People live for a lifetime, do not wet the bed after the age of three, do not rely on others after aging, and can take care of themselves, this is a winner in life. There are many, many people who once dominated the rivers and lakes, and the scenery is infinite, but in the end......

"How many surgeries are there today?" After the morning meeting, Zhang Fan left Zhuang Hongxu and the head nurse of the anorectal department and began to inquire about work.

"There were five surgeries, two anal fistulas, two hemorrhoids, and one perianal abscess debridement. Zhuang Hongxu inexplicably became the director of the department, and he was also very worried.

"Is it difficult?" As a leader, you can be approachable and mingle with your subordinates, but when you talk about work, you must have an attitude of talking about work.

Zhang Fan is young and high-position. Although he is young, he has the bottom of the technology, so he unconsciously has his own characteristic momentum.

"There is an anal fistula, which was operated by Director Zhao a few days ago!" Zhuang Hongxu brushed it and blushed. Because he has an anal fistula, he is not sure, and because of Lao Zhao's domineering, there are not many surgeries that he can really do independently.

"Organize doctors and nurses to make rounds first. The head nurse, the nurse who stays to dispense fluids, and the doctor nurse rounds the ward. ”

"Okay, I'll go gather the nurses now. The head nurse hurriedly went out and went out of the office, and the head nurse involuntarily stuck out her tongue, and was also surprised: "Zhang Yuan and Director Zhang are different, which makes me feel up." ”

The director of the department irresponsibly said that he would leave, whether it was a doctor or a nurse, people were panicked. Zhang Fan had to calm down their shaking hearts as soon as possible.

The hospital is not a playhouse, once the department itself makes a mistake in the patient number, where can it ......

During ward rounds, Zhuang Hongxu was on Zhang Fan's left, and the head nurse was on Zhang Fan's right. This was followed by the doctors of the department, and then by the nurses.

"This was operated on yesterday. Thirty-four years old, internal hemorrhoids, good postoperative recovery. Zhuang Hongxu introduced the patients to Zhang Fan one by one.

"Medical records. Zhang Fan looked at the patient's wound and said without looking back. The middle-aged man's bare butt was presented in front of dozens of people, and there were many girls, who could burn the fire with blushing faces.

At this time, there was immediately a doctor in charge who stepped forward with the medical records. "Zhang Yuan, medical records. ”

"Well, what kind of treatment was given?" Zhang Fan didn't open the medical record, and directly began to ask about treatment.

The significance of ward rounds lies in the fact that the senior doctor checks the patient number and solves the problems that the junior doctor cannot deal with on the spot, and another feature is that the senior doctor examines the doctor through the actual medical records.

Ouyang rounded the ward, and the doctors in the cardiology department, especially the doctors who usually don't suffer much, had tremors in their livers. Once she can't answer Ouyang's question, she won't care about the doctor's face.

"After the operation, he was given hemostasis, anti-inflammatory, regular dressing changes and other related treatments, and now the patient's recovery is acceptable. The doctor in charge began to report and reported to Zhang Fan in front of the sick number.

In the entire ward, before the ward rounds, the head nurse has asked the nurse to clear the family members, only the special patient number, and one or two family members will be left behind.

"How do you feel?" Zhang Fan asked the patient with a smile after listening to the doctor's report.

That's how people are. It's very strange, if Zhang Fan came alone today, without this formation, the sick number is probably not nervous.

"It's good, it's good. "It's all a little stuttering.

"Your bed-keeping doctor, how many times a day do you make rounds?" Zhang Fan still asked with a smile.

"A few times, four times, three times, five times!" the patient looked at his doctor, who was very responsible, and was very dedicated before and after the operation.

People change hearts, and he can see it. The one who asked the question, although he was not very old, looked at the posture and was a leader. So he didn't want his doctor in charge to be hung up.

"Tell me yourself, have you done three rounds a day. Zhang Fan looked back at the doctor in charge.

Today, Zhang Fan is here to help Zhuang Hongxu stand on the platform, and if he says something unpleasant, he is here to be blackfaced.

"No! I'm too busy...... "The doctor bowed his head in embarrassment.

"Are the other departments busy? Aren't the general departments busy? Orthopedics aren't busy? Why can they do it? ”

Zhang Fan didn't give a good face, and after finishing talking about the doctor in charge, he said to Zhuang Hongxu: "Director Zhuang should emphasize the work discipline and rules and regulations of the department when he comes down. Doctors and nurses who are not responsible should report to the hospital office. ”

"Yes, Zhang Yuan. Zhuang Hongxu unconsciously straightened his waist.

