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 Jade Bird bigger than Bird City? Isn't the capital bigger than Bird City? 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 turned red and didn't know what to say.

Of course, these words can only be said privately by the hospitalized dogs. They dare not raise their voices louder. The unit is not a school, and the director is not the former head teacher who is shady and malicious.

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 channel 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 more or less. This thing can be left for a day or two and it will be fine.

But once forty-eight hours passed, fermentation began, and pus formed. The local hospital did not have a horizontal chest opening, so it had to insert a tube for drainage.

Sometimes it is helpless to say that, for example, in many county hospitals, various interventional procedures 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 going to let the patient die on the spot, or are you going to open the chest and seal the hole?

For example, a hospital was unable to perform closed drainage of pleural effusion, but it turned out that they had a bronchoscope!

There's no way to talk about this kind of thing. If nothing happens, it's really convenient. Patients in the county don't have to go to the city or higher-level hospitals for treatment. Once something goes wrong, it's the patients who are 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's useless, so Zhang Fan can 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, 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 on a diet without eating, and their perseverance is amazing. 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 a prickly shape, and her belly disappeared, but suddenly she seemed to be a sickly beauty.

I have stomachaches and abdominal discomfort from time to time. I went to the hospital for a check-up and found that there was 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 stick 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, they will never simply give you some fat emulsion, some glucose, vitamins, etc. First, they 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 the so-called patient's right to know.

"This is Director Zhang Yuan, an expert in general surgery. We specially invited you to consult." Yang Hao did not mention tea. Sometimes it is true that the less the doctor talks, the more problematic the condition.

When the disease is mild, some doctors will teach patients a lesson with a fierce face.

Because he knows that as long as he can treat the disease well, he can say anything, and whatever he can say is right. But if he cannot treat the disease well, the doctor will absolutely cherish his words like gold.

Moreover, the tea content is not as good as Bird Market. Ordinary people, there are not many people who know how to do this.

Zhang Fan smiled and nodded, then he 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, he developed sepsis after eating a fish, which would also cost his own life.

The abdomen was shriveled, the bowel sounds were extremely weak, but the body was as hot as if there was an electric heater inside the body. It was really painful, the trachea was missing near the neck, and the urethra was connected to the lower part. Even raising my hands was a waste of hope.

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 restricted. "This is 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 made a slight chirping sound, pitifully like a 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 is cheating.

Therefore, people are born with an advantage, but it may not always be an advantage. The hard work of the day after tomorrow 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 that is discussed.

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 structures and tissues are exactly the same.

The intestines are like soft worms with many legs, pushing food past the anus in waves. The esophagus is the same, pushing 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. However, when it comes to the muscle layer, they are slightly different.

The muscles of the small intestine are hard, but not tough. They are round and round, like a girl pouting, and have some shape to the touch. The muscles of the large intestine are like a greasy middle-aged man. They have no hardness, but they have some shape.

toughness.

The muscles of the esophagus are like a layer of cotton wool, unable to hold up anything of weight.

In this reality, everyone can find. For example, if you eat braised large intestine, if the heat is not enough, you will taste a braised rubber, and it will keep pulling and tearing, which is a waste of teeth. However, the small intestine is different. It tastes like a bite.

Feel.

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 patients.

Entering the office, Zhang Fan was not polite and sat directly at the top position. This makes sense. If you hold an administrative business meeting, Zhang Fan, no matter how good his surgery is, is not the director of another hospital.

But when it came to surgery today, Zhang Fan had to be confident in his attitude. After all, he had already practiced 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 a complete diagnosis and treatment, this step is the basis of all future treatments. Yes, the doctor attached to the first one can still do it."

As soon as Zhang Fan said this, a bedside doctor stood up and bowed slightly excitedly. Then he said that 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?"

When the superior deputy director of the bed doctor heard Zhang Fan's roll call, he felt conflicted at first. 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

Come to an expert from the capital. People don't have this resistance. It's strange.

However, the first few words of Zhang Fan made the director extremely satisfied, and he was already in working mode. "Zhang Yuan, to be honest, I have never seen him before. I only spoke based on instinct."

The comrades below are very capable of executing the doctor's orders."

"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, but esophageal fistulas are rarer, and more common in the south. Director Yang, did you ever see this when you were studying for advanced studies?"

"I've seen it before. I've seen it when I was involved in foreign affairs. The operation is very difficult, mainly because the chance 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 advocated asking for a 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 when fistulas are rare in the northwest.

Difficulty. Therefore, for this operation, I need the full cooperation of 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.
Chapter completed!