377 Hello, back of the head

In the past, female doctors often appeared on TV asking a man to protect the big and the small. This kind of TV, which is not misleading, has derived a lot of jokes.

For example, before a pregnant woman enters the delivery room, she writes a note in her hand, if there is an accident, you must not give up on me!

This is a very small chance of things happening, and now preconception check-ups, prenatal check-ups are so strict, it's almost impossible to meet.

But there are particularly many options in medical care.

Medical research is accurate, but the meaning of the treatment is slightly ambiguous.

Because disease doesn't grow the way humans think. For example, if a tumor grows for one centimeter, the doctor will have to cut five centimeters more of normal tissue.

This is why sometimes the doctor opens the patient's stomach and looks at it, but he doesn't dare to cut it. Because the extended cut will cut the patient to death on the operating table, so how to open the stomach, honestly how to suture it for others.

Not an exaggeration at all.

And Zhang Fan is facing this problem now.

The tumor in the lower limbs has made the bones like the skin of a toad, full of bone bubbles, and there is no way to keep this kind of bone, but to cut and extend.

You can cut a little more up to the knee joint. What should I do a little more, cut or not? Just a little more, Dr. Xia will become disabled.

In other surgeries, doctors are misers, keeping as much as they can for the patient, and trying to press the slag of the big nails on it.

However, when it comes to tumor surgery, doctors have become a rich second generation with a lot of money, and they can't wait to even have their organs removed. Because tumors are terrible.

Zhang Fan hesitated for three minutes, which was like a century for other doctors.

Because of the pause in the operation, especially in the case of such a large incision, the doctor's pause will not only cause the capillaries to bleed again, but also increase the chance of infection over time.

At this moment, the pressure of the doctor can be imagined. One choice may lead to a different life for the patient.

Wang Yanan looked at Zhang Fan with a clenched fist, she couldn't wait to go to the operating table to help Zhang Fan. Xu Xian's tangled mouth was about to crooked, and he thought about it again, what would he do if he was the chief surgeon!

Lao Gao wanted to speak, but he opened his mouth and didn't speak, he believed Zhang Fan, so he didn't want to interfere with Zhang Fan's decision now.

Lao Wang prefers direct amputation, after all, the principle in medical treatment is to save lives and then preserve.

And Chen Qi tends to keep it, his gambling is too big!

Chen Qi jumped to the second orthopedic department at the beginning, and later fell out with Zhang Fan and Ouyang, and became a loner, and now the orthopedic department doesn't take him to play with anything.

This kind of person is definitely a person who can't eat five tripods in life and five tripods in death.

Just when everyone was choosing in their minds, Zhang Fan had already checked the two results of this operation in the system.

Amputation, needless to say, is the safest. The premise is that the surgery must be clean.

Zhang Fan, who seemed to have settled down, suddenly spoke: "Bao!"

"It's too dangerous, it's too risky. Lao Gao spoke at this time.

"Zhang Yuan, our mood is the same as yours, but I think it's better to be conservative. ”

Although Chen Qi didn't speak, he still said in his heart: "This kid is bold and responsible, my old Chen has no chance!"

"I'm sure, don't worry!" Zhang Fan didn't explain much, and he didn't have time to explain on the operating table.

In the words of a leader in the early years: if you don't understand, you have to find a way to understand it yourself, and an order is an order!

After speaking, Zhang Fan said to Wang Yanan again: "The operation record is clear!"

Everyone was silent. That's what the words are saying.

"Again, there must be no omissions. Zhang Fan said softly. There doesn't seem to be a little bit of pressure.

After Zhang Fan finished speaking, he started from beginning to end, that is, his own hospital, that is, Zhang Fan's record is here, otherwise the assistants will definitely turn their faces.

Back then, Elder Qiu said that it is not too prudent to be cautious in medical treatment, but how many people can do this?

When the inspection was completed, Zhang Fan's heart was steady. There is really nothing inappropriate under these old guys' hands, and the operation is quite clean.

"Zhang Yuan, we have discussed the internal medicine treatment plan!" At this time, Lao Ju came in.

Zhang Fan didn't reply, but simply asked: "Is everyone's opinion unified?"

"No, in the end, I had to turn to Director Li of the Oncology Department of the University of Oncology to determine the final plan!" Lao Ju said embarrassedly.

The joint formulation of plans by departments is such a disadvantage in grassroots hospitals, and each department only considers its own side. And inexperienced.

"Okay!" said yes, but in fact, Zhang Fan still sighed a long sigh in his heart.

"Truncated!" Zhang Fan didn't feel too much emotion, the reality is like this, he can only work hard.

The itinerant nurse immediately put protective glasses on Zhang Fan and several assistants. Immediately the doctors became the scientists of the Kesse! This thing looks very high-end, but it is actually a windbreaker, and the elastic is very tight.

If you buckle it on your face, the flesh on your face will hurt.

The chainsaw, which Xue Fei personally debugged, was lifted up.

