Chapter 484： Don't be cheap (please subscribe, the role is over twenty thousand!)

Chapter 484: Do not be cheap (seeking subscription, the role is more than two thousand!)

People live for one lifetime, do not wet the bed after three years old, do not rely on others after aging, can take care of themselves, this is the winner of life. There are so many people, once there were rivers and lakes, the scenery is infinite, but in the end ...

"How many operations are there today?" After the morning meeting, Zhang Fan left Zhuang Hongxu and the head nurse of the anorectal department and began to ask about work.

"There were five operations, two **** fistulas, two hemorrhoids, and a perianal abscess debridement." Zhuang Hongxu became the director of the department somehow, and he was also very embarrassed.

"Is it difficult?" As a leader, he can be approachable and can be grouped with his subordinates, but when talking about work, he must have a work attitude.

Zhang Fan is young and high. Although young, he has the bottom of technology, so he unconsciously has his own momentum.

"There is an **** fistula that Director Zhao performed in a row a few days ago!" Zhuang Hongxu brushed his face and flushed. Because of an **** fistula, he was not sure, and because of Lao Zhao's domineering, he could not really do much surgery independently.

"Organize doctors and nurses to conduct rounds first. Head nurse, leave nurses with liquids, doctors and nurses rounds."

"Okay, I'm going to gather the nurses now." The head nurse hurriedly went out and left the office. The head nurse stretched out her tongue involuntarily, and she was also surprised: "Zhang Yuan and Director Zhang are different. Up and down. "

The director of the department said irresponsibly and left, no matter the doctor or the nurse, it was heart-wrenching. Zhang Fan must soothe their shaking heart as soon as possible.

The hospital is not a play house. Once the department has its own fault, it will make a mistake in the case.

During the round, Zhuang Hongxu was on the left of Zhang Fan, and the head nurse was on the right of Zhang Fan. Followed by a doctor in the department, followed by a nurse.

"This operation was performed yesterday. Thirty-four years old, internal hemorrhoids, recovered well after surgery." Zhuang Hongxu introduced Zhang Fan to the patients one by one.

"Medical record." Zhang Fan looked at the patient's wound and said nothing without looking back. The naked man with his buttocks appeared in front of dozens of people, and there were still many girls who could blush.

At this time, there was a doctor in charge immediately and came forward with the medical record. "Zhang Yuan, medical records."

"Well, what kind of treatment is given?" Zhang Fan didn't open the medical record and started asking for treatment directly.

The significance of rounds is that the superior doctor checks the patient number and solves the problem that the lower doctor cannot handle on the spot. Another feature is that the superior doctor visits the doctor through the actual medical history.

Ouyang rounds, the doctors of the Department of Cardiology, especially the doctors who do not suffer much, the liver is tremor. Once she couldn't answer Ouyang's question, she would not take care of the doctor's face.

"Postoperative treatments such as hemostasis, anti-inflammatory, and regular drug changes were given, and the patient's recovery is OK." The doctor in charge began reporting to Zhang Fan in the presence of his illness.

In the whole ward, the head nurse had asked the nurse to clear the family members before the rounds. Only the special patient number would leave one or two necessary family members.

"How do you feel?" Zhang Fan asked the patient with a smile after listening to the doctor's report.

People are like that. It is very strange that if Zhang Fan came alone today, the illness number would not be tense without this battle.

"It's fine, it's fine." They all stuttered.

"Your doctor on the bed, how many times a day?" Zhang Fan asked with a smile.

"Several times, four times, three times, five times!" The patient looked at his doctor. The doctor was very responsible, and he tried his best before and after the operation.

The mind changed, and he could see it. The questioning person, although young, is a leader in stance. So he didn't want to let his doctor in charge eat it.

"You talk about it, have you made three rounds of inspections a day?" Zhang Fan turned to look at the doctor in bed.

Today, Zhang Fan came to help Zhuang Hongxu stand on the platform, and said something bad, he came to be a black face.

"No! I'm too busy ..." The doctor in bed looked down, embarrassed.

"Is the other department busy? Isn't the general department busy? Isn't the orthopedics busy? Why can they do it?"

Zhang Fan did not give a good face, and after speaking to the doctor in charge, he said to Zhuang Hongxu, "Director Zhuang should come down and emphasize the discipline and rules of the department. The doctors and nurses who are not responsible should report to the hospital."

