Cardiothoracic surgery, Zhang Fan began to be on duty alone, cardiothoracic surgery is much easier than other departments, the little nurses have the time to sit together and chat, Zhang Fan is in the department to read and study, studying medicine is a lifelong thing, you have to study when you have time.

This hospital department is very fair, there is more money for busy and less money for idle. Many elderly nurses want to come to the cardiothoracic surgery department, there are few patients, and they don't have to stay up at night, so the doctors are reluctant to come.

Zhang Fan's first cardiothoracic surgery patient number came, at eight o'clock in the evening, 120 sent a patient number, a male patient in his sixties, the patient suddenly had shortness of breath, cough, and difficulty breathing, and was directly sent to the cardiology department.

The doctor in the cardiology department is Dr. Ye Jingye, who is the instructor of Zhang Fan's heart, and she found that there is no problem with the old man's heart, but there is just a little tachycardia, but the breath sound of the old man's lungs on the left side of the chest disappears, and the percussion is a drum sound, "Quick, call the cardiothoracic surgeon, and ask the doctor of their department to come and consult!" Ye Jing said to the nurse on duty.

The consultation in the hospital must be reached within five minutes, although the surgical building and the internal medicine building have passages, they are not the same building, Zhang Fan has to run, with a stethoscope, all the way through the corridor, run through the courtyard. This happens every day in hospitals, and doctors and nurses will get out of the way when they see it.

After Ouyang came to power, this rule became stricter, and if he didn't do it, he would be deducted from the bonus. Zhang Fan ran to the cardiology department, Ye Jing saw that it was Zhang Fan, and was very surprised, but now is not the time to catch up, when Ye Jing had an accident, Zhang Fan didn't say anything, and Ye Jing was also very grateful to Zhang Fan.

"Dr. Zhang, come and see, spontaneous pneumothorax, I have asked about the medical history, and there is no history of injury!"

Zhang Fan smiled lightly at Ye Jing, and quickly turned into a serious face, the hospital has an emergency patient number, people are in pain to death, you are smiling and grinning over and over again, and people who don't understand may have disputes.

Zhang Fan quickly did a physical examination, and found that the old man was getting more and more angry, "No! Hurry up and transfer the patient's things to cardiothoracic surgery. Zhang Fan said to the doctors and nurses in his heart.

"Okay, you can go quickly. We'll get back in touch when we're done. Ye Jing said to Zhang Fan.

"Okay, I'll go first. Zhang Fan helped the nurse push the patient number towards the surgery, and called the director of the cardiothoracic surgery department as he ran, but the phone was connected, and the director's wife answered the phone, "He is drunk!"

Zhang Fan hung up directly, and then called Tang Xiong, the main ruler outside the chest, Tang Xiong is a Hunan person, his ancestor is a frontier who came with Zuo Zongtang's troops, and he is a descendant of Tsarist Russia, and later settled here, and he has long been unable to see the shadow of the southerners, with a big beard and people from all over the world.

"Brother, a patient who is about to rupture a bullae in the lungs is holding his breath very much now, and he has to have surgery, come quickly. ”

Tang Xiong didn't talk nonsense, he was going to take off his pants with his wife, but the phone call came, and now he has to go. In the midst of his wife's gritted teeth, Tang Xiong left the house.

The operating room has been prepared, and when there was no laparoscope before, this was considered a major operation, and it had to be open-chested! Now with laparoscopic surgery, it is not too big, but the difficulty is not small, Tang Xiong is the newly promoted attending doctor, and he can't do thoracic laparoscopic surgery.

The difficulty of chest surgery is difficult here, the doctor of general surgery can take down the laparoscopic appendix in a year, and can do the gallbladder endoscopic surgery within three or four years, try a thoracic surgery, you can clearly see the heart beating in the mirror, the pulse of the major vasculature, the hand shakes slightly, and punctures a vascular in the chest cavity, then it is over, and there is no chance of rescue.

The abdominal fault tolerance rate is still a little higher, so this department cannot be developed in the northwest, and no one is willing to learn, the risk is high, the difficulty is high, and the source of the disease is not much. Many people have a little heart problem and have to undergo surgery, as long as the conditions are a little able to get by, almost all of them go to the provincial capital hospital, and they directly avoid the top three in the region.

"Brother, you can't get me here, I can't do this operation. Tang Xiong went to the department to see that the director was not there, and when he asked again, it turned out that the director was drunk! Tang Xiong was dumbfounded, it was okay if he didn't come, but once he came, the patient died, and he would be in trouble! Although he was anxious, he was not angry.

"I'll go on, can you help me with a mirror?" Zhang Fan looked at the X-film and said to Tang Xiong.

"No, this can't be a joke, that! Can you really do that thoracoscopy?" Zhang Fan could hear Tang Xiong's sound of foaming.

"Yes, it's not a big problem, the lung of this patient is at the edge, it's easy to do, it's OK to go in and clamp it." Who supplied the equipment here? As soon as Zhang Fan said this, Tang Xiong settled down a little, and even knew about the instrument dealer, and it seemed that he had not done much surgery. And Zhang Fan is the person who has been ordered by the dean, so he should be reliable.

"I'll contact you now, I won't delay your operation, which one do you want to use? Domestic clamps or imported?" Tang Xiong asked, he is not the chief surgeon, and he has no right to decide.

"The kind you usually use, just use that. You're more familiar with this than I am. "Zhang Fan handed over the decision to Tang Xiong, people can take the risk to follow you to surgery, you don't give some benefits, if you can still call someone next time, it will be hell!

