If you have a lot of money in your family, you can act according to your heart. This is good, but if you have a lot of gold in your family, you can't just waste it.WwΔW. 『kge』
As far as current human diseases are concerned, 80% are either related to eating or drinking, and the remaining part is related to... As for the rest, it is accidental or genetic.
To put it more idealistically, the total amount of food a person has in his life is fixed. If he eats one more bite today and one more bite tomorrow, he might have been able to live to be eighty years old, but he will be gone when he is sixty years old...
Although the old saying goes like this, there is actually some truth to it. Because the total number of human heart beats is only a few hundred million times.
Just like a thin man and a fat man climbing a mountain, the mountain is the same high, but the consumption is different. The fat man's heart can really be regarded as carrying a load. It’s so tiring. This thing is just like a taxi. The mileage it travels in a month is dozens of times that of a private car. Could it break down easily?
Not only does the heart consume a lot of energy, Fatty Song's blood vessels were also severely damaged.
When Zhang Fan opened the muscles surrounded by yellow fat like a pig's neck, Song Qiang's blood vessels were exposed.
What exactly are human blood vessels? Zhang Fan looked through various Chinese, European, American, and Maranzi country textbooks, but couldn't find a vivid description.
Saying that a blood vessel is a muscle tube is a bit general, and saying it is like a rubber tube is not very accurate. After Zhang Fan did a lot of dissections in the system, he could finally describe the blood vessel vividly. This thing is like a woman's stockings. thing.
Moreover, these stockings are not regular stockings, they are large mesh stockings that ordinary women cannot conquer. When worn on the legs, these stockings clearly reveal the white skin.
In fact, the enlarged blood vessels are similar to mesh stockings. The blood vessels are hidden in the muscles and lurking in the ravines of the bones. Their surroundings are not dry, but soaked in body fluids.
The size of the grid of blood vessels is fixed. For example, some cells and substances cannot come out. Substances such as red blood cells, platelets, and albumin cannot come out of the blood vessel grid.
If these functional cells and functional protein substances are excreted, there is actually no difference between the human body's body fluids and blood.
This also illustrates the horror of diarrhea, because in the later stages of diarrhea, what is actually produced is body fluids, that is, blood without protein and red blood cells. This is also the saying goes, a strong man cannot withstand the principle of three bubbles.
Blood vessels don't produce these functional cells and proteins, and if these things can't come out, how do they get in?
Substances with small molecules such as water molecules can enter blood vessels freely. They can go in and out wherever they feel comfortable. If there is too much water in the blood vessels, they will flow out and run into the tissues of the body. If there is too much water in the tissues of the body, it will Just ran into the blood vessels.
Many people have swollen faces and swollen feet when their blood pressure is high. In fact, it is because the pressure on blood vessels is too great, which presses the water of the blood into the tissues.
Cells and proteins are sent from the body to blood vessels through energy switches.
In layman's terms, it means having a big hand, forcefully opening the mesh of stockings, and then taking these things and sending them in.
This is the general principle of one entry and one exit of proteins and cells. Why is it said that venomous snakes are very dangerous? If we don’t talk about neurological venomous snakes, let’s talk about coagulant venomous snakes.
When this thing bites you, it is equivalent to expanding the blood vessel grid all over the human body, and all the red blood cells, albumin, platelets, etc. that were originally unable to escape escape from the expanded grid.
After these substances escape, it is equivalent to skipping work. It stops working, and neither oxygen nor energy can be delivered to various organs of the human body.
This is why people who are bitten to death by venomous snakes are covered in bruises. This is because there is iron in the blood cells. This element will appear after this thing is deactivated and precipitated.
Fatty Song is not very old, but his body has surrendered to the abuse of tiger and wolf medicine and a high-fat and high-protein diet.
When Zhang Fan pulled out the carotid artery, he had to stop the operation and said, "Give me some dry gauze. There is too much fat, and the gloves are so slippery that I can't even hold the pliers."
Vascular surgery, to sum it up in one sentence, is both risky and dangerous. Not to mention the aorta, even a nosebleed can sometimes make people faint, let alone the blood vessels that have just left the heart and enter the brain.
How high is the pressure of this blood vessel? It can be said that this blood vessel can easily spray the entire roof of a three-meter-high roof.
Maybe you don’t have any idea, but you can feel it when you think about how you killed chickens during the Chinese New Year at home when you were a kid. Sometimes you accidentally cut the chicken’s neck, and as a result, the chicken couldn’t hold it firmly, and then red spray came all over the wall and sprayed everywhere. .
In fact, the same is true for humans. There are four large blood vessels entering the brain, two on each side.
