Chapter 128： Fist 125!

Chapter 128 Chapter 125 Fist!

Zhang Fan's plan to accompany her sister to Bayanbulak failed. Shao Hua and Jing An reported a two-day tour group, and went to Bayanbulak happily.

Bayinbuluke is an inter-alpine basin in the middle of the Tianshan Mountains, surrounded by snow-capped mountains, with an altitude of about 2,500 meters and an area of ​​23,835 square kilometers, second only to the NMG Ordos grassland. Bayinbuluk? Mongolian means Fengquan-"rich spring water". The grassland is flat and the grass is abundant. It is a typical grass meadow and grassland, and it is also one of the most important animal husbandry bases on the border. There are not only the paradise surrounded by snow-capped mountains, the Kaidu River with "Nine Qus and Eighteen Bends", but also elegant and charming Swan Lake.

In the Ming and early Qing dynasties, the Yuledus River Basin was mainly a nomadic belt in the Lihuite Department of Moxi Mongolia. In the thirty-ninth year of the Qianlong period of the Qing Dynasty (1774), the Mongolian department of Turkut, which was led by Obasi to return home, was placed.

On Saturday, surgery is performed. The patient was young, and her vital signs were not bad. Hella bought breakfast for Zhang Fan in the morning. The patient number was his. La Zhang Fan came to the surgery on the weekend. Although it was the order of the director, he could be the doctor in charge. He bought it deliberately. Thanks to Zhang Fan for breakfast. Also deliberately explained Zhang Fan not to have breakfast. Three people finished eating buns in a few bites, and they were ready to enter the operating room. The patient's family had some local connections, and Li Jianguo specially comforted his family in the morning. Generally, such things are done by the doctor in charge, and the director does not show up.

In the operating room, position yourself, start anesthesia and disinfection. The incision and exposure steps vary depending on the kidney site and lesions. Li Jianguo chose a conventional surgical incision, cut the fascia around the kidney and used various lumbar incisions to reach the fascia around the kidney. Separate the back, make a small incision, and expand up and down. At this time, we must pay attention to avoid damage to the peritoneum.

Haila's help, Zhang Fan's assistant. This kind of operation is not difficult for Li Jianguo, Zhang Fan is no problem, it is a bit difficult for Haila, but the kidney removal operation is considered a major urology operation, and it is impossible for Zhang Where the main knife.

Separate the kidneys slowly. Use your fingers to separate the fascia around the kidneys. Start with the convex and posterior sides of the kidneys, then the upper and lower poles, and the front. Finally, separate the kidneys from the renal hilum along the upper ureter.

Li Jianguo's level is good. Many years of experience and careful character make his surgery look very clean. He is not in a hurry to perform the surgery. He is very solid step by step.

Zhang Fan also learned a lot from Li Jianguo's surgery. Li Jianguo is the least-surgery surgeon doctor he has ever seen, and the surgery is very detailed.

Start processing the ureter to separate the waist of the ureter, wrap and lift it with a gauze strip, and try to separate it downward. At the lowest point of the separation section, clamp the ureter with two hemostatic forceps and cut between the two forceps. The two broken ends are sterilized with a small cotton ball dipped in pure carbonic acid, 75% alcohol and normal saline. The distal ureter is then ligated and sutured.

The surgery started into the second half of the period. The previous work was to free the kidneys, and the rest was to process the blood vessels of the kidneys, carefully separate the fatty tissue at the renal hilum, and expose the renal arteries and veins. Renal pedicle forceps or large curved hemostatic forceps clamp the renal blood vessels. Cut the blood vessel between the two clamps at the distal end and remove the sick kidney.

It happened at this time!

Because of the urgency of the family members, they also called to the superior supervisor to say hello. Lao Li couldn't help but also hurried the patient into the operating room. Some tests were not done.

During the original operation, Lao Li was particularly careful, and was afraid that something would go wrong. The result was careful and something went wrong.

The patient's kidneys mutated an extra renal blood vessel, and it was an artery. Although not thick, it was not thin. Because it was a mutated blood vessel, and it was on the side of the kidney socket, Lao Li didn't notice. She cut off the ligated renal pedicle with a pair of scissors and was ready to remove the affected kidney.

As a result, a stab, the blood sprayed out, and the vascular mouth was exactly the face of Hella. The pressure of the renal blood vessels was not small, and Hella sprayed a face directly. Hella was stunned at that time, and the blood vessels were ligated. Where did the arterial blood come from, and this spout, Hella closed her eyes subconsciously and forgot to assist Lao Li.

Lao Li was still holding a hemostatic forceps in his hands to hold the blood vessels, and he had no extra hands to stop the bleeding. His cold sweat came out all at once, and a voice came out in his heart: "It's over! Today's great!"

This kind of moment is the moment that reflects the assistant most, but Hella has been mysterious by blood! As soon as the blood became cold, Hella had trouble opening her eyes. Lao Li was anxious, but there was no good way. He did not dare to relax the hemostatic forceps in his hands, and shouted in his mouth, "Zhang Fan, Zhang Fan. Quick Look where the blood vessels are. "

The bleeding at this time cannot be attracted by the suction device. The renal arterial bleeding pressure is large and the amount is large. In a few seconds, the bleeding has flooded the kidney socket.

Just when Lao Li shouted Zhang Fan's name, Zhang Fan didn't delay at all, blocking his fist in the kidney socket. "Quickly wipe Hella's face," Zhang Fan said, holding his kidney socket, to the tour. His position is not good, he can only do this step, the rest will have to help.

Then he said to the anesthesiologist: "Fast blood pressure reduction." Zhang Fan held the bleeding, Lao Li had his nerves tightened at this time, and said to the anesthesiologist, "Yes! Right! Right! Quick blood pressure."

The moment Heila was blinded by blood, he was really desperate. Xin Fan's second assistant today is Zhang Fan, if other referral doctors, it will be troublesome. Zhang Fan responded too quickly, and did not need to take his command to deal with it.

Fast, stable and accurate. As soon as Zhang Fan went down, he blocked the bleeding. Hella, who had wiped her blood, was still confused, and ended up saying something without going through her head, "Did you hold the kidney pedicle well?"

Old Li is crazy. At this moment, without rushing to find the blood vessels, I was still stunned, "Less of nonsense, are you blind? Where is the hemostat not clamped? This is a mutated blood vessel. Quick!"

Lao Li's tone was very serious. Heila, who was not frightened by the bleeding, made Lao Li scared. He knew that he had said something wrong as soon as he was shocked. That said, Lao Li's surgery was not done! Not careful. Patients with such incomplete examinations are afraid of such things. Doctors have no way to say that they have to go to surgery for incomplete examinations. The mistake must be the doctor's. At this time, there is nothing to do with the telephone or the telephone.

"Blood transfusion, correction of shock, and improvement of fluid speed." Zhang Fan ignored the emotions of the two, and began to give oral instructions to the visiting nurse. The blood was sprayed not only on Hella's face, but also on the wall of the operating room.

Itinerant nurse, fussed, Zhang Fan's oral doctor said that she knew what to do. If you know what to do, you won't get messy.

Blood pressure dropped and there was less bleeding. Hella quickly started knotting. The atmosphere in the operating room was tense. Old Li Tieqing faced and spoke coldly. Hella regretfully wanted to slap herself.

Thank you so much for the old abbot in the mountains!

(End of this chapter)