"Yes, Zhang Yuan." Zhuang Hongxu unconsciously straightened his back.

The beating, the commendation, 40 or 80 ward numbers in 40 or more ward rooms, Zhang Fan said to Zhuang Hongxu, "Director Zhuang, there are many problems in the department. It's up to you. What's up? Report directly to me. Go to surgery. "

Zhang Fan raised high and lowered it gently. A group of doctors and nurses hurried to work. It's not a big deal to change the director now, the most important thing is to solve your own problems, otherwise it will be a black face ...

Anorectal disease six major diseases.

Anal fissure, a simple **** opening, the cause is currently unknown! However, the majority of mechanical **** fissures, especially those with special hobbies, are increasing.

Perianal abscess, the cause of perianal abscess is simple, it is caused by infection.

Anal fistula, with complex etiology, is one of the refractory diseases of anorectal surgery.

Hemorrhoids, the etiology is unknown, most of the treatment is recommended conservative treatment.

Rectal prolapse, the cause is unknown, conservative treatment combined with surgical treatment.

Constipation, if surgery is needed, is an anorectal disease.

The last one is BOSS in the disease, cancer.

In the operating room, anorectal patients are special. Because it is a contaminated operation, there is a designated operating room. And most patients are lithotomy.

That is, the patient lies on his back on the examination bed with his hips close to the bed and placed on a leg stand, which can reveal the perineum to the maximum. In fact, it is squatting in bed.

If the operating table is advanced, the doctor will operate relatively well. If the old operating table is used, the doctor will suffer. Bend over and lower his head. After a few hours, the waist is not my own.

Today is an **** fistula operation, but the patient has a clear cause of **** fistula, which is an **** fistula caused by perianal infection.

The patient is young, 26 years old, female, unmarried, occupation: company clerk. Sitting in the office for a long time.

Why wear leather in shoes, not because the leather is beautiful, but because it is breathable. Human skin is actually the same, it must have a certain degree of breathability.

The girl has been sitting on the company's inferior artificial leather chair for a long time, and as the temperature rises, sweat-stained bacteria gather on the hips.

As a result, one day, she felt a little itchy and a little painful around her anus, and quietly touched it. A small tadpole, a small tadpole with the size of a soybean, and the surface temperature of the tadpole was still a little high.

The little sister-in-law who grew up in this place, because the girl was not married and was a woman, she was a bit shy, she didn't tell others, and she didn't go to the doctor.

She handled it herself. The girl has acne, has experience in dealing with this kind of pimple, and is more hygienic. She blanched the eyebrow with a hot knife and hot water for the bacteria. As for killing the bacteria, it was a joke. .

Then, groping for himself, cut Xiaoyao a little bit. Then she bent her arms and squeezed hard. On the night of the squeeze, the girl slept well, no more frictional pain, no burning pain, no more pain.

Very proud, good medicine!

As a result, three days later, the little urn next to the **** began to run, because it didn't hurt, and the girl didn't care. As a result, a few days later, a high fever suddenly appeared, and the whole body trembled, like a chicken with a plague.

The family was rushed to the hospital, the doctor checked the bacteremia, and then anti-inflammatory, but the effect was always bad. Repeatedly found the cause, it turned out to be perianal abscess, and then transferred the girl to the anorectal department.

As a result, due to improper early treatment, perianal abscess was complicated by **** fistula.

Early perianal abscess, to be honest, is a simple infection, as long as it is a regular hospital, how can it be handled. The **** fistula is not the same, the hospitals with insufficient general level can not handle it!

Not to mention the other, the girl's early treatment was very wrong. Abscesses appear on the skin, which can cause pain due to swelling, involving and irritating the cutaneous nerves.

This is a warning issued by the body.

The girl cut a small mouth and squeezed hard. Yes, the swelling is reduced and the pain is reduced. This is a warning system that is deceiving the body.

It also squeezed pus infections into deep tissues.

The structure of the human body is very complicated. It is also very scientific. This kind of abscess should never be squeezed. Because the infection in the shallow tissue was originally because the bacteria entered the deep tissue after squeezing.

The superficial tissues are mostly dense, and the infection generally does not spread anywhere. Bacteria will be wrapped in the dense tissue, which will make people feel painful. However, this is a very scientific protection mechanism.

The deep tissues are relatively soft and thin in order to reduce friction.

