such as Lao Xu and Zhao Jingjin of the central hospital.Because when the bear child gets into trouble, he can make a big move. He can shake people. His master is Lu Lao, his uncle is Wu Lao, and his master's master is Qiu Lao.I can't scare you!Looking at Zhang Fan holding a knife, Lao Zhou sighed in his heart, "does medical treatment begin to pay attention to the door valve now?You have so much resources that you don't want to be an instrument manufacturer. Thanks to you, why bother to do this! "However, the superior can specify who will perform the operation or who will be the assistant.However, Zhou Desen is not made of mud. As long as Zhang Fan feels strange during the operation today, he must have a good chat with Lao Xu. You can't be so confused when you are the dean."Be serious and turn on the light!" Watching Zhang Fan start to take a knife, Zhou Desen said to the itinerant nurse.Whether Zhang Fan is a bear child or not, he must first fulfill his responsibility as a doctor, and also to avoid Zhang Fan having an excuse.Zhang Fan, who got on the operating table, didn't know why. His face was not angular, but he was so serious under the shadowless lamp.A slightly wrinkled forehead and focused eyes can't help but let others slowly enter a focused attitude. Maybe this is the aura.The knife cuts through the skin and gently separates the skin stained with yellow iodophor.Like a child's mouth, it split in an instant.The superficial venous capillaries are like a mother insect hiding in a hole and spitting out.The superficial arterial capillaries, like a grumpy male insect, stood at the mouth of the cave and bared red urine to the doctor.Pop! When the electric knife passed, the worms were scalded and blocked the urethra.In the quiet operating room, in addition to the dripping sound of instruments, there was only the sound of luotie scalding meat.Zhang Fan's technique is very clever. But this is the basis of doctors. If they do well, there is nothing to be surprised.Zhou Desen nodded softly in his heart, "I have some skills. The ancestral disciples still have something."Then he looked up at Zhang Fan, "it's just that he has a bad heart and is a little arrogant. It's a pity!"People are like this. They have no strength and ability. Even if you are handsome and beautiful, you will be despised by people.I don't know why.Cut open the skin, shallow capillaries can not be avoided, but Zhang Fan perfectly avoided the blood vessels under the skin.The open skin, under the yellow skin, is a layer of white dermis, and under the dermis is a layer of whiter mucosal tissue like eggshell membrane.There is little fat layer in the neck. If it is the abdomen, cut the skin, followed by the yellow fat layer.Zhang Fan puts down the scalpel, turns his finger into a knife, and slides gently along the gap between the muscles.Like a killer whale, fresh flesh colored muscles are separated, one layer and two layers.Zhang Fan's left thumb and index finger are separated, the tiger's mouth is open, and the index finger of his right hand is like a hook.Just as the old tailor cuts the whole cloth, the muscles are separated like water.Then, fat tumors appear. There are obvious differences in appearance between benign tumors and malignant tumors.Benign is like a simple fat man, harmless to humans and animals, and seems to be shy. He is the big fat boy next door, always secretly looking at the beautiful sister in the street.Malignant tumors are bandits and bullies. The first thing they grow is to show their teeth and claws, with rotten mouths and broken teeth.And very aggressive, it can be said that many malignant tumors are like a legion of coagulated blood clots and coagulated thick phlegm and rotten meat.Benign tumors generally have no obvious new vessels on the surface, while malignant tumors not only eat the nutrition of other tissues, but also produce blood vessels to directly capture nutrition from the body.Really, advanced malignant tumors are directly like a bag of rotten meat, with fresh blood vessels on the surface. Cut the rotten meat, which is full of rotten meat and rotten liquid.After Zhang Fanyou left the tissue, a benign tumor appeared, just like a skinned, half cooked egg.There was a little yellow fat hanging on the surface of the tumor, and with a slight touch, it was like lack of support, flickering like falling.This thing is just like the egg white has just solidified, but the egg yolk has just changed into sugar. It can definitely make people want to take a