Zhang Fan shook his head and said to the patient: "Relax, it doesn't matter, I'll just see where this thing is." ”

"Hmm!"

Zhang Fan gently used his lubricated fingers and slowly entered. "Well, it can be touched, but the problem is that this fracture here still feels hard. Zhang Fan said to Lu Shuyan while pointing to the diagnosis.

"What then?" asked Lu Shuyan.

"Think about it!" Zhang Fan didn't dare to stimulate the anus and its nearby tissues anymore, because it was already edematous, and if it was more swollen again, it would be troublesome.

The intestinal tract and soft tissues of the human body, in general, actually have a certain hardness and toughness, even if there is nothing to worry about on this soft rubber, but if it is edema, then the problem comes, a edema, the tissue thickens and becomes larger, the cell wall is relatively thinner, and the tissue toughness and hardness will decrease accordingly.

Therefore, in order to remove this foreign body, you must first open the anus, and then use tissue forceps to clamp out this thing, and the severed end cannot touch the surrounding edematous intestinal tissue.

"First of all, I can now determine that there is a foreign body in the rectum, secondly, the severed end of this foreign body is obviously likely to damage the intestinal wall, thirdly, because it may enter the sigmoid colon with the peristalsis of the intestine, and fourth, it may be because of the failure to remove it at the anus, and then the foreign body enters the sigmoid colon with peristalsis, and after losing the possibility of removing it in vitro, it is necessary to perform surgery to open the abdomen to squeeze this thing out of the intestine!"

Zhang Fan explained the condition to the two girls, he must explain this matter to others, this is really possible that he can't take it out, and the intestines are peristalsis, with the development of time, no one dares to guarantee what will happen.

"I don't have surgery, I have a knife on my stomach and I'm ugly! The charming girl lying on her side was anxious at this time, and her tears flowed, washing her originally beautiful face into a thousand gullies.

"What are we going to do now?" the girl in the black leather coat was also anxious.

"I'm going to prepare the surgery signature now, and you can sign it. ”

"I don't do it!ah!ah!" The girl lying on her side really broke out this time, and a sharp voice sounded, I don't know how high the decibel is, but Zhang Fan's eardrum is a little tingling is obvious. And at this time, this girl can't see it.

This makeup uses a lot of colors, tears flushed, and then the girl is emotional, black, red and tears, the girl's big eyes, exaggerated expression, complex colors, Zhang Fan looked at the girl's face, and suddenly had a feeling like watching an absurd comedy.

"Don't shout. As soon as the abdominal pressure contracts again, that thing of yours will go directly into the depths of the intestines, and there is no way to take it. Zhang Fan took advantage of her ventilation and hurriedly said. This girl is too confident!

"But I really don't want to have surgery~!" The voice was much quieter, the eyes were dark, and tears were flowing.

"It's not surgery now, but because it's an invasive treatment, there is a possibility of injury and accidents, so I have to sign and agree as if it were surgery. ”

"Oh!oh!" the two girls probably didn't understand. Zhang Fan whispered to Lu Shuyan: "You stare at a point, don't have an accident! I'll print a signed consent form." ”

"Hmm. Lu Shuyan looked up at Zhang Fan and agreed in a low voice. After the patient enters the hospital and is treated by the doctor, a so-called contract is reached with each other, a diagnosis and treatment contract, and then the state emphasizes this contract that if the patient has an accident during this period, the doctor or the hospital has an unshirkable responsibility. Therefore, Zhang Fan had to be careful.

For example, at this time, when Zhang Fan went to get something, the girl fell off the diagnosis and treatment bed for various reasons and fell to her death! Then the doctor's responsibility accounts for 80 percent. If there is no more witness, it will probably be troublesome. Therefore, doctors are also a typical profession that the older the rivers and lakes, the less courageous they are.

Zhang Fan explained to Zhao Zipeng, and after saying a few key points, Zhao Zipeng turned around and went to the gynecology office to print, Zhang Fan didn't want to go in to face the patient for the time being, so he stood at the door and leaned against the wall, his head was a little blank in a daze. I thought it was a bit embarrassing and funny before, but now that I think about it carefully, I feel very uncomfortable.

"Brother, okay. Zhao Zipeng handed over the signed consent form to Zhang Fan.

"Well, I'll go in first, if you can't do it, go to Corey to rest, there's nothing going on here anyway. ”

"It's okay, brother, you go and get busy. "This is the sadness of not doing well in the exam, why bother with it today!

Zhang Fan turned around and entered the examination room, Lu Shuyan stared at Zhang Fan, but did not speak. Man is a complex animal, and the powerful will never give in to all the rules or superiors, but most people will involuntarily approach the strong or superior.

"This needs to be signed by the patient and the family. Zhang Fan handed the pen and the signed book to the girl lying on her side.

The girl who was humming and chirping signed her name, Zhang Fan glanced at it and said to the girl: "What should I do if my family members sign?"

