Decentralization, with the assistance of the higher health system, Zhang Fan has autonomy. Treatment is a matter of weighing the pros and cons, and what is often needed is a leading doctor to make a decision, just like a feudal emperor, in a word.

It is not necessarily a good thing to have more experts for consultation. Sometimes it's better to have one expert in charge than to get to the bottom of it.

"Immediately perform a non-contrast CT scan of the abdomen and chest, draw blood for culture, and do a drug sensitivity test. After Zhang Fan and the expert group unanimously approved the patient's diagnosis and treatment opinions, the treatment measures began to be carried out one by one.

When the examination was reported one by one, the lesion was found in the patient's abdominal cavity. "Postoperative peritonitis!" Zhang Fan said softly to Ren Li and Jumabek after reading the examination.

"The lesion is not small!"

"yes. ”

Postoperative peritonitis, to be honest, is extremely difficult to determine the cause, unless a delicate autopsy is done after the patient's death......

In terms of evidence-based medicine, most of this disease is actually caused by surgeons during surgery, but ......

"It seems that a second operation is necessary. Zhang Fan took the film and let out a long sigh.

"Explain the condition to the family. Zhang Fan asked Ma Yichen and his family to explain his condition.

After a while, Ma Yichen came in. "Zhang Yuan, the family wants to see the chief surgeon. ”

"What's wrong?" Zhang Fan asked curiously.

"They must see the surgeon. As soon as he heard that I was an assistant, he refused to talk to me directly. ”

"Oh, let's go see. ”

Outside the ICU, a group of white foreign people sat around. "I'm the patient's surgeon, is there anything you need to know?"

The government sent a translator, and they also brought a translator themselves, although Zhang Fan didn't know how to dress very well, but looking at the posture of these people, it is estimated that they are relatively wealthy families.

"Doctor, is it necessary for my husband to have a second operation?" asked a white European and American woman who could not tell her age, and asked Zhang Fan.

Let's say that she is fifty or sixty years old, but it doesn't seem to be like it, say that she is thirty or forty years old, although there are no wrinkles on her face, but the loose skin on her neck already suggests that she is not young.

She must have done beauty maintenance regularly, but the most difficult thing about this beauty of the human body is not the face, but the neck, the neck muscles are too many and too long, once there is relaxation, it is almost impossible to carry out plastic surgery.

"It is necessary, we have already found a lesion of infection in his abdomen, and if it is not removed, the patient's condition will only get worse. And it is best to have surgery as soon as possible, the longer it is delayed, the worse the patient's recovery will be. ”

"Thank you, God will bless him!" the woman stopped talking, her haggard face and pious demeanor, as if the pressure had been relieved a lot when she made a gesture of protection.

"Hello doctor, I am a French perfume supplier. Inside the ward is my brother, and that's my business card. As he spoke, the merchant handed Zhang Fan a business card that looked like it was made of wood or metal, and it was also a business card with a scent.

Zhang Fan kept slandering in his hand, and a big man took a piece of incense! And because it was all French, Zhang Fan couldn't understand it.

After handing out the business card, the pot-bellied businessman didn't see Zhang Fan's surprise, but he still asked, "Doctor, can you wait a few days before surgery?" He had already contacted the specialist doctor in their country, and it was estimated that he would be there tomorrow.

Zhang Fan looked up at the translator, and the translator nodded affirmatively.

"Now the patient's condition can be said to be very serious, the high fever does not go away, the continuous high fever is constantly eroding his body, if he can't be operated on as soon as possible, maybe the original abdominal condition will become a brain problem, you can also see, the patient has now developed pneumonia! This has already explained the problem. ”

"Well, we need to discuss it and we'll get back to you as soon as possible. The merchant said helplessly.

"Okay!" Zhang Fan nodded. After entering the ICU, Ren Li asked, "What's wrong, are you ready for surgery?"

"They're going to have to talk about it!"

"Which ......"

"I can only wait. If they refuse to have surgery today, is there a way to slow down the progression of the disease?" Zhang Fan had to think about non-surgical treatment options.

"Ice caps, vancomycin, hormones, and ventilators have all been on, and the high fever is still not well controlled, once it is delayed, I think it is very dangerous, and once the sepsis breaks out, the consequences are unbearable......."

"Hey, I'll talk to them again. "Doctors must have the responsibilities and obligations of doctors, and Zhang Fan must explain the consequences to his family clearly.

"Doctor, we decided, agreed to the operation. I'll leave it to you next. After the pot-bellied businessman saw Zhang Fan who came out again, he hurriedly walked over, and they had already decided.

"Good. Sign and prepare for surgery. Zhang Fan nodded and said to Ma Yichen.

"Yes, Zhang Yuan. Come, you guys have a family member signing!"

After everything was properly prepared, Zhang Fan and Director Zhao Quanping of the general department took Ma Yichen to the operation. As for the doctors in Seleng County, Zhang Fan would not let them go to surgery, even if it was a hook.

Postoperative peritonitis, or the first operation, the doctor did not suture well, leaked, or accidentally punctured the intestinal cavity. Therefore, Zhang Fan really didn't dare to joke about his practice career with the doctor of Seleng.

The bane left by the first laparotomy forced the second operation, which operation is more difficult than several levels.

The first is bleeding, and the most important thing about this surgery is a gentle one. Because after the first operation, the patient's peritoneum, intestines, and incisions are all edematous.

The edema of the body is very troublesome, and the tissues that were originally very flexible become very thin and brittle once edema appears. What exactly is edema?

In fact, the cells are filled with water, and then the cells filled with water make up the body organs, and the swollen cells are like glass brittle grapes, and they bleed when touched.

Open abdomen, can only be entered according to the original incision. The worst things in the world to do include wiping people's butts and cleaning up messes.

Zhang Fan took the scalpel and gently cut the sutures, but before he could move much, the bleeding began. Ma Yichen's eyes quickly began to wipe with gauze.

"Click!"

Zhang Fan directly clamped Ma Yichen's hand holding gauze with a signature.

Director Zhao smiled! Because Zhang Fan's attitude shows that he regards Ma Yichen as an apprentice. The average senior doctor would not be so rude to the average doctor.

And Ma Yichen is a doctor outside the general public, or a doctor that he and Ouyang personally signed from Sanchuan Medical College back then, and he can be a descendant!

"Eh, Zhang Yuan?" Ma Yichen was hurt by Zhang Fan. The long, toothless curved pliers clamped Ma Yichen's three fingers.

"Remember, the patient's incision is already edematous and must not be wiped with dry gauze!"

"I didn't pay attention, I'm sorry. Ma Yichen made a big red face.

"Click!" Zhang Fan let go of the viscer! Ma Yichen secretly touched his fingers.

"Hehe, this is still good, if it were me, I would have driven you down directly, Zhang Yuan is still soft-hearted. Lao Zhao said to Ma Yichen with a smile, and then said to Zhang Fan: "Zhang Yuan, are you preparing to erect a flag?"

What he meant was to ask Zhang Fan if he was going to accept apprentices.

"I saw the performance. ”

"One is also put, and two are also rushed, so why don't you bring a few more. The guys in our department are all good. ”

When Lao Zhao heard this, he hurriedly began to promote the young doctors outside the general public, and his director was too embarrassed, so he also wanted the young doctors to stand up early.

When Ma Yichen heard this, his face was originally red, but even redder, this time it was not ashamed, but excited!