Path of Medicine With a System

At the beginning of the operation, Ouyang was angry. The director of general surgery and the director of urology both went to the surgery. Although Ouyang didn't specify who to do, the two directors obediently went to the surgery. It's not necessary to find faults with Ouyang.

The director of the anorectal department was a little embarrassed, he couldn't get in, he couldn't get out, he rubbed his hands awkwardly and looked at Ouyang, although he didn't live up to it and was frightened by others, but it was the director of the hospital no, yes Ouyang's subordinates are not, the old lady said with a cold face: "If you don't go to work, what are you still doing here, let me give you medals!"

"Okay! Okay! Dean, I'm going to the outpatient clinic now." As he walked, he wiped the sweat from his brow. He was under a lot of pressure. For the sake of the young lady, he was considered a cleanse, so the more he cared The more you dare not go beyond anything!

After speaking, he turned to the frontier boss and said, "Wait for the news! Say hello to the Secretary-General for me." After speaking, he turned and left, ignoring the people from Hong Kong.

Boss Bianjiang's face was livid. He doesn't understand medical care, but he always knows that this industry is getting more and more popular as it gets older. Ouyang asked a young boy to be the chief surgeon. Can he have a good face? Ordinary people, when encountering this situation, either try to find a way to beg, or become furious.

Although the boss had a bad face, he didn't say a word. He was thinking of ways to save him. One was to find someone to put pressure on Ouyang. Let go of his life, what should he do, how to stop the loss in time, this is the difference from ordinary people.

In the operating room, doctors and nurses are nervously busy. This kind of patient is the most annoying patient for anesthesiologists. Not only should they pay attention to anesthesia, but also their vital signs.

At the beginning of the operation, Zhang Fan and the two directors started the operation in an orderly manner. This kind of operation, if there is no damage to the abdominal organs, is actually very simple, just repair the anus, but now there is damage to the abdominal organs, first After stopping the bleeding in the organs, the trauma is treated.

Incision and exploration, in this operation, the speed of entering the abdominal cavity must be fast. It is in a state of blood loss, but now it is opened again, and the bleeding will be more, so it must be fast. Zhang Fan didn't say a word, he entered layer by layer, quickly, and the two directors cooperated very well. This kind of surgical approach was almost engraved in their brains!

Exploratory laparotomy requires quick, accurate, gentle movements, focus, and a certain order to avoid omissions. In particular, some organs that are relatively hidden must be explored.

After laparotomy, the type of visceral injury can be judged according to the contents of the abdominal cavity. When the peritoneum is incised, a large amount of blood overflows from the abdominal cavity, indicating that there is a rupture of a substantial organ or a large blood vessel; there is leakage of gas or digestive tract contents. Indicates rupture of the gastrointestinal tract; when there is bile-like fluid, it indicates rupture of the biliary system or duodenum; when there is fecal-like fluid or fecal odor, it indicates that there is damage to the lower ileum or colon; when there is urine or smells urine, Indicates ureter or bladder injury.

When Zhang Fan opened his lower abdomen, the urine rushed out! The flesh-colored urine mixed with the blood immediately flowed out. "Boost! Gauze! Another mid laner!"

Zhang Fan said to the equipment nurse and anesthetist. The sudden loss of intra-abdominal pressure sometimes causes a sharp drop in blood pressure. Zhang Fan had to defend himself.

"This man is really unlucky. Not to mention the anal insertion, he also broke a blood vessel and punctured his bladder. If you say he is unlucky, he is not unlucky." Old Wang said to the director of the urology department.

When performing an operation with Zhang Fan, the junior doctor doesn't care. Zhang Fan doesn't talk, and neither do others, but the superior doctor and Zhang Fan are too uncomfortable to operate. It made them feel embarrassed to speak even if they wanted to.

"Depending on the situation, this man is very rich. Why do you say that there is no good thing to do with money? Why are you running into the old forest! Isn't this looking for work for chrysanthemums! I guess I can't even eat chili in the next six months!"

"Southerners don't eat chili!" Zhang Fan put an end to the chatter of the two old men, and Zhang Fan hated other people's talking during surgery.

This is practiced alone in the system.

In the past, he was not qualified, and he just talked when others talked, but now Zhang Fan has this qualification!

The treatment of visceral injury is based on the principle of "stop bleeding first, then repair". The large amount of blood in the abdominal cavity should be quickly sucked out. Zhang Fan held the blood clot with his hands, and then checked the parenchymal organs one by one. Fortunately, there are not many male pelvic organs!

After sucking up the urine, Zhang Fan gently opened his bladder and found the bleeding vein! Straight to the finger! Going up with a finger, it suppressed the blood gushing out like a spring! "Hurry up, suck blood!" Zhang Fan's speed was super fast, and when the two directors were still finding out the blood, Zhang Fan had already held it down.

Lao Wang, the director of general surgery, quickly sucked up the accumulated blood, and Zhang Fan began to perform a ligation. This kind of ligation is very taboo and blindly lied in a pool of blood.

