Five Hundred and Ninety-One Can You Do It?

Medical Road Smooth Road Volume 591 Can you do it? After the intestines were thrown away, Zhang Fan looked at the intestines and felt a little bit of resentment towards Li Hui in his heart. If it weren't for this bastard who always tempted me to smoke when he was in Quark, I probably wouldn't smoke a cigarette in my life.

Smoking is harmless at the beginning.

It is harmful to drink before, but it is easy to cause accidents when drunk. But smoking doesn't seem to be a problem, even if the girl has a bad breath, Green Arrow can still do it.

But looking at the intestines, not only Zhang Fan, but even Zhao Zipeng, who hadn't quit smoking yet, started to tremble.

Because Stan, a local tyrant, likes to smoke a cigar.

Self-encouraging diseases, in fact, if they are really controlled by drugs, as long as there is a reasonable treatment plan and the patients are well cooperative, they can also be controlled.

For example, there is a joke in Shanghai Ninth Hospital about a patient with lupus, and her attending doctor is the same age as the patient.

This patient is very cooperative with his attending doctor. The doctor said not to expose the skin when the sun is strong. This patient never wears short sleeves or skirts again.

As a result, after many years, the patient lived well, but the doctor finally went to another world early because of abnormal sleep.

As for the life of local tyrants, it is said that they can make a fortune, and such people who can make a lot of money should have strong self-discipline.

But this one, the cigar never leaves his hand.

Many people say that cigars are fine, that cigars are not harmful, and that cigars do not enter the lungs.

In fact, this is all a lie.

There was a celebrity who smoked cigars and got oral cancer.

Because the oral mucosa can not only be kissed, but also absorbed.

The absorption of many drugs is often taken sublingually, because this is the fastest way and the fastest way to enter the heart.

For example, nitroglycerin is the kind of life-saving medicine that is packed in Huaguo porcelain gourds.

Why not swallow it, it must be swallowed.

Because this way of taking the drug enters the heart the fastest, even faster than intravenous infusion.

Nitric oxide, carbon monoxide, and various macromolecular substances in cigars can enter blood vessels through the oral mucosa.

Then, hit the blood vessel wall.

Originally, the intestinal blood vessels of patients like Crohn's had already become a mess.

But he still smoked cigars like hell.

The result is that the condition is exacerbated, and drug control has no effect at all.

Therefore, only surgery.

Zhang Fan throws away his intestines, this kind of throwing away is like a child peeling the coat of a ham, the metal at the top of the ham cannot be removed, and children are not stupid, he bites a small opening from the side, and then pulls with his little hand, the ham is exposed one.

And Zhang Fan's current operation is actually like this.

First, a small opening is made in the middle of the intestinal lesion.

Then in this small mouth, start to spin up and down with the scissors.

How to diffract.

Scissors cut!

To stop the bleeding, first ligate all the surrounding blood vessels leading up and down.

Ligate the black thread ends one by one, just like scalding the intestinal scar with a lit incense head.

The long pink and white intestines are covered with black dots. It looks like a pig's large intestine is covered with black worms, wriggling with the movement of the intestines.

People who watched it wished they could pick it all off with their hands. People with obsessive-compulsive disorder can be forced to die on the operating table.

Zhao Yanfang was tying Zhang Fan's knot while feeling for the lesion on the inner wall of the intestine.

"Don't send all the diseased tissue that will be cut to the pathology department, leave a piece for me, I think our laboratory is alive."

When Zhang Fan heard it,

This matter is not gossip.

"how?",

"This is an atypical Crohn's disease that we can investigate further."

Zhang Fan was stunned. He felt that there was still something to study on this thing. It had already been digested and studied by the whole world. Since 1932, many European and American experts have invested in this area, but in the end there is no result. .

It is also strange, this kind of disease is actually not common in China, this kind of disease is more common in European and American races. In Europe and the United States, this disease is particularly common.

"You don't understand!" This time it was Zhang Fan's turn to be bullied.

Zhao Zipeng looked at it with relish at first, he could see the taste of the anus and intestine, not to mention the small intestine and large intestine.

But when he heard Zhang Fan being bullied, he immediately raised his head and looked at Zhang Fan.

This is not provocation.

This is a step for Zhang Fan, let Zhang Fan say something to him so that he can step down.

People are things that sometimes succeed, or can stand out in a group of people, it's really not for nothing.

If it's someone else, even if they don't laugh, they might lower their heads with an expression of nothing to do with me.

And others, directly give Zhang Fan a step.

That's the thing.

Zhang Fan chuckled.

The operation cut slowly along the intestinal tract.

Bowel fluid is mixed with mucus secreted by the infection.

Bowel solution is slightly more viscous than saliva.

The fluid secreted by infection is similar to yellow thick phlegm.

And because of the secretion of intestinal flora, green liquid appears.

There is also destruction of the intestinal mucosa, blood is also mixed in it.

Zhao Yanfang took a piece of gauze, and she wiped every centimeter Zhang Fan cut.

Be good, even if you wear a mask.

There is also an extremely disgusting smell.

It was like a can of herring being trampled to a paste and then falling nose-to-nose on top of the paste.

Absolutely unbearable.

How should I put this feeling, just like a man entering a woman's bathroom.

Not only is it smelly, but it also has a rather unpleasant smell.