A chainsaw on an operating table is slightly smaller than a sawsaw for sawing wood, but it is definitely less sharper than a chainsaw for sawing wood.

In terms of the cruelty of surgery in each department, if the anorectal department is the first, the orthopedic department can definitely enter the top three.

The removal of the anus in anorectal surgery is probably nothing more cruel than this.

Although the orthopedic surgery was not the most brutal, all were so kind.

For example, when the steel plate is on the plate, the moment the electric drill drills into the bone marrow, the blood flowers are accompanied by the bone marrow and bone powder, and under the high-speed rotating electric drill, not to mention anything else, the smell of barbecue is unforgettable.

It's still a little better, it's even more terrible if it is amputated.

What Zhang Fan is doing now is to cut off the two broken ends with tumors directly with a chainsaw.

Like King Li, Zhang Fan took the chainsaw and pressed the trigger, and then looked at Lao Gao and Lao Wang.

Lao Gao Lao Wang immediately put the big hook next to the bone to be cut, which is to protect the patient's muscle tissue. This thing is no joke, once it touches the muscle tissue, it is directly a mush, and there is no chance of saving it.

The chainsaw was placed on the bones like a roaring sports car, and the ports of the brushes appeared.

Cut off the bone corroded by the tumor, and finally, a healthy bone cut appeared, white as jade!

When the surgery is done at this point, the most important step is actually over.

However, a piece was missing between the bones. The human body is very resilient, but there is no way to heal this defect.

Autologous transplant!

What does it mean, human limbs are actually very similar.

The forelimbs have a single bone, the ulnar and radius, while the lower limbs also have two bones, the tibia and fibula.

The ulnar and radius bones of the forelimbs cannot be moved, and if there is a problem with these two bones, such as a fall, and a two-knife orthopedic bone is found, and in the end even chopsticks cannot be used.

In the end, as a last resort, there was a doctor to cut it open and interrupt the reconnection. Because these two bones are like a connecting rod, twisting up and down, that is, turning over the hand for the cloud and covering the hand for the rain, if the two bones are not connected well, even if there is a two-centimeter error in the length, there is no way to get it.

The lower limbs are different, and the fibula in the tibia and fibula has evolved only to assist in function. When there is really no way to do it, this bone will be used by doctors to replace other bones.

For example, in the past few years, the particularly popular height enhancement surgery is actually to break the tibia and fibula, and then add the bone of the fibula to the tibia, which is considered to increase the height.

Although it is only an auxiliary function, without this bone, the stability of the person is a little worse.

You can't break the fibula for a little height. But breaking the fibula in order to save a leg is different.

Amputation of the fibula, several people do it quite quickly, at this time, it is actually a simple internal fixation. The most important thing is to measure the length of the leg on the healthy side, whether it is long or short.

Usually, when others do this kind of surgery, they all have to be measured. Zhang Fan doesn't need it, Zhang Fan's eyes are rulers, and they are quite accurate rulers.

The bones are connected, the steel plates are on, the screws are tightened, and the work is smooth.

There is a saying in orthopedics that there is no steel plate that cannot be put on, only screws that cannot be removed.

Because most of the orthopedic screws are locking steel plates, as long as the torque is slightly deviated, when the time comes to take it, the doctor can kneel down and cry.

So, generally whoever puts the steel plate takes it!

Stitched up, the operation is over. In Lao Xia's mask, he stuck out his tongue and rolled his eyelids. Zhang Fan looked at Lao Xia and finally felt a little more comfortable.

"Be sure to take care of it! Check the room a few more times, and I'll hand it over to you, Doctor Xia!"

Zhang Fan took off his gloves and said to Wang Yanan.

"Well, don't worry, you must take care of it!"

......

A few days after the operation, Zhang Fan and Chen Sheng left for Lian University.

Zhang Fan really doesn't like to take a plane, especially the feeling of the plane falling together in a total time and space, this feeling of not being able to grasp life is particularly bad.

But there is no way, Huaguo is too big.

"Zhang Yuan, let's go over by ourselves, or will someone pick it up?" Chen Sheng has never been to Lian Da.

"I guess someone will pick it up!" Zhang Fan felt that his current status should be picked up by someone.

When I arrived at the hall, I saw a tall girl holding a sign for the World Orthopaedic Congress in the distance.

To be honest, when it comes to beauty, girls all over China have their own characteristics. But relatively speaking, the girls on Lianda's side are generally tall.

has long hair, coupled with appropriate light makeup, is beautiful with bare legs under small jeans, and wears small leather boots under his feet.

Zhang Fan said to Lao Chen: "Look, someone picked it up." Let's get over. ”

Zhang Fan and Lao Chen walked over with a smile. Before Zhang Fan, who had a smiling face, could speak, the girl turned her face away.

Zhang Fan was so embarrassed, he couldn't hold back his smile, "Hello!" As a last resort, Zhang Fan said to the back of the girl's head.