Chapter 39 The baby's heart is bitter

Pancreatitis, if high blood pressure and diabetes are a little ghost around the crowd, then pancreatitis is a ghost king that can eat people.

In terms of cost, the cost of treatment for hypertension and diabetes for a year is also very huge, but if it is divided into 12 months, it can still make ordinary patients grit their teeth and persevere.

However, pancreatitis is not good, once the disease occurs, the money will immediately be splashed out like water, which is not an exaggeration at all.

If the symptoms are severe, at the current world price, it is estimated that an ordinary building in a second- or third-tier city will not be able to stop it.

Moreover, even if the money is spent, sometimes, it may not be possible for you to keep people, which is such a terrible disease.

In the early years, pancreatitis in Huaguo was almost always caused by problems in the biliary system, because the bile of the gallbladder flowed out, and finally merged with the pipes of the pancreas, and then flowed into the small intestine.

In the past, people did not eat well and parasites were not well controlled, so often these diseases led to blocked pipes and caused pancreatitis.

With the improvement of living standards, pancreatitis in Huaguo has also begun to change from the biliary system to overeating.

The patient who was operated by Wu Lao and Zhang Fan was the business manager of a company.

The position is not big or small, and it can be regarded as a rootless child who can grit his teeth and work hard in a big city.

In order to survive in the big city, the young man is also desperate, the company's business, he ranks in the top three, a quarter is over, and the company has some bad debts that cannot be recovered.

Then the boss promised that whoever asked for the account could share it. The young man thought about the swaddling child at home, because his daughter-in-law had little milk, he wanted to buy milk powder, and then he thought about the old man's poor health and needed to eat more nutritious products.

Gritting his teeth, the young man took the job, at first, he couldn't even enter the door of the other company, he didn't give up, and slept at the door of the other company.

In a week, it directly became a local landscape, and the boss of the other company's company was also helpless by the young man, and the boss who is worth tens of millions of dollars has no face?

After letting the young man take him to his office, he didn't talk much, so he pointed to the piles of bluebird beer in the corner of the office, "A bottle of 10,000, how much you drink, how much I pay back you." ”

"Talking counts?"

"I'm such a big boss, will I tease you? ”

The workplace and business are cruel, very cruel, and human dignity, sometimes, is really ......

For the sake of the children of the family, for the sake of the old people of the family, he drank.

One can, two cans...... I don't know how much I drank, but the young man who stayed up for a week went from standing to sitting, and finally to lying down. Drink the wine in your mouth and then trickle it out again, in and out.

In the end, his lifeless posture also made the other party's boss scared, and he directly wrote the check, and the young man climbed out of the other party's office with the check.

When he went out, he vomited violently, and the beer he drank was like a foaming fountain, and the wine that spewed out was like a column of water bubbling out.

Then, there was a sudden pain, extreme pain, and after being paralyzed by alcohol, he could clearly feel his lower back, which hurt like a knife.

Thanks to a kind passer-by who dialed 120, it is estimated that he might have died on the road.

His condition is a classic pancreatitis caused by heavy drinking.

There is another one, maybe for life, or for the sake of not knowing the so-called face, when drinking, regardless of it.

Then, secretly go to the bathroom and stuff my two fingers into my throat to dig out, and then go on the field to drink after spitting.

This way, don't learn, you vomit dozens of times may be able to get a massive title, once it causes pancreatitis, then if you don't get it right, your family will be ruined, your wife will be slept with by others, and your children will be beaten by others.

Not an exaggeration at all.

The digestive system of the human body originally evolved according to the principle that it could only go down and not go backwards, and once it was forced to vomit, it would be fine once or twice, or even hundreds of times.

Once there is a system disorder that leads to pancreatitis, then it is a disaster for you personally or your family.

So, don't go in with your hands on the wall while eating, come out with your hands on the wall, and don't drink to be a hero.

In the United States, 200,000 people are hospitalized for pancreatitis each year, about 20% of whom have severe pancreatitis, and the mortality rate is as high as 25%.

The remission rate of pancreatic surgery is about 60%, that is, when patients with severe pancreatitis need surgery, the success rate is quite low, and there is no healing rate, and a remission rate is used instead.

It is conceivable that this disease is terrible, Lao Mei after World War II or the Vietnam War, I don't know why, the number of people who drink heavily suddenly increased dramatically, so the operation of pancreatitis, as far as the world is concerned, they are the best.

