A drink and a peck, all have a fixed number. Whether it is a person or a certain unit, things that seem to be irrelevant, as if they are too small to be noticed, are often the root of tracing and tracing the source.

In the early years of the huge country, orthopedics was everywhere in China, and all large and small hospitals had a certain level.

With the development of the economy, no one pays attention to hand surgery, which is separated from orthopedics.

First of all, this surgery is not easy to do, a simple hand, the muscle structure, nerve structure is quite complex. After all, the hand is the second special organ that humans can take advantage of all the animals and plants on the earth.

Secondly, this discipline is too unprofitable, in the past, a broken finger was sent to a public hospital, two doctors did a good job for a few hours, and then the doctor's income was 30 yuan for the stage fee.

Therefore, this piece has been abandoned by many doctors and many public hospitals.

However, Shanhua has a group of doctors who are at the forefront of the economic tide but don't care much, as if they don't listen to what is going on outside the window.

Decades of accumulation, and then from the outside of the hand, to the nerves, from relatively simple to relatively complex, it can be said that these two disciplines, a small Shanhua stands on the pinnacle of Huaguo.

This is the role of a leader in a hospital or an industry, don't they love money? But it is from this city that pays the most attention to money in China, they have started the most unprofitable discipline, and they have also reached the peak of TN, which is really contradictory and incomprehensible.

The sublimation outside the hand indirectly also makes the neurosurgery go more smoothly.

So later, Shanhua's gods stood up, whether it was the capital, whether it was the magic capital, and only a military general hospital could compete with it, and the rest were not opponents. What is the military hospital for, the military hospital is the last barrier of health in China.

It can be said that from this point, the original group of doctors can be admired.

Craniotomy, transplantation. Vascular grafting, not to mention in the skull, is a very troublesome operation.

The blood vessel can be said to be a channel for transporting oxygen, so once it is ischemic and hypoxic, after a little longer, this guy's underwear will self-destruct.

It's like an irritable chick who gets drunk and tears up her clothes.

And the underwear of the blood vessels is the tipping point of blood clotting in this coronary system. In layman's terms, once the underwear of this thing is broken, the platelets, coagulation proteins and other adhesives in the blood may coagulate and become thrombosis at any time.

Therefore, the transplantation of blood vessels should be completed within half an hour.

Dr. Yip took his assistant to start the operation. Zhang Fan stood on the edge of the operating table, looking at the patient's vital signs, looking at the electroencephalogram, and taking the time to look at Dr. Ye's technique.

Nerves are mainly propagated by radio waves, so brain waves are actually a regular curve.

A nerve emits a wave, so there are countless wavy lines on the brain waves, just like the curve of the stock market.

There is a joke in this, about a doctor in the god who took his mobile phone to look at the electroencephalogram transmitted back by the patient, but another patient took a look and said: Hey, you dare to look at the stock market in the outpatient clinic, and then change hands and sue the doctor.

Cranial entry, administration, and stable vital signs of the patient. Dr. Yip started the transplant.

Extracerebral surgery pays attention to not only precision, but also a preoperative examination.

Moreover, the success rate of surgery outside the brain has only begun to increase in the past ten years, not because of how high the doctor's surgery has improved, but because of the improvement of the examination and diagnosis equipment.

A map was drawn on the patient's shaved head, and Gentian Purple drew the surgical route on the skull early.

There are many ways to open a craniotomy, and the hospitals at the grassroots level are nothing more than old-fashioned drills and bone knives. Like a butcher, the hammer and chisel smash the skull open, and it is estimated that the patient will have a concussion after surgery.

Drill a few holes first, and then use a bone knife to pry open a piece of the bone. It's like eating old-fashioned luncheon meat, and you accidentally break the pull ring, and you can't first smash a hole with the change cone, and then force the tin lid open with hand pliers.

After surgery, the patient's skull is often severely damaged, and there is no way to sew a metal mesh on the skull, which is very cruel.

And Shanhua is not a grassroots hospital that can be compared. Their craniotomy is much more elegant.