quick SIP and don't let it flow out."Gauze!" Zhang Fan didn't talk much from beginning to end. He was quietly in the operation.Zhou Desen has been staring at Zhang Fan, while several other doctors are comparing Zhang Fan with Zhou Desen."Well, he seems to be a little faster than the director and a little softer than the director. Maybe it's because of his slender fingers."Zhou Desen looked more advanced, "I didn't hesitate when hiding from the artery. It seems that I have some skills.Well, when hiding from the recurrent laryngeal nerve, it seems that this boy can't do more than a thousand neck operations. "Zhang Fan doesn't have a little idea in his heart.His heart is the tissues and organs in front of him, just like a child playing with building blocks, focusing!How to describe the stripping of benign tumors? It's like a child swallowing an egg. Parents are deeply afraid of children choking.You must take it out, squeeze your mouth and index finger into it, and then take it out bit by bit.The dissection of benign tumors is similar.However, everything has its roots, and this thing also has its roots. Its fat and enlarged body does not adhere to other parts of the body, but it does not mean that others do not follow.Many tumors often have a pedicle at the bottom. The more well-developed tumors are, the deeper the pedicle is.Sometimes it is connected to blood vessels, sometimes it is connected to nerves, especially when it is connected but not connected, the instrument can't detect it at all.If you rashly peel off, it is either massive bleeding or nerve damage. Just like when you take off your clothes, people obviously wear suspenders and pants. You work hard to find the belt and tear your pants with reckless strength. This is inappropriate. It is definitely a slap to meet you.Therefore, when stripping the tumor, in fact, the left side is stripped three times with the finger, and then the right side is stripped three times, extending bit by bit to the end.Then gently shake and judge by experience whether this thing is connected with blood vessels or nerves.Is it possible to peel off under direct vision. Yes, for example, the abdominal cavity can be used in places with large operation space. Even if the stomach is so big, there is no problem at all.But the neck can't. If you want to look straight, do you want to turn all your neck open? Impossible, even when eating sheep's neck, I can't open it all.In the neck, the knife edge is so little. In order to be beautiful, how small can it be? The operation completed by inserting the index finger can not be opened to the size of the thumb.This is the bottom line of medical treatment.After dissociating the surrounding connection, Zhang Fan closed his eyes and gently shook the separated tumor around.The strength of tumor movement was fed back to the brain from the hand. Zhang Fan directly created a three-dimensional anatomical map in his mind."No adhesion!" Zhang Fanzhen opened his eyes. He was sure.When Zhang Fan's hand left the tumor, Zhou Desen also put it on the tumor."Knife!"Zhang Fan said to the instrument nurse.Zhou Desen's hair stood up when he heard it.From the operation to the most important step of the operation, all the steps are quite good.Why are you fooling around at the last step.Shouldn't you use your fingers to separate? The following is either an artery or a nerve. Why use a knife.Zhou Desen opened his five fingers to cover the wound. "Dr. Zhang, why do you use a knife? Don't you know what organization is down here? "Zhang Fan looked at him. He stared at Zhang Fan, although his tone was interrogative.However, from now on, he has put Zhang Fan in the same position as him."Have you ever seen Qiu Dao? Have you ever seen the serious Qiu Dao technique? "Zhang Fan asked softly."Well!" Zhou Desen Khan has come down. Aren't you bullying people."Even the most accurate knife technique will have an accident!" Zhou Desen reluctantly said to Zhang Fan.The situation is better than people. This boy has seen the world."Hehe, the damage caused by hand separation and blunt separation will be more serious, but this is not a muscle, so the effect of sharp tool separation is better.Come on, help me pull the hook! Make the field clearer. "After finishing speaking to Zhou Desen, Zhang Fan turned to the second assistant around him and said, "wrap the tumor with gauze."Zhou Desen looked at Zhang Fan. He hoped to see panic in Zhang Fan's eyes, but he didn't!"Are you sure? Can you? ""I'm sure I can!"This is the Aura!
