Chapter 325： Sister, bless!

Chapter 325 Sister, Bless!

Fear is too many things that can bring fear to adults, such as riding a bumpy small airplane like a tractor. The biggest fear of young children is to leave their parents.

Bart was lying on a flat cart with antibiotics on one hand. The surgery was too big, and antibiotics were routinely given intravenously the day before. The other hand held the corner of the hospital suit tightly. Although it was covered with a quilt, it was obvious that the body was flexed and curled together. With her head on her side, her innocent eyes stared pitifully away from her parents. I wanted to cry, but looked at the two older sisters in white coats, and didn't dare to cry.

The operation flat car disappeared at the end of the corridor. Bart's mother didn't know what to do. The two hands trembled and didn't know where to put it, rubbing it constantly, and muzzling in her mouth.

Huaguo Hospital, as long as the comprehensive third-level. There is a rule: three super large departments, general, respiratory, orthopedics, and many hospital leaders are from orthopedics. Then all kinds of high precision in orthopedics, but strangely, such a high place, but can not even connect a little finger.

Zhang Fan was already waiting in the operating room. Bart is the sickness of their group. Originally, Wang Yanan was going to the operating table. As a result, the girl was a little uncomfortable these days, so she let Xue Fei come on. This thing didn't know what transaction with Xu Xian had done in private.

Xu Xiangao entered the operating room happily, met with Director Gao Gao, and said to Zhang Fan, "Dr. Zhang, can I be the third assistant for this operation, can I? Teacher Xue has a diarrhea."

Before Zhang Fan said, Lao Gao said: "He is tickling again. Why do you say he didn't grow at all?" Zhou Chengfu left. Although he left quietly and silently, Lao Gao was still a little sad. .

Xue Fei and Zhou Chengfu are the disciples he brought out in the most difficult times. They are not the closest sons, but they are also the two with the deepest feelings. The scene of three people holding a group for heating was vivid. But now, one has left the master for his own future. The other one is directly out of touch.

Although Zhang Fan is also considered to be his disciple, for Zhang Fan, he always feels that he lacks something. Perhaps what is missing is the process of adjustment. Zhang Fan got up too fast. He hadn't noticed yet, he was about to look up. So speaking of Xue Fei, Lao Gao bit his teeth a bit.

Everyone knows Xue Fei's problems. Zhang Fan couldn't explain it if he wanted to explain it. At this time, Xue Fei was definitely not in the department. He might have played mahjong with his aunts.

"Xiao Xu, which specialty are you?" Pharaoh asked gleefully and smiled. Lao Gao's disciples are proud of him. Compared to Lao Gao, his disciples are much better. Several attendants are better than one, but they cannot be compared with Zhang Fan!

"Director Wang, I graduated from spine and orthopedics." Xu Xian had already stood with Zhang Fan to watch X-rays and MRI, but when he heard the question from Pharaoh, he quickly turned around to answer.

"Oh! How does the spine orthopedics divide you into joint orthopedics? Isn't it wasteful and inappropriate? I have to ask."

Orthopedics was divided into three only after Xu Xiande decided, so there was such a thing. Pharaoh said this, Xu Xian is not ready to answer.

Xu Xian was practical and capable. Of course, Lao Gao was reluctant, and rolled his eyes at the Pharaoh. "What's wrong, he is an orthopedist first."

"Answer!" Said the head nurse's voice. The head nurse of the operating room helped the patrol nurse to bring Bart in. "Children, don't be afraid, it doesn't hurt at all, you'll be fine as soon as you sleep." Then he gently touched the small face of Bart's hair and goosebumps.

Little Bart was lying on the bed, holding the head nurse's hand tightly with one hand without an injection. Don't look at the nurse's usual demon, but it really has a affinity for the little children.

"Sister! Don't go!" After the head nurse arrived at the place, she was going to talk to Zhang Fan and say a few words. After leaving the ward, Bart, who had not spoken, blushed and talked.

"Oh, ha ha, obedient, obedient, sister does not leave." The head nurse is really happy, so that this pure and flawless child can call her sister, she is really happy, and her heart blossomed.

Bart, a little lamb, was nervous and scared, but the head nurse's gentle words of comfort gave him the only place he felt he could rely on in this strange and strange place.

