"How much has this kid eaten!" Zhang Fan can not speak during the operation, but this is too breathless, Zhang Fan took advantage of the conversation to exhale the unpleasant gas.

"Yes!" the director just nodded, barely responding.

"Pliers!" Suddenly, Zhang Fan said to the instrument nurse, because he found the intestinal stump in the process of digging,

"Straight clamps?"

"I can only clamp it directly, and there is no good way. Zhang Fan replied.

The structure of the human body is like a closed loop. The left heart pumps oxygen-rich blood into the aorta, and then relies on the strong cardiac power and the elasticity of the arterial blood vessels to spread the arterial blood throughout the body.

The aorta was divided into two, one going to the head and one descending to the abdominal cavity. When an organ is touched in the abdominal cavity, one is separated.

Eventually, they become tiny arterioles, and then these arterioles slowly become venules, and these veins begin to converge, and finally enter the right heart, enter the lungs to exchange carbon dioxide, and then enter the left heart.

This is probably the case with human blood circulation. Especially after reaching the intestines, the blood vessels branch very thinly, almost into clumps of wool.

According to conventional intestinal surgery, the blood vessels attached to the intestine must be separated and ligated before subsequent operations, such as appendix surgery, can be continued.

The difficulty of appendix surgery is not where it is located, no matter where it is hidden, it can be pulled out by finding the cecum and following the cecum. The difficulty is in the arteries in this cecum. If the ligation is not good, or the separation is not good, it will bleed and die if it is not done well.

"I can't keep it, my rectum and sigmoid colon have become rotten cotton wool!" After cleaning up the intestinal contents of the abdominal cavity, Zhang Fan said with a sigh. It's just that the young man is young, and he sent it in time, if it is a little later, it is estimated that there will be no people.

"It's good to be able to save your life!" The director of the general department was not surprised at all, and from what Zhang Fan took out, it could be seen that a large amount of intestinal tissue, piece by piece.

This is equivalent to stuffing a cannon battle directly into the chrysanthemum, and then the intestines really bloom.

Although the two occasionally communicated, they were not idle at all. The cooperation is quite tacit, the speed is relatively very fast, and when the forceps clamp the intestines, the blood pressure finally improves.

"It's not easy!" Zhang Fan breathed a long sigh of relief, the air was mixed with this special smell, as if in the hottest weather in summer, in a closed small room, eating haggis, and the haggis has not been washed~!

Outside the operating room, Ms. Jiang was on the phone, and no matter what, it was her responsibility to explain the situation to her sister.

"Sister, Xiaoguang has an accident! Don't worry, I've been sent to the hospital. But the situation is more critical. ”

"What the hell is going on, is he fighting again, or is he driving fast!" The mother knows her son too well.

Ms. Jiang was embarrassed to open her mouth to talk about this, and said directly, "Your son Chrysanthemum blows the trumpet!", it is estimated that her sister can be angry to death, and her tangled tone makes her sister even more anxious.

"Come, give it to me!" Ouyang asked for the phone at the right time, "Hello, I am the president of Chasu City People's Hospital, and your son is now undergoing surgery because of a ruptured intestine." ”

"How did it break~!"

"When swimming, you may accidentally put your buttocks against the rejection tube, and then your intestines will be broken due to the high suction. Ouyang thought about it and stated it in the most concise language.

"How's it going, doctor?"

"It's dangerous, and there is a possibility that there will be heavy bleeding and ...... , so ask your immediate family members to come to the hospital as soon as possible. ”

In the other party's speechlessness, he hung up the phone. I'm embarrassed to ask for this thing, and when parents know their children best. If it weren't for the government's repeated emphasis on paying attention, Ouyang wouldn't have rushed here. What the hell, after hanging up the phone, Ouyang thought about this child's problem, and involuntarily crooked his mouth.

In the operating room, "What is the difference between this operation and rectal cancer?" After Zhang Fan cleaned up the abdominal cavity, the director of the general surgery said after looking at it.

"Rectal cancer is not so dangerous, but fortunately, there is no need to clean the lymph. "Because the suction power of the swimming pool is super strong, the rectum and sigmoid colon can no longer be seen.

The anus, rectum, and sigmoid colon are as if they have been bitten by a flat-headed brother, and the internal damage is very terrible.

Stop the bleeding, clamp the superior rectal artery, look for the sigmoid colonic intestinal artery, and also look for the middle rectal artery. To be honest, the messy intestines are too difficult to find.

The intestines are not very sensitive to cutting and temperature, that is, if you pull it with a knife, it will break at most, but it will not work if you pull it.

After this thing is stretched a few times, the intestines feel unsafe, and then it will have intestinal paralysis, that is, it will not move anymore, which will directly lead to obstruction.

Therefore, Zhang Fan didn't dare to touch the intestines too often, so he could only slowly look for all the places where arteries should appear, and the conventional tissues had been sucked out of shape.

This operation made Zhang Fan have a hard time. The fragments of the destruction of organizational relationships are like the blood vessels of a spider's web, which are even more difficult to ligate.

"If it doesn't work, the inferior mesenteric artery will be ligated directly from a high place, and then the middle mesenteric artery branching out of the internal iliac artery will also be ligated from a high place, and the fistula will be recreated. The director of the general department looked at Zhang Fan's embarrassed appearance and suggested.

"I'd like to keep a little more sigmoid colon, too little......"

"Now the time of vascular clamping is not short, if you hesitate any longer, maybe there will be intestinal necrosis after surgery. Zhao Pingquan, director of general foreign affairs, gritted his teeth and said.

There is a reason why Zhang Fan wants to leave a little more sigmoid colon, and here we have to talk about the function of this large intestine. The large intestine is made up of the ascending, transverse, descending, and sigmoid colons, which roughly surround the abdomen.

The cecum is where the large and small intestines meet, and the digestive matter in the small intestine contains a large amount of milky paste-like liquid, which begins to be absorbed from the cecum into the large intestine until the sigmoid colon, when the chyle-like fluid is formed into feces.

If once the large intestine tissue is damaged, it is too severe, then something terrible is coming. If the water is not fully absorbed, the patient has to excrete a large amount of stool and replace a large amount of water, otherwise the symptoms of dehydration will occur. That is, you can't do without the toilet and can't put the kettle.

The reason why it is difficult to do surgery is because it is necessary to deal with it according to the basic knowledge and the specific situation, and the general surgery is not very variable, but once there are variables, the difficulty will increase by an order of magnitude.

If you want to keep your intestines longer, time does not allow. If you don't stay for a long time, the patient's life in the future, the quality of life is unspeakable, Zhang Fan hesitated.

"We can't hesitate anymore, if we hesitate any longer, if there is a large area of intestinal necrosis, the problem is not a matter of length or shortness, but a matter of life and death. ”

"Ligate!" Zhang Fan made up his mind, there was no choice but to avoid the key point and give up the relatively unimportant organization. Because the blood vessels are poorly filled due to bleeding, many arteries fluctuate very weakly like veins.

"Procaine diluted. "Since it has been decided to be ligated, Zhang Fan will not be entangled, let's live first. The mesenteric arteries fluctuate poorly, and the injection of procaine will enhance its fluctuations.

One by one, the blood vessels are ligated. Piece by piece of intestinal tissue was cleaned, and two hours had passed.