A drink, a peck, all have a certain number. Whether it is a person or a certain unit, seemingly irrelevant things, seemingly small enough to go unnoticed, are often the basis for tracing the source.
In the early years of China, a huge country, orthopedics flourished everywhere, and all hospitals, large and small, had certain standards.
With economic development, hand surgery, which was separated from orthopedics, was no longer taken seriously.
First of all, this surgery is difficult to perform. The muscle structure and nerve structure of a simple hand are quite complex. After all, the hand is the second special organ that human beings can boast of, surpassing all animals and plants on the earth.
Secondly, this subject is not very profitable. In the past, if a broken finger was sent to a public hospital, two doctors would do it for a few hours, and the doctor's income would only be 30 yuan per clinic fee.
Therefore, this area has been abandoned by many, many doctors and many, many public hospitals.
However, Shanhua has a group of doctors who are at the forefront of the economic wave but don't care much. They just focus on making watches as if they are deaf to what is going on outside the window.
After decades of accumulation, from the wrist to the nerve, from relatively simple to relatively complex, it can be said that in these two disciplines, a small mountain stands at the pinnacle of China.
This is the role of a leader in a hospital or an industry. Don’t they love money? But they just started from this most money-oriented city in China, took up one of the least profitable subjects, and brought TN to its peak. It is really contradictory and incomprehensible.
The sublimation of watches has indirectly made neurosurgery smoother.
So when Shanhua's Shenwai stepped forward, no matter whether it was the capital or the devil's capital, only the Military General Hospital could compete with them, and the rest were no match. What do military hospitals do? Military hospitals are the last barrier to China’s health.
It can be said that from this point of view, the original group of doctors can be admired.
Craniotomy, transplantation. Blood vessel transplantation, not to mention inside the brain, even in other parts, is a very troublesome operation.
Blood vessels can be said to be channels for transporting oxygen, so once there is ischemia and hypoxia, this guy's underwear will self-destruct after a little time.
Just like an irritable girl who tore her clothes to pieces when she was drunk.
The vascular underwear is the flashpoint for coagulation in the coronary system. In layman's terms, once the underwear of this thing is broken, the platelets and coagulation proteins in the blood may coagulate and form thrombus at any time.
Therefore, the blood vessel transplantation surgery is best completed within half an hour.
Dr. Ye started the operation with his assistant. Zhang Fan stood beside the operating table, looking at the patient's vital signs and electroencephalogram, and took the time to look at Dr. Ye's technique.
Nerves mainly rely on radio waves to propagate, so brain waves are actually a regular curve.
A nerve sends out a wave, so there are countless wavy lines on the brain wave, just like the curve chart of the stock market.
There is a joke here, it is said that a divine doctor used his mobile phone to read the electroencephalogram transmitted back by the patient. As a result, another patient took a look and said: Hey, you still dare to read the stock market when you go to the clinic, and then turned around and handed the doctor over. Sued.
After entering the skull and administering the drug, the patient's vital signs were stable. Dr. Ye started the transplant.
Extracerebral surgery requires not only precision but also pre-operative examination.
Moreover, the success rate of extracerebral surgeries has actually only begun to improve in the past ten years. It is not the improvement of doctors' surgeries, but the improvement of examination and diagnosis instruments.
The patient's shaved head was mapped, and Gentian Violet had already drawn the surgical route on the skull.
How to open a craniotomy? There are many methods. In grassroots hospitals, they are nothing more than old-fashioned drills and bone knives. Just like a butcher, hammer and chisel are used to smash open the skull. It is estimated that the patient will have a concussion after surgery.
First drill a few holes, and then use a bone knife to pry open a piece of the bone. It's like eating old-fashioned luncheon meat. If you accidentally break the pull ring, you can't use a screwdriver to make a hole first, and then use pliers to force the iron cover open.
After the operation, the patient's skull is often severely damaged. There is no way to sew a metal mesh on the skull. It is very cruel. Sometimes, through the metal mesh, you can directly see the brain moving.
But Shanhua is not comparable to grassroots hospitals. Their craniotomy was much more elegant.
