260 The Disaster of Innocence (Brother D, hurry up and support!)
At the beginning of the operation, Ouyang was angry, and the director of general surgery and the director of urology were on it, although Ouyang did not specify who to let go, but the two directors obediently went to the operation. It's not necessary to find fault with Ouyang and clean it up.
The director of the anorectal department was a little embarrassed, it was not good to get in, it was not good to get out, and he rubbed his hands and looked at Ouyang awkwardly, although he was not angry, he was frightened, but after all, it was the director of the department of the hospital, it was not Ouyang's subordinates, the old lady said with a cold face: "Don't go to work, what are you still standing here for, let me give you a medal!"
"Okay, okay, Dean, I'm going to the clinic now. While walking, he wiped the sweat on his head, he was under a lot of pressure, for the sake of the young lady, he was considered to be out of the house, so the more he cared about something, the more he didn't dare to go beyond anything!
After speaking, he turned to the frontier boss and said, "Wait for the news! After speaking, he turned around and left, ignoring a few harbor people.
The frontier boss has a blue face, he doesn't understand medical treatment, but he always knows that the older this industry is, the more popular it is, Ouyang let a hairy boy be the main knife, can he have a good face. Ordinary people, when they encounter this situation, they either find a way to beg or burst into a rage.
And although this boss has a bad face, he doesn't say a word, he is thinking of a way, a way to save it, one is to find someone to put pressure on Ouyang, and the other is that if the hospital in Chasu City really lets the Harbor boss die today, what will he do, how to stop the loss in time, this is the difference with ordinary people.
In the operating room, doctors and nurses are nervously busy, this kind of patient is the most hated patient by anesthesiologists, not only to pay attention to anesthesia, but also to pay attention to vital signs.
At the beginning of the operation, Zhang Fan and the two directors started the operation in an orderly manner, this kind of surgery, if there is no damage to the abdominal organs, in fact, it is very simple, just repair the anus, but now there is damage to the abdominal organs, it is necessary to first stop the bleeding in the organs and deal with the trauma.
Incision, exploration, this operation, the speed of entering the abdominal cavity is fast, it is originally a state of blood loss, and now if you open an incision, there will be more bleeding, so it must be fast. Zhang Fan didn't speak, layer by layer, he entered quickly, and the two directors cooperated very well, and this kind of surgical approach was almost engraved in their minds!
Exploratory laparotomy requires rapid, accurate, gentle, focused movements, and a certain sequence to avoid omissions. In particular, some organs that are relatively hidden must be explored.
When the peritoneum is cut, a large amount of blood overflows from the abdominal cavity, indicating a rupture of a solid organ or large blood vessel, gas or digestive tract contents overflow, indicating a rupture of the gastrointestinal tract, biliary system or duodenum rupture when there is bile-like fluid, when there is fecal fluid or fecal odor, it indicates damage to the lower ileum or colon, and when urine or smells of urine, it indicates ureteral or bladder damage.
When Zhang Fan opened his lower abdomen, the urine gushed out directly! The flesh-colored urine mixed with the blood and flowed out directly. "Boost! gauze!
Zhang Fan said to the instrument nurse and anesthesiologist. The pressure in the abdominal cavity suddenly disappears, sometimes causing a sharp drop in blood pressure. Zhang Fan had to guard against it.
"This person is really unlucky, not to mention inserting it into the anus, but also breaking blood vessels and puncturing the bladder, you say that you are unlucky or not. Lao Wang said to the director of the urology department.
Surgery with Zhang Fan, the junior doctor doesn't care, Zhang Fan doesn't speak, others don't speak, but the senior doctor and Zhang Fan do the operation is too uncomfortable, Zhang Fan's subordinates don't say anything, they are very focused, and never talk much! They are embarrassed to talk even if they want to.
"It depends on the situation, this person is very rich, what do you say is bad to have money, why do you want to run into the old forest! Isn't this looking for something for chrysanthemums! It is estimated that you will not even be able to eat chili peppers in the next six months!"
"Southerners don't eat chili peppers!" Zhang Fan ended the chatter between the two old men, Zhang Fan hated others when he had surgery. This is something that I practiced alone in the system.
In the past, he was not qualified, and others spoke when they spoke, but now Zhang Fan has this qualification!
The treatment of visceral injury is according to the principle of "stop the bleeding first, then repair", a large amount of blood in the abdominal cavity should be quickly sucked out, Zhang Fan held the blood clot with his hand, and then examined the solid organs one by one. Fortunately, there are not many male pelvic organs!
After sucking up the urine, Zhang Fan gently opened the bladder and found the bleeding veins! Directly on his fingers! With one finger, he pressed the blood gushing out like a spring! "Quick, suck blood!" Zhang Fan's speed was super fast, and when the two directors were still looking for blood, Zhang Fan had already held it down.