However, in the countries with the highest level, this disease also makes doctors talk about tiger color, and not all pancreatic doctors can do this kind of surgery.

And this disease, which is also very cruel for patients, look at the treatment of this disease.

1. Analgesic, high doses of analgesics to relieve pain. 2. Inhibit pancreatic secretion, drugs such as octreotide inhibit pancreatic secretion, and the price of octreotide can really make people pump.

It's as simple as that, let the pain be masked, let the patient's pancreas reduce secretion, and then rely on the patient to recover.

It hurts, the pain of this disease, the iron man can be so painful that he can call his mother, this is not enough, if it doesn't work, the next thing is surgery.

This kind of surgery, not to mention ordinary hospitals, some provincial key hospitals, can not be done.

The pancreas was very clearly separated under Wu Lao's hands, and the most difficult and critical place for the operation was reached.

Why is this surgery so difficult?

To put it simply, it is like a grape attached to a branch of a grape, and when it shakes, a grape falls off and breaks.

Now what Wu Lao and Zhang Fan have to do is to first cut off the part of the broken grape that may be bad, and then find a way to restore the grape skin to its integrity, and finally connect the repaired grape to the branches.

For example, it is so difficult, you can imagine the difficulty of this operation, and the pancreas is the largest secretory gland in the human body except for the liver.

It can secrete, but it is still a very large secretory gland, so the pipes in the pancreas extend in all directions, like a beehive, connected by each other.

There are countless blood vessels, lymphatic and secretory pipes, which can be blocked if the surgical technique is not done well.

The blockage of the pancreas is not a blockage in the city, the driver scolds a few words of mother's things, the pancreas secreted here, just like aqua regia, will corrode, once it is not done well, it is like a pack of bombs that do not know when to explode.

"Look at this, the pancreas is already very swollen, this kind of operation must not be rushed, it must be completely prepared, failure and success must be predicted. ”

Wu Lao, who didn't speak, began to speak, and Zhang Fan, who originally spoke, began to stop talking.

If you compare the level of Zhang Fan and Wu Lao, then Zhang Fan's current level is like a big chivalrous man on the rivers and lakes.

A chivalrous man who can do things peacefully has been bullied, okay, go to Zhang Fan, he can give you peace.

And Wu Lao's level, there is really not much difference between him and Zhang Fan in terms of ordinary and uneven affairs.

But the old man's background is the people in the rivers and lakes who know him, and there will be no accidents, just so awesome.

Zhang Fan is like a superb young knight, and Wu Lao is a famous man in the world, and he can scare a piece of rivers and lakes by relying on his fame.

This is the difference, and this is the incomparably precious experience that the old man has worked hard to persist in for most of his life.

Truth be told, sometimes, doctors are very similar to soldiers, and an army needs countless lives to build an iron-blooded team.

And doctors are actually similar, a good doctor is actually accumulated by human life.

In the medical industry, the teacher is really just a leader, a simple cardiopulmonary resuscitation, to be honest, people with a little culture, training and training can be done.

However, what is good and bad is the difference between heaven and earth.

If you haven't killed a few people in CPR, you really can't do it well, and you can't improve much. No matter how much training you have, it's not as good as dying a person in your hands, a very cruel industry!

"Don't take the swelling here lightly, once the pancreatic fluid is not cleared, no one can guarantee whether the place will heal after surgery. ”

The old man glanced at Zhang Fan, although Zhang Fan didn't look at the old man, as if he knew that his uncle was looking at him, Zhang Fan nodded lightly.

After speaking, Wu Lao pierced the pancreas with a needle, slowly punctured the swollen bladder like a urine-filled bladder, and then slowly began to draw pancreatic juice with a syringe.

The pancreas, which has been sucked into the pancreatic juice, is really like a tongue sticking out, and even the lines in the middle of the tongue are very similar to the pancreas.

"Knife!" emphasized the point to be careful, and the old man himself asked for a sharp knife.

The hand holding the knife starts very steadily from the center of the pancreas, which is the middle line of the tongue, and the blade is sliced through.

The old man's hands are quite neat, cutting, pointing, cutting, the epidermis of the pancreas is like a veteran in the love field, using his teeth, sharp teeth to gently bite off the upturned dry skin on his girlfriend's lips.

Between the bits and pieces, there is no trace of involvement, but the other party's clothes are completely falling.

A master is to do something terrible when the wind and waves are calm. Incision, separate the necrotic pancreas.

"Attention!