Once the bacteria enter deep tissues, they will be happy to have children. A small abscess is very fatal.

The abscess is treated in the hospital with a cross incision. Just cut the bale horizontally and vertically like a watermelon, open it, and then drain. It's not the doctor's ruthlessness, this is to reduce stress and debride thoroughly.

The doctors were afraid that the bacteria would enter the deep tissues, and the girls were crowded, causing a big disaster.

The human body, especially the mass around the lips and the mass around the anus, should not be handled easily by yourself. These two places are very dangerous.

The area under the nose and the lower lip is medically called the triangle of danger, and the area called the triangle in medicine is not easy to mess with. Besides, this area is called the triangle of danger, even worse.

Some people have an acne in the corner of their mouth and their hands are squeezed.

This kind of thing is similar to dancing on the edge of a high-rise window, the risk factor is similar.

Okay, you're awesome. You can't jump well. Because the blood vessels in this place pass directly to the brain, once infected, the bacteria directly enter the brain, without giving any delay time, it is directly fatal.

The perianal area is also very troublesome. Under the perianal skin, there are all loose fat layers, once infected ...

Fan Zhang and Zhuang Hongxu, as well as a tube bed doctor, entered the operating room. The girl was not yet anesthetized. When she saw three young male doctors entering the operating room aggressively, the shame had long since disappeared, and now she was expecting the doctor to cure her.

Anesthesia and disinfection, the girl was made to split her legs, her **** parallel to the operating table. At this time, standing at the tail of the operating table and looking at the girl's hips.

Don't say that there is no desire. People who have not undergone long-term medical training are likely to produce psychological shadows. Next to the anus, a very obvious hole in the white skin.

The **** cave, the one that ticked the **** water, was directly a cave with a big fist. At first glance, it would definitely not pay attention to other places and was directly attracted to the cave.

In order to prevent the infection from continuing, the doctor had to selectively dig out the fat around the infection, and the depth was deep. It can make people look dazed.

The abdominal intestine is protected by thick abdomen fat and strong, dense muscle layers. And the abdominal intestine is relatively mobile.

It can reach the **** and anus. The intestine here is fixed. In order to reduce the friction here, the body has only one muscle fixed, which is the **** sphincter, and the rest is thick fat.

It would be a terrible thing once the bacteria broke through the dermis layer into the fat layer, and this girl is now such a terrible thing.

Even more frightening is the **** fistula.

What is **** fistula, simply put, is that the **** and the skin form pathological channels. The pipes are wide and narrow, and the narrow ones will be blocked by feces. The infection will keep on, and the infection will be re-infected. The long-term infection may become cancerous.

A wider **** fistula is directly the second or third anus. The stool will come out from here, wipe the buttocks and waste paper, and it will also cause infection, because it is not protected by mucous membrane in this leaky channel!

30% to 50% of the perianal area will be complicated by **** fistula. Therefore, the small pimple near the **** is not something you can provoke. Don't be cheap, don't be cheap, don't be cheap!

Especially for women of childbearing age, do not provoke it. Once **** fistula is formed, it will be a very troublesome thing, because of the special nature of women, women of childbearing age, the **** sphincter is very weak.

Once a severe **** fistula occurs, it will definitely cause damage to the **** sphincter during treatment, and then the sphincter, which is already weak, may be abnormal.

Perhaps permanent sphincter emerges out of brain control. In other words, there may be random stools. For a young and beautiful woman, defecation is not under self-control. As you can imagine, this is much more painful.

Disinfect and wear surgical gown. The surgical gown for anorectal surgery is more particular about it, because it is a contaminated operation, the surgical gown is all disposable. Ordinary surgical gowns, although thick, are made of cotton and are not uncomfortable to wear.

Disposable surgical gowns are plastic and airtight. After an operation, the doctor is like a chicken in the soup. The hand-washing gowns inside directly make the sweat wet.

After anorectal surgery is completed, a special treatment is required. Just stick tape. That's right.

There is more fat in the buttocks. Although the legs are left aside, the perineum is still not well exposed. Zhang Fan was wearing gloves, Zhuang Hongxu and the doctor in charge were busy sticking tape.

Start with a three-finger wide medical sterilization tape near the anus, pull hard, and then put the other end on the thigh.

Push a book, my daughter is fairy mine

I walked through my dad and took my daughter as the richest man.

(End of this chapter)