Fatty Song ate so well that one of the blood vessels entering his brain was blocked. This situation is very dangerous because the brain is a large consumer of oxygen. Sometimes four blood vessels are not enough, and even one blood vessel is blocked.
How dangerous is this kind of danger? There is a more interesting action. Touch the pulsating part of your neck, and then put your hands on it and press it. It won't take long, four or five seconds, and you will feel what it is like blackness in front of your eyes.
"Bring a microscope!" Zhang Fan said to Xue Xiaoqiao after exposing the surgical field.
Endarterectomy surgery is different from other surgeries. Once the surgery begins, it must be carried out smoothly and smoothly from beginning to end. Once an accident occurs, the wall will be filled with blood.
In martial arts TV, a master slaps his enemy on the neck, causing the opponent to faint. Although this is slightly exaggerated, it is very obvious in neck vascular surgery.
If the movement is a little bigger, heart failure may occur, because this place is a receptor, and with a little stimulation, this thing is like an alarm, causing abnormalities in the heart and brain.
With the microscopes in hand, Zhang Fan and Xue Xiaoqiao prepared to ligate the upper and lower circuits of blood vessels. "Have you ever done this kind of surgery when you were in the capital?" Zhang Fan asked as they prepared.
"No! The level is not high enough. This kind of surgery is in the capital, and I don't even have a chance to pull the hook."
Xue Xiaoqiao glanced at Zhang Fan in surprise, because Zhang Fan rarely spoke during the operation, let alone gossiped about other people's affairs, so our little Xue was very puzzled.
"Oh! In the capital, if we follow the normal order, when can you undergo this kind of surgery?" Zhang Fan asked again.
"Well, at least thirty years old. And it's better to be hired by the hospital as an attending physician smoothly."
"Oh! I think you have good skills. It would be a waste of your talent if you follow the steps step by step. What do you think?"
"Uh!" Xue Xiaoqiao was confused, "What does Zhang Fan mean by this?"
In fact, Zhang Fan really felt one thing after going through acupoints and flying knives several times, that is, he couldn't wait to build his own team.
The master has retired from clinical practice when he is old. We cannot rely on the master to find someone to fill in the hole every time there is a special surgery.
Outside of his mind, Zhang Fan's target person was Xue Xiaoqiao, so Zhang Fan was ready to start brainwashing this guy.
He could also see that this guy seemed to be not short of money. Although he rarely smoked, he occasionally smoked soft Chinese. His daily clothes were low-key but not cheap.
Because one time, Xue Xiaoqiao was wearing sportswear, and the little nurse asked in confusion: "Dr. Xue, is there still a Hui-Alai brand now?" Zhang Fan took a look at it at that time, and it was definitely not Hui-Li.
If you don't lack money, you can still come to the frontier. It's probably just your feelings. Now that your feelings are almost gone, what else can you rely on to impress others? It's technology.
"Most people can't do this kind of surgery as well as I can. I guess you've got the tea element. If you want to see my technique again, it will be very difficult!"
Zhang Fan ignored Xue Xiaoqiao's entanglement and seduced him like a wolf grandmother. It was not the business that caught up, so Zhang Fan slightly dug a hole for Xiao Xue.
"Well, Zhang Yuan, this is a bit unique!" Although Xue Xiaoqiao also recognized Zhang Fan's skills, Xue Xiaoqiao still couldn't be convinced.
"Haha, neither of us will draw any conclusions yet. Let's do the surgery first. You will know after you take a look!"
After finishing speaking, Zhang Fan stopped talking and started the operation directly.
Surgery, extracerebral surgery requires a very high level of precision, but compared to carotid artery surgery, extracerebral surgery requires less time.
The carotid artery is different. It must not only be precise, but also fast. Because of long-term ischemia, the sequelae of the patient will become more and more serious. Therefore, this kind of surgery requires not only precision, but also speed, that is, The so-called fast but not messy.
This happened to be what Zhang Fan was best at, so he was going to bury Xiao Xue in this pit.
Xue Xiaoqiao looked at Zhang Fan. Although he didn't admit it with his mouth, he was still looking forward to it. He was not stupid. According to his job title, he still wanted to go back to the capital.
But now in Chasu and Brain, he is the only one who can keep up with Zhang Fan. Therefore, the more awesome Zhang Fan is, the more he can learn, so our little Xue is also looking forward to it.
One shot and two draws, Zhang Fan's trap, Xiao Xue jumped, people are like this, no matter how to win over, they are not as good as what they want.
At first, once they entered the key steps of the operation, Zhang Fan and Xue Xiaoqiao became serious. The carotid artery was no joke. A large artery as thick as a finger could give her a bath of hot blood if she was not careful.