When Lao Wang was about to use gauze to compress, Zhang Fan had already put on the hemostat.

"Be careful! Blood vessels!" Lao Wang was anxious. This kind of blind ligation is very easy to damage normal blood vessels, because the tissues here are very rich, and in general, large veins and arteries are accompanied, that is to say, there are arteries next to the veins, and the distance between them is only a few meters. mm distance.

Many times, when the surgical field is very clear, blood vessels will be damaged, not to mention this kind of blind ligation! The moment Zhang Fan lowered the pliers, Lao Wang and the director of urology broke out in cold sweat!

Because the two of them understand and know what's underneath, and after a guy goes down and injures an artery, he'll be finished. The basic blood pressure that was already maintained, and then open an artery! Really unimaginable.

"Click", after the pliers are stuck. Zhang Fan said, "Blood sucker!"

"Don't let go!" Old Wang's hands trembled a little, and he said to the itinerant nurse, "Quick, get the tampons, a lot of tampons!"

Zhang Fan was stunned! "What do you need a tampon for?"

"If you go down with the pliers, the artery will burst early and you will have a child! What do you want to do with hemostatic cotton!" Lao Wang was angry and anxious! He originally thought that Zhang Fan's operation was very safe and his technique was good, but he didn't expect that he made such a low-end mistake~!

"Hey! You're still too young!" I felt a little regretful!

"Hehe!~" Zhang Fan smiled, and wanted to say something else. As a result, Lao Wang said: "You are still laughing, go down! Reflect on yourself! Give me the pliers!"

Because the pliers were still in Zhang Fan's hands, if it wasn't for the blood vessels that the pliers were clamping, Lao Wang would have taken the pliers away long ago! Isn't this a nonsense! This is surgery, can it be done blindly?

This is the gap, the gap brought about by the system! Normal surgical training would not dare to do blind piercing even if you do 500 such surgeries, but Zhang Fan dares, let alone this distance, even if it is a little closer, Zhang Fan dares to do blind piercing, no one else, only familiar with it !

Others can't train, he can train, others have to wait for the opportunity to train, as long as he has time, as long as he is willing to work hard, he can train at any time! Can you be unfamiliar!

"Definitely not! The bleeding point was definitely clamped, and the artery hasn't been hurt yet!" Zhang Fan also wanted to stop the bleeding more quickly, so he had no choice but to show off his unique skill!

"Nonsense! Get down!" Old Wang was really angry!

Zhang Fan really wasn't in a hurry, the blood vessel was tied at this moment, so there was no need to worry. "Director Wang, it really stopped the bleeding, and absolutely did not damage the artery!"

"You won't go down, will you!" Old Wang's face turned blue! Joking about sick numbers is not something a doctor can do, so he got angry.

Conventional methods could no longer appease Old Wang's anger. After a short pause, Zhang Fan said, "If the artery breaks today, I will bear the responsibility, and I will never perform surgery again!" Zhang Fan said very formally! Seriously, with a serious tone!

"Ah!" As soon as he said this. Lao Wang calmed down, he also knew Zhang Fan's past, he had never been so reckless! I can't bear to ruin such an excellent young doctor.

"What if the clamps are tied and the artery is not damaged?" The director of the urology department is relatively calmer when watching the excitement, which is due to his personality.

"Hehe, let's see Director Wang!" Someone set up a stage to let Zhang Fan speak, and Zhang Fan said after looking at Director Wang.

"What do you mean!" Lao Wang's tone was not very good, but his complexion has improved a little, and his round eyes have softened a little.

"If there is no blood vessel damage today, general surgery must be open to me in the future, and Director Wang will explain the reason to the department doctor for me!" Zhang Fan said, holding a needle and thread to suture!

"Eh!" Old Wang was stunned. He stared at the pliers, because at this moment, Zhang Fan had already cleaned up the remaining blood around him!

"One stitch at a time!" Zhang Fan ignored Lao Wang and began to stitch the blood vessels. After a few stitches, Zhang Fan removed the pliers, dipped the gauze lightly, and the gauze was clean!

Zhang Fan didn't deliberately embarrass Old Wang, it was an excuse to appease his anger! This kind of doctor should be admired. He cares about patients, and can disregard the feelings of his colleagues and turn his face against such a young and outstanding person like Zhang Fan. It is really admirable. As the saying goes, it is better to bully the white-bearded man than bully the poor boy! What's more, the teenagers who have already shown their level!

In the workplace, geniuses are privileged, and geniuses can get more forgiveness for making mistakes! But this is the medical industry!

If there is no director of general surgery today, but only Zhang Fan and the director of the urology department perform this operation, even if Zhang Fan punctures a blood vessel, the director of the urology department will not turn his face! Maybe even help cover it up! Who made Zhang Fan a genius!

Therefore, although Lao Wang got angry, Zhang Fan didn't take it to heart at all. This kind of doctor is his role model. , can really be called a doctor!

