Seven Hundred and Thirty-Two, My Eldest Nephew Is Right.

Under the leadership of Yang Hao, Zhang Fan walked together with the dean of the attached one, followed by a group of general surgeons.

Especially a group of resident doctors who were about the same age as Zhang Fan secretly looked at Zhang Fan and whispered: "The third generation of the Qiu school, this damn is much better than the fourth generation of rhinestones like our director. Have you heard of it?" , the major county hospitals in Chasu are now given lectures by Academician Lu."

"Why don't you come to Bird City? After all, Bird City is still the provincial capital! It's a waste of an academician going to the county hospital!"

"Nimma, isn't Blue Bird bigger than Niaoshi? Isn't the capital bigger than Niaoshi? This is all because of Zhang Yuan's face. I don't understand. How did you graduate with a master's degree? Didn't you wash your wife's socks!"

The person who was bullied blushed and didn't know what to say.

Of course, these words are said in private by the hospital dogs, and they dare not speak louder. The unit is not the school, and the director who has a black heart is not the former head teacher.

Entering the ward, Zhang Fan saw the patient, a middle-aged man, so emaciated that he couldn't even see him.

And all kinds of plastic channels are inserted all over the body, like thin white candles inserted for birthdays, almost ignited.

The channel in the chest is a drainage tube. Because of the fistula, the leek leaves, spinach leaves, and pig’s trotters that I ate leaked into the chest cavity more or less. It's okay to leave this thing for a day or two.

But after forty-eight hours, it started to ferment, and then pus formed. The local hospital did not have a horizontal thoracotomy, so it had to be intubated for drainage.

Sometimes it is helpless to say that, for example, in many county hospitals, various interventions are flying, such as cardiac interventional bypass, which seems to improve the medical level of the hospital, but in fact Nima is purely moving forward.

A county hospital that doesn’t even have a cardiac surgery department dares to go to the heart for intervention. If the heart is punctured, are you going to let the patient die on the spot, or do you go to the stage to open the chest cavity and block the hole.

Another example is that a hospital can't handle the closed drainage of pleural pneumothorax, but they even have a bronchoscope! It also flew up.

There is no way to say this kind of thing. It is really convenient if there is no accident. Patients in the county do not need to go to the city or higher-level hospitals for treatment. Once something happened, it was the patient who was unlucky.

For example, this patient is, but what can Zhang Fan say, stand in front of the patient and criticize his initial hospital? It was useless, so Zhang Fan had to take good care of the doctor.

There are tubes in the upper body of the patient, and there are many tubes in the abdomen, including catheters, drainage tubes, and nutrition tubes.

The small intestine is the big foodie of the human body. For example, the gastric mucosa, if you don’t eat for 48 hours, you will feel uncomfortable at most, but the intestinal tract is not good. Once you don’t eat on time, the villi on the intestinal mucosa will be necrotic and degenerate.

What is the fluff for? This thing is the mouth of the intestine, which is used to absorb nutrients.

For example, many people pay attention to a diet without eating, and their perseverance is amazing. If they say no to eat, they insist on eating breakfast every day for ten and a half months.

Sure enough, Nima has lost weight, her big face has turned into a prickly face, and her belly has disappeared, but suddenly she seems to have become a sick beauty.

From time to time, I have a stomachache and abdominal discomfort. I went to the hospital for an examination, and there was nothing wrong with it. I used to eat hot pot, and I dared to eat spicy food. Now I eat a little spicy food, and I can have diarrhea like a whip.

This is the intestinal mucosal damage caused by dieting, which is irreparable.

Therefore, in the hospital, if a patient cannot eat for a long time, he will never simply give you some fat milk, glucose and vitamins, etc., first of all, he will make a hole in your stomach, and then put the food packed in celiac directly. Into the intestines.

This is not only to maintain life, but also to avoid intestinal necrosis.

After seeing the patient, Yang Hao hurriedly introduced Zhang Fan to the patient and their family members, which is a rule in the medical industry. This is the so-called patient right to know.

"This is Dean Zhang, an expert in general surgery. We specially invited you here for consultation." Yang Hao didn't mention tea. sometimes really,

The less the doctor talks, the more problematic it is. When the condition is mild, some doctors will teach the patient with a tiger face.

Because he knows that as long as he is cured, he can say anything, and whatever you say is right. But if you can't see the disease well, the doctor will definitely cherish words like gold.

And the tea is not as good as Niaoshi. Ordinary people, it’s not that there are not many people who are clear about this.

Zhang Fan smiled and nodded, and then realized that the temperature of his hands was not bad, so he started the physical examination.

To be honest, it was the first time he saw it leaked like this. Nima suffered from sepsis after eating a fish, which is also fatal.

With a shriveled abdomen, the bowel sounds are extremely weak, but the body is hot as if there is an electric heater inside the body. It's really a pain, there is a trachea near the neck, and the urine tube is underneath. Raising your hand weakly is an extravagant hope.

People, once they can't eat by themselves, they have to rely on others to feed them, and when they need to rely on a catheter for defecation, life is really worse than death.

With his hands on his chest, his breathing was obviously restricted. "It was apparently caused by an infection inside the chest cavity."

Bowel sounds seemed to be there, and the stethoscope was placed on it for five minutes before I could hear the intestines groaning slightly, and there was a slight whine, as poor as a kitten without its mother.

The structure of the human body is very wonderful. Many parts are similar or even homologous, such as kidneys and testicles. These two guys even lived together when they were young, but they separated and did different jobs when they grew up. .