Putting his little hand in the quilt, he shivered and took out something, "Send you, flint!" Bart didn't know where to find a bone that looked like an animal. It looked a little jade, and it looked like It was Bart's beloved thing.

Bart's pure eyes were like the same Wang Qingquan. The head nurse of a young woman who experienced some storms suddenly felt a sore nose and her tears fell down.

"Thank you! Sister don't."

"Sister take it! Oishi, bless."

"Hmm! Sister, sister! You will be your sister's brother and brother in the future." Although he didn't know what surgery was, he knew it was not a good thing.

Innocent, pitiful but with a very sincere look, it directly touched the head nurse in the operating room. "Ah! What's so precious without anything. The sincerity of the children's world turned out to be so precious in the adult world." Lao Gao also felt a little deep.

"Yeah." Pharaoh nodded involuntarily. The head nurse was holding the wolfstone given by Bart, and the other hand was holding Bart's small hand, and she couldn't stop crying, until Bart was slowly anesthetized and lethargic!

"I'm going to wash my face. Zhang Fan must be attentive!" The head nurse said to Zhang Fan intentionally while standing in front of the operating room door.

"Relax!" Zhang Fan nodded. Itinerant nurses helped Xu Xian disinfect, Zhang Fan, Lao Gao, and Pharaoh brushed their hands. Lay a single sheet, cover the hole towel, everything is ready.

Zhang Fan put on gloves, took the scalpel handed by the instrument nurse, and the alcohol cotton swab wiped the skin to be cut. Turning his head to look at the clocks on the operating room wall, he said softly, "Surgery begins."

Bart was on his stomach. This position has a special operating bed. Many people have gone to the large bath to take a bath and massage. This is the kind of bed with a hole in the head and a face that can be put down.

Zhang Fan's main knife, Pharaoh's first help, Lao Gao's second help, and Xu Xian's third help. The operation of Zhang Fan's main knife was originally relatively low in pressure. Before the operation, Xiao Bart came here so suddenly, the atmosphere of the operation was even lower.

No one has the desire to speak, this may be the sadness of adults! Simple things are luxury goods that can no longer be obtained.

The scalpel opened a hole in the tender skin, and the skin was pulled apart by a white line. This is the dermis. Then the hilt spreads the subcutaneous tissue. Then change the electric knife to start bleeding.

Surgery, as long as it is traumatic, must be entered one by one according to the physiological level, one by one to stop bleeding. Experts, especially some surgeons who pay attention to details, see their operation as if it were art.

It is clean, tidy, well-organized, and the anatomy is clear. There is almost no bleeding in the entire surgical field. And some doctors who are not very good in technology do not know whether it is to pursue speed or to understand anatomy. The level is unclear, and the bleeding from the field of vision is really like a slaughterhouse.

Continue to extend inward to reveal the spinous processes, incise the superior ligament of the spine, and then gently separate the incised ligament to both sides. "Periosteum peeler." Zhang Fan said softly after leaking bone.

The surgical nurse accurately handed the periosteal stripper to Zhang Fan. On the operating table, passing things is meticulous. Sharp tools, such as knives, scissors, etc., must be pointed at themselves when passing.

When passing to the opponent's hand, you must make a downward movement until the opponent's resistance force can be released. In this detail, many nurses have to practice many times, is it simple? Simple, but it must be practiced by you to subconsciously, so that your muscles have memory to qualify.

This is not demanding, because there is nothing fortunate on the operating table. Some special equipment may be the only one. If it falls to the ground during the transfer, it will be an accident.

Zhang Fan used a periosteal stripper to cling to the spinous process, pushed the thoracic paravertebral muscle to the tip of the transverse process from below the periosteum, and stopped when the lumbar spine showed through the outside of the joint process.

"Gauze!" Pharaoh stared at Zhang Fan's movement intently. Lumbar surgery, without mentioning the other, this bleeding is very much. Human evolution is very advanced. As long as it is around the bones, it will be accompanied by large blood vessels and important nerves.

The spine not only supports the body, but also protects the brain. Therefore, there are many large blood vessels. During surgery, large blood vessels can be avoided, but small blood vessels separated from the large blood vessels cannot be destroyed.

Surgery is about eyes and hands. When the main knife says the order, other people don't have to think about it. For example, at this time, there are two bleedings in the lumbar bypass.