Lao Wang, the director of the general foreign department, quickly sucked up the accumulated blood, and Zhang Fan began to sterilize, which is very taboo to blindly prick in a pool of blood.
When Lao Wang was still about to press with gauze, Zhang Fan had already put on the hemostat.
"Be careful!" "Old Wang was anxious. This kind of blind tie is very easy to damage the normal blood vessels, because the tissue here is very rich, and in general, the large veins and arteries are accompanied, that is to say, the veins are next to the arteries, and the distance between them is a few millimeters.
Many times, when the surgical field is very clear, the blood vessels will be damaged, not to mention this kind of blind pricking! The moment Zhang Fan put down the pliers, the general Wang and the director of urology, cold sweat came down!
Because the two of them understand and know what is underneath, after a guy goes down and hurts an artery, it will be over directly, and the basic blood pressure that is already maintained will open an artery!
"Click", after jamming the pliers. Zhang Fan said: "Vampire!"
"Don't let go!" Lao Wang's hands trembled a little, and then he said to the itinerant nurse: "Quick, go get the hemostatic cotton, a large amount of hemostatic cotton!"
Zhang Fan froze! "What do you want hemostatic cotton for?"
"If you go down with these forceps, the artery will already break and ask for a child! What do you say you want hemostatic cotton for!" Lao Wang was angry and anxious! He originally thought that Zhang Fan was very stable and had good skills, but he didn't expect to make such a low-end mistake~!
"Hey, I'm still too young!"
"Hehe!~" Zhang Fan smiled and wanted to say something. As a result, Lao Wang said: "You are still laughing, go down, reflect on it, and give me the pliers!"
Because the pliers were still in Zhang Fan's hands, if it weren't for the blood vessels, Lao Wang would have snatched the pliers a long time ago! Isn't this nonsense? This is surgery, can it be pierced blindly!
This is the gap, the gap brought by the system! Normal surgical training does not dare to blind puncture even if he does 500 such surgeries, but Zhang Fan dares, let alone this distance, even if it is closer, Zhang Fan dares to blind puncture, without him, only familiar with his hands!
Others can't train, he can train, others have to wait for the opportunity to train, as long as he has time, as long as he is willing to work hard, he can train at any time!
"Definitely not! Definitely clamped the bleeding point, and it didn't hurt the artery yet!" Zhang Fan also wanted to stop the bleeding more quickly, so he had to show his hand!
"! Go down!"
Zhang Fan is really not in a hurry, and at this time, the blood vessels are also blocked, so there is no need to worry about it. "Director Wang, the bleeding really stopped, and there was absolutely no damage to the arteries!"
"You don't go down, don't you!" Lao Wang's face turned blue! Joking about the sick number, this is not something that a doctor can do, so he got angry.
Conventional methods could no longer make Lao Wang calm his anger, Zhang Fan paused for a while and said: "If the artery is ruptured today, I will bear the responsibility, and I will never have surgery again in the future!" Zhang Fan said very formally!
"Huh!" Lao Wang's mind calmed down, he also knew Zhang Fan's past, he had never been so reckless, and he couldn't bear to ruin such an excellent young doctor.
"What if the forceps are stuck and the arteries are not damaged?"
"Hehe, then it's up to Director Wang!" someone set up a stage to let Zhang Fan speak, and Zhang Fan looked at Director Wang and said.
"What do you mean!" Lao Wang's tone was not very good, but his face was already a little better, and his round eyes were slightly softened.
"If I didn't damage the blood vessels today, I would have to be open to surgery in the future, and the reason for explaining to the department doctor would be for Director Wang to help me!" Zhang Fan said while holding a needle and thread to prepare for suturing!
"Huh!" Wang was stunned. He stared at the pliers, because at this time, Zhang Fan had already cleared the remaining blood around him!
"A stitch and a thread!" Zhang Fan ignored Lao Wang anymore and began to stitch up the blood vessels. After a few stitches, Zhang Fan removed the pliers and dipped them lightly with gauze, and the gauze was clean!
Zhang Fan did not deliberately embarrass Lao Wang, but made an excuse to appease his anger! This kind of doctor is to be admired, he cares about patients, and he can turn his face against Zhang Fan who is so young and so good regardless of the feelings of his colleagues, which is really admirable. As the saying goes, it's better to bully the white-bearded man than to bully the poor boy! Not to mention the boy who has already shown his level!
In the workplace, geniuses are privileged, and geniuses can be forgiven by more people for making mistakes!
Today, if there is no general surgeon, but only Zhang Fan and the director of the urology department will do this operation, even if Zhang Fan punctures the blood vessel, the director of the urology department will not turn his face! Maybe he will help cover it up! Who made Zhang Fan a genius!