After Zhang Fan sutured quickly, he was going to repair the rectum first, because the rectum is relatively more polluted, and suturing and repairing earlier can also prevent infection earlier!

"Rinse with metronidazole!" Zhang Fan said to the itinerant nurse.

"Uh!" Lao Wang was a little embarrassed, but he was not upset at all. After gently touching the stitched blood vessel, he didn't need to confirm it, because the bleeding was gone!

"Even if the artery is not damaged today, it's nothing special. It only takes a few seconds, why don't you wait for the operative field to be clear before clamping, and you won't know the result of breaking the artery? The venous blood will flow for a few more seconds, And puncturing an artery, which risk is greater?" Lao Wang is a director after all, and he still has a few skills. Not only criticized Zhang Fan, but also resolved the embarrassing situation!

There is really no way to explain this matter. Could it be that a person with a high level of art is bold? If you dare to say this, Lao Wang can directly drive him down. This is surgery, not tightrope walking!

The director of the urology department said: "Director Zhang is absolutely sure, don't you see that he is not in a hurry at all! This is the level. I have to obey!"

"Hmph!" Lao Wang couldn't say anything! After hemostasis, the surgery went much smoother! After washing with a large amount of metronidazole, gently remove the wooden stick.

The itinerant nurse looked at it with a wooden stick in gloves, and said in a daze, "It's really rough!"

"Pfft!" The director of urology and the anesthetist laughed. "It's quite thick!"

"I hate it!" Xun Xun blushed, and she also realized that there was some ambiguity, so she hurried out with the wooden stick.

"Zhang Fan, why don't you come to the GP, and I'll give you a hand. You can choose Corey's operation!" Lao Wang recruited Zhang Fan for the second time! Zhang Fan made a move, and when he thought about it carefully, he was shocked! Really shocked! This level is too high!

"Hehe, Lao Gao probably won't let him go." The director of urology said provocatively.

"Does it have something to do with you! Why are you everywhere!"

"Hehe, you're not ashamed to be old!"

The operation went well, and the tone of the two people became much more relaxed, but Old Wang was still a little nervous. Zhang Fan's stroke was too scary. He shifted slightly from side to side and swayed. Maybe it was the internal iliac artery! Old Wang looked at Zhang Fan, he was really full of emotions!

The rectum was repaired and the abdominal wall was inspected. There was no damage. Continue. Gloves must be changed at this time. Because the rectum is a polluted area, and the bladder is considered a relatively clean area, so the gloves were changed again.

The bladder is sutured very well. This thing has a certain degree of contraction and stretchability. It has an inner capsule like a basketball. The inner layer is sutured first, and then the outer layer. When suturing, there is no need to pay attention to other things, and there are no blood vessels and nerves to pay attention to. The biggest point of attention It just can't leak after suturing!

Finally it's anal! Very troublesome, although the wooden stick is not triangular, but the anus has been torn! Stitching little by little. Ring muscle! Sphincter!

"Two leaders, which department is this patient number placed in!"

"Let's put it outside the general public!" Old Wang said. Zhang Fan originally wanted to put this patient number in the urology department, so there would be fewer urology patients. But the director of urology is afraid of Ouyang, and he doesn't want to be contaminated at all!

After the operation was completed, Zhang Fan, as the chief surgeon, took a wooden stick and had to explain to the patient's family. Outside of surgery, life secretaries, bodyguards, and frontier bosses are all there. Several people don't talk to each other very much!

Before the operation, Boss Bianjiang was really like an ant on a hot pot, looking for people all over the world to put pressure on Ouyang. In the end, I asked where Li Xiao was!

As soon as Li Xiao heard this, he said, "The main surgeon is Zhang Fan, Doctor Zhang?"

"Yes, I asked clearly, a young doctor who has just been in the hospital for less than two years! Mr. Li, save brother! Hurry up and think of a way, or I will die!"

"Don't worry, it's all right, you can wait for it with peace of mind!" Li Xiao was not in a hurry when she heard that Zhang was in charge. She had a good relationship with the boss, and she sat down again when she was planning to go to the hospital.

"What?" The frontier boss heard something was wrong.

"Dean Ouyang is giving the secretary-general some face. That young doctor is a knife in their hospital! The first knife! Got it!"

"Just him! A doll!" Boss Bianjiang didn't believe it!

"Yes! It's him, please be more polite~! Very powerful doctor!"

After hanging up the phone, he couldn't believe it, it was too unbelievable, he knew the medical industry anyway.

"Old Chang, are you familiar with Chasu City?"

Director Chang, who traveled to the mainland, heard the tea market, his liver trembled!

"Well, what's the matter!"

"Zhang Fan, does Doctor Zhang know?"

"That son of a bitch! Did he say that I am not good at technology, so he is awesome! I was careless, do you understand! I was careless!" The old man foamed at the mouth angrily, I have gone to the mainland, you still Keep chasing! Is this interesting!

Unexpected disaster! Zhang Fan touched his feverish ears~!

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