As soon as Zhang Fan said this, Tang Xiong ran faster, he understood what Zhang Fan meant! What to sign and what to talk Tang Xiong rushed to do it, "Doctor Zhang, it's okay!"

"Okay, let's go to surgery!" Zhang Fan took the lead into the operating room.

With the development of science and technology, surgery is becoming more and more convenient and concise, in the past, this operation had to open the chest, cut the alveoli of the lung, and then carefully suture the leaky part, at least five or six hours of operation. Now no longer use, long strips of absorbable bio clips. Just clamp it directly along the alveoli of the lungs, click, click, sound is beautiful, the damage is small, and the operation time is short, but this is based on RB, click is 3,000! Click is 3,000.

Tang Xiong held the mirror and looked at the clamp operated by Zhang Fan from the monitor, and began to clamp the pulmonary bullae little by little. Before the operation, Tang Xiong didn't have anything to worry about, but when he saw the beating heart and the beating aorta on the monitor, he was a little sweating.

quietly looked at Zhang Fan, who was focused, and he didn't look like that kind of reckless person. The arrow has to be sent on the string, and now it is too late to stop it, and the mirror has entered the chest! He can't do it again, so he can only fully cooperate, if something really happens, the main responsibility will have to be borne by Tang Xiong, who made him a senior doctor.

Zhang Fan didn't pay attention to Tang Xiong at all, as soon as he had surgery, it can be said that Zhang Fan didn't recognize his six relatives. Little by little, the forceps were exchanging to peel off the lung tissue, and the lungs of the elderly were no longer pink, a bit like crimson, with various black and gray spots in them.

"The mirror is a little too high, be careful of the arteries next to it. Pull back a little, yes!" Zhang Fan looked at the monitor and commanded Tang Xiong.

After the separation is completed, the clamping begins, and the operation is done here Tang Xiong is also relieved, Zhang Fan is very skillful, the separation and peeling movements are gentle and accurate, not to mention that they are very fast, how can they do a laparoscopic operation, it feels like flying an airplane!

began to clamp, click, click, click, click, click, Zhang Fan used four clips, Tang Xiong's face smiled like a flower, if it wasn't covered by a mask, he could definitely see the back tooth socket!

After clamping, he gently cut off the alveoli and said to the nurse, "Tissue bag." Then he put the cut tissue into it and said to Tang Xiong: "Doctor Tang, this patient number is yours, and I will leave it to you for the examination." ”

"How embarrassing is this, you are on duty and you are admitted, otherwise I will never help you again in the future!" Tang Xiong said very firmly, they are all people who want to save face, and the surgical instruments have already been benefited, and even the patients are robbed, it will be really bad. So Tang Xiong is also very persistent.

"Okay, Brother Tang, I'm bothering you today, hurry home, it is estimated that my sister-in-law is in a hurry!" Zhang Fan's polite words made Tang Xiong's old face blush!

"Okay, okay! I'll hurry back. You're going to work hard!" Tang Xiong hurriedly took off his surgical gown and hand washing clothes while supporting him. "Hey, I have to serve the tigress when I go back, this waist of mine! I have to let the Chinese medicine recuperate when I find time!"

Zhang Fan began to give medical orders and deal with the sick number. This patient is also indigenous in Chasu City, and several of his children contacted Shao Hua's father in a roundabout way.

Shao Hua's father has been a farm worker all his life, and there have really been a few times when he has been asked to the door. This time, it was the former farm secretary who begged the patient's family to come to the door. Lao Shao's face glowed with a blush. has face, this person is like this, the secretary who used to be high up came to beg, Lao Shao probably didn't hear anything clearly, so he agreed with his mouth!

Shao Hua's mother trembled angrily. It's hard to say anything when there are too many people, and after the people who came to the door left, he said to Lao Shao: "What do you promise, what is no problem, what trouble are you looking for Zhang Fan for others." When the time comes, let Zhang Fan think of you and Huazi. ”

"It shouldn't be anything, I'll ask first, if it doesn't work, forget it. Lao Shao's head cooled down when he heard it, yes, his daughter's happiness is greater than the sky. Can't make it difficult for your daughter. In the evening, when eating, Lao Shao couldn't speak, because recently, when playing chess, the old man bullied Zhang Fan too much. Zhang Fancheng, who often kills, is the commander of the light pole!

The meal was almost finished, and Shao Hua's mother stepped on Shao Hua's father under the table.

"That, Zhang Fan, for example, your doctors should take more care of the patients, explain to the nurses, and arrange a ward with fewer people, isn't it very simple. Trouble not?"

As soon as Zhang Fan heard it, he knew that the old man had a request for him. Because usually the old man never took the initiative to talk to Zhang Fan about the hospital. Zhang Fan thought for a moment and said, "It's not too difficult, what's wrong, uncle?"

"A friend of an old colleague of mine is hospitalized and wants you to take care of it and say hello to the nurse as well. My colleague's friend is not too young, and the children at home are not at ease. ”

"Okay, no problem!" Zhang Fan said. "But I also have a request, I want to talk to my uncle. ”

Lao Shao's face has changed! Shao Hua's mother's face is also a little unsightly, Zhang Fan is even happier than trading with each other if she refuses directly! Shao Hua looked at Zhang Fan, although she believed that Zhang Fan was not the kind of person who cares, but today this is really surprising, Shao Hua bit his chopsticks and waited for Zhang Fan's next words, and did not stop it. She believes in Zhang Fan.