509 If it doesn't hurt, it may be fatal
At the one-night banquet, Mr. Wang drank too much in a depressed mood. Holding Zhang Fan's hand, he insisted on getting Zhang Fan a VIP card for the national petroleum system. Zhang Fan was reluctant to refuse, but what did Mr. Wang mean by holding a credit card from China Construction Bank~!
In the early morning, when the sky slowly turns from pitch black to red, then to white to blue, the long tune of flickering and approaching, accompanied by the neighing of horses and cows, and the barking of dogs, the tranquility of the grassland is also broken.
When Zhang Fan got up in the morning, he just drank a little tea and ate a few mouthfuls.
There are no steamed buns or noodles in the pasture, and the most are milk tea, butter tea, and milk. As long as Zhang Fan had surgery, he didn't dare to eat or drink dairy products, and Zhang Fan's habit began to slowly affect his surgical colleagues in Chasu Hospital.
"My dear guest, the sick are already suffering, please use your miraculous healing skills to save our poor patients from their suffering!"
The young people on the grassland always speak as melodious and beautiful as singing. Of course, it's polite, but as for the rest, it's hard to say, just do what you want, and there will be no ambiguity at all.
Zhang Fan didn't expect him to do anything, there was nothing polite in the adult world. When they went out, Zhang Fan and the others changed into white coats in a uniform manner.
Tidy up, smooth out the wrinkles on your white coat, and go out!
The teenagers grazing around, the girls holding the grass, not only them, but even the horses, the cattle and sheep grazing at this time looked curiously at this group of people in white coats.
With his head held high, the hem of the white coat slowly fluttered with the wind in the breeze. The doctor and nurse went out to meet the rising sun on the prairie.
Zhang Fan took his team and followed the young man to the surgical platform car on the grassland.
Probably because of the fact that they live by water, everything on the grassland seems to be movable. And there are several surgical platforms here. But it looks like it's a product from several countries.
"The blue and white one in the middle is what our company has provided to people! The facilities inside are relatively advanced. Zhang Yuan, it's up to you next, please! I'll wait for your good news outside. ”
Mr. Wang sent Zhang Fan to the front and back of the car and stopped!
"Okay! ”
Everyone boarded the operation vehicle and "checked the equipment, debugged and set our own parameters." ”
"Yes!" With Zhang Fan's order, the doctors and nurses began to check the relevant instruments.
"Everything is fine with the ventilator!"
"ECG monitoring is normal. ”
"The shadowless light is normal!"
...... One after another, the reports slowly converged into Zhang Fan's mind. He didn't know what surgery he was going to do today, what disease he was going to face.
However, Zhang Fan is sure that today will definitely not be the operation of the head man.
However, after entering the operating room, Zhang Fan left the rest of the chores behind, no matter who it is, as long as he is sent to the operating room today, Zhang Fan will treat everyone equally, which is the bottom line of a doctor, and it is also the minimum professionalism.
It didn't take long, and when Zhang Fan and the others finished checking the equipment, the young man came to the operation car with an aunt.
"My friends in the East, she has appendicitis, and when she has an attack, she hurts and turns, please help her. After saying that, the young man made a gesture of please.
The interpreter was at the door of the operating car, looking at the young man, he thought that he was going to operate on the old man today.
"Let's do a check-up first, and after the check-up, we will determine if she needs surgery. Zhang Fan said expressionlessly.
Zhang Fan was not surprised at all, but he would not violate the medical rules for the sake of anyone.
"Okay, I'll leave it to you next!" As he spoke, the young man stepped out of the operating cart with a surprised face. He was not surprised by Zhang Fan's words, but because Zhang Fan and the doctor in Istanbul next door said the same.
He felt that the doctors in both teams were very reliable, more reliable than their own personal doctors.
When he got out of the car, the young man turned around and said to Zhang Fan, "My dear guest, there is also a patient with appendicitis next door. ”
After listening to the translation, Zhang Fan didn't speak, just nodded. Surgery is not child's play, and as a doctor, you are responsible for your patients, no matter where you are.
Appendicitis is a very well-known disease, because there are too many of them, and many of them are famous all over the world. In a small place, there are not many people, and it is really difficult to find some diseases that require surgery for a while.
But if you want to find appendicitis, it is relatively easy. Appendicitis, as the name suggests, is inflammation of the appendix. Since the nineteenth century, any book dealing with the general has definitely mentioned appendicitis.
In medical schools, animal experiment classes, most of the students' first surgery is also the removal of the appendix. This can also show that there are very, very many of these diseases. And the surgical operation is not difficult.
