Doctors don't brag among themselves, but to be honest, they do brag. On the lower end, he will brag about some super awesome surgeries he has seen, and his teacher’s teacher’s teacher performed some surgery on a certain big shot.
If you are a little taller, you will show off, hey, there are too many operations today, the patient insists on me, and he is not happy when other doctors in the department perform operations on him.
The mid-range ones are good at boasting. Recently, my scientific research project team has been attracted by the section chief who allocates funds. It is estimated that a large amount of money will be approved. Then I am struggling with whether to change to the laboratory's electronic display or to change to ultra-high frequency culture. machine.
You can't boast at the high end. They can't sit next to each other. One despises the other. What he is studying is wrong from the beginning!
The doctors at Harbor were really dumbfounded.
When one side is in trouble, support from all sides is not something that ordinary countries can understand.
This thing seems to be a simple word, but in fact it contains the most basic quality of China.
When there is nothing to do, people from Sanchuan look down on people from Shaanxi Province. Their food is not as good as ours. They either have dough or steamed buns.
Nanhu people look down on Sanchuan people, how can they still count on eating chili peppers? It's just a little bit of chili pepper added to the Sichuan peppercorns to scare people.
Those from Hui Province look down on those from Sujiang, it’s amazing how rich they are! Your capitals are within our boundaries.
Anyway, it’s just a competition of drinking capacity on both sides of the river, and a competition of chili peppers up and down the river.
But once something happens, Guaiguai, with thousands of troops and horses, makes people feel that they are so happy to be in China, and the Chinese people are so cute, but what the hell is, when nothing happens, they start to fight each other again.
This time, it was a moderate operation. At the beginning, there was sarcasm in the harbor, and the media in the golden retriever country had noses as sharp as dogs, and they started making jokes from across the border early.
"After all, China's development in brain surgery is still slow. If this Justice of the Peace were in our country, not to mention Mayo, not to mention Cleveland, any state hospital can perform brain surgery!
We now strongly demand Zhongyong Hospital to announce the gentleman’s condition! "
After Jin Mao finished speaking, Mi Dao said, after Mi Dao finished speaking, Li Jiapo said, as if they could cure the disease at their fingertips.
To be honest, if this disease were released to any country, it might not be possible to cure it.
Their medical treatment is really advanced than that of China at the top level, but it is not inferior to China.
But China’s primary medical care is inferior to the rest of the world, even though few Chinese doctors and nurses have good tempers.
There were all the big names in the medical field present at the meeting, and each one looked uglier than the last. At their level, face was a very important thing.
Everyone is trying their best to let those who look down on China take a look.
Therefore, when Zhang Fan expressed his confidence, the big bosses stood up one by one, regardless of fame or fortune, and did not compete for words.
Zhang Fan stood in the position of the surgeon. He held gauze with both hands and gently covered the patient's craniotomy incision without taking action immediately.
Zhang Fan didn't move, and all the other doctors stopped. Looked at Zhang Fan quietly.
At this time, both the leader of the expert group and the major directors outside Zhongyong's mind were all waiting quietly.
"Report physical signs!"
"The patient's blood pressure is 160/110mmhg, heart rate is 120..." the anesthesiologist immediately reported the patient's vital signs.
"Teacher Chen, lower your blood pressure as low as you can." Zhang Fan said softly.
"Okay, temporary shock blood pressure is fine, but if the blood pressure is too low for a long time, it will lead to insufficient perfusion and reperfusion injury."
The professor from Lanshi Medical College looked at the professor from Yaxiang. After the two made eye contact, Professor Chen from Lanshi said something in his awkward Mandarin.
Professor Chen is also a man of genius. Both of his children are academicians of the Academy of Engineering in the medical field. But when it was his turn, he was not selected because of his age.
Therefore, in the past few years, the old man had criticized the expert committee for selection as soon as the class started.
The old man taught Zhang Fan and the others physiology courses, and his difficult-to-speak Mandarin was occasionally mixed with serious spoken English words. To be honest, taking his class was like listening to a book from heaven.
