Two Hundred and Twelve, Can't You Be a Bit Reserved?

Medicines and poisons have not been separated since ancient times. There is a saying in Huaguo that imperial doctors should exaggerate three points when talking about illnesses, and restrain three points when using medicines.

In modern times, many people don’t talk about whether they understand pharmacology. Anyway, astragalus is good, so they soak astragalus, Dangshen is good, soak Dangshen, a health pot made of a broken glass bottle, the price is fried by old men and women in Huaguo God. Then a lot of codonopsis, astragalus and wolfberry are put together.

Every morning, I come to the health soup more punctually than taking the medicine, but after drinking it for half a year, I developed vitiligo.

To be honest, this is all luck, it would be really troublesome if the liver and kidney failure resulted from drinking. Many medicines are effective because they contain alkaloids, and how to match this alkaloid, not to mention ordinary people, doctors with lower levels do not understand.

If you have the courage to drink it every day, how can nothing happen.

This is the situation that children from Modu to Chasu are facing now, and there is no medicine available. Some drugs act as depressants at low doses, but at higher doses they become stimulants.

Usually everyone thinks that the heart rate is not a big problem. In fact, this thing is to break the normal operation of the heart and lead to pathological conditions.

A normal person, that is, a person with no underlying heart disease, has a high heart rate all year round, which means that the car is running in S gear, which must wear the car.

The result of the human heart is that the corresponding heart becomes larger.

The heart is like a house, with doors and windows. The heart becomes larger, but these matching doors and windows are not made of the same material as the house, so the windows and doors will not become larger at this time.

The result is air leakage, mitral regurgitation, tricuspid regurgitation, and aortic regurgitation are actually due to the enlarged heart.

And once there is an underlying disease, such as a dissection, a fast heart rate can increase the possibility of dissection rupture. In layman's terms, the dissection is similar to a condom used. If the friction speed is too fast, this thing will also break. This is the reason .

A normal person may not be able to determine whether he is a good person or a bad person, but the heart is good or bad. How to determine the reserve of one's heart is simple! It is the difference between the heart rate during the quiet period and the heart rate after intense exercise. The larger the difference, the better the heart energy storage. This is the simplest evaluation method.

For example, your heart rate was 60 before the fight with your wife, and it was 80 after the fight. It is estimated that antiemetics and sildenafil tablets will soon be on the schedule.

In the operating room, there is almost a collection of the most advanced medical equipment in Huaguo. Pediatrician Academician Jiang sits in the operating room and personally performs cardiac color ultrasound. There are academicians and no academicians,

This thing is really different. Of course, this can't be an academician awarded by paddling or appeasement.

With the development of science and technology, surgical medical teams are becoming more and more comprehensive. For example, a good cardiac surgery team has a surgeon, an assistant, and an echocardiologist.

How should I put it, in the past, the level of a doctor's surgery was based on the curative effect at most, but now because of the birth of various instruments, the surgical standard is quantified.

For example, foramen ovale, without a good ultrasound doctor, the doctor has no idea whether the hole is oval or perfect circle, but with a good ultrasound doctor, people can directly measure the size of the hole, and the surgeon Once you know your own size, you don't need to think about it, just look at other people's data, and you will know whether you can pass through.

To be honest, if an academician can act as an assistant doctor for the surgical team, it is estimated that the number of doctors with this kind of treatment can be counted in a single slap. If there is an age limit, only Zhang Fan can have this treatment.

Zhang Fan in the operating room can be said to have a knife in one hand and a catheter in the other.

Hua Guo's intervention is very strange, and the Department of Cardiology is engaged in intervention. To be honest, this thing should actually be done by a cardiologist. In layman's terms, intervention is similar to laparoscopy.

A doctor who can perform laparoscopy to six-six-six is ​​definitely a master of laparotomy, because this thing is backed up. Once laparoscopy fails, people can immediately lift the knife and cut the intestines.

But the doctor in his heart intervened. Once an accident happened, he had no follow-up measures and couldn't open the chest. He could only watch the patient die.

"No, the intervention failed. The ventricular aneurysm cannot be sealed and must be resected."

The probe went in and tested several times. Seeing the balloon-like aneurysm swaying with the blood flow, the probe dared not move forward at all.

"Open the chest!" Seeing that something was wrong, Zhang Fan immediately pulled out the probe and said to the people in the operating room.

This is the confidence of a surgeon to intervene. If you ask a physician to do it, he can only get in and out, and dare not say a word.

Lin Qing'an, the director of Cha Su's Cardiothoracic Surgery Department, immediately notified him. Although he is a cardiothoracic surgeon, he is a pediatric cardiologist after all. He does little work, so he can only beat and drum on the operating table.

In the early years of heart surgery for children in Huaguo, most of them went to three places, one was the capital, the other was Shanghai, and the other was the digital hospital.

Because young children's compensatory ability is too poor, if you don't pay attention, you will have problems.

Back then, the most serious hospital for congenital heart disease was the Digital Hospital. Every year, they would send a medical team to the plateau to perform surgery on children in the pastoral areas of the plateau.

