Zhang Fan, led by Yang Hao, walked with the dean of the First Affiliated Hospital, followed by a group of general surgery doctors.
In particular, a group of residents who were about the same age as Zhang Fan secretly watched Zhang Fan from behind and whispered: "The third generation of Qiu sect, these are much better than the fourth generation of rhinestones like our director. Did you hear that?" , Academician Lu is now giving lectures in major county hospitals."
"Why don't you come to the Bird Market? After all, the Bird Market is still the capital of the province! It's a waste for an academician to go to the county hospital!"
"Nima, isn't the Blue Bird bigger than the Bird Market? Isn't the capital bigger than the Bird Market? This is all because of Zhang Yuan's face. I don't understand how you graduated with a master's degree and didn't wash your socks for your wife!"
The person being criticized was so red that he didn't know what to say.
Of course, these words can only be said privately by the hospitalized dogs. They don’t dare to raise their voices. The unit is not a school, and the director is not the former head teacher who is shady and evil.
Entering the ward, Zhang Fan saw the patient, a middle-aged man who was so thin and haggard that he couldn't even see it anymore.
And the whole body is covered with various plastic channels, like white thin candles for a birthday, and they are almost lit.
The passage in the chest is a drainage tube. Because of the fistula, the leek leaves, spinach leaves, and pig's trotters that I eat all leak into the chest cavity to a greater or lesser extent. This thing can be left for a day or two without any problem.
But once forty-eight hours passed, fermentation began and pus formed. The local hospital did not have a horizontal chest opening and had to insert a tube for drainage.
Sometimes it is helpless to say that, for example, in many county hospitals, various interventions are booming, such as cardiac interventional bypass. It seems that it has improved the medical level of the hospital, but in fact, it is purely moving forward.
A county hospital that doesn't even have a cardiac surgery department dares to perform cardiac intervention. If the heart is punctured, are you prepared to let the patient die on the spot, or are you willing to open the chest and seal the hole?
For example, a hospital was unable to perform closed drainage of pleural air, but it turned out that they had a bronchoscope! It's still flying.
There is no way to talk about this kind of thing. If nothing happens, it is indeed convenient. Patients in the county do not need to go to the city or higher-level hospitals for treatment. Once something happens, the patient will be the most unlucky.
For example, this patient is, but what can Zhang Fan say, standing in front of the patient and blaming his initial hospital? It was useless, so Zhang Fan could only take good care of the doctor.
The patient has tubes in his upper body and many in his abdomen, including urinary catheters, drainage tubes, and nutrition tubes.
The small intestine is a big eater of the human body. For example, in the gastric mucosa, if you don't eat for 48 hours, you will feel uncomfortable at most, but if the intestines are not good, once you don't eat on time and on time, the villi on the intestinal mucosa will become necrotic and degenerate.
What do villi do? They are the mouth of the intestine, used to absorb nutrients.
For example, many people are very determined to go on a diet without eating. They say they won't eat, but insist on eating breakfast every day for ten and a half months.
Sure enough, she lost weight, her big face turned into an awl shape, and her belly disappeared, but suddenly she seemed to be a sickly beauty.
I get stomachaches and abdominal discomfort from time to time. I go to the hospital for a check-up and there is no problem at all. I used to eat hot pot, even if it was spicy, but now I can have loose stools as straight as a whip if I eat a little spicy food.
This is why dieting causes damage to the intestinal mucosa, and this damage is irreparable.
Therefore, in the hospital, if a patient cannot eat for a long time, he will never simply give you some fat emulsion, some glucose, vitamins, etc. First, he will make an eye in your stomach, and then put the food in the chyle directly. Enter the intestines.
This is not only to maintain life, but also to prevent intestinal necrosis.
After seeing the patient, Yang Hao quickly introduced Zhang Fan to the patient and their family members. This is a rule in the medical industry. This is also known as the patient’s right to know.
"This is Dean Zhang, an expert in general surgery. We specially invited you to consult with you." Yang Hao did not mention the tea element. Sometimes it is true that the less the doctor talks, the more problematic it is. When the condition is mild, some doctors will teach the patient a lesson with a fierce face.
Because he knows that as long as he takes good care of the disease, he can say anything, and whatever he says is right. But if the disease cannot be cured, the doctor will treat his words like gold.
And the tea content is not as good as Bird Market. Ordinary people are not very clear about this.
Zhang Fan smiled and nodded, then realized that the temperature of his hand was still okay, and then he started to do a physical examination.
To be honest, this was the first time he had seen leaks like this. Damn, if you eat a fish, you will get sepsis, which will kill you.
The shriveled abdomen and the bowel sounds were extremely weak, but the body was as hot as if there was an electric heating device inside. It's really a suffering. There is a trachea near the neck and a urinary tube underneath. Weak hands raised are all extravagant hopes.
People, once you can't eat by yourself, you have to rely on others to feed you, and you have to rely on a catheter to defecate and defecate, it's really a life worse than death.
Putting his hands on his chest, his breathing range was obviously limited. "This was obviously caused by an infection inside the chest."
The bowel sounds were as if they were not there. I put the stethoscope on it for five minutes and then I heard a slight moaning sound from the intestines. It was like a little kitten without its mother.
The structure of the human body is very strange. Many parts are similar or even have the same origin, such as the kidneys and eggs. These two guys even lived together when they were young, but when they grew up, they separated and worked in different jobs. .
For example, if you look closely at the structure of lips and anus, you will find that they are obviously the same thing.