As long as it can be diagnosed as appendicitis, according to the current level of medical care, a surgeon can be pulled out casually, and it is estimated that this operation can be won.
However, this disease is more troublesome to diagnose. If it's typical McCere's point tenderness appendicitis, it's estimated that even a dentist knows about it. But if you encounter something atypical, you'll be in trouble.
Because there's no way to check this thing. X-rays cannot be visualized, color ultrasound may not be able to confirm the diagnosis, and blood draws may not necessarily show elevated white blood cells.
It can only rely on the doctor's physical examination, and then the laparotomy can be explored, and only when the inflamed appendicitis is seen, can the diagnosis be confirmed, so God is merciful to human beings.
When medical students encounter their first surgery in their medical careers, they will focus on the physical examination and ignore the treatment of the disease.
An appendix, many people have never heard of it, and they don't know what it is. In layman's terms, the appendix is at the junction of the small intestine and the large intestine, and there is another small intestine, which only has an import and no outlet, which is considered a pixiu in the intestine.
It can also be understood that when the small intestine is derived from the large intestine, two organs evolved, one is the large intestine and the other is the appendix.
There are vasculature in the large intestine and an appendix, such as arteriovenous arteries, lymphatic vessels, and mesentery, all of which are appendices. The large and small intestines have a layer of wear-resistant and oily coat on the outside, and there is also an appendix.
This coat is designed to prevent the intestines from being worn out when they are coiled against each other. Therefore, sometimes wearing a raincoat is not only for anti-vomiting, but also for anti-wear.
Moreover, the appendix also has secretory cells that the large intestine does not have, and these special secretory cells are quite important in herbivores, because the substances secreted by this thing are various enzymes that can break down crude fiber.
Therefore, in rabbits and other herbivores, the appendix is very thick, and the appendix of rabbits is long, thick, and smooth. At the beginning, when Zhang Fan, who did not have a system, made rabbit appendix, he was stunned that he couldn't distinguish between the small intestine and the appendix, but he was different, and the two parties were too similar.
And the appendix of other rabbits is not inflamed.
In the early years, the people of Maruko were very cruel, and they believed that children should have their appendix and foreskin removed when they were young children. In this way, when they reach adulthood, they will not take time off work because of appendicitis and turtle (a) head inflammation.
So at the beginning, there were many children in Maruko Country who had their appendix and chick's foreskin cut off when they had no symptoms.
Later, with the development of science and technology, medical experts discovered that children who had their appendix cut off when they were teenagers were very sick. Then the study found that the appendix has the function of immunity and regulating the internal environment of the body, and it is not a useless cecal head!
The length of the appendix of adults varies, and the general one is about two or three centimeters long, but there are also special, such as people who love to eat celery and leeks, and those who love to eat leeks have thick fibers, and it is estimated that the appendix will be a little longer.
The thickness of the appendix is slightly smaller than your own little finger. In the human body, this thing hangs at the beginning of the large intestine like the tail of a bob rabbit.
Where is the appendix of a human being, if you look at the internal organs projection on the surface of the body, the navel eye is connected to the middle and third of the iliac spines. Facing upwards its neighbor is the liver, and facing down there is the small intestine, large intestine.
And because this thing is free at the beginning of the large intestine, it is relatively free. If the large intestine is shorter, if the initial part is a little upward, the appendix can be upward with the large intestine.
If the large intestine is a little longer, and the beginning is moved down a little bit, this thing may be able to free up to the pelvis and make friends with the bladder and uterus.
The place of this thing is not very fixed, and I can probably talk about its location, because not everyone's intestines are the same length, and the fingerprints are not the same in the world, so the location of the appendix is not the cause of the appendix, but the cause of the large intestine!
Because the intestines are not sensitive to cutting pain and burning pain. For example, when eating super spicy food, only the mouth and anus can feel the burning pain of chili peppers, and the esophagus and intestines in the middle section do not react.
However, the intestines are very sensitive to pulling and swelling pain. Brother Pingtou bites the anus of the big bison, and it doesn't take long to put the big bison down.
Is it because Brother Pingtou has a lot of strength? No, it's because the severe pulling pain directly makes the big bison lose his strength. And humans are the same, because the surface of the intestines has a layer of anti-abrasion raincoat, this layer of clothing is very thin, and the blood vessels, nerves and lymph are hung on the outside.
After a little inflammation and swelling, it can roll on the ground in pain and call mother, and when the swelling reaches a certain level, this raincoat is torn.
Hey, it doesn't hurt, it's okay! Actually, at this time, the symptoms are more severe. It hurts, it doesn't hurt, but when it doesn't hurt, it may die.
This is also the reason why abdominal pain cannot be given pain medication.