Chapter 154 Sour, Stretch Me Out

Arteries, arteries, such as important highways, railways will be compared to arteries.

The real aorta of the human body is actually similar in nature to highways and important railways. The oxygen-rich and nutrient-rich blood branches off from the aorta to countless small arteries.

Small arteries branch out into countless capillaries, and finally the capillaries are interspersed with countless cells and then slowly become capillaries, which then converge into small veins, and finally converge into large veins back to the heart.

This is roughly a circuit of human blood vessels, and blood is slowly consumed from arterial blood to venous blood from this circuit.

It can be said that, except for the organs that come out to take food, there is no closed loop, almost all other organs of the human body are closed loops.

Even the respiratory tract is deceiving the air, come in and have a look, yell! It was a dead end, and dropped the oxygen and went out on its own.

When the skin of the human body is intact and acts as a city wall, it can almost isolate all bacteria and viruses that are invasive to the human body from the body.

So, sometimes, keep your mouth shut, don't lick, keep your hands, don't touch, wash your hands frequently.

Take care of your younger brother and don't go through the back door. No matter how powerful the virus is, it can't do anything to you.

Zhang Fan took the general surgery doctor and brain surgery doctor to the operating table.

Lao Chen's belly was bulging at this time, just like a pregnant woman waiting to give birth.

At present, there are many surgical methods for the abdominal aorta, but the condition is a little more complicated, and open surgery cannot be replaced.

"Get ready." Zhang Fan said softly.

"Okay!" Xue Xiaoqiao immediately started to prepare.

What are you going to do? In this way, the abdominal aorta is a chicken thief, and it is hidden slightly above the spine of the human body.

If you want to deal with it, you must first figure out the surrounding bowels.

Small intestine, large intestine, to be honest, for a fatter person, these things may not even fit in a child's bath tub.

Don't look at normal times, it seems that a person is not too thick from the stomach to the back, this is all an illusion.

You can ask a tailor, you can ask a general surgeon, he will cry and tell you that it is too thick.

fatter people,

Open the stomach and clean out the intestines and stomachs inside, and put a five or six-year-old child in without any problem.

With such a depth, we can only think of ways before opening the abdomen. First, let the patient fast and defecate to reduce the intestinal content.

Then, lower the head of the patient on the operating bed, just like someone puts the seat down in the shampoo room.

The patient presents a state of low head and high feet, and then starts from the xiphoid process, bypasses the navel with a knife, and draws it directly to the upper end of the pubic bone.

It can be said that this kind of operation is a laparotomy, appendectomy, gallbladder removal, at most it is a small hole to drill a hole.

In general liver and gallbladder surgery, Zhang Fan not only passed the system checkpoints, but also gained a kind of insight from a large number of surgeries, and his skills were sublimated.

Not to mention anything else, the knife to open the abdomen made Chen Quanping, who is a general practitioner, envious.

In the usual surgical incision, first, the surgeon holds a piece of gauze in his left hand, and the assistant holds a piece of gauze, and then the two gauzes are evenly stretched to tighten the skin to be cut.

Just like you are playing with your girlfriend, and your girlfriend is pulling your face with both hands and opening your mouth, the tight skin is the smoothest to cut.

But now it's too late, the aorta opens, just kidding, this is not a joke.

Just as Xue Xiaoqiao picked up the gauze, Zhang Fan had already started cutting it.

The knife is held horizontally with the right hand. In surgery, especially in the obstetrics and gynecology department where women are the mainstay, they like to hold the knife with a pen.

I don't know who started it. Anyway, if a male doctor likes to hold the knife with a pen, he will often get such a sentence: Your teacher is an obstetrics and gynecologist!

The writing style is more precise, with a horizontal knife, and there is a feeling of opening and closing.

As for Zhang Fan, precision is no longer a problem, so he prefers to hold it horizontally, just like the Condor Hero who just came out of the waterfall, he prefers a thick blade without a sharp edge.

Hold the right hand horizontally, stretch the skin with the thumb and index finger of the left hand, and then go straight from top to bottom, 歘! Like a flash of lightning, Lao Chen's stomach was opened around the navel.

The navel was perfectly avoided like a doorknob, "Stop the bleeding, pull the hook."

Be quick, if there is nothing extra, Zhang Fan didn't even raise his head, and the blood on his skin didn't stop.

The director of general surgery held an electric knife like an electric welder and stopped the bleeding one by one. Xue Xiaoqiao and another assistant started to open the abdomen with a super large retractor.

How big is this retractor? Everyone knows the old-fashioned steel-reinforced pot. The lid of the reinforced-reinforced pot that can steam more than 20 steamed buns at a time can be used as a large retractor. It’s that big.

Anyone can pull this thing for a minute or two, but it can be pulled for half an hour, or for a few hours, and those who don't have much skill can't pull it off at all.

It is not only necessary to antagonize the contraction of the patient's skin and muscles, but also to change the position of the surgeon all the time.

