"The small round needle hangs the thread, the turning line is lengthened, and the vital signs of Secretary Ren and the patient will be handed over to you.

Dr. Chan, prolong the anesthesia!

Dr. Wang, please talk to the patient's family, we have to make two preparations.

Once the spleen preservation fails, a spleen resection is performed, and the patient's family must be explained to the family of the patient. ”

"Good!"

"Yes!"

Ren Li agreed, and after Dr. Wang heard Zhang Fan's words, he immediately agreed, and then walked out of the operating room with a thick stack of surgical consent forms.

The instrument nurse struggled to attach absorbable threads to the smallest round needle.

Needles, all kinds of skin needles, round needles, and special absorbable threads come with needles, which are particularly diverse in medical treatment.

The round needle, which is actually the needle of the self-sewn clothes, is bent into a full moon shape, like a full moon scimitar.

The shape of the leather needle is actually exactly the same as that of the round needle, and the difference is in the needle.

The head of a round needle is a pointed one, while the head of a leather needle is like a triangular thorn.

Skin needles are used to suture the skin and cartilage, and round needles are used to suture the soft tissues and organs under the skin.

Because of the difference in needles, if the skin needle sutures the soft tissue under the skin, the result is often that the tissue is split.

Don't look at a small needle, it is also divided into three, six, nine and so on in the hospital, such as the round needle that comes with the absorbable thread of a certain country, which is quite easy to use.

It is sharp, as if the material has its own smooth oil, and when inserted into the tissue, it does not have a little dryness.

Moreover, the most awesome thing is that its material is very good for skin needles, and doctors with good skills can use it to penetrate flat bones, such as ribs.

But the price is also good, a thread, a needle, more than 400! This is still the price of the hospital, if you are in a beauty salon, this thing will cost thousands.

In order to prevent repeated use in the hospital, there is no threading hole at the end of the needle, which is considered a complete disposable.

To be honest, if it weren't for the price, doctors would like to use this kind of foreign needle and thread.

It is estimated that small needles do not make money, and domestic manufacturers do not bother to do it. And then the domestic needle is really not very good to use.

Especially for doctors with slightly worse skills, if the slight force is not appropriate, the needle will be bent first.

The nurse complains, the anesthesiologist urges, the senior doctor criticizes, really, the young doctor can cry for the needle bullying.

Although Zhang Fan has no requirements for needles, he also likes to use this kind of one that is not dry at all, and when inserted, it is particularly slippery, just like a popsicle, very smooth.

Taking the needle, Zhang Fan looked up at the anesthesiologist, and the anesthesiologist nodded lightly to Zhang Fan, "Zhang Yuan can start." ”

"Good!"

Abdominal tissues, including gastrointestinal tract, liver, pancreas, spleen, and kidneys. These abdominal organs have a lot of autonomy, and they don't urinate much in the brain.

For example, intestinal peristalsis, which is managed by the intestines themselves, if you eat too much, eat irritating food, or tease with something from the back door, people will accelerate peristalsis.

But for other stimuli, they are also lazy, and they don't give much feedback to the brain when something happens.

For example, if the intestine is perforated, only after the intestinal fluid flows out, it will make people roll on the ground in pain.

What is intestinal fluid, this thing is a strong alkali, and even so, the pain point in the abdomen is not very clear.

The abdominal organs are not very sensitive to temperature, cutting, and acupuncture.

However, the abdominal organs are the most sensitive to pulling forces. This is also why the second brother of the grassland will ** any prey he sees.

Once you bite the head of the cecum, and then look back, whether you are a two-ton rhinoceros or a big lion with sharp teeth, you can lie on the ground in pain and call Dad.

Therefore, when doing abdominal surgery, when the old doctor takes the little doctor, he will definitely say, "Slow down, slow down, move gently, don't pull!"

If there is frequent stretching, even if the patient is anesthetized, it can cause the patient to be agitated or even have painful shock.

And when there is pain in the abdomen, you must not take painkillers at home, what ibuprofen, diclofenac sodium sustained-release tablets.

Don't eat it, this thing doesn't urinate much in the first place, and once you take painkillers, it's a cover-up of your condition.

Seeing that the anesthesiologist nodded, Zhang Fan stabilized his mood and calmed down.

"Let's go!"

Lao Zhao held the tweezers in one hand, gently fixed the spleen in his hand with one hand, and then showed Zhang Fan clearly the technique in a steady manner.

Sutures, in the organs, the stomach is the best suture, just three or four layers of structure, and the texture is tight, like a pocket.

And the spleen is the most difficult to stitch, how to say this, like a crisp radish or a green apple rich in moisture.

You can see how difficult the operation is if you stitch a green apple with a needle.

Once this thing is cracked, it is quite difficult to serve, and the entry angle of the needle is a little off, let alone the stitching, it can give you a few more more lobes to continue to crack.

Each needle is a gamble, and you don't know if your needle will divide the spleen.

In addition, the smaller the suture opening becomes, the more difficult it is to suture because the more you get to the edge, the more likely it is to crack.