For example, the lips and anus, if you look closely at the structure, you will find that this nima is obviously the same thing.

Although they are similar, they are still slightly different after all. Just this slightly different structure results in a huge difference in function.

The testicles can secrete the mask, and your kidneys are exhausted, which is nothing more than blood in the urine.

And the anus is different from the lips. If you put a banana in the anus, you can easily pinch it off without any effort. But if you try it with your lips, if it becomes swollen, you can’t pinch it. Of course, biting your teeth counts as cheating.

Therefore, human beings are inherently superior, but may not always be superior. Acquired hard work is the most important thing. If you don't work hard, you may not be able to pinch bananas. Of course, this kind of reincarnation against the sky is not related to discussion.

The same goes for the gut and esophagus.

But the anatomical descriptions of these two things are different. The esophagus is a muscular tubular organ that is flat front and back, while the intestine is a tubular organ. But in fact, their structure and organization are exactly the same.

The gut, like a multi-legged worm, pushes food through the anus in waves. The esophagus, too, pushes food in waves toward the stomach.

If you don’t believe me, if you hold a big cauldron upside down and eat an egg, the egg will still enter your stomach.

Moreover, they all have four layers, the inner membrane, the muscle, the outer membrane, and the mucous membrane, exactly the same. But when it comes to the muscle layer, it's a little different.

The muscles of the small intestine are firm, but not tough. Round and round, like a girl's pouting lips, it feels a little shape. The muscles of the large intestine are like a greasy middle-aged man, without hardness, but Nima has toughness.

And the muscles of the esophagus are like a layer of cotton wool, unable to support even a little bit of weight.

In this reality, everyone can discover it. For example, if you eat stewed large intestine, if the heat is not enough, you can feel a kind of braised rubber, and you can't stop pulling it, which is a waste of teeth. The small intestine is different, it just feels like eating it once.

As for the esophagus, you eat it like a steamed bun with some meat added, without any chewiness.

"Surgery is difficult, but the liver and kidney function can barely support it now. If the operation is not done as soon as possible, the physical condition will not support it if I want to have surgery in the future."

After Zhang Fan finished his physical examination, he not only told the doctor in the attached one, but also informed the family members and patients as well.

"Yeah, because this kind of surgery is not easy! The opinions in our department are not unified yet."

"Okay, let's go to the office and tell the family members to strengthen the nutrition of the patient in the past few days, and there is no shortage of protein and fat."

The dean saw it, and quickly closed the topic, don't talk about your own trash in front of the patient.

into the office. Zhang Fan was also polite and sat directly on the top seat. This makes sense. If you hold an administrative business meeting, Zhang Fan is not the director of other hospitals, no matter how good his surgery is.

But when it comes to surgery today, Zhang Fan must have the posture of being unambiguous. After all, he has thrown knives so many times, and he has already developed a kind of control ability.

"First of all, I would like to praise the bed doctor in the First General Surgery Department. After the patient's fistula was formed, he was given various drainages as soon as he entered the hospital. It seemed that the damage was serious. In fact, you created a medical treatment for the patient. living hope.

Although it cannot be thoroughly diagnosed and treated, this step is the basis of all future treatments. Yes, the doctors in the attached one can still be pulled out to do it. "

As soon as Zhang Fan said, a bed in charge stood up and bowed a little excitedly. Then he said it was an oral doctor's order given by the superior teacher.

Zhang Fan nodded to a deputy director, "An old doctor is an old doctor, and I have seen many of them. Director Li, have you seen this kind of injury?"

The senior deputy director of the bed doctor heard Zhang Fan's roll call, and he felt conflicted at first. Although his level is not as good as Zhang Fan's, he still has status after all. Come to an expert in the capital. People don't have this resistance anymore, which is very strange.

However, Zhang Fan's first few words had already satisfied the director to the point that he couldn't be more satisfied, and now he has entered the working state. "Zhang Yuan, to be honest, I have never seen it. I also gave the oral doctor's order based on instinct, and the comrades below are very strong in execution."

"Yeah!" Zhang Fan nodded with a smile, then turned to ask Old Xu, "Dean Xu, you are a senior, have you seen this kind of injury?"

After thinking for a while, Lao Xu said: "I saw such a case when I was a resident in the Department of Surgery for thirty years. However, the patient did not undergo surgery after being checked in the hospital. After hearing about the operation fee and nutrition Fei, directly took him home."

"Yes, esophageal cancer is more common here in the northwest, while esophageal fistula is rare, and it is more common in the south. Director Yang, did you see it during your advanced training?"

"Yes, I have seen it when I was abroad. The operation is very difficult, mainly because the probability of secondary fistula formation after suturing is extremely high, and this patient in our department has already developed sepsis.

His fistula repair is even more difficult! So I advocate asking for a flying knife. "

"En!" Zhang Fan nodded, "Director Yang is right. This kind of cautious attitude is a qualified director of general surgery. This operation is difficult, especially in the case of rare fistulas in Northwest China. Difficulty. Therefore, for this operation, I need the full cooperation of all the directors and experts in Attached One!

About six helpers are needed! "

When the directors of Attached One heard it, Nima needed six people to repair a hole. You didn't say that on purpose to support your nephew.

But everyone just thought about it for a while. The operating table, especially this kind of flying knife operating table, is almost like a battlefield. Zhang Fan should not be kidding.

In fact, when Zhang Fan was asking questions, he entered the system and took a look. This kind of fistula repair operation after infection and festering.

To be honest, there are tens of thousands of surgeries, and there are really corner surgeries that can leave you stunned.