Zhang Fan's operation went very quickly. After Zhang Fan and Lao Wang cooperated, the separation speed of the abdominal organs was much faster.
Several assistants were dazzled by what they saw, especially the internal medicine military doctor who got out of the way. He stood on tiptoe and watched Zhang Fan's operations carefully. What he was thinking in his mind was: "This level is average. Why does it feel like he is slightly more skilled than me?" It's a little bit better. If I practice a bit, I'll probably be at this level.
Was it really wasted when I entered internal medicine? "
People are like this. When Zhang Fan didn't come, he was so frightened that he almost cried. Now there are people who are full of energy. I am the best in the world.
The first host of liver hydatid is dogs. This disease, in layman's terms, is when dogs come into contact with sheep, and then people are infected with hepatic hydatid when they come into contact with water sources contaminated by dog feces.
It’s not that you are not allowed to raise a dog, but you must be careful when raising a dog. Liver hydatid is prevalent in a relatively wide area, but each place has its own characteristics. For example, in the Golden Retriever, the first host is actually a fox!
On the Chinese side, there are all kinds of dogs. Therefore, dog owners must pay attention to washing their hands carefully after contact with dogs, not letting dogs come into contact with human food, and ensuring that dogs are vaccinated on time.
If this kind of thing doesn't happen, then forget about it. Once it does, it will be something that people cannot regret.
The treatment of this disease is particularly troublesome. There is a saying about this disease in internal medicine books. The treatment of liver hydatid is difficult. It generally relies on the cooperation of extremely skilled surgical operations and internal anthelmintic treatment to achieve a certain degree of success. treatment effect.
When did internal medicine treat surgery so politely, and placed special emphasis on extremely skilled surgical procedures? This kind of thing is actually not simple.
Because those who are not skilled in surgery will relapse after the surgery is completed and cannot escape.
"Goggles!" After entering the abdominal cavity, Zhang Fan completely mastered the operation. The circulating nurse quickly put on the goggles for Zhang Fan and the others.
If this kind of surgery is performed at Chasu Hospital, a group of professional hepatobiliary surgeons will generally not wear goggles. How can I say this thing, it still affects the field of vision a bit.
But today, Zhang Fan had to ask everyone to wear goggles. It would be tragic if one of the two assistants with two swords accidentally splashed insect eggs into the eyeball.
After putting on the equipment, Lao Wang held the suction device and Zhang Fan held the large syringe, "Reduce the blood pressure!"
This blood pressure reduction is not to lower blood pressure, but to reduce the pressure inside the eggs.
The circulating nurse quickly handed Zhang Fan a large syringe.
How to describe liver hydatid at this time is like a condom filled with pearl milk tea. The pearls kept squirming inside the condom, and the turbid liquid was about to overflow under the thin coat.
At this moment, this thing will break at any time. Once it breaks and the fluid with eggs flows into the abdominal cavity, it will be a serious medical accident.
Zhang Fan raised his head and glanced at Lao Wang, who nodded.
Although they had never cooperated with each other, with one glance at Zhang Fan, Lao Wang understood what Zhang Fan was going to do.
Cooperation, this is a tacit understanding, just like the bastard in ancient times. If the master wants to do something bad, he doesn't need to say anything. The bastard quickly presses the leg.
The pair of pliers, like picking up vegetables, gently picked up the capsule, and then moved their hands from side to side. The capsule was like stockings, and the lustful man used his nails to pull up a small tug.
At this moment, Zhang Fan gently opened the cyst, and then quickly inserted a large 100 ml syringe into the cyst. He put down the knife and took the pliers, holding the syringe in his other hand.
The speed was so fast that people were surprised. It wasn't that Zhang Fan was very skilled, but that he really didn't feel comfortable letting Er Duidao's assistant perform this operation.
When the operation reaches this point, it is actually the time to remove the condom after the fight between men and women. Once it is missed, the previous operation will be in vain. Don't say how much leakage, even if it is just a drop, this thing is not afraid of ten thousand, but afraid of the worst. thing.
Zhang Fan quickly drew out the liquid, making sure not to let it escape. The turbid liquid quickly entered the syringe without a needle. The turbid liquid almost looked like pearl milk tea.
The turbidity contained white, greasy, pearl-like transparent insect eggs.
After 100ml of liquid was extracted, the originally plump cyst quickly shriveled up like a big steamed bun fresh out of the oven.
Then, the suction device is inserted, and this time it becomes rough.
The thick negative pressure suction device was stuffed into the shriveled cyst. Zhang Fan controlled the strength of his hands and stirred inside the cyst.
This force must be appropriate, not only destroying the division inside the cyst, but not destroying the outer membrane.
How to describe it? This cyst is similar to a honeycomb. One big family is divided into many small families.
After completely destroying the cyst, Zhang Fan started the next step of the operation, "Exploration!"
Zhang Fan and Lao Wang started exploring the patient's abdominal cavity sequentially from the liver, gallbladder, pancreas, spleen, retroperitoneum, pelvis, inguinal canal and other places where dirt can hide.
"Safety!"
"Safety!"
After the two of them checked one side, they reported once.