Just like a ceramic, this thing doesn't just crack at one point, and sometimes, because of the torque, it can open the whole spleen for you.

Therefore, the older the doctor, the more he does not dare to mess with the spleen, because if he is not careful, he will not be able to do the operation.

However, precision and stability are no problems for Zhang Fan.

Zhang Fan took a long breath, and saw a full moon-like needle piercing into the wound of his spleen at 90 degrees.

On the edge of the spleen tissue where the wound was like a petal, the needle holder in Zhang Fan's hand pinched the round needle and steadily pierced into the tissue.

Wrist strength is required to suture cartilage or even penetrate flat bones or fascia.

And this brittle tissue must use the strength of the fingers, not only to have clean penetration, but also to be unbiased stability.

Human body stitching, not sewing clothes, you have a needle in your hand, you can do whatever you want.

Human sutures are held with a needle holder to hold the round needle, so the force is transmitted to the needle through the needle holder.

Just like if you use pliers to grip a nail and stuff it into a piece of wood, if you don't use the right force, the nail will be like a person who is not used to wearing high heels, and he will walk crookedly.

If this situation occurs after this time, don't even think about it, the spleen can definitely be made into a spleen flower, and you can only cut it.

With the insertion of Zhang Fan's closed breathing, every time he inserted, Zhang Fan would insert in at the most stable moment with his breathing, and then hurry up and come out.

This thing is not reckless, anyway, where the spleen is, I can get in no matter how I insert it.

Every time he inserted it, not to mention Zhang Fan, Zhao Quanping, the director of general foreign affairs who was a helper, couldn't help but hold his breath.

As if he was afraid that his breathing would affect Zhang Fan's insertion.

One stitch, two stitches. The distance between the pins is as if measured with a ruler, and they are arranged neatly.

Surgery is slightly the same as cooking, in the chef's business, the best is the man, and the best in surgery is also the man.

Don't say tall, just say this stitch.

When Zhang Fan and their students were in a surgery class at the university, the teacher anesthetized the students and tied the rabbits with skins to the operating table.

Then have students practice stitching.

At that time, to be honest, everyone was a junior brother and a junior sister, who had ever done this job.

The result of the stitching is that the boys sew better than the girls.

The crisp apple-like spleen, with the stitches slowly oozing out a trace of blood, Lao Zhao glanced at Zhang Fan, he didn't even dare to wipe the blood.

Zhang Fan's sewing is not only stable, but also fast. Seeing the dense sweat on Zhang Fan's forehead, the itinerant nurse didn't dare to step forward to wipe it.

At this time, the wound on the spleen slowly closed and closed like a crying child's mouth.

In this kind of suture, stability is the foundation, and speed is the key. In trauma medicine, there is a prime-time saying.

For example, the spleen, which is full of all kinds of tissues made up of small bubbles, can be loaded and eaten, but has very few blood vessels.

Once ischemia is caused for a long time, it can cause avascular necrosis even if it is sutured.

Zhang Fan took a snap and quickly sutured it, he was like a clair-seeing eye, and every time the needle went down, he would avoid the blood vessels in the spleen.

There is only a faint layer of superficial blood oozing on the surface of the spleen, and there is absolutely no blood spouting.

Doctors, although most doctors have the same education, at the time of surgery, the skills displayed by doctors vary widely.

Some doctors, performing surgery, are like killing pigs, and the blood in the field is overflowing.

And he rushed forward like a lone warrior with his head down in the blood flowers, cut an appendix, and then the patient had to have a blood transfusion of 400cc.

On the operating table, for such a crappy doctor, the patient's only weapon of resistance under anesthesia is bleeding.

Therefore, a good surgeon is not only good at stopping bleeding, but also good at avoiding bleeding in advance.

On the operating table, it can be said that 1 g of bleeding requires 10 g of treatment.

"Boost!" After Zhang Fan sutured the last stitch, his left hand gently let go of the bent forceps that were blessed at the door of the spleen, this kind of loosening was not completely loosened.

Rather, the mouth of the curved forceps has just left the vessel, but if necessary, it can immediately clamp the vessels again.

With the blessing of the left hand, the right hand gently presses on the wound where the spleen is sutured.

This particularly brittle tissue sometimes causes the body to contracture due to suturing, and then when it is reperfused, the body is broken.

Therefore, the suturing of this kind of tissue is too strange, and sometimes after failure, even the doctor himself can't find out what is wrong.

Zhang Fan is confident in his skills, but he can't keep it in case.

Therefore, until the blood has not filled the spleen, it is absolutely impossible to be careless.

At this time, the idea is that one life is one.

Ren Li personally administered the medicine, and little by little the pressurized medicine entered the medicine pot, and slowly, the discolored spleen slowly began to become darker and darker.

There was also a noticeable increase in bleeding from the stitches where the stitches were closed.

"What is the blood pressure?"

"High pressure 120 mm Hg, low pressure 90 mm Hg!"

Zhang Fan pressed on the upper hand of the spleen, and at this time he also began to feel the swelling of the spleen slightly.

