Chapter 182: Never Say Never
"Old man, Professor Zhou, Professor Chen......"
Zhao Quanping, the director of Cha Su Puwai, saw Academician Lu coming in and quickly stood up, and with the relationship between Zhang Fan and Zhang Fan, he greeted Academician Lu.
Originally, he thought that it was estimated that Lu Lao would bring one or two people to come, but as a result, seven or eight people came in at once, and all of them were unattainable.
"Old Lu, it's hard, it's hard. When the leader in the jacket saw it, he hurriedly stood up and greeted Academician Lu.
The office sent several escorts and greeted him in advance. Lu Lao nodded, "Let's take a look at the patient first." ”
"Okay, I'll lead the way, I'll lead the way!" the dean of the first attached department hurriedly stepped forward.
When Lu Lao appeared with his disciples, he shouted in his heart: "I know, I know, I can't be provoked, I can't be provoked." It's not going to be any better, the parents are already here!"
What to say about surgery, it doesn't matter if you have an ordinary surgery, once you encounter a difficult operation.
Really, during the preoperative discussion, everyone was in full bloom and a hundred schools of thought were contending, and they were really going to have surgery, and everyone became passers-by.
When others had surgery, they all became big names again, all kinds of suggestions. Once the operation fails, obediently, all kinds of shouldn't, anyway, the person died, bragging who wouldn't.
Especially when encountering extraordinary people, extraordinary surgeries, layman intervention, conflicts of interest, extremely exciting.
In the operating room, Zhang Fan was sweating, this kind of operation is honest, it is difficult to describe.
In layman's terms, it is actually a bit like meatballs eating fish or beef.
People in the country of meatballs, some places do not admire people, such as eating beef, and the grasslands of Huaguo pastures are generally in the north and northwest.
And to eat beef in these two places, it must be a big pot and a big stove, and there is a kind of heroism in the bones.
The country of meatballs is different, they can name the meat on the cow into dozens of types, raw and raw, cooked and cooked, very particular.
Zhang Fan is actually doing this job now, avoiding large blood vessels and nerves, and then holding tweezers and scissors to separate the muscles layer by layer, so that the muscles are exposed and oxygen enters.
If anaerobic bacteria are killed by antibiotics, such a large-scale infection, don't even think about it, even if the patient is pickled in antibiotics, it may not be able to kill.
Only let the muscles be exposed, destroy the living environment of the bacteria, and then carefully wipe to reduce the number of colonies of the bacteria and reduce the symptoms of infection.
Not only does it not matter if you want to let life survive normally, but also strip people naked, and you have to divide the muscles into layers by a thousand cuts.
Really, that is, the tissues of the body can't speak, and if they can speak, they can probably jump and scold their mother.
It is necessary not only to completely debride, but also to reduce the damage and reduce the irritation of the collective tissue.
So, the surgery is quite slow and quite difficult to do.
Cutting, incessantly cutting, in many places, the patient's abdominal cavity is like an over-fermented dough, a knife down, how can there be toughness, all of them are cavities formed by gas impact, like honeycomb.
"What's your temperature? Has your blood pressure risen? While Zhang Fan is performing surgery, he also has to pay attention to the patient's vital signs.
"The body temperature doesn't change much, the blood pressure goes up and down, and we do our best to maintain it. ”
Zhang Fan heard it in his ears, but he was helpless in his heart, this kind of surgery is like this, when he gets sick, it is like a downhill road, all the way down like crazy.
When the rescue treatment is carried out, it becomes uphill, pulling up a little and sliding down a little.
After treating the lesions near the abdominal wall, Zhang Fan and they began to carry out the intra-abdominal infection foci.
If the treatment of abdominal wall infection can be described as eating beef in the country of meatballs, it is very difficult, but compared with the treatment of abscesses in the abdominal cavity, one is an elementary school and the other is a doctor.
The abdominal cavity is filled with blood and pus, which are all superficial, and abdominal infection is the worst in treatment, and often doctors can not control it after long-term conservative treatment.
Not to mention the countless expenses spent, the patient also suffered a great sin, burning day by day like a red child.
