Four Hundred and Twelve Exercise People

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The examination, especially the preoperative examination, seems to be useless. After the doctor gets it in his hand, he just looks at it casually. That's it, and the patients have to queue up for the examination.

In fact, every time there is a leap forward in Western medicine, most of the corresponding examinations or corresponding materials are invented or improved. Surgery is traumatic treatment, and if possible, the doctor would like to perform all possible examinations on the patient.

Because traumatic treatment is so unpredictable, and because the patient is either old or infirm, the chances of something going wrong are even greater.

But today, not to mention X-rays, there is not even a color Doppler ultrasound, because there is no time, and even a little movement, this silly child will immediately surge like a chrysanthemum spring, and there is no way to check it.

"What should I do!" the director of the general surgery said subconsciously. It's not that he doesn't know what to do, and he doesn't know if he will succeed or if he can be rescued.

Zhang Fan really wanted to say: "Cold salad!" but he couldn't say it. "Let's have a laparotomy, what else can I do?"

"I'll come? You'll come." The current director of general foreign affairs has put Zhang Fan on an equal footing with him, perhaps in a slightly elevated sense.

"I'll do it." Although the operation was difficult, Zhang Fan didn't want to miss it.

Since he had to decide to have an operation, Zhang Fan performed the operation as quickly as possible. This kind of operation is very troublesome, so troublesome that no one can be sure.

"It's estimated that the intestinal tract is damaged, and it will be troublesome to recover in the later stage." The director of general surgery seemed to have great confidence in Zhang Fan.

"Let's look at the present first, life and death are not clear." Zhang Fan rolled his eyes. Sometimes he was very happy to be relied on, and sometimes he always felt as if he was cheated.

Why is this operation difficult? Let’s talk about the digestive structure first.

When eating meat, it is first chewed in the mouth, then passes through the pharynx, passes through the esophagus, enters the duodenum, empty space, and ileum (these three components are the small intestine), and then the cecum, colon, and rectum (these three are the large intestine), anus.

After food is eaten into the mouth, it is not swallowed by gravity. If you stand upside down and eat a mouthful of meat, it will not return from the intestines to the mouth. It's because of the peristalsis of the muscles, it's like pinching a ball, it's the same as pinching it out and not going back.

It's like eating a popsicle, you can't eat the last piece, you squeeze it with your hands until it squeezes from the bottom to your mouth, the reason is the same.

Muscle peristalsis began to squeeze and squeeze from the esophagus, and finally reached the anus.

Because of peristalsis, there are not so many fixed systems in the entire digestive system. Ordinary water means that there are few ligaments, the fixation is dead, and the intestines are not active.

But you can't let it move randomly, otherwise it will squirm three times and not squirm, such a long thing may be beaten to death and obstructed.

So there is a peritoneum hanging inside the stomach, like a mosquito net, hanging inside the stomach, from high to low, these intestines, like snakes, pass through the gauze for a while, to the belly side, and then through the gauze to the lumbar spine side.

Therefore, the basic position is still fixed, but this thing is very meager, with such a strong suction that it happily sucks on the chrysanthemum, and the vacuum formed after the water flows away, not to mention breaking his large intestine, even if it sucks his esophagus from the anus. It's not surprising at all to suck it out.

"It's not good to play, let's play this! Hehe." The director of the general surgery said with a smile.

"It's really tangled." Zhang Fan held the scalpel a little hesitantly. The incision must have been made too big, and the damage was big. It may not be possible for a silly child to resist it. If the incision is small, the damage can't be handled well.

"Cut it!" said the director of the general surgery department. Suddenly, Zhang Fan seemed to have figured it out, yes, now it doesn't matter whether he recovers from the surgery or not, let's save his life first!

No matter how good and beautiful the operation is, it is useless if the patient dies. This operation is very troublesome. The known situation is that the rectum was injured and went into shock. Know nothing about the rest.

Incision, cut the skin, peel off the subcutaneous fat, open the various aponeurotic membranes that wrap the muscles, enter the transversalis fascia, the external abdominal fascia, and finally the peritoneum.

These tissues are roughly the structure of an abdomen from the outside to the inside. Especially the various fascias that wrap muscles, these tissues are the toughest besides bones.

When the peritoneum was opened, Zhang Fan almost vomited. Really, during the first surgery, I almost vomited because it was so sudden.

Open the peritoneum, bleeding, especially the bleeding at the end of the mesentery, is slightly black in color, and then mixed with unabsorbed yellow thin mushy feces.

And there are also various feces that are the size of walnuts that have absorbed water. What's more disgusting is that the rectum and sigmoid colon have been sucked to pieces by the huge suction. It was broken like a small piece of paper torn into pieces.

Fat particles the size of yellow cherries, flaky intestinal tissue, floating on the mushy chylus-like coffee-colored or soy-sauce-colored liquid, the fishy smell of blood, and the stench of semi-fermented intestinal tract.

It's like putting too much soy sauce in the hot and spicy soup, and then adding meatballs, sliced ​​meat, and fat with yellow bumps. Because the bleeding goes on, Gollum! Gulu, slowly, it's really like an iron pot of Hu spicy soup boiling on a low fire.

Really, Zhang Fan squirted out the lunch he had eaten from the esophagus. Fortunately, he forcibly shut his mouth in time, and then forcibly swallowed it again. The stomach acid directly scratched his esophagus like a knife. After the stroke, it didn't count, and he threw a handful of salt on the scar!

The sudden force from the stomach made Zhang Fan almost bend in pain. "Heh!" Even so, Zhang Fan's tears of pain rolled in his eyes, and his hands did not dare to delay, because the ink was not stained at this time.

Once the abdominal cavity is opened, the pressure suddenly decreases. If the bleeding point is not found in time, the bleeding speed will accelerate, and the person will die directly, without even thinking about it. The tingling pain in the esophagus and the pulling pain in the stomach eliminated the nausea all at once.

"The rectum and sigmoid colon can no longer be seen. I directly clamped the stump of the intestine with pliers." Zhang Fan said to the director of general surgery with sour smell in his nasal cavity like a roar of white wine.

The director of general surgery was not feeling well either, he just nodded and didn't say a word. It is estimated that he is also working hard to suppress this disgusting feeling, this taste plus this super explosive visual stimulation, it is really anti-human. If you don't spit it out, the sphincter is powerful.

"Gauze! Count it clearly, give me a few more pieces. Unfold it directly, don't close it." Zhang Fan said to the surgical nurse. Because the gauze is all folded up.

The field of view of the operation is not light, and no bleeding point or intestinal stump can be found at all. And the attractor is as thick as ordinary chopsticks, and it can't absorb all kinds of things inside.

The soy-sauce-colored chylus was sucked into the transparent plastic tube, and the rest could only be pulled out with gauze by hand. It is not without reason that general surgery is despised by doctors in other departments.

The white gauze entered the abdominal cavity, and then Zhang Fan resisted the smoky gas, and dug it out in lumps! The gauze was white when it went in, but it was soy sauce-colored when it came out, and it was still stringy.

"It's too damn training." Zhang Fan held his breath and made a complaint in a nasal voice. As the temperature of the air conditioner in the operating room increases, the smell is even more compelling!

Sweat, the sweat in the neck flowed down the body and down the stomach, not from tiredness, but from the profuse sweat that I suppressed hard.