The damage of the air drill is much smaller than that of the old drill bit. Draw a heart shape along the skull, then make a small hole in the three centimeters and a small hole in the three centimeters.

The skull is like a sewing machine sewing a garment, and the tiny holes form a heart-shaped diagram.

Then, in the center of the cardiogram, use the suture to penetrate and tie a knot, and then gently pull, the skull is completely pulled up, simple and less damaged.

Pulling up the skull, the brain immediately appeared in front of the surgeon's eyes. At this time, the brain is like a girl whose skirt has been blown away by the wind, panicking.

Grunting and squirming, more like a boiling brain flower in a pot of clear water.

Looking for blood vessels, 0.3mm surgical forceps look for blood vessels.

It's like using chopsticks to keep playing with the brain flower when eating hot pot, not only to let the brain flower be evenly heated, but also not to let the brain flower be pierced by chopsticks.

It's very exquisite.

Zhang Fan looked at Dr. Ye's technique, and kept sighing in his heart, "It's amazing, Dr. Ye and his family don't know how many pig brains they have eaten." ”

Zhang Fan, who is practicing in the system, knows too well the difficulty of this operation, if there is no system, and if you don't play with thousands of pig brains, you will definitely not be able to take it down.

The outer layer of the mucous membrane is as thin as a cicada's wings, not to mention that there is a big error in the action, even if a few millimeters of tweezers shake a little, it can be broken.

How thin the outer layer of this mucosa is, the average person does not know what cicada wings are.

The simplest, sorghum syrup, is a local specialty of Dongshan, sorghum syrup, when I was a child, it is estimated that many people have eaten it.

When you open the candy wrapper, the thin white transparent thing wrapped around the candy cube is actually similar to this film, and it can be blown through by a strong wind.

You can think about how difficult it is to transplant the icing from one sugar cube to another with needles and threads without destroying the sugar coating.

Zhang Fan looked at it, and kept making comparisons in his heart, "Well, I can do it too."

"Well, here I should do better than Doctor Ye!"

"Well, I'm not going to do this better than Dr. Ye. Looks like I'm going to have to go back and practice again. ”

There must be my teacher in the threesome, and the profession of doctor is so pathetic, there will always be things that need to be improved, and there will always be things that need to be improved.

"Director, the patient's blood pressure has dropped! ”

"Blood transfusion!" Doctor Ye didn't dare to speak, and at this time, Wu Laoteng, like a leopard, stood up and said to the itinerant nurse.

Dr. Ye was holding the adventitia in his hand, and he was so anxious that he could jump up and bite, no bleeding in the morning, no bleeding in the evening, and at the most critical moment, the patient was bleeding!

"Zhang Fan!" Wu Lao shouted in a low voice.

It's like an order to charge. The old man knew that in terms of surgical maturity, Zhang Fan might be a little worse than him, but in terms of the speed of entering the abdominal cavity, he was definitely not the opponent of this kid, this was the age gap.

Therefore, Wu Lao did not stand in the position of the main knife, but gave up the position of the main knife to Zhang Fan.

Zhang Fan did not hesitate, this is not the time to be polite, you must have the courage to be unyielding.

Life and death are on the line.

What do you say about the brain? It's like a computer that crashes. Especially in some special circumstances.

Under normal circumstances, when the brain is fine, such as bleeding from the digestive tract, the brain is like a very awesome general: the blood vessels begin to constrict, and the generals go to fill the mucosal hole in the stomach for me.

Hula, a group of platelets, proteins, blood vessels, adhesive bonding, shrinking contraction, the opening is filled.

This is why people who are extremely angry sometimes vomit blood when they are angry, and only one or two mouthfuls of blood, most of which can still be made up by the brain.

It feels very handsome.

However, once the brain begins to be ischemic and hypoxic, many factor hormones in the body cannot be controlled, just like the last dynasty everywhere, each with its own rules.

Moreover, the earliest jump is often the digestive tract, Lao Tzu is gone, why does Lao Tzu have to pretend to feces while serving rice?

Under the stimulation of various hormones, a state of stress occurs, and the digestive tract begins to bleed. At this time, the stomach nerves are still at the command of the brain.