This is because of the peculiarities of abdominal infection.
After the abdominal cavity of the human body is formed, it has to work, and it cannot fall on one body and play with a dead dog.
So in order to defy the effects of gravity, each organ has some external ligaments that are wrinkled and attached to the body.
And these ligaments and wrinkles form some cavities and gaps, and when the infection is formed, the bacteria also know that these places are bases.
The bacteria combine with the topography of these gaps to form a membrane, and then give birth to children in these gaps.
There is isolation between the abdominal cavity and the thoracic cavity, so the abdominal space, in medicine, has a term called the infraseptal space.
This septum, in fact, starts from the diaphragm, which is a layer of respiratory muscles that divide the chest cavity and abdominal cavity to the area above the transverse colon.
The infraseptal space is generally divided into seven places, and then the liver is the boundary, and the liver is above and below the liver......
To be honest, these terms for human body anatomy, not to mention that they are not medical students, even if they are medical students, they are often confused.
Because it's too abstract! The doctor wants to grasp the position, not only to have a three-dimensional structure of the human abdominal cavity in his mind.
There should also be a lateral incision structure diagram, a cross-cut structural diagram, the connection of various organs, and the possible relationship of adhesions after infection.
Really, this is particularly demanding of doctors.
Therefore, ordinary people, ordinary doctors simply can't take this kind of surgery.
Zhang Fan's knife is like a silver fish, swimming between various organs.
Especially every time the dorsal side of the organ is cut, Zhang Fan's knife goes in and out, and Xu Guangwei's heart jumps when he sees it.
The dorsal side is not visible in the first place, and if it is a normal operation, the organ should be turned over first, so that the doctor can cut it under direct sight.
However, in this case, firstly, in order to ensure that the infection is not spread, and secondly, in order to reduce the irritation of the patient's organs, Zhang Fan will blindly cut where he can blindly.
When the patient was blindly cut for the first time, Lao Xu almost shouted, because Zhang Fan didn't even turn over the organ, and directly went in along the organ from the back side, and then saw the organ sink down.
If you are in other industries, it is estimated that you can get praise from your assistant, wow, it's so good, this hand is too handsome, blind cut, great god!
In the medical world, in the Taiwan operation, Lao Xu Xin was almost frightened by Zhang Fan, and his sphincter almost relaxed into an open trumpet flower.
His mouth was dry, he couldn't speak, really, he was nervous, he was entangled, and then he was so frightened by Zhang Fan that he was panicked to death.
He kept cursing in his heart: "Oops, oops, I'm going to get your ancestors, I'm really going to get your ancestors."
You're going to die, you're going to die! This kind of operation, you still dare to cut blindly, oh, this unreliable old Zhao!"
For a moment, maybe Zhang Fan was reckless, Lao Xu's eyes were round, and his hands were shaking, he was really scared.
After two strokes, Lao Xu's mouth was dry and his heart was pounding. "Ancestors, you are my ancestors, please, don't make trouble. ”
Lao Xu looked at Zhang Fan with pleading eyes, and Zhang Fan was engrossed. Lao Xu didn't dare to disturb, for fear that his words would affect Zhang Fan, and then cut the liver or pancreas into two with a knife.
Looking at Zhang Fan is praying, but looking at Lao Zhao, he is full of anger, like the flames emitted by a heavy machine gun.
After three strokes, Lao Xu's legs began to weaken, as if the testicles (A) pills were pinched in his hands, his muscles were tense, and he was always ready to be pinched and exploded.
Four times, five times, as the number of blind cuts increased, although Lao Xu did not have the feeling of bungee jumping for the first time.
But every blind cut made Lao Xu feel that he was on the verge of life and death.
Lao Zhao knew Zhang Fan's skills, and he also saw that Zhang Fan was fighting. Because of general surgery, Zhang Fanneng will never blind cut without blind cutting.
And today, just like showing off your skills, you can't stop blindly cutting and dying!
There's no way, if you want to save people, you have to die.
This is also the guarantee that Zhang Fan dares to let others accompany him on the adventure, the human body is dissected, Zhang Fan does not dare to say that he is the first in the world.