Although similar, they are still slightly different after all. This slightly different structure results in a huge difference in function.
The eggs can secrete facial masks, and if your kidneys are exhausted, you will just urinate blood.
The anus and lips are even more different. If you put a banana in the anus, you can easily pinch it off without exerting any effort. But if you try it with your lips, it will become swollen and you can't pinch it. Of course, biting your teeth counts as cheating.
Therefore, people are born with advantages, but they may not always be advantages. The hard work they acquire is the most important. If you don’t work hard, you may not be able to cut off the banana. Of course, reincarnation is not something to discuss.
The same goes for the intestines and esophagus.
But the anatomical descriptions of these two things are different. The esophagus is a muscular tubular organ that is flattened front and back, while the intestine is a tubular organ. But in fact, their structure and organization are exactly the same.
The intestines are like soft worms with many legs, pushing food through the anus in waves. The same goes for the esophagus, which also pushes food toward the stomach in waves.
If you don’t believe it, if you hold a big cauldron upside down and eat an egg, the egg will still enter your stomach.
Moreover, they all have four layers, the inner membrane, the muscle, the outer membrane, and the mucous membrane, which are exactly the same. But when it comes to the muscle layer, it's a little different.
The muscles of the small intestine are hard but not flexible. It's round and round, like a girl pouting, and has some shape to the touch. The muscles of the large intestine are like a greasy middle-aged man. They have lost their hardness, but they are still tough.
The muscles of the esophagus are like a layer of cotton wool, unable to hold up even a little bit of weight.
In this reality, everyone can discover it. For example, if you eat braised large intestine, if the heat is not enough, you will feel like braised rubber, and it will take a long time to pull, which is a waste of teeth. But the small intestine is different. It tastes like one bite at a time.
As for the esophagus, when you eat it, it's like eating a steamed bun with some meat, not chewy at all.
"Surgery is difficult, but now the liver and kidney function can barely support it. If the surgery is not done as soon as possible, if I want to have surgery in the future, my physical condition will not be able to support it."
After Zhang Fan completed the physical examination, he not only informed the doctor attached to the first hospital, but also informed the family members and patients.
"Yes, because this kind of surgery is not easy! The opinions within our department are not unified yet."
"Okay, let's go to the office and ask the family members to strengthen the patient's nutrition in the past few days. There must be no shortage of protein and fat."
When the dean saw it, he quickly dropped the subject and don't talk about his own shabby things in front of the patient.
Entered the office. Zhang Fan was not polite and sat directly on the top position. This makes sense. If you hold an administrative business meeting, no matter how good the surgery is, Zhang Fan is still not the director of that hospital.
But when it came to surgery today, Zhang Fan had to be confident in his attitude. After all, he had already developed the ability to control things after flying knives so many times.
"First of all, I would like to commend the bed doctor of the General Surgery Department of the First Affiliated Hospital. After the patient's fistula was formed, he provided various drainages as soon as he entered the hospital. It seemed that the damage was very serious. In fact, you created this for the patient. hope of life.
Although it cannot be completely diagnosed and treated, this step is the basis for all future treatments. Yes, the doctor attached to the first one can still do it. "
As soon as Zhang Fan said this, a bed attendant stood up and bowed slightly excitedly. Then he said it was a verbal medical order given by a superior teacher.
Zhang Fan nodded to a deputy director, "An old doctor is an old doctor, he has seen a lot. Director Li, have you seen this kind of injury?"
The superior deputy director of the bed doctor felt conflicted at first when he heard Zhang Fan's roll call. Although he was not as good as Zhang Fan, he still had status after all. It was like a foreign monk who could chant sutras. If you Here comes an expert from the capital. People don't have this resistance in their hearts, which is very strange.
However, Zhang Fan's first few words have already made the director extremely satisfied, and he has already entered working mode. "Zhang Yuan, to be honest, I haven't seen it before. I only gave oral medical orders based on instinct. The comrades below are very capable of executing them."
"Yes!" Zhang Fan smiled and nodded, then turned to ask Lao Xu, "Dean Xu, you are a senior, have you ever seen this kind of injury?"
After thinking for a while, Lao Xu said: "Thirty years ago when I was a resident in the Department of Surgery, I saw such a case. However, after the patient entered the hospital for examination, no operation was performed. When he heard about the operation fee and nutrition Fei, I took him home directly."
"Yes, esophageal cancer is more common here in the northwest, while esophageal fistulas are rare, and more common in the south. Director Yang, did you ever see this when you were studying for advanced studies?"
"I have seen it before. I have seen it when I was involved in foreign affairs. The operation is very difficult, mainly because the probability of secondary fistula formation after suturing is extremely high, and the patient in our department has already developed sepsis.
His ostomy is more difficult to repair! So I advocate asking for a flying knife. "
"Yes!" Zhang Fan nodded, "Director Yang is right. This kind of cautious attitude is a qualified director of general surgery. This operation is difficult, especially in the case where fistulas are rare in the northwest. Difficulty. Therefore, for this operation, I need the full cooperation of all the chief experts from the attached one!
It takes about six assistants! "
When the directors of the first branch heard this, they thought it would take six people to repair a hole. You didn't say that on purpose just to support your nephew.
But everyone just thought about it for a moment. The operating table, especially this kind of flying knife operating table, is almost the same as the battlefield. Zhang Fan should be no joke.
In fact, when Zhang Fan was asking questions, he took a look at the system. This kind of fistula repair surgery after infection and suppuration.
To be honest, there are countless surgeries, but there is really such a tiny corner surgery that can make you confused.
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