When the air drill opens the hole, the damage caused by this air drill is much less than that of the old-fashioned drill bit. Draw a heart-shaped pattern along the skull, then make a small hole three centimeters from the top and the other three centimeters from the top.
The skull is like a sewing machine stitching together clothes, and the small holes form a heart-shaped pattern.
Then, in the center of the heart-shaped figure, use sutures to penetrate and tie a knot, and then gently pull, and the skull will be completely pulled up, which is simple and causes little damage.
Pulling up the skull, the brain immediately appears in front of the surgeon's eyes. At this time, my brain was as panicked as a girl whose skirt was blown open by the strong wind.
It squirmed gurglingly, more like boiling brains in a pot of water.
Look for blood vessels, use 0.3mm surgical forceps to look for blood vessels.
Just like when eating hot pot, you use chopsticks to fiddle with the brains. You want the brains to be heated evenly and not to be punctured by the chopsticks.
Very particular.
Zhang Fan looked at Dr. Ye's technique and kept sighing in his heart, "It's so amazing. Dr. Ye and his family don't know how many pig brains they have eaten."
Zhang Fan, who has been practicing in the system, is very aware of the difficulty of this operation. Without a system and thousands of pig brains, this operation would never be possible.
The outer layer of the mucous membrane is as thin as a cicada. Not to mention the big error in the movement, even a few millimeters of tweezers can break the mucous membrane.
How thin the outer layer of the mucosa is, and most people don’t even know what cicada wings are.
The simplest one, sorghum syrup, is a local specialty in Dongshan, sorghum syrup. I guess many people had eaten it when I was a child.
When you open the candy wrapper, you will see that the thin white transparent thing wrapped around the candy is actually similar to this film and can be blown apart by strong winds.
You can think about how difficult it is to use a needle and thread to transplant the icing from one candy block to another without destroying the icing.
Zhang Fan looked at it and kept comparing it in his mind, "Well, I can do it like this."
"Well, I should do better than Dr. Ye here!"
"Well, I can't do this as well as Dr. Ye. It seems I have to go back and practice again."
In a profession of three, there must be one teacher. The profession of doctor is so pathetic. There is always room for improvement and room for improvement.
"Director, the patient's blood pressure has dropped! He may have gastrointestinal bleeding."
"Blood transfusion!" Dr. Ye did not dare to speak. At this time, Wu Laoteng stood up like a leopard and said to the traveling nurse.
Doctor Ye was holding the epicardium in his hand, and he was so anxious that he could jump up and bite someone. If it doesn't bleed sooner, it won't bleed later. Now it's the most critical moment, the patient is bleeding!
"Zhang Fan!" Mr. Wu shouted in a low voice.
This is like an order to charge. The old man knew that Zhang Fan might be a little behind him in terms of surgical maturity, but in terms of the speed of entering the abdominal cavity, he was definitely no match for this kid. That was the age difference.
Therefore, Mr. Wu did not stand in the position of the chief surgeon, but gave up the position of the chief surgeon to Zhang Fan.
Zhang Fan didn't hesitate. This was not the time to be polite. He had to have the courage to do his part.
Life and death are on the line.
How do I put this thing called the brain? Just like a computer, it will crash. Especially under some special circumstances.
Under normal circumstances, when the brain is fine, for example, if there is bleeding in the digestive tract, the brain will act like a very awesome general: the blood vessels will begin to contract, and you generals will go and repair the holes in the mucous membrane of the stomach.
Hula la, a group of platelets, proteins, blood vessels, adhesion, contraction, and the hole was repaired.
This is why extremely angry people sometimes vomit blood due to anger. Most of them can only make up for one or two mouthfuls of blood under the command of their brains.
It feels very handsome.
However, once the brain begins to suffer from ischemia and hypoxia, many factors and hormones in the body cannot be controlled. Just like the last dynasty at war, each has its own rules.
Moreover, the earliest reflux is often in the digestive tract. I quit, so why do I have to pretend to defecate while serving rice?