Just like a cat's temptation, first lick it, then lick it deeply, and finally put its tongue directly on Zhang Fan's hand.

Swelling is inevitable, not to mention this kind of injury, even if you slap someone, your face will swell, not to mention this kind of injury.

When the blood pressure rose to normal blood pressure and the spleen lay down steadily, I heard Lao Zhao breathe a long sigh of relief.

"Quick, wipe the sweat of Zhang Yuan, and wipe it for me by the way, I'm almost thin!"

Can you not be nervous, it's like a time bomb, you can blow up in your hand at any time!

"Close the abdomen, go out alone, inform the patient's family, the patient's spleen is covered!"

When the head nurse heard this, she immediately ran out quickly, and the little doctor on the side hadn't reflected yet.

"Don't cry, okay, okay, wipe the tears away, the patient is rescued, and the spleen is saved!"

The head nurse, who pulled down the mask and showed his face, stood at the door and informed the family of the patient's condition.

After speaking, the head nurse proudly turned her head and entered the operating room.

With her head high and her chest uplifted, she liked it, and she liked it, and she liked it to be surrounded by grateful and adoring eyes.

Before the operation, the doctor informed the patient that he was critically ill and might die on the operating table, and the family's heart was like being run over by a road roller, and there was black fog in front of them.

During the operation, the doctor came out of the operation and told him that the spleen might need to be removed. Although an organ has to be cut off, as long as the person can be saved, no matter how the family is willing.

When the patient's family only had a little hope left, that is, as long as they could save the person, the beautiful and plump nurse proudly told them that the person was alive.

The family members were really pulled from the abyss to the top of the peak, and this sense of happiness is really exciting.

The gray-haired old man hugged his little granddaughter and cried.

One month after the operation, I heard that the female owner of the hardware store sold the shop and handed over the money to the female owner of the optical store, and then I obtained the understanding of the optical store owner.

This is what Zhang Fan occasionally hears when the little nurses in the hospital gossip.

After the beginning of spring, registration for the annual medical practitioner examination began again.

The hospital's technology is now at the forefront of tea, and Ouyang still feels that it is not enough, not only to be at the forefront of technology, but also to be at the forefront of the exam.

Na Duo, Xu Xian, and Xue Xiaoqiao, all of whom had exam scores of more than 500, as well as the directors of various subjects, were pulled by Ouyang to set up an exam tutorial class.

Of course, Ouyang definitely didn't let go of Zhang Fan, Zhang Fan is the main person in charge of the tutorial class.

Ouyang's current governing philosophy is to want to come out of one and quarrel with the government, she will send Lao Gao first, and if Lao Gao can't do it, she will go out again.

The internal affairs of the hospital were almost all pressed on Zhang Fan and Ren Li's heads.

Ren Li is hard-working, Zhang Fan can't rely on Laipi occasionally now, and Ouyang is becoming more and more thieves.

As soon as Zhang Fan opened her mouth, she said that she had worked all her life, either a back pain or a headache, a headache or an upset, and now she couldn't even feed the cactus, so Zhang Fan must be considerate and considerate of her.

Zhang Fan can't even say it!

Anyway, in a word, the old lady doesn't work, you can do it yourself.

For the little doctors who took the medical exam this year, although they were tutored by Zhang Fan and other top students, the bad news also made them frightened.

Ouyang has already released his words, and those who have passed the exam with 500 points will be given an extra half a year's bonus and performance, while the doctors who have not reached 500 but have passed the exam will be given an extra month's bonus and performance.

For doctors who fail to pass the first examination, they will be suspended from various performance payments on the day the results come out, and only 600 yuan per month will be given as a living allowance, and if they fail the second examination, the labor contract will be terminated directly.

As soon as the hospital's red-headed document came out, there was a wail, with the continuous improvement of the reputation of the Municipal People's Hospital, now I want to enter this unit, to be honest, some undergraduates have spent a lot of thought, if they are dismissed because of the exam, really, how to live in the tea vegetarian medical circle, how to mix in the tea vegetarian medical circle.

On the day when the auxiliary class opened, the candidates who were going to take the exam that year, not only from the Municipal People's Hospital, but also young doctors from other hospitals came to observe.

The deputy director of the medical department wanted to drive out these doctors from the outer hospital, isn't this a cheap advantage for our hospital!

As a result, he was stopped by the director of the medical service. Chen Sheng knew Ouyang too well, and sure enough, when Ouyang found the strange doctor in the auditorium, the wrinkles on his face were all smiling.

How famous the hospital is, doesn't it rely on peers, isn't it just relying on the envy and jealousy of peers!

If these doctors are really kicked out, Ouyang is estimated to be absolutely angry.

Besides, if he can find a few good seedlings in the study class again, Ouyang will definitely be confident that he will dig people over, and the old lady's abacus is very fine.

Zhang Fan was the first teacher in the tutorial class to go to the podium.

When Zhang Fan stepped onto the podium, there was an instantaneous buzz below.