Chapter 420： Save lives first

Chapter 420: First Life

Take it! Take it! "How many things did this child eat!" Zhang Fan could not speak without surgery, but this was too suffocating. Zhang Fan took out the bad gas while he was talking.

"Well!" Pu Wai's director just nodded and almost didn't respond.

"Pliers!" Suddenly, Zhang Fan said to the equipment nurse, because he found in the process of digging, the stump of the intestine,

"Clamp directly?"

"It can only be clamped directly, there is no better way." Zhang Fan replied.

The structure of the human body is like a closed ring. The left heart blows oxygen-rich blood into the aorta, and then relies on the strong cardiac power and the elasticity of the arterial blood vessels to spread the arterial blood throughout the body.

The aorta was first divided into two, one to the head and one to the abdomen. When an organ is encountered in the abdominal cavity, a branch is made.

Eventually it becomes very small arteries, and then these arteries gradually develop into venous veins. These veins begin to converge, and finally enter the right heart, enter the lungs to exchange carbon dioxide, and then enter the left heart.

This is probably the case with human blood circulation. Especially after the intestinal tract, the blood vessel branches are extremely thin, almost thin into clumps of wool.

According to the conventional intestinal surgery, the blood vessels attached to the intestine must be separated before the subsequent operations, such as appendix surgery, must be ligated.

The difficulty of appendix surgery is not in its location. No matter where it is hidden, the cecum can be found, and it can be scooped out along the cecum. The difficulty is the arteries on this cecum. If the ligation is not good, or if the separation is not good, it will cause heavy bleeding and death.

"Can't keep it, the **** and sigmoid colon have become rotten cotton wool!" Zhang Fan sighed after clearing the contents of the intestines of the abdominal cavity. In other words, the young man was delivered in time. If it was later, it would be gone.

"It's good to be able to survive!" The general director was not surprised at all, and from the things Zhang Fan pulled out, a lot of intestinal tissues were seen one by one.

This is tantamount to stuffing a cannonball directly into the chrysanthemum, and then the intestines really bloom.

Although the two communicated occasionally, they were not idle at all. The cooperation is quite tacit, and the speed is relatively fast. When the forceps clamp the intestine, the blood pressure finally improves.

"It's not easy!" Zhang Fan took a long breath, and this special smell was mixed in the air, as in the hottest weather of summer, stuffed in a small closed room, eating sheep's chopped sheep, and sheep The miscellaneous pieces have not been washed yet!

Outside the operating room, Ms. Jiang was on the phone. In any case, she was responsible for explaining the situation to her sister.

"Sister, Xiaoguang is in trouble! Don't worry, you have already been sent to the hospital. But the situation is more critical."

"What the **** is going on, is he fighting again, or is he driving fast!" The mother knew her son too well.

Ms. Jiang was embarrassed to open her mouth to say this, and directly said, "Your son chrysanthemum blows the trumpet!" It is estimated that her sister can be furious, and her entangled tone makes her sister even more anxious.

"Come, give me!" Ouyang called in a timely manner. "Hello, I'm the director of the Chasu People's Hospital. Your son is undergoing surgery because of a ruptured bowel."

"How broken it is!"

"When swimming, you may accidentally face your hips against the repulsion duct, and then cause the intestine to be broken due to large suction." Ouyang thought for a while, and stated it in the simplest language.

"How's it going, doctor?"

"It's very dangerous. There may be major bleeding that causes ..., so please ask your immediate family members to come to the hospital as soon as possible."

While the other party was speechless, he hung up. This thing is embarrassed to beg, be the parent's clearest child. Unless the government has repeatedly emphasized the need to attach importance to it, Ouyang will not catch up. What the hell, after hanging up the phone, Ouyang thought about the child's problem, and couldn't help but crooked his mouth.

In the operating room, "What's the difference between this operation and rectal cancer directly!" After Zhang Fan cleared the abdominal cavity, the director of General Foreign Affairs said after looking at the probe.

"Rectal cancer is not so dangerous, but fortunately, there is no need to clean the lymph." Because the suction of the swimming pool is so great, the **** and sigmoid colon are no longer visible.

The anus, rectum, and sigmoid colon, just as if they had been bitten by a flat-headed brother, the internal damage was terrible.

Hemostasis, holding the upper rectal artery, looking for the sigmoid colon and bowel arteries, and also looking for the middle rectal artery. To be honest, the intestines like numbness are too hard to find.

The intestine is not very sensitive to cutting and temperature. In other words, if you use a knife to draw, it will break at most, but it will not work.

After this thing is pulled a few times, the intestine feels unsafe, and then it will appear intestinal paralysis, that is, it does not move, which will directly cause obstruction.

Therefore, Zhang Fan did not dare to affect the intestine too often, and could only slowly find all the places where arteries should appear. The conventional tissues were no longer sucked.

This operation made Zhang Fan do a lot of work. The broken branches of the organizational relationship are broken, which are like blood vessels of a spider web, which is more difficult to ligate.

"If it doesn't work, ligate the inferior mesenteric artery directly from a high place, and then branch the mesenteric artery from the internal iliac artery to ligate from a high place again to create a fistula." The general director looked at Zhang Fan in an uncomfortable manner and suggested that .

"I want to keep a little more sigmoid colony, too little ..."

"Now the time to clamp blood vessels is not short. If you hesitate again, you may have intestinal necrosis after surgery." General Director Zhao Pingquan said with gritted teeth.

There is a reason Zhang Fan wants to leave a little more sigmoid colon. Here we need to talk about the function of this large intestine. The large intestine consists of the ascending colon, the transverse colon, the descending colon, and the sigmoid colon, which roughly surrounds the abdomen.

The place where the large and small intestines meet is the cecum. The digestive material in the small intestine contains a large amount of chyloid liquid in the water. After entering the large intestine from the cecum, these waters begin to be absorbed until the chyloid liquid, Before forming into feces.

If the large intestine tissue is too severe, then terrible things will happen. The water cannot be completely absorbed, and the patient has to excrete a large amount of feces, and must also replenish a large amount of water, otherwise dehydration symptoms will occur. In other words, you cannot leave the toilet without the kettle.

The reason why surgery is difficult is because you have to deal with it according to the basic knowledge and the specific situation. Generally, the surgical variables are not large, but once there are variables, the difficulty will increase by orders of magnitude.

Want to keep the intestines longer, time is not allowed. Without staying long, in the future, the patient's life will not be at all good, Zhang Fan hesitated.

"Can't hesitate anymore. If there is a large area of ​​intestinal necrosis, the problem is not a matter of length but a matter of life and death."

"Ligature!" Zhang Fan made up his mind. There was no way he could avoid its key points and abandon the relatively unimportant organization. Because of the poor filling of blood vessels caused by bleeding, many arteries fluctuate very weakly like veins.

"Procaine dilutes." Now that he has decided to ligate, Zhang Fan will not be tangled, let's talk about it first. The mesenteric arteries have poor fluctuations, and the injection of procaine will increase its fluctuations.

The blood vessels were ligated one by one. Pieces of intestinal tissue were cleared, and two hours had passed.

(End of this chapter)