Under the stimulation of various hormones, a stress state occurs and the digestive tract begins to bleed. At this time, the stomach and nerves are still listening to the brain's instructions.
But as for the brain, due to ischemia and hypoxia, it can hardly take care of itself. The nerves of the digestive tract feed back to the brain: Boss, the digestive tract is bleeding, is it constricting the blood vessels?
"Shrink your balls, I'm going to suffer from hypoxia and ischemia. Please expand my blood vessels and increase the delivery!"
Then the heart immediately began to beat faster, and the blood vessels began to become congested and enlarged like a cavernous body. This time, like a domino, the mountain collapsed and the sea cracked.
There is a saying here that the places most controlled by the brain are the heart and lungs.
To put it simply, I have heard of people drowning, but I have never heard of people suffocating themselves to death. Therefore, the heart and lungs are not controlled by the human will, but are controlled by the brain.
Once the brain fails, the heart's first priority is directly to protect the brain.
The digestive tract is different. This thing is like a person wandering on the edge. Most of the time, it listens to the boss's brain, but sometimes it doesn't listen to the brain's greetings.
For example, in the peristalsis of the intestines, the brain says: Come and play a fast-paced disco for me. At this time, the intestines ignore the brain and continue to slowly peristalsis on their own.
And once there is a stimulus, such as eating inappropriate things, poisonous mushrooms, etc., this thing will immediately crawl somewhere and pretend to be dead, and I will not move. Did poisonous mushrooms poison it? No, but it just lay there pretending to be dead and not squirming, as if to say "What can I do!"
Therefore, when the brain is ischemic and hypoxic, the gastrointestinal tract bleeds.
The current situation is that the cerebral hemorrhage is about to improve, but the digestive tract no longer listens to greetings, "You are congested for a while, and not congested for a while, I won't play with you anymore!"
The focus of the surgery slowly changed from the brain to the digestive tract.
Half an hour of blood vessel suturing was about to end, but the gastrointestinal tract was bleeding.
Dr. Ye held his breath and did not dare to let any extra sound enter his ears, because he was worried that he would be affected and his efforts would be ruined.
"It's okay, it's okay, it must be okay. Mr. Wu is here, Mr. Wu is the surgeon, it will be fine." I muttered in my heart, and continued to sew the anastomotic blood vessels under my hands.
Stitch by stitch, the blood vessels were like a pocket, and the opening was slowly closed.
After the last stitch, Dr. Ye dared to take a breath and said, "Quick, open the closed blood vessels! How is your blood pressure?"
The first half of the sentence is for the assistant, and the second half is for the anesthesiologist.
"The blood pressure continues to drop, and the bleeding is probably severe. Four hundred CC has been inserted, and there is no improvement."
His heart, which was originally clenched, became even more intense. Before he could take his eyes away from the microscope, a sentence popped up in his mind: "The operation was successful, and he died!"
This is a scene that no doctor in the medical field wants to see. The operation was obviously successful, but the person died. So the comprehensiveness of a human body is too nonsense.
Watching the assistant open the closed blood vessels, Dr. Ye took his eyes away from the microscope at this time.
As soon as he turned his head, Lao Ye's clenched heart almost jumped out of his chest.
He didn't say anything, but his heart suddenly burst out: "How could Old Man Wu do this? Such a big operation, such heavy bleeding, and he actually gave up his help in the operation to a young man!"
The thrilling steps of the operation made Lao Ye almost jump up and curse. To be honest, it was Lao Wu today. If he were a doctor in their own hospital, Dr. Ye would probably jump up and curse at this time.
Dr. Ye, with a livid face, immediately left the brain surgery site, "You closed the skull!" The harsh words made Dr. Ye's assistant feel a little nervous.
"What's wrong, boss?"
Leaving the surgeon's position, Lao Ye lay down behind Zhang Fan and looked over.
He is not an expert in general surgery, and he has nothing to do with severe bleeding, but he has a keen eye. He has never eaten pork and has never seen a pig run away!
Dr. Ye, who was lying behind Zhang Fan and looking out, was speechless.
Seeing the scene in front of me, my clenched heart slowly began to relax.
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