352 Come on, come and play

Doctors brag between not bragging, to be honest, also bragging. At the lower end, he will brag about what super awesome surgery he has seen, and what kind of surgery his teacher's teacher has done on a certain big guy.

If it's a little higher, it will show off, hey, there are too many surgeries today, the patient has to let me do it, and the other doctors in the department will operate on him, and he is not happy.

The mid-end will blow, and recently the section chief of his scientific research project team has been funded, and it is estimated that a large amount of money will be approved, and then he is entangled in whether to change the electrical display of the laboratory, or to change the ultra-high frequency incubator.

If you don't blow it at the high-end, you can't sit down with each other, one despises the other, what kind of thing he is studying, it is wrong from the beginning!

The doctor at Harbor will be really dumbfounded.

When one side is in difficulty, support from all sides, this word is really not something that ordinary countries can understand.

This thing seems to be a simple word, but in fact, it contains the most basic quality of Huaguo.

When there is nothing to do, the people of Sanchuan look down on the people of Shaanxi Province, where is their diet as good as ours, they are either dough or steamed buns.

The people of Nanhu look down on the people of Sanchuan, and they can still count if they eat chili peppers? It's just that they put some chili peppers in them to scare people.

The people of Hui Province look down on Sujiang, and they are very rich! Your capitals are all within our borders.

Anyway, the two sides of the river compare the amount of wine, and the river is up and down the pepper.

But once something happens, obediently, thousands of troops can make people feel that they are too happy in China, and the people are so cute, fuck it, when it's okay, they start to hate each other again.

This time, the operation of the mean, at the beginning, the harbor was ridiculed, and the media of the Golden Retriever country had a sharp nose like a dog, and they started to joke from across the shore early.

"After all, Huaguo's development in extracerebral is still slow, if this Justice of the Peace is in our country, not to mention Mayo, not to mention Cleveland, any state hospital can do extracerebral surgery!

We now strongly demand that Zhongyong Hospital announce the gentleman's condition!"

After the golden retriever finished speaking, Mishima said, after Mishima finished speaking, Li Jiapo said, as if they could get rid of the disease.

This disease, to be honest, may not be able to do anything if any of them are left alone.

At the top, their medical treatment is really more advanced than that of Huaguo, but it is not to the point of hanging.

But Huaguo's primary medical care has beaten the world, although few of Huaguo's doctors and nurses have good tempers.

The medical bigwigs who held the meeting are all there, and each one is uglier than the other, and at their level, face is a very important thing.

Everyone is working hard to let those who look down on Huaguo take a look.

Therefore, when Zhang Fan showed that he was sure, the bigwigs stood up one by one, regardless of fame and fortune, and did not fight for steamed buns.

Zhang Fan stood in the position of the chief knife. Holding gauze in both hands, he gently covered the patient's craniotomy incision, and did not do it immediately.

Zhang Fan didn't move, and the other doctors all stopped. looked at Zhang Fan quietly.

At this time, whether it is the leader of the expert group or the major directors outside the middle mind, they are all waiting quietly.

"Report the signs!"

"The patient's blood pressure is 160/110mmHg and his heart rate is 120......" The anesthesiologist immediately reported the patient's vital signs.

"Teacher Chen, lower blood pressure, how low and low can it be. Zhang Fan said softly.

"Okay, transient shock and blood pressure are fine, but if the blood pressure is too low for too long, there will be hypoperfusion and reperfusion injury. ”

The professor of Lanshi Medical College looked at Professor Yaxiang, and after the two made eye contact, Professor Chen of Lanshi said something in his awkward Mandarin.

This Professor Chen is also a god man, and his two children are academicians of the Academy of Engineering in the medical category, but it was his turn, because of his age, he was not evaluated.

Therefore, the old man was blind to the selection of the expert committee as soon as he was in class a few years ago.

The old man gave Zhang Fan a physiology department, and his awkward Mandarin was mixed with serious spoken English words from time to time, to be honest, attending his classes was like listening to a book from heaven.