But what about the brain, because of the lack of blood and oxygen, I can't take care of it, and the nerves of the digestive tract are fed back to the brain: Boss, the digestive tract is bleeding, do you constrict the blood vessels?

"Shrink an egg, Lao Tzu will be hypoxic, ischemia, dilate Lao Tzu's blood vessels, and increase delivery!"

Then the heart begins to beat at an accelerated pace, and the blood vessels begin to congest and enlarge like the corpora cavernosa. This time, like a domino, the mountain collapsed and the sea cracked.

There is a saying that the most controlled places in the brain are the heart and lungs.

Simple, I have heard of drowning, but I have never heard of myself suffocating myself, so this heart and lungs are not controlled by human will, and listen to the brain.

Once the brain fails, the heart's first task is to protect the brain.

The digestive tract is different, this thing is like a person on the edge, most of the time listening to the boss's brain, and sometimes not listening to the brain.

For example, the peristalsis of the intestines, the brain says: Come and dance a fast-paced disco for Lao Tzu, the intestines ignore the brain at this time, and still slowly squirm on the side.

And once there is a stimulus, such as eating something inappropriate, poisonous mushrooms, etc., this thing will immediately crawl where to pretend to be dead, and Lao Tzu will not move. Is the poisonous mushroom so poisonous that it doesn't? No, but it's just lying there pretending to be dead and not squirming, as if to say, "Oh me!"

So, when the brain is deprived of blood and oxygen, the digestive tract bleeds.

The current situation is that the cerebral hemorrhage is about to improve, but the digestive tract no longer listens to the greeting, "You will be congested for a while, and you will not be congested for a while, and Lao Tzu will not play with you anymore!"

The focus of the surgery has slowly changed from the brain to the digestive tract.

Half an hour of blood vessel suturing is about to end, but the gastrointestinal bleeding is over.

Dr. Ye held his breath, and he didn't dare to have a little extra sound in his ears, because he was worried that he would fall short after being affected.

"It's okay, it's okay, it's going to be okay, Wu Lao is here, Wu Lao is the main knife, it's going to be okay. "I muttered in my heart, and the anastomosis blood vessels were stitched under my hands without stopping.

With a needle and a thread, the blood vessels are like pockets, and the openings are slowly closed.

When the last stitch was closed, Dr. Ye dared to take a breath, "Quick, open the blood vessels that have been added and closed!" ”

The first half of the sentence is addressed to the assistant, and the second half is addressed to the anesthesiologist.

"Blood pressure continues to drop, and the bleeding is estimated to be severe. 400 CC has already entered, and there is no improvement at all. ”

The heart that was originally clenched was even more raised, and before he could take his eyes off the microscope, a sentence jumped out of his mind: "The operation was successful, and the person is hanging!"

This is the scene that all doctors in the medical world do not want to see. Obviously, the operation was successful, but the person hung up. So this synthesis of a human body is too nonsense.

Watching the assistant open and close the blood vessels, Dr. Ye took his eyes off the microscope at this time.

As soon as he turned his head, Lao Ye's original heart almost jumped out of a heart failure.

He didn't speak, but he came out of his heart directly: "How can Old Man Wu be like this, such a big operation, such a big bleeding, and he actually gave up the help of the operation to a young man!"

The thrill of the operation made Lao Ye almost jump up and scold, to be honest, today is Wu Lao, if it were a doctor in their own hospital, it is estimated that at this time, Dr. Ye would be able to jump up and scold his mother.

Dr. Ye, who was blushing, immediately left the surgical position of the brain, "You closed the skull!" The blunt words made Dr. Ye's assistant's heart furious.

"What's wrong with the boss?"

Leaving the position of the chief knife, Lao Ye lay behind Zhang Fan and looked over.

He is not an expert in general, and he has no problem with heavy bleeding, but his vision is there, he has never eaten pork and never seen a pig run!

Doctor Ye, who was lying on Zhang Fan's back, was speechless.

At the scene in front of me, the clutched heart slowly began to relax.

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