"What a blessing among misfortunes. Currently, the liver is the only one that is intact, and the rest of the body is clean." At this time, Lao Wang gasped and laughed. "Zhang Yuan came in time, otherwise, I would probably have lost half my life today!"
Lao Wang was brave enough to lead a group of physicians to perform a second liver hydatid surgery. The physicians probably did not understand the danger involved.
But Lao Wang knows it too well.
If this kind of surgery is done well, no one will praise you. Once it is not done well and a medical accident occurs, there will be more accountability units than you can imagine.
Zhang Fan understood what Lao Wang meant, but since the operation was completed safely, there was no need to say anything else.
"Let's finish it first!" Zhang Fan nodded, gently took the knife and slowly separated it along the lower edge of the cyst.
Little by little, the cyst was removed.
The three physicians looked at the cyst that was originally as big as a steamed bun and now looked like a used condom. They were so proud that they couldn't believe it.
"Lao Li, take a photo quickly, of the two of us and this liver hydatid cyst. It's a second liver hydatid surgery! When I return to the unit this time, I must show it to the surgical guys in our hospital. It’s not that I can’t be a surgeon, it’s that I don’t even bother to do it! Can they handle such a difficult operation?
I can! "
The two internal medicine assistants were not filled with excitement at this time, but they were definitely filled with a sense of accomplishment.
This feeling, really, this kind of pleasure, if you have to find a comparison object, it is probably a fight between a man and a woman, a monk or a Taoist who meditates and enlightens the Tao!
Zhang Fan and Lao Wang smiled and didn't say anything. The three of them were just trying to get the job done. In this situation, they were willing to undergo surgery. They were really worthy of the profession of doctor.
"Ethanol, 95%."
For liver hydatid surgery, precision operation is one aspect, and chemical killing is also an important part.
Moreover, liquids that can kill insect eggs are also very harmful to the human body. For example, the most effective high-concentration ethanol has corrosive sclerosing cholangitis as a side effect.
After cleaning, start closing the abdomen.
Seeing Zhang Fan's sutures like a butterfly shuttle among the flowers, the medical assistant was a little greedy. With Lao Wang Mi Tang's flattery, he felt that he might be able to do it too.
"Zhang Yuan, why don't you let me try? Let's help stitch up such a big wound. It will be faster than you and Director Wang."
Zhang Fan smiled, nodded, and motioned for the instrument nurse to give them the needle holder and sutures.
The three people threaded the needle and thread in a serious manner, and then began to sew.
This thing looks simple, but once you get started, it becomes difficult.
After sewing for a long time, one of the young doctors said with emotion: "I don't hesitate to do this kind of work. I went down to prescribe medicine for the patient. This person's blood pressure is a bit high. I think β-blockers should be given sooner." use!"
As he spoke, he took off his clothes and stopped doing it. The operation was almost over, and Lao Wang would not continue to praise without conscience. Without honey, the sense of accomplishment is instantly reduced.
The operation was finally over. Zhang Fan and Lao Wang chatted and watched the physician prescribe medicine and the nurse walked out of the operating room after taking care of him.
As soon as they came out of the operating room, they saw Lao Chen standing alone in the tent.
"What about the rest?"
"Haha, I let them go play. There's nothing going on here. I'll just keep watch. Zhang Yuan, this is Director Wang. Let's go over and have something to eat. Things have already started over there."
After saying that, he gave Zhang Fan his military coat, found another one and gave it to Director Wang, and Lao Chen led Zhang Fan and the others out of the tent.
The moon is already hanging high in the sky. I don't know whether it is because of the high altitude or because there is less pollution here. The big moon hangs in the sky, so low that it feels like you can reach out and touch it.
Singing could still be heard in the distance, "Are you still singing?" Zhang Fan looked over and asked with a smile.
"There are few people here, and there are not many opportunities to gather together. They also want to thank you for your free clinic, so Guozhuang jumped up." Lao Wang explained.
The Tibetan Guozhuang dance doesn't feel like much if you dance it alone, but when dozens or hundreds of people, men, women, old and young gather together, humming the rhythm and dancing in unison around the bonfire, it really feels like a religion.
Zhang Fan and the others had just walked up to them, and before they had even said a word, Zhang Fan asked a young girl to join the team. Although her face was shy, she was more bold. Her watery eyes stared at Zhang Fan, making her Zhang Fan felt shy.
Zhang Fan, who had not eaten, was pulled into the ocean of dancing on an empty stomach.
Wang Hong ran out of the dance team with great effort, and then took out the food in the thermos box, "Zhang Yuan, please eat some quickly!"
I saw mutton and butter tsampa!
The mutton was half-cooked, and the teeth were really chewy.
And tsampa is the food that can make Zhang Fan seal his throat.
Just after taking two bites, two black figures suddenly jumped out of the grass behind Zhang Fan.
Zhang Fan was so frightened that he thought it was a wolf.
As a result, upon closer inspection, it turned out to be a young man and woman.
The sky is vast and vast. Really, this sentiment, "This... they probably want to tell the story!" Wang Hong didn't know what to think, so she just pretended not to know and insisted on explaining it forcefully.
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