"Can you get her to sign it? She's my friend. ”

"Yes. You can sign it too. "Because this is an emergency examination, the requirements are not very strict, and if you have surgery, my friend will not be able to do it.

"Is it here?" asked the girl in the black leather coat.

"Yes. ”

She swiped and wrote her name on it.

"Prepare lidocaine, rectal retractor. Zhang Fan said to Lu Shuyan.

"We don't have a rectal retractor in our department!"

"I'll tell Dr. Zhao to get it. ”

After a while, the equipment was brought. Zhang Fan said to the girl lying on her side: "I'm going to try to take out this foreign object now, it may be a little uncomfortable, you bear with it, if you really can't stand it, just speak, but don't move." Got it?"

"Got it, doctor, you have to slow down! I know it hurts. ”

"Hmm!" Zhang Fan, who had been straining his face, almost didn't laugh.

After Zhang Fan diluted lidocaine, he was ready to start local anesthesia. "Doctor, you must be gentle!" the girl's pitiful face ruined the tears, and now she looked like a big cat.

"Well, okay. Please come over and hold her a little bit. Zhang Fan agreed, and then said to the girl in black.

Lidocaine local anesthesia, around the anus began to anesthetize, how to say this pain, anyway, this pain is particularly uncomfortable, because the anesthetized place is a very sensitive place, so the girl is also guilty.

After waiting for the anesthesia to be effective, Zhang Fan said to Lu Shuyan, after I pull it away, you can help me hold this retractor. "Hmm. ”

Move in slowly to minimize rectal irritation and reduce the possibility of edema. "Hold on. Zhang Fan said. Then I looked through the light of the headlamp.

"The broken thing is still fluorescent!" Zhang Fan scolded in his heart! Fortunately, this thing has a lot of threads and small protrusions on it, and the resistance is very great, otherwise this shape with a sharp front and a round back will enter the sigmoid colon with the peristalsis of the intestines if it is not done well.

"Don't move!" Zhang Fan said in a stern tone.

The rectal retractor must be uncomfortable, and the girl is a little uncomfortable. But the original shape of this thing is cylindrical, and there is lubricating oil, it is not easy to clamp, if the patient moves again, Zhang Fan will not be able to clamp, so the tone is particularly stiff.

Slowly use tissue forceps to clamp, it is too slippery, there is no way to withstand the force, and the clamps can't be clamped. "Dr. Lui squeezes his hand down on the bladder and towards the rectum, making sure that the movements are gentle and gentle. ”

"Hmm!" Lu Shuyan surgically held the retractor, and slowly squeezed hard with one hand, "Hmm!" The girl lying on her side couldn't help but make a strange sound.

Zhang Fan couldn't care about it at this time, and when the downward squeezing force pressed the foreign body, Zhang Fan quickly and accurately clamped the broken end of the foreign body.

Moving slowly, the girl lying on her side was uncomfortable by Lu Shuyan, and the retractor was forcibly opened behind it, and Zhang Fan put his hand on the root of her thigh, was it uncomfortable? To be honest, it was super uncomfortable. There is no difference between estimation and punishment!

Move slowly, this thing is not big or small, it is a little smaller than the diameter of the rectum, it is easy to get in, and it is really difficult to come out. And this kind of soft rubber, Zhang Fan really didn't dare to clamp too hard, for fear that the clamping would crack. This removal surgery can only be tried once or twice in a short period of time, if there are too many times, the rectum will be severely irritated, and the edema will worsen.

Moving slowly, when he was about to reach the rectal venous plexus, Zhang Fan said loudly: "Relax your muscles, fast, just like in the toilet, relax quickly, and make a state of." ”

The girl couldn't care about being uncomfortable at this time, because Zhang Fan's tone was too harsh, as if she was going to beat her, and she was so scared that she had to listen to the doctor.

Moving slowly, the foreign body finally arrived at the place of the anal section, this place is a narrow place, Zhang Fan Khan has come down, at this time, if there is a shaking, this thing will go back directly.

Moving out little by little, at the moment when the foreign object was about to come out, Zhang Fan's other hand quickly grabbed the broken end of the foreign body.

Lubricating oil, digestive juices, mucus, plus cylindrical shape, and elasticity, Zhang Fan almost didn't catch it, and the moment he grabbed it with his hand, Zhang Fan's cold sweat came down.

This thing is soft, and when Zhang Fan pinched it hard, it actually had a tendency to retract. The friction with gloves was not enough, and when he saw that he was about to go in again, Zhang Fan really used all the strength of breastfeeding, and pinched it desperately.

This thing directly made Zhang Fan pinch, and the hand he was pinching didn't dare to move, Zhang Fan was afraid that if his hand moved, this thing would be pinched again.

"Needle holder!" Zhang Fan himself could feel that goosebumps had stood up all over his body, and his voice had been lowered by several scales.

"Give. Although Lu Shuyan couldn't see it, she saw Zhang Fan's nervous and cautious appearance, she held the retractor with one hand, and slowly handed the needle holder to Zhang Fan with the other.

"Click!"

.。 m.