Sometimes, he will also say, "You have to practice speaking well, you look at me, the spoken language is better than my child's speaking, although I have never been abroad, I am still very powerful~!"

He is also the only old man who can lead postdocs and continue to teach undergraduates.

"Half an hour, I only need half an hour!"

"Twenty minutes at most, no matter how much, at such an age of the patient, I can't guarantee that there will be no injury!"

The director of Jitong looked at Zhang Fan and said quite seriously. He also wondered if such a tall surgeon would have to go into shock for half an hour to blood pressure, or when the brain stem was damaged.

"Didn't you study for a Ph.D.? You should have understood it when you got a master's degree!"

The other doctors didn't say anything, but they were slightly suspicious.

The old man in Lanshi looked at Zhang Fan and said: "I know, I know, you must be soaked in surgery, so you don't take physiology seriously, okay, okay, now there is no rut, no rut!"

Zhang Fan Khan has come down, this old man is so cute, he actually let Zhang Fan enjoy the feeling of his student days again.

"On amiodarone, I'll try to delay you as much as possible, you hurry up!~" But the teacher is still a teacher, and when he saw the students in distress, he also worked hard.

"Old Chen, it's dangerous, it's been too long. The professor of Jitong looked at Old Man Chen and persuaded him, and he muttered in his heart, "He is a surgeon, he doesn't understand anything, why are you a teacher of internal medicine messing around with students!"

"I'm responsible for the problem, no one can do it, now my student dares to take over, it will take some time, can I not help the field, there is danger is better than the patient dying on the operating table, I decided! ”

To be honest, even if he is not politically responsible for speaking at this time, his lifelong reputation is pressed here, and he is really a person with a temperament.

Everyone looked at each other! Finally, the professor in Zhongyong's heart said: "Half an hour at most, Zhang Yuan, any more is really too dangerous, and if you don't get it after the operation, you will be in a vegetative state!"

"Half an hour, please!"

After speaking, Zhang Fan took away the gauze that had turned into a red scarf, turned his head and nodded gently to Lao Chen, "Lower blood pressure!"

Antihypertensive drugs are pushed directly intravenously.

Blood pressure jumps rapidly from high pressure to shock blood pressure.

Blood pressure, the blood pressure of the human body, why does high blood pressure damage the body?

In fact, high blood pressure can cause damage to the walls of blood vessels, and because of excessive pressure, the terminal capillaries of some organs will dilate and form congestion.

There is also the high and low blood pressure that damages the blood vessels the most.

Many elderly people in the family have high blood pressure and feel that they are no longer dizzy or dizzy recently. I didn't take the medicine on time, and then after a few days, I felt unwell and started taking blood pressure medication again.

This is absolutely not possible, taking antihypertensive drugs actually controls blood pressure at a stable level, high and low, not only more likely to damage blood vessels, but also particularly easy to cause cerebral infarction.

Therefore, when you have high blood pressure, don't listen to any home remedies, and remember to stick to taking medicine.

When blood pressure dropped, Lao Chen's hearts were all raised, and they were deeply afraid that the patient would have a thrombotic infarction.

At this time, once there is another infarction, such as pulmonary thrombosis or coronary embolism, there is no need to do surgery, and the white cloth is directly pulled.

Just when the blood pressure drops, "Go!"

The leader of the expert group, Lao Li from the second department of Zhongyong Brain Surgery, also used a small hook to create a surgical field for Zhang Fan's brain tissue.

Surgery, it's hard to say, this thing is very exquisite. A sterile concept has many rules.

For example, the hands that have been disinfected cannot be higher than the shoulders, nor lower than the waist, no matter whether you touch anything or not, once it is high or low above these two positions, it is considered pollution.

Doctors and doctors swap places during surgery, and they must be back to back and never face to face.