However, after abdominal dissection, especially Zhang Fan after the general self-realization, he dared to say that his experience in this area is unparalleled.
This is the ability to dare to stand up.
Lu Lao and the others changed into surgical gowns and gently entered the operating room.
When watching Lu Lao lead people into the operating room, the person wearing the jacket felt a lot more relaxed inexplicably.
And the chief doctor of Lao Maozi's team, who was originally glaring at Ouyang, quietly became polite.
Did Ouyang say nonsense? No, is it not right? No, but Ouyang can say that it is chicken and duck to talk about, you said that your surgery is difficult, and the old lady said that the old lady is good at blood pressure.
You can't accuse me of being wrong anyway. But in terms of momentum, I will never be defeated!
"What's wrong?" asked his partner in a whisper.
"The big guy is here! The big guy from outside Huaguo is here!"
"Isn't it amazing? More powerful than you?"
The chief doctor looked at his companion like a fool and said softly: "He is Bakuev of Huaguo." ”
"Well, why don't we leave first!"
"No, I'm going to apply for an observational surgery!" the chief surgeon shook his head.
Lu Lao, who entered the operating room, stood gently behind Zhang Fan, standing on a small stool, and Lu Lao gently looked at the patient's abdominal cavity above Zhang Fan's shoulder.
didn't speak, but, Zhang Fan, who was originally engrossed, suddenly stopped the scalpel, as if he had found something, and wanted to turn back but still held back.
"I'm here, don't worry, do it slowly, I'm doing a good job so far!" After seeing Zhang Fan stop his hand, Lu Lao gently patted Zhang Fan's back.
"Hmm!" Zhang Fan didn't look back, but, his eyes were astringent and his nose was sour, and he didn't know why, he wanted to cry.
I was obviously happy and cheerful, but I just wanted to cry.
"Let's replace it!" Zhang Fan's junior brother Lu Ning patted Sansuke on the back.
One help and two helps, Lu Ning didn't dare to get started, because he knew that he was not qualified in front of these senior brothers.
Zhou Hongyi, director of the Department of General Surgery of the Affiliated Hospital of the Provincial Capital Medical College of Lu Province, and Lu Lao's eldest disciple, said to Lao Zhao: "You rest for a while, I'll come!"
doesn't say much, Lao Zhao wants to change it or not, he has to give way to others.
Although they are all river scholars, they may become academicians one day, and their status in the rivers and lakes outside the general world is comparable to him.
The second assistant, the chief doctor of the General Surgery Department of the Jade Bird Affiliated Hospital, is also a disciple of Lu Lao, and he replaced Xu Guangwei, who was frightened, like eating jumping candy.
Lao Xu, who got off the operating table, wanted to complain about Zhao Jingjin, but he couldn't say it, he wanted to talk about Zhang Fan, but now someone replaced him, which made him feel relieved.
But there seems to be a little regret hidden in his heart, he seems to feel a little pity, and he still wants to experience the feeling just now.
"Hehe, little junior brother, let's start, the eccentric master is afraid that you will be wronged, so he brought me here. ”
If you count it according to Lu Lao's side, he is the real master brother in the door.
is not only the director of the Affiliated Hospital of Lu Province, but also the doctoral supervisor of the medical school, and now he is close to becoming an academician.
Therefore, among Lu Lao's group of disciples, his success is considered to be the highest.
Zhang Fan saw that his assistant had been replaced by his senior buddy, he wanted to laugh, but he couldn't laugh, and wanted to say thank you, but ......
"Come, let's see the level of the little junior brother, I always listen to Xiaolu praising you, come, let's take a look today." ”
The senior brother in the second assistant position said to Zhang Fan with a smile, in fact, it was Lu Lao who praised Zhang Fan on weekdays.
Senior brother can say, but he can't say that his teacher is not, so Lu Ning pouted on the side.
Lu Lao listened to a few disciples talking, but the old man didn't speak, he frowned, "This kid is really bold, he dares to take over such a situation!"
Because the old man saw that he couldn't do such a situation.