After checking the eighty or ninety patient numbers in more than forty wards, Zhang Fan said to Zhuang Hongxu: "Director Zhuang, there are many problems in the department, and it will be up to you next." If there's anything, report it to me directly. Let's go to surgery. ”

Zhang Fan raised it high and put it down gently. A group of doctors and nurses hurriedly got to work. It's not a big deal whether to change the director or not, the important thing is to solve your own problems, otherwise you will have a black face......

Six major diseases of anorectal department.

Anal fissure, a simple anal opening, is currently of unknown etiology, but mechanical anal fissures account for the majority, especially for more and more people with special hobbies.

Perianal abscess, the cause of perianal abscess is simple, it is caused by infection.

Anal fistula, with complex etiology, is one of the refractory diseases in anorectal surgery.

Hemorrhoids, the cause of which is unknown, are mostly treated conservatively.

Rectal prolapse, of unknown etiology, is treated conservatively with a combination of surgery.

Constipation, if surgery is required, is a disease of the anorectal department.

The last one is the boss of the disease, cancer.

In the operating room, the patients in the anorectal department are special. Because it is a contaminated operation, there is a designated operating room. And most of the patients are lithotomy positions.

That is, the patient lies supine on the examination table, with the buttocks close to the bedside and placed on the outrigger frame, which maximizes the exposure of the perineum. In fact, it is lying on the bed and squatting.

If the operating table is advanced, the doctor will operate it relatively well, but if it is an old-fashioned operating table, the doctor will suffer. Bend over and keep your head down. After a few hours, the waist is no longer his own.

Today is an anal fistula operation, but the cause of this patient's anal fistula is very clear, which is an anal fistula caused by perianal infection.

The patient is not very old, 26 years old, female, unmarried, occupation: company clerk. Sitting in the office for a long time.

Why do you wear shoes with leather, not because the leather is beautiful, but because it is breathable. In fact, human skin is the same, it must have a certain degree of breathability.

The girl sat for a long time in the company's low-quality leatherette chair, and as the temperature rose, sweat bacteria gathered on her buttocks.

As a result, one day, she felt a little itchy and a little painful around her anus, and quietly touched it, a small pimple, a small pimple the size of a soybean, and the surface temperature of the pimple was still a little high.

The little pimple that grew in this place, the girl was a little shy because she was not married and was a woman, and she didn't tell anyone about it, let alone go to the doctor.

She took care of it herself. The girl has pimples, has experience in dealing with this kind of pimple, and is more hygienic, took a small knife to trim her eyebrows and scalded it with hot water, and took a hot bath for bacteria, as for killing bacteria, that is a joke.

Then, groping for himself, he cut a small pimple into a small opening. Then she bent her arms and squeezed hard, and the night she finished squeezing, the girl had a good night's sleep, and there was no more friction pain, no more burning pain, no more swelling pain.

Very proud, good medical skills!

As a result, three days later, the small bump next to the anus began to flow, because it didn't hurt, and the girl didn't care, but after a few days, she suddenly had a high fever, and her whole body trembled, shaking like a chicken with pestilence.

The family was rushed to the hospital, and the doctor checked the bacteremia and then anti-inflammatory, but the effect was not good. After repeatedly finding the cause, it turned out to be a perianal abscess, and then the girl was transferred to the anorectal department.

As a result, due to improper treatment in the early stage, the perianal abscess was complicated by anal fistula.

Early perianal abscess, to be honest, is a simple infection, as long as it is a regular hospital, it can be dealt with. Anal fistula is different, and hospitals with insufficient levels are generally not good at dealing with it!

Not to mention anything else, the girl's early handling was very wrong. An abscess mass appears on the skin, which is painful because of swelling, pulling and irritating the cutaneous nerves.

This is an early warning from the body.

And the girl made a small cut and squeezed hard. Yes, the swelling has lessened, the pain has lessened, and this is a deception of the body's early warning system.

It also squeezes the pus infection into the deep tissues.

The structure of the human body is very complex. It is also very scientific, this abscess, never squeezed. Because the infection in the superficial tissues is because the bacteria enter the deep tissues after squeezing.

Most of the superficial tissues are very dense, and the infection generally does not spread anywhere, and the bacteria will be wrapped in dense tissues, which will make people feel unbearable. However, this is a very scientific protection mechanism.

In order to reduce friction, the deep tissues are all soft and sparse.