When Zhang Fan finished talking about opening his chest, Bayin quickly brought Zhang Fan's special equipment, which BlackRock specially customized for Zhang Fan's cardiothoracic surgery.

The chief director of Modu took a look, and when the nurses were getting ready, he asked, "Why does this look like an imitation, it's not seen on the market, BlackRock's is not specially made for sewing hair." Do you want to make equipment for the goods?"

Zhang Fan took a bone cutting knife and handed it to the chief director of Shanghai Huaxin, "I don't know if it's an imitation or not. When I was in the meatball country last time, they made several sets for me, one for orthopedics and one for orthopedics. There is a set of brain accessories, and a set of heart accessories. There is only one set, otherwise I will give you a set, which is very useful."

After the chief director took it, he was still trying to feel it, but when he heard what Zhang Fan said, he immediately put down the equipment, and even put up the mask. He probably wanted to get such a set when he went back.

At the beginning of the operation, because it is a child, the ribs are as soft as the tendons of adults, and the scalpel can be gently cut.

It was very quick to enter, the chest cavity was opened, the lungs were pushed aside, and the little doll's heart stopped in the heart socket like a candied haws, shaking like a small egg that was about to hatch.

This is the difficulty of open surgery. It is not as big as an egg, but now it is necessary to open the egg and cut off the shredded meat on the egg. To be honest, this shredded meat is really not as big as the gap between the teeth. After eating the meat, the big ones are picked out.

This kind of excision is not simply done with a knife.

First of all, a layer of thin film outside the shredded meat should be cut off, then the inner cavity of the shredded meat should be opened, the hole should be blocked by plugging, and then the shredded meat should be completely removed.

It sounds troublesome, but it is even more troublesome to do.

The large Leica long-arm microscope hangs above the child like a crane. I don’t know how difficult this microscope is. Anyway, there are three hospitals, and this large microscope is all Leica.

At the beginning, the special orthopedic hospital bought Zhang Fan a high-pressure freezer that was said to combine light stimulation, and Huaguo had this one. Later, Zhang Fan thought it was easy to use, so he asked Dean Stan of the Special Orthopedics Department to get one for the Department of Neurosurgery and Ophthalmology.

The four directors looked at the equipment in the operating room of the Chasu Hospital, and their stomachs became bloated from the air-conditioning. Zhang Fan really didn't brag. According to the level of equipment, Chasu can really be said to be the number one operating room in Asia.

The thin tweezers, which are not much thicker than a strand of hair, are tossed back and forth in the hands of the four people, exchanging lightly, just like sucking on popsicles with four or five people when they were young. Toss it upside down to let the film break away a little.

This kind of action must not be fast, because this thing is sticky, and every time it is separated, it is based on how much it is separated and how much it is separated.

Once the movement is a little bigger and it breaks through, it will directly explode with blood.

A ruptured aorta can spray onto the roof, and that heart is even more terrifying. Therefore, this operation is not only practiced by doctors in the hospital, but also practiced at home.

For example, when toothpicks are used as chopsticks, this kind of fine operation is practiced.

The five doctors, as if time stood still, could barely see any movement. Little by little, several doctors from other departments passing by outside the operation watched the operation on the monitor.

"Damn it, it's so slow, I'm not so slow to take off my partner's clothes."

Little by little, the film was taken off, the hole was blocked, and then retreated the same way, and the heart was sutured again.

The egg-sized heart caused Zhang Fan and the others to toss for almost 20 hours.

When the four directors lamented the advanced equipment of Chasu Hospital, Zhang Fan also lamented the strong assistance of the four directors today.

To tell the truth, if Dr. Chasu alone could not perform this operation today.

After sewing up the heart, closing the chest cavity, and watching the heart rate slowly drop from over 130 to below 100, Zhang Fan and the others finally breathed a sigh of relief.

This kind of surgery is different from other surgeries, such as fracture surgery, no matter how broken it is, as long as it is fixed according to the direction of torque, the doctor can predict the prognosis.

But the heart is not working, you can't see it returning to normal, you really can't make sure that when this thing beats, it will still beat according to the normal rhythm.

After watching the electrocardiogram slowly become normal, Zhang Fan said with a smile, "Today's operation, without a few directors, might fail."

"Zhang Yuan is polite, we have seen Zhang Yuan's precision."

The chief director took the lead and said politely that he still wanted to praise the hospital's equipment, but he didn't say anything.

Zhang Fan said, "Except for the chief director, each of you directors leads a department?"

Liu Ailian, the fourth-ranked director, smiled awkwardly. He was obviously a man, but his father had to give him a feminine name, and I don't know what he thought.

Director Liu said in embarrassment, "I am the deputy director of the department, and my title is chief physician."

After saying this, Zhang Fan's exhausted body was no longer exhausted.

"How much is Director Liu's scientific research funding for a year? Your hospital is too stingy. You don't even arrange a director. Isn't this ruining you? Come to Cha Su, as long as you can work full-time, the scientific research funding is up to you. Capped. Bring out a graduate student, reward 500,000, and bring out a Ph.D. reward 1 million.

Is Director Liu 40 years old this year? Our hospital still has a quota for outstanding young people this year..."

The face of the chief director of Modu turned green.