To be honest, doctors in general surgery all have unicorn arms. Otherwise, it will definitely not be able to wait for such a long time. If you bring an orthopedic doctor here to let him pull the hook and perform the operation, you will definitely be full of slander. After being beaten to death, they will not come to the outside world to help pull the hook.

Open the stomach, the edema of the small intestine is like a strip of balloons tied up, boom! Boom! Boom! One by one they stood up.

It was filled with air, undigested food, yellow, gray, brown, and wriggling, as if a group of villains had rioted inside.

The air rises, the solid liquid sinks, and many raised bubbles appear in the small and large intestines, as if to say to Zhang Fan and the others: What, what, what are you doing? Come on, who is afraid of whom!

Ischemia and edema filled the stomach with bubbles in the small and large intestines, and then the abdominal cavity was full of bright red blood due to bleeding.

Obediently, gurgling, really, it's like putting a pot of unpunctured fish bubbles in a red oil pan.

Really, resemblance! The semi-coagulated blood and blood clots in the blood hang on the air bubbles of the intestinal wall, just like red peppers hang on the fish bubbles.

"Gauze! Come on, don't count, what are you doing early!" Seeing the nurse counting the gauze piece by piece, Zhang Fan became very angry.

He couldn't help but not be in a hurry, the blood in his stomach was gurgling non-stop like a red oil hot pot that was boiling.

At this time, how many milliliters of blood is lost in one second of delay. The equipment nurse was stunned for a moment, and the head nurse saw that something was wrong, and immediately said: "Xiao Li, quickly hand over the gauze to Zhang Yuan. Hurry up!"

"Oh, good!" The little nurse gritted her teeth and handed all the uncounted gauze to Zhang Fan.

To be honest, such an operation is illegal. On the operating table, especially for laparotomy, all objects on and off the table must be double-checked.

That is, two people counting together twice. When the operation is finished, you can often see such a scene, two nurses stand side by side like elementary school students, shouting loudly: one, two, three... twenty.

It looks funny and naive, but this is the rule, the rule for patients, the iron law.

If it is found that one piece of gauze is missing or one needle is missing, the patient cannot get off the operating table.

Then all the doctors and nurses, with their buttocks pouting, searched all over the floor, in the operating room, and in the storage boxes full of medical waste.

Even if there is feces excreted by the patient in it, the nurses and doctors have to squeeze it open to look at it, which is so harsh.

If you find it, let it go, if you can't find it, hey, something big has happened.

Forgetting instruments or gauze in a patient's abdominal cavity is not a joke, nor is it a legend. In the early years, this kind of accident happened not only in Huaguo, but also in the medical field all over the world.

A piece of gauze entered the stomach, the patient didn't know it, the doctor forgot, and then the patient's wound was like a child's mouth, it never healed, and a thread came out every few days, and a thread came out every few days.

The most exaggerated, some patients even rejected it for more than 30 years! The stomach has been bleeding for 30 years, and the stomach is like wool, vomiting out a piece of gauze every day. Really, it's all tears.

Later, a blue line was placed on the gauze. I don’t know if you have noticed it. There are all blue lines on the regular medical gauze. This thing is used for X-ray imaging.

However, even with this line, what should be forgotten is still forgotten. In the end, an army nurse in Huaguo invented seven checks and eight pairs.

She is also the first nurse in the Chinese army to win the Nightingale Award.

When Zhang Fan was in school, he was lucky enough to take the surgical aseptic class taught by the old lady. The old lady with the rank of major general could not tell that she was a general-level figure at all.

With a kind and kind face, she has never been married and has been working on the medical front all her life.

Ever since the old lady in Huaguo made the seven checks and eight pairs, there have been fewer and fewer cases of missing equipment and gauze in the abdominal cavity.

Really, sometimes, the older generation in Huaguo is too good, but not many people know them.

Maybe they don't want others to know, they just exist quietly and struggle quietly.

for what? Perhaps it is for the heart that never admits defeat. For the oath that was sworn under the flag of the Red Cross.

Sometimes, struggling and persevering seem to be full of egg soup, so I just coax my stomach and listen to it.

But, sometimes, you look at him, persevere, work hard, there is no change in one day, one year, and ten years later, it will be absolutely different. Maybe this is the reason why the belief will never fade.

Pulling open his stomach, Zhang Fan kept filling the lower part of the intestine with gauze, one piece, ten yuan, fifty yuan, a lot of gauze was stuffed in.

The stomach is stuffed like snowflake candy, and the small intestine has already protruded from the suture opening of the abdomen.

Like a wriggling maggot, "Let me go back, your uncle, it's cold outside!"

"Tissue bags! Warm saline!"

For the big tissue bag, Zhang Fan stuffed the protruding small intestine into the tissue bag like washing pig intestines, and then poured warm salt water into it.

The intestinal tract is different from the stomach. The stomach skin is very solid. If you take it out and step on it, you can still eat and drink it when you put it in.

