Zhang Fan is really glad that after having a system, he chose a tertiary hospital.

Small hospitals do not have surgery, while large hospitals have so many surgeries that doctors urinate blood. But, not to mention that you are interprofessional, it is impossible to do surgery across groups.

And in the small hospital, Zhang Fan came out early, and now although his title has not gone up, his position has gone up.

It's really big and small, small and big. Li Zixiong was helpless, and the dean moved out. "I have the authority to take your position as the chief surgeon during the operation, and if you insist on going your own way during the operation, I will ......"

Li Zixiong stared at Zhang Fan and said word by word. If he doesn't say this, he doesn't go to the patient, and if he says this, he may ...... the other party

As the saying goes, bullying the old doesn't mess with the small, and it's such a powerful small. Director Li Zixiong can say this kind of thing, and he is really a competent person!

"Okay. Zhang Fan nodded and didn't speak again. Xue Xiaoqiao, who was standing on the side, almost said: This operation Lao Tzu will not wait.

However, the unwillingness and curiosity in his heart prompted him to take a look at the legendary Zhang Yuan to see how this orthopedic carpenter did it.

"Brain-out! Is this what you carpenter can do? When you open the skull, you can go down! Don't worry, I won't laugh at you! Go and be a good carpenter!"

Xue Xiaoqiao didn't think that Zhang Fan could do this operation. Not only him, but the other doctors outside the brain are all in the same mind.

At the beginning of the operation, the first thing is to prepare the skin, that is, to shave a bald scoop, just like the more popular bright bald scoop later, in the extracerebral surgery, under the sharp blade, Professor Yang's chic and elegant head became a bald egg.

Although Li Zixiong and Xue Xiaoqiao were very dissatisfied with Zhang Fan's forced operation, they were not ambiguous at all when they cooperated, and they did what they wanted. This is a manifestation of their high professionalism.

Moreover, Director Li Zixiong was even more tense to the extreme, and he was always ready to prevent Zhang Fan from making mistakes. He can suppress in his title, but he is powerless in his position, which is also a kind of helplessness.

The reason why cerebral hemorrhage is terrible is because the brain has a very tough outer membrane for fluid, just like some people wrap a plastic film around their fat belly in order to lose weight.

The blood vessels ruptured, blood spurted outward, and there was a tough membrane outward, which could not break through, but could only find space deep in the skull.

The blood that spurts out is soft for the epimeninges, but for brain tissue, it's a waterjet.

Where to rush, where to break. The organization of the brain, how to put it, is a kind of thing that is supported by fat.

The outer layer is wrinkled, and the inner layer is filled with cavities, which are the spaces where the cerebrospinal fluid flows, and the brain tissue from the cerebral cortex to the cavities between these cavities performs various functions.

It can be said that the bleeding will destroy wherever it goes, and then the body will have corresponding discomfort. For example, Professor Yang is now bleeding on the left side of the brain. If the place where the sponge body is managed is washed away, then it is directly a cry for the bird.

This is his dominant brain, which manages the language center, and his hemorrhage directly destroys his vaunted linguistic talent.

This kind of destruction is an organic change, in layman's terms, it is an irreversible change, and this point outside the brain is more pitiful, seeing a doctor only prevents the further development of the disease, as for what has appeared, which can only rely on God.

Professor Yang relied on this talent for most of his life, and finally this talent left him. There is a good saying, you can still live if you do evil in heaven, but you can't live if you do evil in yourself!

Maybe it was his profound accumulation of virtue in his previous life that made him meet Zhang Fan. God accepted his talent, but mercifully left his life. This may be a lesson, a lesson from God.

Craniotomy, the cranium is really an extreme organ, the outer shell is the hardest existence in the whole body, and the inner is the softest existence.

Chisel the bones and open the window, just like the melon farmer sells melons in the summer, in order to let you buy melons, he will open a window for the watermelon for you to explore.

Extracerebral hemorrhage surgery is very similar to this operation, but the melon dealer cuts a triangle and will bring out the watermelon pulp, while the brain surgeon will not take out the brain tissue, not a triangle, but a square opening, which is the difference.

Zhang Fan's craniotomy is very neat, without a trace of pyrotechnics, lightweight, absolutely lightweight, not like some two-knives, craniotomy is as rude as smashing walnuts.

Professor Li Zixiong's eyes were always on Zhang Fan's bone knife, and his hands were always ready, ready to ......

Xue Xiaoqiao looked at Zhang Fan's operation, although he really didn't want to admit that Zhang Fan's craniotomy was really beautiful and clean, but the facts were in front of him.

"The skull is also a bone, if he can't even do a craniotomy, he won't be sorry for the title of carpenter!" Xue Xiaoqiao thought comfortingly.