Sometimes, he would also say, "You should practice your spoken English well. Look, my spoken English is better than that of my children. Even though I have never been abroad, I am still very good~!"
He is also the only old man who can lead postdocs and continue to teach undergraduates.
"Half an hour, I only need half an hour!"
"Twenty minutes at most, no matter how long it takes, I can't guarantee that there will be no damage if the patient is so old!"
The director of Jitong looked at Zhang Fan and said seriously. He was also puzzled that such a high-ranking and awesome surgeon would have to go into shock and blood pressure for half an hour, and this was when the brain stem was damaged.
"Didn't you get a Ph.D.? You should have understood it when you had a master's degree!"
The other doctors didn't say anything, but they had some doubts in their hearts.
The old man from Lanshi looked at Zhang Fan and said: "I knew it, I knew it. You must have been in the surgery department and didn't take your physiology seriously. Okay, okay, there's no way to go now, there's no way to go. !”
Zhang Fan was sweating. This old man was so cute. He actually made Zhang Fan enjoy the feeling of being a student again.
"Get the amiodarone, I'll try to delay it for you, hurry up!~" But the teacher is still a teacher, and when he saw the student in trouble, he also tried his best.
"Mr. Chen, it's very dangerous. It takes too long." Jitong's professor looked at Old Chen and tried to persuade him. He muttered in his heart, "He is a surgeon. He doesn't understand anything. Why are you, a teacher of internal medicine, following the students?" What a mess!"
"I'll be responsible if something goes wrong. No one else can. Now that my students dare to take over, it will take some time. Can I not help? It's better to be in danger than to have the patient die on the operating table. I've decided! What do you think? .”
To be honest, even if I speak irresponsibly at this time, with a lifetime of reputation weighing on me, I am really a man of good temperament.
Everyone looked at each other! Finally, the professor in Zhongyong's heart said: "Half an hour at most, Zhang Yuan, any more would be too dangerous. If the operation is not completed, I might end up in a vegetative state!"
"Half an hour, please!"
After saying that, Zhang Fan took away the gauze that had turned into a red scarf, turned his head and nodded gently to Lao Chen and the others, "Reduce your blood pressure!"
Antihypertensive drugs are given directly intravenously.
The blood pressure quickly jumps from high pressure to shock blood pressure.
Blood pressure, the blood pressure of the human body, why does high blood pressure damage the body?
In fact, high blood pressure can cause damage to the blood vessel walls, and excessive pressure can cause the terminal capillaries of some organs to dilate and form congestion.
Also, high and low blood pressure is the most damaging to blood vessels.
Many elderly people in the family have high blood pressure and feel that they are no longer dizzy or dazzled recently. I stopped taking medicine on time, and after a few days I felt uncomfortable, so I started taking antihypertensive medicine again.
This is absolutely not possible. Taking antihypertensive drugs actually controls blood pressure at a stable level. It fluctuates high and low. Not only is it more likely to damage blood vessels, but it is also particularly likely to cause cerebral infarction.
Therefore, when you have high blood pressure, do not listen to any folk prescriptions, and remember to insist on taking your medicine.
When the blood pressure dropped, Lao Chen and the others were worried, fearing that the patient would suffer from blood clots and infarction.
At this time, if another infarction occurs, such as pulmonary thrombosis or coronary embolism, there is no need to perform surgery, and the white cloth can be pulled directly.
Just as the blood pressure drops, "GO!"
The leader of the expert team, Lao Li from the Second Department of Neurosurgery at Zhongyong, also used a small retractor to stretch Zhang Fan's brain tissue to create a surgical field.
Surgery is difficult to say, as it requires a lot of attention. A sterile concept has many rules.
For example, sterilized hands should not be higher than the shoulders or lower than the waist. No matter whether you touch something, once it is higher or lower than these two positions, it is considered contaminated.
Doctors and doctors must exchange positions during surgery, back-to-back, and never face-to-face.