"Scalpel No. 11!" Zhang Fan took the surgical tape and made an incision in the artery very gently and steadily.
"Little dissector!" Step by step, Zhang Fan took the microscope and couldn't turn his head to look at the nurse. The nurse passed the instrument very gently.
After opening the blood vessels, Zhang Fan's stripper started.
How is this operation done? It is actually very simple. It is to close both ends of the blood vessel, then open an opening in the blood vessel, use a stripper to peel off the plaque attached to the blood vessel, and then use needles and threads to repair the wall of the blood vessel. .
In fact, the difficulty of the operation lies in closing the blood vessels, cleaning up the plaque and suturing to repair the blood vessel walls.
The blood vessel wall is very troublesome. Although it is a leaky screen like stockings, once its continuity is destroyed and the plaque is removed this time, plaque will continue to appear after a short time. New emboli form.
Just like a wall, the wall painted with white paint looks very white and smooth, but when you look at it with a magnifying glass, you will see that it is full of potholes.
Blood vessels are like this, that is to say, the repair must not be visible to the naked eye, otherwise platelets will adhere to this place and form emboli.
Why are people with high blood pressure and high blood sugar prone to thrombosis? In fact, it is very simple. When the blood in the blood vessels flows, it will still impact the blood vessel walls.
When blood pressure is high, or there is too much blood sugar in the blood, it is like the pressure of water flow, or like there is too much sand in it. When there is too much sand, the pressure is even greater, and long-term erosion will damage the blood vessel wall in advance.
When the blood vessel wall is damaged, platelets and coagulation proteins are like repairmen, sticking to the damaged area to repair it. Over and over again, the blood vessel wall is like repairing patches on pants, layer by layer, until the blood vessel is finally blocked by the patch. It's clogged.
The knife cuts open the wall of the tube, and the stripper is inserted directly into the bottom of the plaque like a shovel.
Xue Xiaoqiao's mouth opened, "Zhang Yuan, do you want to peel it off all at once? The blood vessel wall will be broken!"
The young man's voice didn't even dare to tremble when he spoke. To be honest, Zhang Fan's method was too overbearing, just like a snowplow or an icebreaker, going straight forward.
Xue Xiaoqiao was deeply afraid that if his voice was louder, Zhang Fan would scratch the blood vessel wall, and the trembling could be heard in his voice.
"The longer the blood vessel wall is exposed to the air, the greater the damage, so it must be fast!"
“Gulu!”
The walls of blood vessels are so thin that they look as thin as cicada wings under a microscope, but Zhang Fan's dissector moved directly.
When other doctors perform this kind of surgery, they separate it bit by bit, and they will never do it like this.
The stripper carries a kind of chisel, a flat metal chisel, the chisel is cooled by the metal, and it shovels down without any hesitation.
Xue Xiaoqiao almost screamed. He didn't dare to look at it. He was worried that if Zhang Fan went in with the chisel, a big hole would appear in the blood vessel.
If there was a hole in the carotid artery, it would be like putting Fatty Song on the operating table without even thinking about it.
"There are certain gaps between plaques and blood vessel walls. This kind of surgery must be performed in the gaps to find their breakthrough feeling, just like gently popping bubble gum bubbles. There must be a slight bursting feeling. Not the rupture sensation of tearing some kind of membrane!”
Zhang Fan explained to Xue Xiaoqiao while doing it.
Fatty Song was too desperate. The plaque emboli of other people were the same kind of small pearls in passion fruit or milk tea.
As for Fatty Song, he ate and drank so much that it was just shredded meat, or meat-like substances hanging in the blood vessel walls. There was oil in the blood, and fat was floating in the oil. It was no exaggeration at all. His blood vessel walls It's like a plate full of hair and blood.
"Gauze!" Like sticky phlegm, when Zhang Fan dug in, the plaque was separated, and then the sticky phlegm-like flesh strands were gently wiped out by Zhang Fan with gauze.
Xue Xiaoqiao looked at the intact blood vessel wall and then at the gauze in Zhang Fan's hand, and the baby's heart almost came out of his throat.
But looking at the complete blood vessel wall, his unsatisfied heart went crazy. What is technology, this is technology, what is level, this is level.
"How do you feel this sense of breakthrough? How do you feel it.
When I was in the capital, no one ever directly peeled off the whole body. They all peeled off bit by bit, which cut the operation time in half!
How do you feel about this breakthrough? "
"Haha, do you want to know?"
"Think!" Xue Xiaoqiao, who was wearing a microscope, looked up at Zhang Fan like a Teletubbies.
"Haha, come on, let's see how I repair blood vessels!"