Therefore, in the operating room, if the doctors are waiting for the patient to be examined, you can see a pair of doctors hanging their hands like Erha, if there is no mask, and then stick out their tongues, it is really a group of Erha.

If it is simply described, it is actually simple.

It's just two or three people trying to pull the muscles apart, and let the other person use a knife and fork to repair the deeper tissues.

The traction of brain tissue is not the same as that of other places, such as the abdominal cavity such as the limbs, and the retractor is like a rake, and sometimes the doctor has to use a lot of force to pull it apart.

But, the brain can't do it, this thing is just a pile of fat meat to put it bluntly. When pulling, let alone using too much force, even if it is slightly inappropriate, this thing can give you the same cream as a birthday cake, collapsing in an instant.

And Zhang Fan, what are they doing now?

In fact, it is to gently move a gap along the gap of the cream cake, and then repair the red rotten strawberries in this gap.

It is necessary to repair the rotten strawberries, that is, the plasticity, and put the broken and sparse strawberries together one by one with small tweezers and small scissors according to its original appearance, and then use transparent tape to find a way to stick them together.

That's what cranial surgery means.

It sounds hard, because of the cream, everyone knows it. If you don't pull this thing, it's easy to collapse, let alone pull it.

In fact, it is more difficult than this, because the brain, this cream cake, has a layer of capillaries like fishing net red stockings inside and out.

The blood vessels of other organs in the body are broken by doctors, because most of the blood vessels inside the body are circuit-based, and if the left side is broken, it can continue to supply this piece of blood from the right side.

But cerebrovascular is not, this thing is a road to black, you break it, it can't be looped.

Therefore, after many patients with cerebral hemorrhage are rescued, like Nicholas Zhao Si, their mouths are crooked and their legs are lame, because the blood vessels responsible for the mouth and legs cannot be repaired, and the brain is responsible for the strike of this part.

And the brain stem is even more terrifying.

Here you don't know which piece to move, you can make the patient hold his breath and suffocate to death.

You don't know which piece to move to make the patient have a fever and burn it into a roast chicken.

You don't even know that if you move it, the patient's heart may be able to jump out of your mouth.

Because breathing, heart rate, and body temperature are almost all related, it is not an exaggeration to say that the brain stem is called a forbidden place for surgery.

Zhang Fan held small tooth forceps in one hand and carefully held ophthalmic tweezers in the other.

It's like a devil entering the village, take a step, probe your brain to take a look, take a step, take a quiet look, and be afraid of stepping on a thunder under your feet.

Time ticks and ticks.

Five minutes passed.

Generally, the sweat on the face of the internist is running down, and he is not nervous, and he is not nervous.

Now Zhang Fan is dancing, dancing on the two eggs they created, and if he is not careful, it is a matter of broken eggs.

Ten minutes

Finally, in front of the ruptured vessel.

At this time, because of the blood pressure lowering, the blood vessels are like a naughty little kid hiding behind the door of his house, probing his brain, and spit and foam at the people outside from time to time.

When he saw Xiao Po Child, not only Lao Li, but also the leader of the expert group, and even Zhang Fan held their breath.

Because so far, the person has not hung up, which means that Zhang Fan's surgery is effective.

However, this is the beginning, and being able to get this far can only show that Zhang Fan is a master outside his head, and the really difficult ones have just begun.

Everything in front of you is nothing more than hors d'oeuvres.

The spitting blood vessels are just like the women who wore bewitching clothes in the early years of Xiaohutongkou and touched a thick layer of white powder on their faces, and they couldn't tell their age!

"Come on, come on, come and play!"

Poof, poof, the threads of broken blood vessels dance in the blood, like a handkerchief in a woman's hand, hooking up with the doctor's heart.

The doctors are like a man looking for flowers and willows, knowing that he may be arrested by the police again, and he knows that he may be infected with some poison, but the strength of his brother makes him know that there are tigers in the mountains, and his brain is like crazy, so he has to go to see the depth inside!

Zhang Fan took a deep breath.

Success or failure is here.

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