Zhang Fan's original plan to accompany his sister to Bayingbrook failed. Shao Hua and Jingshu signed up for a two-day tour group and happily went to Bayinbrook.

Bayinbrook is an inter-mountain basin in the middle of the Tianshan Mountains, surrounded by snow-capped mountains, with an altitude of about 2,500 meters and an area of 23,835 square kilometers, second only to the NMG Ordos grassland. Bayinbrook means "abundant spring" in Mongolian for "abundant spring", the grassland is flat, abundant water and grass, is a typical grass meadow steppe, and is also one of the most important animal husbandry bases in the frontier. There is not only a paradise surrounded by snow-capped mountains, the Kaidu River with "nine bends and eighteen bends", but also the elegant and charming Swan Lake.

During the Ming Dynasty and the early Qing Dynasty, the Yuledus River basin was mainly a nomadic belt of the Huite tribe in Moxi Mongolia. In the 39th year of Qianlong of the Qing Dynasty (1774), he settled the Turkut Mongol Department led by Wu Baxi to the east.

On Saturday, surgery is performed. The patient's grade is not big, his vital signs are not bad, Hela bought breakfast for Zhang Fan in the morning, this patient number is his, and Zhang Fan came to the operation on the weekend, although it was the director's order, but as the doctor in charge, he specially bought breakfast to thank Zhang Fan. also specially told Zhang Fan not to eat breakfast. After the three of them ate the buns in a few bites, they were ready to enter the operating room, the patient's family had some connections in the local area, and Li Jianguo also comforted the family members in the morning. Under normal circumstances, this kind of thing is done by the doctor in charge, and the director does not come forward.

Li Jianguo chooses conventional surgical incision, cuts the perirenal fascia with various lumbar incisions to reach the perirenal fascia, and then separates it behind it and makes a small incision to expand up and down, at this time, it is necessary to pay attention to avoid damaging the peritoneum.

Hela first assistant, Zhang Fan's second assistant, this kind of operation is not very difficult for Li Jianguo, Zhang Fan is no problem, it is a little difficult for Hela, but the kidney removal operation is a major operation in urology, and it is impossible for Zhang Fan to take charge of the surgery.

Slowly separate the kidneys and use your fingers to separate the fascia around the kidney, starting from the convex and posterior surface of the kidney, then moving on to the upper and lower poles and anterior, and finally along the upper ureters to the hilum to separate it from the pedicle of the kidney.

Li Jianguo's level is good, many years of experience, and cautious character, so that his operation looks very clean, he is not in a hurry to do the operation, step by step is particularly solid, regardless of the size of the bleeding to ligation to stop the bleeding, especially careful.

Zhang Fan also learned a lot of experience from watching Li Jianguo's surgery, Li Jianguo is the most heartfelt surgeon he has ever seen, and the operation is also very meticulous.

Start the ureters and separate the lumbar segment of the ureter, wrap it around and lift it with a strip of gauze, separating it as far down as possible. The ureter was clamped with two hemostats at the lowest part of the separation section, cut between the two forceps, and the two broken ends were successively disinfected with small cotton balls dipped in pure carbolic acid, 75% alcohol and normal saline. The distal ureters are then ligated and sutured.

The second half of the operation began, and the first work was all about freeing the kidneys, and all that was left was to deal with the renal blood vessels, carefully separate the adipose tissue at the renal hilus, and expose the renal arteries and veins. Renal pedicle forceps or large curved hemostats clamp the renal vessels. The blood vessel is cut between the two forceps at the distal end and the diseased kidney is removed.

That's when something happened!

Because the family members were in a hurry, and they also asked the superior supervisor to say hello, Lao Li had no choice, and he was also anxious to pull the patient into the operating room, and many examinations were not done.

Originally, during the operation, Lao Li was very careful, afraid that something would go wrong. As a result, something happened with a lot of caution.

The patient's kidney has mutated into an extra renal vessel, and it is also an artery, although it is not thick, but it is not thin. Because it was a mutated blood vessel, and it was on the side of the kidney fossa, Lao Li didn't pay attention, went down with scissors, cut off the ligated kidney pedicle, and prepared to remove the affected kidney.

As a result, with a stab, blood spurted out, and the mouth of the blood vessel happened to be Hela, and the pressure on the kidney blood vessels was not small, and it sprayed Hela directly. Hela was stunned at the time, the blood vessels were all ligated, where did the arterial blood come from, and this squirt, Hela subconsciously closed her eyes and forgot to help Lao Li.

Lao Li was still holding a hemostat in his hand to clamp the blood vessels, and he didn't have any extra hands to stop the bleeding, his cold sweat came out all of a sudden, and a voice came out in his heart: "It's over!

This kind of moment is the most embodying the assistant moment, but Hela has already been enmitigated by blood! The viscosity of the blood becomes larger, and it is difficult for Hela to open her eyes, Lao Li is in a hurry, but there is no good way, he dare not relax the hemostat in his hand, and shouts in his mouth: "Zhang Fan, Zhang Fan." Look, where are the blood vessels. ”

At this time, the bleeding at this time, the suction device can't attract it at all, and the bleeding pressure of the renal arterioles is large, and the amount is large, and in just a few seconds, the bleeding has flooded the renal fossa.

At the moment when Lao Li shouted Zhang Fan's name, Zhang Fan did not delay at all, and blocked the kidney fossa with a fist. "Wipe Hela's face. Zhang Fan pressed his kidney fossa and said to the tour. His position is not good, so he can only do this, and the rest will depend on a help.

Then he said to the anesthesiologist, "Quickly lower blood pressure." Zhang Fan suppressed the bleeding, and Lao Li's nerves were already tense to the tightest at this time, and he said to the anesthesiologist: "Yes! Yes! Yes! ”

The moment Hela's eyes were mesmerized by blood, he really despaired. Today's second assistant is Zhang Fan, if it is another transfer doctor, it is estimated that it will be troublesome. Zhang Fan reacted too quickly, and he didn't need his command to deal with it accordingly.

Fast, stable and accurate. Zhang Fan went down with a fist and directly sealed the bleeding. Hela, who had wiped the blood, was still in a daze, but a thoughtless sentence came out, "Didn't you hold the kidneys well?"

Lao Li is crazy. At this moment, I didn't hurry up to find the blood vessels, and I was still glaring at the side, "Less nonsense, are you blind, where is the hemostat not clamped well, this is a mutated blood vessel." Hurry!"

Lao Li's tone was very serious, Hela, who was not frightened by the blood, let Lao Li say that he was scared, and he was stunned, and he knew that he had said the wrong thing. This means that Lao Li's operation was not done well! This kind of imperfect patient is afraid of this kind of thing, the doctor can't say, if the examination is not perfect, go to the operation, the mistake must be the doctor's, at this time there is no such thing as a leader calling or not calling.

"Blood transfusions, correction of shock, increasing fluid velocity. Zhang Fan ignored the emotions of the two and began to give verbal medical instructions to the itinerant nurse, and the blood sprayed not only on Hela's face, but also on the walls of the operating room.

The itinerant nurse was in a hurry, and as soon as Zhang Fan's verbal instructions were said, she knew what to do. If you know what to do, you won't be in a hurry.

Blood pressure dropped, bleeding was less, Hela hurriedly began to tie the knot, the atmosphere in the operating room was tense, Lao Li Tie blushed, and he spoke coldly. Hela remorsefully wanted to slap herself.