Once the bacteria enter the deep tissues, they happily have children. There are many things where a small abscess can kill people.

Abscesses, which are treated in hospitals, are made by a cross incision. Split the lump horizontally and vertically like cutting a watermelon, open it up, and then drain it. It's not that the doctor is ruthless, it's just to decompress and completely debride.

The doctor was afraid that the bacteria would enter the deep tissues, and the girl squeezed and squeezed, causing a big disaster.

The human body, especially the lumps around the lips and around the anus, should not be easily disposed of on their own. These two places are very dangerous.

The area under the nose and on the lower lip is medically called the danger triangle, and the area medically called the triangle is not easy to mess with, not to mention that this place is called the danger triangle, and it is even more difficult to mess with.

Some people have a pimple at the corner of their mouth, and their hands are squeezed.

This kind of thing is about as dangerous as standing on the edge of a high-rise window and dancing.

Jump well, you're awesome, jump badly, sloppy. Because the blood vessels in this place are directly connected to the brain, once infected, the bacteria will directly enter the brain, and there is no time to delay at all, which can kill directly.

And the perianal area is also very troublesome. Under the skin around the anus, there is a loose layer of fat, once infected......

Zhang Fan and Zhuang Hongxu also had a doctor in charge of the bed and entered the operating room. The girl was not yet anesthetized, and when she saw the three young male doctors enter the operating room in a menacing manner, her shame was long gone, and now she hoped that the doctor would cure her.

Anesthetized and sterilized, the girl was made to look like she was splitting her legs, and her anus was parallel to the operating table. At this time, stand at the end of the operating table and look at the girl's buttocks.

Don't say that there are any desires, people who have not undergone long-term medical training can probably have psychological shadows after watching it. Next to the anus, on the white skin, there is a very obvious hole.

The bloody hole, the hole dripping with blood, is directly a fist-sized hole, and at first glance, you will definitely not pay attention to other places, and you will be directly attracted by the hole.

In order to prevent the infection from continuing, the doctor had to selectively dig out the fat around the infection, and it was very deep. Just looking at it can make people go crazy.

The intestines of the abdomen are protected by thick belly fat and a firm and dense layer of muscle. Moreover, the mobility of the abdominal intestines is relatively high.

But when it comes to the rectum and anus, the intestines here are fixed, and in order to reduce the friction here, the body only has one muscle fixed, that is, the anal sphincter, and the rest is all thick fat.

Once the bacteria break through the dermis and into the fat layer, it will be a terrible thing, and this girl is now such a terrible thing.

What's even more terrifying is the complication of anal fistula.

What is anal fistula, simply put, is the formation of pathological ducts between the rectum and the skin. The pipes are wide and narrow, and the narrow ones will be blocked by feces, and the infection will continue to occur, and the infection will become cancerous after a long time.

A wider anal fistula is directly the second or third anus, and the stool will come out of it, wipe the buttocks, and the infection will also occur, because this leak has no mucosal protection!

30%~50% of perianal fistulas will be complicated by anal fistula. So the small pimple near the perianal area is not something you can provoke, don't be cheap, don't be cheap, don't be cheap!

Especially women of childbearing age, do not be irritated, once the formation of anal fistula, it will be a very troublesome thing, because of physiological particularity, women of childbearing age, the anal sphincter is very weak.

Once a severe anal fistula occurs, the anal sphincter will definitely be damaged during the treatment, and then the already weak sphincter may become abnormal.

There may be permanent sphincters that are not controlled by the brain. In other words, there may be random stools. For a young and beautiful woman, there is no self-control of bowel movements, and you can imagine how painful it is.

Sterilize, wear surgical gowns. The surgical gown for anorectal surgery is more particular, because it is a contamination operation, and the surgical gown is all disposable. Ordinary surgical gowns, although thick, are made of cotton, so they are not very uncomfortable to wear.

A disposable surgical gown, this thing is plastic, not breathable, after an operation, the doctor is like a chicken in the soup, the brush gown inside directly makes the sweat wet and transparent.

After anorectal surgery is completed, there is a special treatment. It's just tape. That's right, tape.

There is a lot of fat in the buttocks, and although the legs are abandoned, the perineum is still not well exposed. Zhang Fan was wearing gloves, and Zhuang Hongxu and the doctor in charge were busy applying tape.

Start with a three-finger-wide piece of medical sterilization tape near the anus, pull hard, and then stick the other end to your thigh.

At this time, at the end of the operating table, looking at the perineum, the anus is like a blooming chrysanthemum.