Zhang Fan was really lucky that after having the system, he chose a tertiary hospital that was not big or small.
There are no surgeries in small hospitals, but there are so many surgeries in big hospitals that doctors pee blood. However, let alone cross-specialty, it is impossible to perform surgeries across groups.
Moreover, in hospitals of both large and small sizes, Zhang Fan has stood out early. Although his professional title has not been promoted, his position has been promoted.
It’s really the big that suppresses the small, and the small that makes the big. Li Zixiong was helpless, and the dean moved out. "I have the authority to take over your position as the surgeon during the operation. If you insist on having your own way during the operation, I will..."
Li Zixiong stared at Zhang Fan and spoke word by word. If he doesn't say this, he will treat the patient badly. If he says this, he may put the other party...
As the saying goes, bully the old and never mess with the young, and he is such a powerful young man. Director Li Zixiong is really a competent person if he can say such things!
"Okay." Zhang Fan nodded and said no more. Xue Xiaoqiao, who was standing aside, almost said: I won't take care of this surgery.
However, his reluctance and curiosity prompted him to take a look at the legendary Zhang Yuan and see how this orthopedic carpenter worked outside the brain.
"Out of your head! Is this what you, a carpenter, can do? When you open the skull, just go down obediently! Don't worry, I won't laugh at you! Go and be a good carpenter for you!"
Xue Xiaoqiao would never think that Zhang Fan could handle this surgery. Not only him, but all the other doctors outside the brain had the same idea.
At the beginning of the operation, the first step was to prepare the skin, which was to shave off the bald head, just like the shiny bald head that became more popular later. Under the sharp blade of the external brain surgery, Professor Yang's elegant and elegant head turned into a bald egg.
Craniotomy! After draining the blood, Zhang Fan started the operation. Although Li Zixiong and Xue Xiaoqiao were very dissatisfied with Zhang Fan's forced operation, they were not ambiguous at all when cooperating and did whatever they wanted. This is a manifestation of their high professionalism.
Moreover, Director Li Zixiong was extremely nervous. He was always prepared to prevent Zhang Fan from making mistakes. He can suppress in terms of professional title, but he is powerless in terms of position, which is also a kind of helplessness.
Why craniocerebral hemorrhage is scary is because the brain has a very tough outer membrane for liquids, just like some people wrap a plastic film around their fat belly in order to lose weight.
The blood vessels rupture and blood spurts out. There is a tough membrane facing outward. It cannot break through and can only find space deep in the skull.
The sprayed blood is soft to the epicranial membrane, but to the brain tissue, it is a water jet.
Wherever you rush, there will be damage. The organization of the brain, how should I put it, is just a piece of shit supported by fat.
The outer layer is wrinkled, and the inside is filled with various cavities. These cavities are the spaces where cerebrospinal fluid flows, and the brain tissue from the cerebral cortex to these cavities perform various functions.
It can be said that bleeding will destroy wherever it reaches, and then the body will experience corresponding discomfort. For example, Professor Yang’s current bleeding focus is on the left side of the brain. If the place where the cavernous body is managed is washed away, then the birds will shed tears.
This is his dominant brain, which manages the language center. His bleeding directly destroyed the language talent he was proud of.
This kind of destruction is an organic change. In layman's terms, it is an irreversible change. This aspect outside the brain is relatively pitiful. Medical treatment only prevents the further development of the disease. As for what has already appeared, we can only rely on God.
Professor Yang relied on this talent for most of his life, but in the end this talent left him. There is a saying that goes well, you can live if you do evil by God, but you can't live if you do evil on your own!
Perhaps it was his profound virtues in his previous life that led him to meet Zhang Fan. God accepted his talent, but still mercifully spared his life. This may be a lesson, a lesson God taught him.
Open the skull. The brain is really an extreme organ. The outer shell is the hardest thing in the body, while the inner thing is the softest thing.
Cutting out a window to open a window is just like how a melon farmer sells melons in the summer. In order for you to buy melons, he will open a window for the watermelons and let you take a look.
Extracerebral hemorrhage surgery is very similar to this operation. However, the melon seller makes a triangular incision to bring out the pulp of the watermelon, while the extracerebral doctor does not take out the brain tissue. It is not a triangular incision, but a square incision. , this is the difference.
Zhang Fan opened the skull and cut the bones very neatly, without a trace of fireworks, light and absolutely light, unlike some two-handed knives who cut the skull as roughly as smashing walnuts.
Professor Li Zixiong's eyes were always fixed on Zhang Fan's bone knife, and his hands were always ready, ready...
Xue Xiaoqiao looked at Zhang Fan's surgery. Although he really didn't want to admit that Zhang Fan's craniotomy method was really beautiful and clean, the fact was right in front of him.
