Five Hundred and Eighty Sixth, the Angry Little Daughter-in-Law
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Zhang Fan was really lucky. After the system was in place, he chose a third-class hospital that was not too big or too small. ￣︶︺?sんц?浼镄?鲚d??c?责??つ%
There are no operations in small hospitals, but there are so many operations in large hospitals that the doctors urinate blood. But let alone you are interdisciplinary, it is impossible to perform surgery across groups.
Moreover, in a hospital that is not too big or small, Zhang Fan has made his mark early. Although his professional title has not been promoted now, his position has been promoted.
It's really big and small, small and big. Li Zixiong was helpless, and the dean moved out. "During the operation, I have the right to take your position as the chief surgeon. If you insist on going your own way during the operation, I will..."
Li Zixiong stared at Zhang Fan and spoke word by word. If he doesn't say this, sorry for the patient, if he says this, the other person may be...
As the saying goes, bully the old but not the young, and he is such a powerful young man. Director Li Zixiong is really competent to say such a thing!
"Okay." Zhang Fan nodded and said nothing. Xue Xiaoqiao, who was standing aside, almost said: I will not wait for this surgery.
However, unwillingness and curiosity in his heart prompted him to affirm, the legendary Zhang Yuan, to see how this orthopedic carpenter did his brain work.
"Outside the brain! Is this something your carpenter can do? After the skull is opened, you can go down obediently! Don't worry, I won't laugh at you! Go and be your good carpenter!"
Xue Xiaoqiao wouldn't even think that Zhang Fan would be able to perform this operation. Not only him, but other doctors outside his head are all thinking about it.
At the beginning of the operation, the first thing is to prepare, that is, to shave a bald goat, just like the more popular shiny bald goat, after the brain surgery, under the sharp knife, Professor Yang's chic and elegant head became a bald jerk.
Craniotomy! After drainage, Zhang Fan started the operation. Although Li Zixiong and Xue Xiaoqiao were very dissatisfied with Zhang Fan's forced operation, they were unambiguous in their cooperation, and they did what they wanted. This is the performance of their high professionalism.
Moreover, director Li Zixiong was even more nervous to the extreme, he was always preparing to prevent Zhang Fan from making mistakes. He can be suppressed in terms of professional title, but he is powerless in terms of position, which is also a kind of helplessness.
Why craniocerebral hemorrhage is terrible, because the cranial brain has a very tough outer membrane for yt, just like some people wrap a layer of plastic film on their fat belly in order to lose weight.
The blood vessel ruptured, the blood sprayed out, facing outward was a tough membrane, it couldn't break through, it could only find space deep in the brain.
The sprayed blood is soft to the cranium, but to the brain tissue, it is a water jet.
Wherever it rushes, where it breaks. The organization of the brain, how should I put it, is just an appearance supported by fat.
The outer layer is wrinkled, and the inside is various cavities. These cavities are the space for the flow of cerebrospinal y, and the brain tissue from the brain substance to these cavities exerts various functions.
It can be said that wherever the bleeding rushes, it will be destroyed, and then there will be corresponding discomfort in the body. For example, Professor Yang's bleeding focus is on the left side of the brain. If the place where the sponge is managed is washed away, then it is directly watching the birds shed tears.
This is his dominant brain, which manages the language center, and his bleeding directly ruined his proud language talent.
This kind of destruction is an organic change. In layman's terms, it is an irreversible change. It is pitiful outside the brain. Seeing a doctor is only to prevent the further development of the disease. As for what has already appeared, it can only depend on God.
Professor Yang, relying on this talent for most of his life, finally this talent left him. There is a saying that is good, you can still live if you do evil by the sky, but you can't live when you do evil by yourself!
Perhaps it was because of his profound virtues in his previous life that he met Zhang Fan. God accepted his talent, but still mercifully spared his life. This may be a lesson, a lesson from God to him.
Craniotomy, the brain is really an extreme organ,
The outer shell is the softest existence in the whole body, while the inner one is the softest existence.
Cutting bones and opening windows is like melon farmers selling melons in summer. In order to let you buy melons, he will open a window for watermelons for you to find out.
Extracerebral hemorrhage surgery is very similar to this operation, but the melon vendor cuts a triangular incision, which will bring out the flesh of the watermelon, while the extracerebral doctor will not bring out the brain tissue, and it is not a triangle, but a square Kouzi, that's the difference.
Zhang Fan's craniotomy and bone chisel were done very neatly, without a trace of fireworks, light, absolutely light, and not as rude as some two knives who opened the skull like smashing a walnut.
Professor Li Zixiong's eyes are always on Zhang Fan's bone knife, and his hands are always ready, ready...