Zhang Fan also simply said: "Stop bleeding." Which one to stop first, which one to stop, how to stop bleeding, use gauze or electrocoagulation knife, these are rules, these are rules and regulations, this is all knowledge.

And whether it is an assistant or a nurse, the surgeon's steps must be watched.

After receiving the gauze handed over by Pharaoh, Zhang Fan began tamping. During surgery, some bleeding is not leaking but exuding. When the muscles are detached from the bones, the blood leaks out like sweating. At this time, it is impossible to stop bleeding with an electric knife or silk thread. This requires gauze to stop bleeding.

And the gauze during the operation cannot be dry gauze. It must be infiltrated with normal saline before it can be used. This is not bandaging. If a dry gauze is handed at this time, Zhang Fan can directly drive the assistant and the equipment nurse down. Because the tissue under the skin is very delicate, dry gauze is like sandpaper.

"Retract." Zhang Fan stuffed the gauze and said a word to the assistant.

They are not newbies, they are ready. As soon as Zhang Fan opened his mouth, Lao Gao and Xu Xian took the hooks and pulled the skin apart to expose the surgical field as much as possible.

Hook, surgical resident, especially the most feared of ordinary residents. What does this thing look like? It is an L-shaped blunt alloy, which is very hard, and ordinary people cannot deform it.

The orthopedics pull hook is better, and the general is really sad. The large hook is estimated to be the same size as an adult arm bending. For operations such as large stomach cuts, the second and third assistants do one thing from beginning to end, pulling the stomach with a steady force.

The surgical site is too deep. They couldn't see it. After four or five hours of surgery, they just pulled it like this, it didn't pull a little, and the surgeon was not happy. After an operation, both hands and arms will not move.

After the surgical field of view was opened, the critical period of the operation was entered. This time is the time to reflect the level of the artist. How to adjust, how much to adjust, this is too difficult.

In the image data, when you look at the spine and when you open the body to see the spine, they are directly different. On the image data, you have a general concept.

Surgery also opened the places that needed to be adjusted. The longest was a dozen centimeters. The anatomy is not clear, or the technique is not in place, and the bone to be adjusted cannot be found.

This is not a joke, let alone a spine. Just a simple plate removal after a clavicle fracture. Before surgery, the clavicle and steel plate can be touched directly on the skin, as if it were just a little bit under the skin, it seems very simple.

But the fact is, when the operation is single, the hole towel is covered, the scalpel is pulled, the subcutaneous tissue swells, and then the bleeding and muscle pull. Ok! What about steel plates? Can't find it! Many, many referral doctors have happened.

What Zhang Fan has to do now is to change the deformed whole to it, or to let it develop and grow in the expected direction in the future.

Then it must first destroy its original connection. This is very dangerous because the spinal cord is just in front of the spine. This orientation is fixed, not changed because the patient is lying on his back. For example, the skin on the back should normally be in front of the spine, in fact, the terminology on the operating table is not like this, but the opposite.

Time has slowly passed for more than an hour, almost two hours. Zhang Fan and Pharaoh ’s sweat are just like beans, and they ca n’t wipe them out on the tour, and they directly pad them over the forehead with a towel.

Bone rongeur is the sharp-nose vise that everyone uses every day. Zhang Fan bit the bone a little bit, and then used a spatula to bite the bone fragments, cartilage, and soft tissues between the spine.

The clean here must be clean. Because once a small bone mass enters the spinal cord, the mildness is postoperative inflammation, and the seriousness is the patient's lifelong waist pain or corresponding limb numbness.

Deal with these. Here comes the most dangerous step of the operation. At this time, you need to adjust the position. Before adjusting the position, you must first separate these abnormal bone pieces.

How to separate, everyone who has eaten the animal's spine knows that the spinous processes of the spine are stacked together. At this time, they need to split, yes, forcibly split. At this time, it cannot be light or heavy.

It's lighter, if you can't cut it apart, it will increase the bone fragments. It's heavy, the spinal cord is in front. "Ka! Ka!" Zhang Fan gritted his teeth and split the spinous process twice.

Zhang Fan didn't realize how difficult it was, but Lao Gao and Lao Wang, this voice was like chopping on their apex, their hearts were hanging. If at this time, a slippery hand or too much effort is really unthinkable.

Xu Xian also pinched a sweat, although he graduated with a master's degree. But this kind of operation is difficult to count in provincial hospitals.

(End of this chapter)