Therefore, in the operating room, if the doctors are waiting for the patient to be examined, you can see a pair of doctors hanging their hands like Erha. If they don’t have masks and stick out their tongues, they are really a group of Erha. .
If you describe it briefly, it is actually simple.
It means two or three people try to pull apart the muscles, and let the other person use a knife and fork to repair the deeper tissues.
The pulling of brain tissue is not the pulling of other places, such as the abdominal cavity or limbs. The retractor is like a rake. Sometimes, the doctor has to use a lot of force to pull it open.
But, if the brain is not good enough, this thing is just a piece of meat. When pulling, let alone using too much force, even if the pulling is slightly inappropriate, this thing will make you collapse instantly like the cream on a birthday cake.
And what are Zhang Fan and the others doing now?
In fact, I just gently opened a gap along the gap of the cream cake, and then repaired the red rotten strawberry in this gap.
It is necessary to repair rotten strawberries, that is, plasticity. Use small tweezers and scissors to piece the broken strawberries piece by piece according to their original appearance, and then use transparent tape to find a way to stick them together.
This is what brain surgery means.
It sounds difficult, because everyone knows about cream. This thing will easily collapse if you don't pull it, let alone if you pull it.
In fact, it is more difficult than this, because the brain is a cream cake with a layer of capillaries that resemble fishnet red stockings inside and outside.
Doctors just cut off the blood vessels of other organs in the body, because most of the blood vessels inside the body are circuits. If the left side is broken, it can continue to supply this piece of blood from the right side.
But that’s not the case with cerebral blood vessels. This thing goes all the way to the dark side. If you break it, there is no way for it to recirculate.
Therefore, after being rescued, many patients with cerebral hemorrhage, like Nicholas Zhao Si, have a crooked mouth and lame legs. This is because the blood vessels responsible for the mouth and legs cannot be repaired, and the brain responsible for this area has stopped working.
The brainstem is even scarier.
If you don't know which part to move here, the patient will be able to hold his breath to death.
You don't know which part of the body can be moved to cause the patient to develop a fever and then cook it into a roasted chicken.
You don't even know if you move that part, the patient's heart might jump out of your mouth.
Because respiration, heart rate, and body temperature are all closely related, it is no exaggeration to call the brainstem a forbidden area for surgery.
Zhang Fan held small-toothed forceps in one hand and carefully held ophthalmic tweezers in the other.
Just like when Japanese soldiers enter a village, they take a step forward and take a look. If they take a step forward, they take a look quietly. They are afraid of stepping on thunder.
Time is ticking.
Five minutes passed.
The sweat on the face of the general internist is flowing down, aren't you nervous? Anyone who is not nervous is stupid and bold.
Now Zhang Fan is dancing, just dancing on the two eggs they created. If he is not careful, the egg will break and he will be killed.
ten minutes
Finally, he entered the front of the ruptured blood vessel.
At this time, because of the blood pressure reduction, the blood vessels are like a naughty little kid hiding behind the door of his house and spitting at people outside from time to time.
When they saw the little boy, not only Lao Li, but also the leader of the expert team and even Zhang Fan held their breath.
Because no one has died so far, it shows that Zhang Fan's surgery is effective.
However, this is just the beginning. Being able to get to this point only shows that Zhang Fan is a master outside the mind. The real difficulty begins.
Everything in the front is just an appetizer.
The blood vessels spitting out saliva are just like the women who wore coquettish clothes in small alleys in the early years and had a thick layer of white powder on their faces that showed their age!
"Come on, come on, uncle, come and have some fun!"
Puff, puff, the fibrous threads of broken blood vessels danced in the blood, just like the handkerchief in a woman's hand, seducing the doctor's soul.
Doctors are like a man who is looking for flowers. He knows that he might be arrested by the police, and he might be infected with some kind of poison. But his brother's tenacity makes him know that there is a tiger in the mountain, and his brain is like crazy, and he must go. Look at the depth inside!
Zhang Fan took a deep breath.
Success or failure depends on this.
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