"The skull is also a bone. If he can't even do a craniotomy, he will never be worthy of the title of carpenter!" Xue Xiaoqiao thought to himself.
Opening the window, Zhang Fan gently and deftly made an opening on the blue-skinned head.
At this time, zoom out the camera, and if you stand on the shadowless lamp and look down, you will see such a scene.
A white opening appeared in the area covered by a circle of green cloth sheets. No matter how skillfully Zhang Fan did it, the skull would still bleed, because the blood supply to the skull was very rich, so it was impossible not to go to school at all.
Blood stains stained the white brain tissue and the surrounding green surgical drapes. With the activity of the brain, red blood slowly flowed on the brain tissue. It's just like tofu curd with chili oil. And this tofu brain can still move.
This scene is just like a child eating tofu and spreading it all over the table. Bone residue and blood stains were scattered around the surgical area.
Brain tissue actually moves like the heart, but the range of motion is relatively small, but it can definitely be seen with the naked eye.
The ups and downs are like a big maggot in the brain. When the brain tissue was exposed, the operation entered the most critical moment.
This thing is so scary. The bleeding may not be visible to the naked eye. This is one of the reasons why the brain develops very slowly.
Because the brain tissue is three-dimensional, not flat, positioning is very important. But even if it is positioned, if an inexperienced doctor makes a careless operation at this time, he will not save people, but kill people.
It can be said that it cannot be wrong in the slightest. "Zhang Yuan, please take another look at the CT scan." Li Zixiong was nervous, much more nervous than if he had done the surgery himself.
"No, the hematoma is 4cm in diameter and cannot exceed five centimeters. The patient is in severe coma..." Zhang Fan said as he took out a thick puncture needle. He was about to enter the cerebral hematoma.
This puncture is very particular, both to remove the hematoma and to avoid secondary damage to the brain. Therefore, the doctor's hand must be steady, very steady, and most importantly, he must have a good understanding of the structure of the brain tissue. .
Holding the puncture needle in his hand, Zhang Fan began to enter the brain tissue bit by bit. "Pay attention to the patient's vital signs!" Li Zixiong said softly to the anesthesiologist.
Kill people, save people, in this moment.
Enter, insert slowly, the puncture needle is inserted into the brain tissue, and the chopsticks are inserted into tofu. There is not much difference. At most, there is a sense of layering in the brain, while tofu has no sense of layering or breakthrough.
These two words, the sense of hierarchy and breakthrough in surgery, make some young doctors absolutely uncomfortable. This feeling must be experienced countless times before they can feel it. Single, unmarried Wang Wang Wang, simply don’t know what a sense of breakthrough is.
Enter gently, and you must not shake at this time. A shake may damage a certain function of the brain.
Steady, so steady. Zhang Fan's hands were holding the puncture needle, and his shaking could not be seen with the naked eye. This was the effort of his hands. Li Zixiong looked at Zhang Fan's steady hands, and there was some appreciation in his eyes.
Because he knew that having such a pair of steady hands must be the result of hard work under the operating table.
Xue Xiaoqiao was envious, so envious. When he was at the Capital Hospital, he had never seen experts perform surgeries, but he had never seen such steady hands as Zhang Fan.
"People who practice orthopedics are so stable. How did they get there!"
"Put the glucocorticoid into the pot and stabilize the patient's blood pressure. I'm going to draw blood." Zhang Fan felt a sense of breakthrough. He knew that the needle had entered the hematoma, and then slightly entered it again, and he said talk.
"Zhang Yuan, if you don't go in a little further, the hematoma may not be completely removed!" Li Zixiong was also making predictions. He felt that he should go in a little further.
"No, you can definitely clean it, just listen to me!" Zhang Fan said very domineeringly, without any humility at all. This is the temperament of a great surgeon.
Off the operating table, I can laugh at everyone and I can be approachable, but after the operation, I am the only one who dominates! This is not only a manifestation of technology, but also a manifestation of confidence.
"It would be great if there was a surgical CT!" Xue Xiaoqiao said to himself. In large hospitals, when the positioning is unclear, surgical CT can be used to solve the problem. Of course, this thing is super expensive.
"Haha!" Zhang Fan and Li Zixiong both laughed in such a sinister manner.
Aspiration, blood is slowly absorbed from the puncture needle. Li Zixiong looked at the values in the container.
"10ml, 20ml, 30ml. It shouldn't come out. There is still 10ml that needs to go in a little more." Li Zixiong thought to himself based on his own experience.
Zhang Fan's hands were so steady. At this time, Li Zixiong was a little relieved. At least Zhang Fan wasn't messing around. Next, he can guide Zhang Yuan on how to advance a little further and what he needs to pay attention to.