There can be no more, no less. After cutting too much of the pancreas, it will not function, and if you cut less, the pancreas will die. ”

The old man said as he cut. Needless to say, Wu Lao believes that Zhang Fan can understand.

Flexible fingers in the white pancreas flipping through the flowers.

The doctors standing behind Zhang Fan, at this time, were in a state, "Will I know? Yes! However, they just can't do it." ”

Zhang Fan is different, what he needs is not the details, what he needs is the overall view of a disease.

When the old man started to do it from beginning to end, Zhang Fan kept making comparisons in his mind.

"What should I do, what should I do if this step were me. ”

A little bit of confirmation, in the most critical part of the operation, Zhang Fan finally asked his own questions.

"Uncle Shi, before dividing the necrotic tissue under the incision line, why don't you dredge the ducts in the gland first?

"Hehe, it seems that you really understand. It is not impossible to dredge first, but there is a chance that the parapancreatic duct will be damaged.

We can dredge it slowly, but if we damage the parapancreatic duct, we can't recover it, which I figured out when I was 50 years old. ”

"Uh, fifty years old?"

When Sansuke's doctor was originally unconvinced, he was convinced at once, because he didn't understand.

As for the director of the second assistant, as if he understood something, he looked at Zhang Fan with a very grateful look.

As for the group of people behind the sorcerer, they just looked at each other in the clouds, what did they say?

Zhang Fan, who had figured out the key points, was like window paper, and after being pierced, the sky suddenly brightened. Uncle Shi's words made him transparent, and the operation of the pancreas was directly passed.

"Oh my God, I see, how can I say, in the system, sometimes pancreatic surgery is successful, sometimes it is judged to be a failure, obviously the technique is the same. It turned out that the parapancreatic duct was neglected!"

What is the clouds, this is the clouds, what is the word, this is. If there is no Wu Lao, even if Zhang Fan has a system, it is estimated that when he has not entered the second level, he will not be able to figure this out, this is not to say that Zhang Fan does not work hard, but the time is not enough! The number of people who died in his hands was not enough!

Really, Wu Lao's generation of people who are hanging up is not given for nothing. This is also the value of surgeons and senior surgeons, often in a single sentence, which can point to the problems that junior doctors spend decades not figuring out.

Repaired, connected, and figured out the pancreatic problem, Zhang Fan and Wu Lao cooperated more and more easily.

The operation is also getting faster and faster, and the two hands, like a brain commanding, cooperate quite tacitly.

And the second assistant and the third assistant found out what a master was, Zhang Fan and Wu Lao were like sports cars.

Speed, accuracy, and prediction don't need to communicate, and the two are directly synchronized.

As assistants, they are sweating profusely trying to find a way to catch up with Wu Lao and Zhang Fan.

"It's so tm bullying. It's too tm bullying. "Sansuke's tears are about to fall. He was wronged, sincerely wronged.

Originally, Wu Lao's operation, he was still able to keep up, and the pride in his heart was also full.

A doctor under the age of thirty-five, he thinks he can sit in the first position.

This is not only his own idea, but also recognized by all colleagues in the hospital department.

As a result, today, he didn't expect that a black guy who came out of nowhere, as if he had discussed with Wu Lao, increased the difficulty of the operation at the same time, and at the same time increased the speed of the operation.

It's nothing, but he can't keep up, and he can't keep up with all his strength.

"What kind of first person below the deputy high school, what kind of young doctor in East China, all of them are deceiving!

He was extremely sad, and the difference in technical level, the more people who understood, the deeper they felt.

Repairing, filling, mending, pointing, cutting, cutting, the original pancreas is like white tofu that fell to the ground, which was repaired by Wu Lao and Zhang Fan and slowly took on a look.

Zhang Fan, who figured out the difficulties of the pancreas, was pushed away by Wu Lao, Zhang Fan, who was seducent by Wu Lao's superb surgical skills, became more and more transparent.

Immersed in the transparent coolness, Zhang Fan's kung fu slowly began to play out.

When he didn't figure it out, Zhang Fan couldn't give full play to his full strength, because he didn't know why the operation sometimes succeeded and sometimes failed in the system.

And now, after figuring it out, don't worry about it, and then, when Zhang Fan figured it out, the group of people behind him opened their mouths!

"Good boy, what is this guy doing again!"

In the operating room, especially in front of a very strict expert like Wu Lao, talking nonsense will definitely be reprimanded.

However, even if Wu Lao was there, the observers standing behind the sorcerer were so surprised that they even forgot the rules and said it.