Xue Xiaoqiao looked at Zhang Fan's operation, although he really didn't want to admit that Zhang Fan's craniotomy was really beautiful and clean, but the fact was right in front of him.
"The skull is also a bone. If he can't even do a craniotomy, he will be sorry for the title of carpenter!" Xue Xiaoqiao thought to himself.
Opening the window, Zhang Fan opened an opening on the blue-skinned skull lightly and delicately.
At this time, the lens is zoomed out. If you stand on the shadowless lamp and look down, you will see such a scene.
A white hole appeared in the place covered by a circle of green cloth sheets. No matter how ingenious Zhang Fan did it, the skull would still bleed, because the blood supply of the skull is very rich, it is impossible not to study at all.
The blood spots stained the white brain tissue and the surrounding green surgical drape. With the activity of the brain, the red blood slowly flowed on the brain tissue. It is directly like tofu nao with chili oil. And this tofu brain can still move.
This scene is directly like a child eating tofu brains and spilling the whole table. Bone residue and blood stains were scattered around the operation area.
Brain tissue actually moves like the heart, but the range of movement is relatively small, but it can definitely be seen with the naked eye.
Wave after wave of ups and downs, like a big maggot in the brain. When the brain tissue was exposed, the operation also entered the most critical moment.
This thing is too scary, the bleeding may not be visible to the naked eye, which is one of the reasons why the development of the brain is very slow.
Because the brain tissue is vertical, not flat, positioning is very important, but even if positioning is done, if an inexperienced doctor makes a careless move at this time, it will not save people, but kill them.
It can be said that there is nothing wrong with it. "Yuan Zhang, please have another look at the CT scan." Li Zixiong was nervous, much more nervous than he was doing the surgery himself.
"No, the diameter of the hematoma is 4, no more than five centimeters, and the patient is in a severe coma..." Zhang Fan said while taking out a thick puncture needle, he was about to enter the cerebral hematoma.
This puncture is very particular, not only to remove the hematoma, but also to avoid secondary damage to the brain. Therefore, the doctor's hands must be steady, and the most important thing is to have a good understanding of the structure of the brain tissue. .
Holding the puncture needle in his hand, Zhang Fan began to penetrate the brain tissue little by little, "Pay attention to the patient's vital signs!" Li Zixiong said softly to the anesthesiologist.
Killing and saving lives are all in this split second.
Enter, insert slowly, the puncture needle is inserted into the brain tissue, and the chopsticks are inserted into the tofu, there is not much difference, the most is that the brain has a sense of hierarchy, while the tofu has no sense of hierarchy and breakthrough.
The sense of layering and sense of breakthrough in surgery, these two words, make some young doctors absolutely uncomfortable. This kind of feeling has to be practiced countless times to feel it. A single bark who is not married has no idea what a sense of breakthrough is.
Enter gently, absolutely do not shake at this time, a shake may hurt a certain function of the brain.
Steady, too steady, Zhang Fan's hands were holding the puncture needle, his naked eyes couldn't see his shaking at all, this was the skill of his hands, Li Zixiong looked at Zhang Fan's steady hands, and there was a little appreciation in his eyes.
Because he knew that to have such a pair of steady hands, he must have worked hard under the operating table.
And Xue Xiaoqiao was envious, so envious. When he was in the Capital Hospital, he had never seen a master perform surgery, but he had never seen such steady hands as Zhang Fan.
"An orthopedic specialist is so stable, how did he do it?"
"Put the glucose hormone into the pot to stabilize the patient's blood pressure. I'm going to bleed." Zhang Fan felt a sense of breakthrough. He knew that the needle had entered the hematoma, and after slightly entering the hematoma again, he said talk.
"Yuan Zhang, why don't you go in a little more, the hematoma might be dirty!" Li Zixiong was also predicting, he felt that he should go in a little more.
"No, you can definitely choug, listen to me!" Zhang Fan said very domineeringly, without any modesty at all, this is the temperament of a master surgeon.
Under the operating table, I can laugh at everyone, and I can be approachable, but after the operation, I am the only one! This is not only a manifestation of technology, but also a manifestation of self-confidence.
"It would be great if there was a surgical CT!" Xue Xiaoqiao said to himself. In a large hospital, when the location is unclear, surgical CT can be used to solve the problem. Of course, this thing is super expensive.
"Hehe!" Both Zhang Fan and Li Zixiong laughed in such a strange way.
Chou sucked, and the blood was slowly absorbed from the puncture needle. Li Zixiong looked at the value in the container.
"10l, 20l, 30l. They probably won't be able to come out. There is still 10l and I think we have to go in a little bit more." Li Zixiong thought in his heart based on his own experience.