Therefore, although Lao Wang was angry, Zhang Fan didn't take it to heart at all, this kind of doctor is his role model, although Lao Wang can't hold the other deputy directors of the department, but he can really be called a doctor for the patient's concern for the patient!
After Zhang Fan's quick suturing, he was ready to repair the rectum first, because the rectum is relatively more polluted, and the earlier the suture is repaired, the infection can also be eliminated as soon as possible!
"Metronidazole rinse!" Zhang Fan said to the itinerant nurse.
"Eh!" Lao Wang was a little embarrassed, but he was not annoyed at all, and after gently touching the blood vessels that were stitched, there was no need to confirm it, because there was no bleeding anymore!
"Even if it hadn't damaged the arteries today, it wouldn't be a big deal. It's just a matter of a few seconds, why don't you wait for the surgical field to be clear before clamping, you don't know the result of breaking the artery? not only criticized Zhang Fan, but also resolved the embarrassing scene!
There is really no way to explain this matter, can it be said that a master of art is bold? Dare to say this, he can directly let Lao Wang drive him down, this is surgery, not a tightrope walk!
The director of the urology department spoke: "Director Zhang is absolutely sure, don't you see that people are not in a hurry at all! I have to take it!"
"Hmph!" Lao Wang couldn't say anything! After stopping the bleeding, the operation went much more smoothly! After rinsing a large amount of metronidazole, he gently removed the wooden skewer.
After the itinerant nurse looked at it with gloves and a wooden skewer, she was a little stunned and said, "It's so thick!"
"Poof!" the director of urology and anesthesia laughed. "It's pretty thick!"
"Nasty!" Tour's face turned red, and she realized that there was some ambiguity, so she quickly went out with a wooden skewer.
"Zhang Fan, if you don't come to Puwai, I'll give you a hand, and Corey's surgery will be your pick!" Lao Wang recruited Zhang Fan for the second time! Zhang Fan flashed his hand, and when he thought about it carefully, he felt shocked! It was really shocking! This level is too high!
"Hehe, Lao Gao probably won't let people go. The director of urology said provocatively.
"Does it have anything to do with you?
"Hehe, I'm not ashamed!"
The operation went smoothly, and the tone of the two was much more relaxed, but Lao Wang was actually still a little bit of liver tremor, Zhang Fan's sudden, it was too scary, slightly shifted left and right, shaking, it was the internal iliac artery!
After repairing the rectum and checking the abdominal wall, there is no damage, go on, and at this time it is necessary to change the gloves. Because the rectum is a contaminated area and the bladder is relatively clean, change gloves again.
The bladder is very well sutured, this thing has a certain contraction and stretch, just like a basketball has an inner capsule, first suture the inner layer, then the outer layer, when suturing, there is no need to pay attention to the other blood vessels and nerves, and the biggest attention is that there is no leakage after suturing!
Finally, it's anussome, and although the wooden skewer isn't triangular, the anus is torn! Sphincter!
"Two leaders, which department is this patient number placed in!"
"Let's put it outside!" said Lao Wang. Zhang Fan originally wanted to put this disease number in the urinary area, and there were fewer urinary patients. But the director of urinary was afraid of Ouyang and didn't want to be contaminated at all!
After the operation was completed, Zhang Fan, as the chief surgeon, had to give an explanation to the patient's family with a wooden skewer. Outside of the operation, the life secretary, bodyguard, and frontier boss are all there. Several parties don't care much about each other!
The frontier boss was really like an ant on a hot pot before the operation, looking for people all over the world to put pressure on Ouyang. As a result, I asked where Li Xiao was!
When Li Xiao heard this, he said, "The chief surgeon is Zhang Fan, Doctor Zhang?"
"Yes, I asked clearly, a little doctor who has just come to the hospital for less than two years! Mr. Li, save my brother! Hurry up and think of a way, otherwise I will die!"
"Don't worry, it's okay, you can wait with peace of mind!" Li Xiao heard that it was Zhang Zhudao, and she was not in a hurry, she had a good relationship with this boss, and she sat down again when she was going to the hospital.
"What?" the Frontier boss heard something was wrong.
"Dean Ouyang is a face-saving person for the secretary general, that young doctor is a knife in their hospital!
"Just him!, a doll!" the Frontier boss didn't believe it!
"That's right, just him, you'll be polite~!
Hung up the phone, he couldn't believe it, it was too unbelievable, he also knew the medical industry.
"Lao Chang, are you familiar with Chasu City!"
Director Chang, who went to the mainland, heard about the tea market, and his liver trembled!
"Well, what's wrong!"
"Zhang Fan, does Dr. Zhang know!"
"That rabbit cub! Did he say that if I couldn't do it technically, he would be a cow! I was careless, I didn't understand! I was careless!"
Zhang Fan touched his ears with a little fever~!