Opening the window, Zhang Fan gently and skillfully opened a hole in the blue-skinned skull.

At this time, the camera zooms out, and if you stand on the shadowless lamp and look down, you will see such a scene.

A white hole appeared in the area covered by a green cloth sheet. No matter how clever Zhang Fan is, the skull will still bleed, because the blood supply to the skull is very rich, and it is impossible to go to school without thinking about it.

Blood stains stain the white brain tissue and stain the surrounding green surgical sheet, and the red blood slowly flows on the brain tissue as the brain moves. It's like tofu brain with chili oil. And this tofu brain can still move.

This scene is directly like a child eating tofu brain and scattering it on the table. Bone slag and blood stains are scattered around the surgical area.

Brain tissue is actually like the heart that moves, but the amplitude of movement is relatively small, but it can definitely be seen with the naked eye.

Wave after wave of ups and downs, like a big maggot in your head. When the brain tissue is exposed, the surgery also enters the most critical moment.

This thing is so scary that the bleeding may not be visible to the naked eye, which is one of the reasons why the development outside the brain is very slow.

Because the brain tissue is three-dimensional, not flat, positioning is very important, but even if it is positioned, inexperienced doctors, at this time, the operation is not careful, then it is not to save people, but to kill.

It can be said that there is no mistake in the slightest. "Zhang Yuan, you can watch the CT again. "Li Zixiong is nervous, much more nervous than he is to have surgery himself.

"No, the hematoma is 4cm in diameter, no more than five centimeters, and the patient has a severe com......a," Zhang Fan said while taking out a thick puncture needle, he was about to enter the cerebral hematoma.

This puncture is very particular, not only to remove the hematoma, but also to avoid secondary damage to the brain, so the doctor's hand should be steady, quite stable, and the most important thing is to have a considerable understanding of the structure of the brain tissue.

With the puncture needle in his hand, Zhang Fan began to enter the brain tissue little by little, "Pay attention to the patient's vital signs!" Li Zixiong said softly to the anesthesiologist.

Killing, saving people, just in this moment.

Enter, slowly insert, puncture needle inserted in brain tissue, and chopsticks inserted in tofu, the difference is not big, at most there is a sense of hierarchy in the brain, while tofu has no sense of hierarchy and breakthrough.

The layering of surgery, the sense of breakthrough, these two words, make some young doctors absolutely uncomfortable, this feeling must be used I don't know how many times to feel. The single person who is not married does not know what a sense of breakthrough is.

Gently enter, at this time must not shake, a shake may hurt a certain function of the brain.

Steady, too steady, Zhang Fan's hands are holding the puncture needle, and his shaking is not visible to the naked eye, this is the kung fu under his hands, Li Zixiong looked at Zhang Fan's so steady hands, and there was a little appreciation in his eyes.

Because he knows that to have such a pair of steady hands, he must have worked hard under the operating table.

And Xue Xiaoqiao is envious, too envious, when he was in the Capital Hospital, it was not that he had never seen a master perform surgery, but he really had never seen such a steady hand as Zhang Fan.

"Orthopedics is so stable, how can this be practiced!"

"Glucocorticoids into the pot, stabilizing the patient's blood pressure, I'm going to have my blood drawn. Zhang Fan felt a sense of breakthrough, he knew that the needle had entered the hematoma, and then slightly entered a little bit again, and he said a word.

"Zhang Yuan, if you don't enter a little bit, the hematoma may not be clean!" Li Zixiong was also estimating, he felt that he should enter a little more.

"No, you can definitely smoke it clean, listen to me!" Zhang Fan said very domineeringly, not a little modest at all, this is the temperament of a surgical master.

Under the operating table, I can smile when I see people, I can be approachable, but when I have surgery, I am the only one! This is not only the embodiment of technology, but also the embodiment of self-confidence.

"It would be nice if there was a surgical CT!" Xue Xiaoqiao said to himself, in a big hospital, when this kind of positioning is not clear, it can be solved by surgical CT, of course, this thing is super expensive.

"Hehe!" Zhang Fan and Li Zixiong both laughed in a weird way.

Aspiration, the blood is slowly absorbed from the puncture needle. Li Zixiong looked at the values in the container.

“10ml、20ml、30ml。 I shouldn't be able to get out. There is still 10ml to estimate a little more. Li Zixiong thought to himself with his own experience.

Zhang Fan's hands are too steady, at this time, Li Zixiong is also a little relieved, at least Zhang Fan is not Hu Lai. Next, he can instruct Zhang Yuan on how to go a little further and instruct him on what he needs to pay attention to.