But the gut is different, this thing is very delicate, a little frightened by the cold, this thing stopped moving, and started to pretend to be dead.

If the water on the surface loses a little more, it will directly kill you in the stomach, just like a woman who hasn't applied a mask for a week.

Therefore, the warm salt water head nurse and the itinerant nurse in the tissue bag are constantly replacing the constant temperature salt water, which cannot be hot or cold. To be honest, he is the uncle-level figure in the abdominal cavity.

Pull open the stomach and separate the intestines. At this time, the abdominal aorta in the abdominal cavity was seen.

If the camera is pulled up and placed at the position of the shadowless lamp, at this moment, the heads of Zhang Fan and the four of them will be stuffed into a bloody mouth.

Unfathomable!

Really, Zhang Fan almost really stuffed his head into this hole.

"Too fat!" Zhang Fan, who seldom complained during the operation, said involuntarily.

It's awful, really, half bent over, like that statue in The Comedian.

Zhang Fan's neck stiffly pulled his head to hang in the air, and he had to bend his waist to send his head in a little bit.

That's fine, but the taste in the abdominal cavity is still unpleasant.

The warm temperature in the abdominal cavity, the stench in the abdominal cavity, the foul smell of blood decomposition, wearing a mask is useless.

It's sticky, smelly, and slightly hot. Really, it's like someone sticking out their tongue and licking your face continuously after eating rotten eggs or stinky tofu.

Dads who have children probably have such experience. The child’s stomach is not good, and the wife asks you to look at the child’s stool, and then you stick your face five centimeters above the child’s fresh stool.

You can't make hiccups yet, or your wife will definitely go crazy.

And Zhang Fan can't make hiccups, because once he hiccups, his hands will shake, his hands will shake, and his blood vessels will sprinkle fireworks on you.

Really, Zhang Fan bit the tip of his tongue to perform the operation.

Separation, continuous separation, the intestine is suspended in the stomach, and this thing is semi-free. If you want to perform surgery on the back of the abdomen, you must first free these hanging ligaments.

After separating the ligaments, the blood vessels are separated. The large arteries branch off into numerous small arteries.

This operation is too difficult, and it really does not lose the status and reputation of the fatality rate as high as 70 or 80.

"Heparinization of the whole body!"

Zhang Fan's head was slightly above the abdominal cavity, as if there was a response to what he said.

Heparin, in fact, is an anticoagulant, which means that the blood does not coagulate.

Really, it's too difficult. Once the blood vessel is injured, it will mobilize the inner wall of the blood vessel to stop the bleeding.

Therefore, some people cut their own hands, stuffed them in their mouths, and then took them out to see, hey, it stopped bleeding.

He said proudly: Look, my tongue and saliva can stop the bleeding.

What a joke, this thing will be infected, and the hemostasis is not because of how flexible your tongue is, but because the blood vessels of others stop the bleeding by themselves.

Ordinary people can coagulate blood, but Mishima's female bosses can't do it. A cut in the little finger can cause shock.

The blood vessels want to stop bleeding by themselves, but the arteries are too big to stop, and the blood vessels are in a hurry. Then the whole body stops bleeding, and the slippery blood in the blood vessels turns into cement, which directly becomes an embolism.

Therefore, this operation is very contradictory. While stopping the bleeding, a large amount of anticoagulant is used to make the blood flow.

Separation, ligation, this is the beginning of the operation, really, the failure rate of this operation is extremely high.

Before hemostasis, you must protect your kidneys. If you protect your kidneys, do you want to protect your eggs?

First establish the blood supply to these organs, and then repair the abdominal aorta.

Not to mention Zhang Fan, the head nurse who was watching was sweating.

Zhang Fan gritted his teeth, and shouted from his waist again: Guizi, do you dare to stretch it for me, just stretch it, it's almost broken!

Xue Xiaoqiao was not much better. I have no feeling in my upper limbs, the soles of my feet hurt when I stand on it, and my five toes are scratching like fingers, almost tearing my slippers.

But none of them could move, not at all, because the blood vessels, the aorta, were underneath.

An hour passed.

Two hours passed.

The family members and children outside the operating room were tired from crying and stared blankly at the wall.

The few doctors and nurses that the medical office was looking for were still talking and talking, really, it’s hard to be the director of the medical office, it’s too good, it’s too hard to find these few who can talk.

Cut open the blood vessel wall, make the round pipe-shaped blood vessel into a chapter of paved paper, then trim it, and clean up the dissection of the division.

Then, just like repairing a water pipe, put an artificial blood vessel in it.

"Zhang Yuan, how about I replace you?"

Chen Quanping watched the beads of sweat on the back of Zhang Fan's head keep coming out one by one. Although his legs were so sore that he was dying, he knew that Zhang Fan was suffering more than him at this time.

"No need to!"

That is to say, he is familiar with Zhang Fan's style, otherwise, he would not be able to stand his attitude.

Sew, finally, sew. Only then did Zhang Fan straighten his body slowly, and he could hear the creaking sound of his waist.

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