After wiping, the pieces of gauze were used up, and they were quickly put into tissue bags and sealed.

"It's a bit long, I guess the length of the intestinal tract is not enough." Zhang Fan looked at the small intestine and large intestine slightly trembling.

To be honest, this kind of surgery is too simple to destroy the lesion.

Clicking with scissors is like eating braised fat sausage, just cut it.

What is difficult is the counterpoint suture in the later stage.

Although the large intestine and the small intestine are both intestines, the functions of these two things are different, resulting in a different organizational structure.

For example, many people like to eat large intestines. Why not only is there a slight smell in them, but also because the large intestines are soft and rotten.

But the small intestine is different, this stuff sucks.

Because after the stomach acid is flushed out of the stomach, the first thing it enters is the small intestine.

When bile from the pancreas is flushed out, it enters the small intestine first.

They are neutralized here. However, acidic liquids and alkaline liquids become neutral liquids.

Therefore, the small intestine should be thick.

The large intestine is different. The large intestine is a lot thinner for the first time, and because it needs to absorb water, it is quite thin.

This thing, if the acid and lye enter the large intestine directly, the reaction has not yet been completed, and it is estimated that the large intestine will be corroded first to create holes.

Even if it is not corroded, the small intestine is too short and can cause damage to the large intestine.

This is the so-called stump cancer.

Such as gastric cancer.

Many people know that gastric cancer patients can often survive for a long time as long as the lesion is removed.

What survives for five years is the start.

Some even thirty years are fine.

However, some doctors completed gastric cancer, and the patient died of stump cancer within a few years.

In this case, sometimes it is a matter of the doctor's surgical technique.

Therefore, Zhang Fan was a little worried when he looked at the intestines in this section.

If we say that ordinary doctors, maybe they just sew it together. It's not intentional, because sometimes when there is no other way to do surgery, you can only rely on your body to compensate.

For example, after a fracture, a steel plate is put on tightly. After the film is taken, a layman looks at it, and it is good.

And the insider saw it, and smiled and was unknown. Because this method damages the bone too much, so much that the periosteum on the bone is scraped clean.

What is the periosteum for? Bones rely on this thing to eat. Blood vessels and nerves all travel through the periosteum.

Therefore, without the periosteum, the bones that could grow well in a hundred days would take half a year. This is all good luck, but bad luck. After two months, you can see that the bones have shrunk.

And when the intestinal tract is pulled and sutured, the patient will have a high probability of cancer and stump cancer.

But if you don’t pull it, loosen the intestinal tract, it will lead to increased damage in the patient’s intestinal tract, and the patient will be prone to intestinal obstruction.

This kind of aggravated injury may not be able to do well sometimes.

The difficulty of surgery has increased a lot.

Therefore, one is that there will be a disease that makes people suffer. If the stump develops cancer, there will be no chance to cut the intestines.

It can increase the damage and reduce the damage, and it will cause the patient to hit the ground and hurt the intestinal obstruction from time to time.

To be honest, this choice is really not easy.

In this case, ask the patient's family members, and few of the patient's family members can understand.

Ask the patient, is the patient numb?

What to do depends on the doctor's choice.

"Continue to strip!" Zhang Fan gritted his teeth.

"No, let me think about it." Zhao Yanfang stopped Zhang Fan.

Zhang Fan glanced at Zhao Yanfang.

"Let me think, let me think." Zhao Yanfang frowned, thinking carefully.

Just when Zhang Fan and the others were about to continue dismantling, Zhao Yanfang's eyes lit up.

"Ice, warm water, quick."

The operating room is always carrying distilled water and ice cubes frozen with distilled water.

The itinerant nurse quickly came over with ice cubes and warm water.

Zhang Fan looked at Zhao Yanfang.

Not only Zhang Fan, but even Zhao Jingjin didn't understand, let alone Zhao Zipeng.

"I read a case paper on BJM. The paper said that the small intestine will be prone to derivation at minus fifteen degrees Celsius, while the large intestine will slowly elongate when the temperature exceeds forty degrees.

The small intestine is composed of circular orbicularis muscle, which has four layers. After freezing, there will be a temperature difference between the four layers, which will make the links of the tissues longer! And the large intestine..."

Zhang Fan understood this truth.

However, the intestinal tract is not afraid of being cut by a knife or pricked by a needle.

But this thing is particularly sensitive to pulling and temperature.

During abdominal surgery, senior doctors often say, take it easy, be gentle, and don't pull it.

If you are not careful and stretch too much, the intestinal tract will often lead to heart failure in patients.

And the temperature is the same, when the peritoneal cavity is flushed, the water is often around 37 degrees.

The simplest thing is to swallow a hot ball in one gulp, and then, it hurts from the tongue to the stomach.

Therefore, this method is really dangerous.

"If you can ensure that the suture is completed within three minutes when the temperature changes, I don't think it will be necrotic.

Tissue cells do not undergo necrosis in such a short period of time.

Now see if you can sew it up in three minutes. "

Zhang Fan nodded.

Then I gently groped with my fingers along the intestinal opening circle, and roughly estimated how many stitches it would take to complete the suture.

Old Zhao, Zhao Jingjin looked at Dachangtou and Xiaochangtou, and shook his head gently.

The difficulty is too high.

Zhao Zipeng looked at Zhang Fan!