Just as he was about to speak, the blood in the container still slowly began to rise, 40ml! When the blood reached 40ml, Zhang Fan's needle did not move at all.

"How is this possible? Is it bleeding again? Impossible, the patient's vital signs have not changed!" Li Zixiong said directly, he was really shocked.

"I entered through the lateral chamber of the brain, which happens to be the lowest point of the brain, but not the lowest point of the hematoma. Elsewhere, at this depth, the hematoma cannot be cleaned, and if the needle is reinserted, it will cause secondary injury. ”

Zhang Fan explained softly.

"What, you have entered the lowest point, how is it possible, where will it hurt the ventricles!" Xue Xiaoqiao broke out in a cold sweat.

"No, no, no, Zhang Yuan should have gone straight in, clinging to the brain tissue wall and then slightly pressing the brain tissue to form an artificial low position. Li Zixiong turned his head to look at the CT, and then said slowly.

"Yes! Director Li is right. Zhang Fan is a little proud, not because of the operation, but because his cleverness has been discovered, brocade night walking may be someone else's high quality, but if others can find out the cleverness, which Zhang Fan is also willing, after all, he is still a hairy young man.

"Didn't damage the brain tissue?" Xue Xiaoqiao asked again in surprise.

"Look at the patient's signs!" said Director Li Zixiong.

"The patient's vital signs are now starting to improve, and the operation is effective!" The anesthesiologist also confirmed Zhang Fan's operation in real time.

"Zhang Yuan, you're awesome!" Xue Xiaoqiao said directly, after all, he was a young man. "Zhang Yuan, how did you do it, can you teach me?"

"Surgery first!" Director Li Zixiong glanced at Xue Xiaoqiao, he was not angry, if he met a director who was not generous, he would definitely wear small shoes for Xue Xiaoqiao, and the sister would not take the director as a cadre?

Director Li Zixiong At this time, he felt a little bit in his heart, a little reflective, after Zhang Fan came to the hospital, he first erected a flag in the orthopedic department, and he was in the orthopedic department of Dinggang, which was also said in the past.

Then in Puwai Liwei. This can also be said in the past, after all, general surgery is the largest surgical department in the hospital, and Lao Zhao is too faced, and the department must also be rectified.

However, Zhang Fan has never been outside the brain, and even when he was transferred to the outside of the brain, there was no display.

"Could it be that I'm too domineering? Could it be that I'm making Zhang Yuan look down on me?" Director Li Zixiong felt more and more uncomfortable.

When Zhang Fan began to inject urokinase and began to withdraw the needle slowly, Director Li Zixiong said sullenly: "Zhang Yuan, do you have any opinions about me?"

"Ugh!"

"Ugh!" Zhang Fan and Xue Xiaoqiao made surprised voices at the same time.

"Director Li, how did you say this, I will have an opinion on you. The operation was successful, Zhang Fan was originally a little proud, but when he heard Director Li's words, he was a little incomprehensible.

"No opinion, why don't you come to the brain, this should be the first time you have taken the initiative to come to the brain surgery. If you have an opinion about me, you can say it. "Director Li Zixiong is really a little angry.

"What does it mean that the technique of extracerebral surgery is so powerful, that there is never an extracerebral operation, and it never interferes with the work outside the brain!"

He felt aggrieved in his heart, and brain surgery was originally the most difficult department to develop in the hospital's surgery.

If Zhang Yuan didn't have this ability, he wouldn't force it, but if he had this ability and ignored it, this would be a naked contempt for people!

Director Li Zixiong, a tall man, like an angry little daughter-in-law, hugged his hands on his lower abdomen and began to strike!

"No, Director Li, where do I have an opinion about you, this, this ......"

Zhang Fan's brain was spinning rapidly, if Zhang Fan's head was opened at this time, he would definitely be able to see that Zhang Fan's brain tissue was about to jump.

It's really hard to explain, I can't say that I couldn't climb out of the pit outside the ordinary world, and I couldn't click on the outside of my head!

"Hey, hey!" Xue Xiaoqiao, the rabbit cub, laughed evilly again, which made Director Li even more angry.

"Xiao Xue, tell me, is it difficult for us to be outside the brain, you tell me how difficult it was for us to have an operation.

You tell Zhang Yuan, so that our high-ranking Zhang Yuan can also understand our difficulties.

My waist has not been very good recently, and I think I should ask Zhang Yuan for leave and annual leave!"

"That's it, I ...... at the beginning" Xue Xiaoqiao began to add firewood with bad intentions, for this Zhang Hospital, as soon as this operation was done, he also began to admire, but after all, he was still a young man, and there was still an unconvincing existence in his subconscious.