Zhang Fan's hands were too steady. At this moment, Li Zixiong was a little relieved. At first, Zhang Fan was not fooling around. Next, he can guide Zhang Yuan how to advance a little bit, and guide him what he needs to pay attention to.
Just when he was about to speak, the blood in the container still slowly started to rise, 40l! When the blood y reached 40l, Zhang Fan's needle didn't move at all.
"This, how is it possible! Is it bleeding again? Impossible, the patient's vital signs have not changed!" Li Zixiong said it directly, and he was really shocked.
"I entered through the lateral ventricle. This place happens to be the lowest point of the brain but not the lowest point of the hematoma. Choose other places, at this depth, the hematoma cannot be cleaned completely. If the needle is inserted again, it will cause a second damage."
Zhang Fan explained lightly.
"What? You have entered the lowest point, how is it possible, which place will hurt the brain ventricle!" Xue Xiaoqiao broke out in cold sweat.
"No, no, no, Zhang Yuan should have entered straight ahead, clinging to the brain tissue wall and then slightly pressing the brain tissue to form an artificial low position." Li Zixiong turned his head to look at the CT, and then said it slowly.
"Yes! Director Li is right." Zhang Fan is a little proud, not because of the successful operation, but because his brilliance was discovered by others. Jinyi Yexing may be due to the high quality of others, but if he can be recognized Zhang Fan would be willing if others discovered his cleverness, after all he is still a bratty young man.
"No damage to the brain tissue?" Xue Xiaoqiao asked again in surprise.
"Look at the patient's t-sign!" Director Li Zixiong said.
"The patient's vital signs are starting to improve now, and the operation is effective!" The anesthetist also confirmed Zhang Fan's operation in real time.
"Zhang Yuan, you are awesome!" Xue Xiaoqiao said directly, after all, he was a young man. "Zhang Yuan, how did you do it, can you teach me?"
"Do the surgery first!" Director Li Zixiong glanced at Xue Xiaoqiao. He was not angry. If he met a director who was not forgiving, he would definitely wear small shoes for Xue Xiaoqiao. Wouldn't he use the director as his department?
At this time, Director Li Zixiong felt a little bit in his heart, a little reflective. After Zhang Fan came to the hospital, he first set up a flag in the orthopedics department. He was appointed to the orthopedics department at the beginning, and this made sense.
Then in Puwai Liwei. This can also be said in the past, after all, general surgery is the largest surgical department in the hospital, and Lao Zhao is too face-to-face, the department must also be rectified.
However, Zhang Fan has never been outside the brain, and even when he transferred to another department, he didn't show anything.
"Could it be that I'm too domineering? Could it be that I make Yuan Zhang look down on me?" Director Li Zixiong felt more and more uncomfortable.
When Zhang Fan started injecting urokinase and slowly withdrawing the injection, Director Li Zixiong said in a muffled voice, "Yuan Zhang, do you have any complaints about me?"
"Uh!"
"Uh!" Zhang Fan and Xue Xiaoqiao made surprised voices at the same time.
"Director Li, what do you mean by that? I'll have a problem with you." The operation was successful. Zhang Fan was a little proud at first, but when he heard Director Li's words, he didn't understand.
"I don't have any objections. Why do you never come here before? This should be the first time you have taken the initiative to perform surgery outside the brain. If you have any objections to me, you can speak up." Director Li Zixiong was really a little angry.
"The surgery technique outside the brain is so powerful, but it has never been done outside the brain, and it has never interfered with the work outside the brain. What does it mean!"
He felt aggrieved, the extra-brain was originally the most difficult department in the hospital's surgery department.
If Zhang Yuan didn't have this ability, he wouldn't force it, but if he had this ability and ignored it, this is L's contempt for others!
Director Li Zixiong, a tall man, like an angry daughter-in-law, put his hands on his lower abdomen and started to strike!
"No, Director Li, why do I have any objections to you, this, this..."
Zhang Fan's brain was spinning rapidly. If he opened Zhang Fan's head at this time, he would definitely see that Zhang Fan's brain tissue was jumping up.
It’s really hard to explain this. It can’t be said that I couldn’t climb out of the pit of the general outside world, and I couldn’t click on the outside of my brain!
"Hey!" The bastard Xue Xiaoqiao smirked again, which made Director Li even more angry.
", Is it difficult for us to think about it, tell me how difficult it was for us to perform an operation.
You tell Zhang Yuan, so that our high-ranking Zhang Yuan can also understand our difficulties.
My waist is not feeling well recently, I think I should ask Zhang Yuan for leave, annual leave! "
"That's right! At the beginning..." Xue Xiaoqiao began to add firewood with malicious intentions. For this Zhang Yuan, he also began to admire this operation once the operation was performed, but after all, he was still a young man, and there was still an unruly existence in his subconscious. .