Just when he was about to speak, the blood in the container slowly began to rise, 40ml! When the blood reached 40ml, Zhang Fan's needle did not move at all.
"How is this possible! Is he bleeding again? Impossible, the patient's vital signs have not changed!" Li Zixiong said it directly, and he was really shocked.
"I entered through the lateral ventricle of the brain. This place is just the lowest point of the brain but not the lowest point of the hematoma. If I choose another place, at this depth, the hematoma cannot be cleaned. If the needle is inserted again, it will cause secondary damage. .”
Zhang Fan explained gently.
"What? You have reached your lowest point. How is it possible that you could injure your brain ventricles somewhere!" Xue Xiaoqiao broke into a cold sweat.
"No, no, no, Zhang Yuan should have gone straight in, pressed against the wall of the brain tissue and slightly pressed the brain tissue to form an artificial low position." Li Zixiong turned to look at the CT, and then spoke slowly.
"Yes! Director Li is right." Zhang Fan was a little proud, not because he succeeded in the operation, but because his brilliance was discovered by others. Jinyi Yexing may have higher quality than others, but if he can be Zhang Fan is willing to let others discover his cleverness. After all, he is still a young man.
"The brain tissue was not damaged?" Xue Xiaoqiao asked again in surprise.
"Look at the patient's physical signs!" Director Li Zixiong said.
"The patient's vital signs have begun to improve now, and the operation is effective!" The anesthesiologist also confirmed Zhang Fan's operation in real time.
"Zhang Yuan, you are awesome!" Xue Xiaoqiao said directly. After all, he is a young man. "Zhang Yuan, how did you do it? Can you teach me?"
"Do the surgery first!" Director Li Zixiong glanced at Xue Xiaoqiao. Wasn't he angry? If he met a director with ill intentions, he would definitely put some shoes on Xue Xiaoqiao. A girl wouldn't treat the director as a cadre?
At this time, Director Li Zixiong had a little reflection in his heart. After Zhang Fan came to the hospital, he first set up a flag in the Orthopedics Department. He was assigned to the Orthopedics Department at the beginning, so this makes sense.
Then establish authority outside the general public. This can be justified. After all, general surgery is the largest surgical department in the hospital, and Lao Zhao is too superficial, so the department must be reorganized.
However, Zhang Fan has never been outside the brain, and even when he was transferred to another department, he didn't show anything.
"Am I too overbearing? Am I the one who makes Zhang Yuan look down on me?" Director Li Zixiong became more and more uncomfortable as he thought about it.
When Zhang Fan started injecting urokinase and began to slowly withdraw the injection, Director Li Zixiong said in a sullen voice: "Yuan Zhang, do you have any objections to me?"
"Well!"
"Uh!" Zhang Fan and Xue Xiaoqiao made surprised sounds at the same time.
"Director Li, how do you say this? I will have a problem with you." The operation was successful. Zhang Fan was a little proud at first, but when he heard what Director Li said, he was a little confused.
"No objection. Why do you never come for brain surgery? This should be your first time for brain surgery. If you have any objections to me, you can tell me." Director Li Zixiong was really a little angry.
"The surgery technology outside the brain is so powerful, but it has never been outside the brain, and it has never interfered with the work outside the brain. What does this mean!"
He felt aggrieved. Brain surgery was originally the most difficult department to develop in the hospital's surgery department.
If Zhang Yuan didn't have the ability, he wouldn't force it, but if he had the ability and ignored it, he would be looking down on others!
Director Li Zixiong, a tall man, like an angry little wife, put his hands on his lower abdomen and started to strike!
"No, Director Li, why do I have any objections to you? This, this..."
Zhang Fan's brain was spinning rapidly. If he opened Zhang Fan's head at this time, he would definitely see that Zhang Fan's brain tissue was about to jump.
It’s really hard to explain this. It can’t be said that I couldn’t climb out of the pit of general education and open the brain outside!
"Hehe!" Xue Xiaoqiao, the bastard, added fuel to the fire and smiled evilly, which made Director Li even more angry.
"Xiao Xue, please tell me, is it difficult for us to go outside the brain? Please tell us how difficult it was for us to have an operation.
You tell Zhang Yuan, so that our superior Zhang Yuan can also understand our difficulties.
My waist is not in good condition recently. I think I should ask Zhang Yuan for leave and annual leave! "
"That's right! Back then..." Xue Xiaoqiao began to add fuel to the fire with bad intentions. He began to admire Zhang Yuan as soon as the operation was performed, but after all, he was still a young man, and there was still some dissatisfaction in his subconscious.
