Chapter 796： Sour, stretch for Lao Tzu

Chapter 796: Sorrow, Give Lao Tzu a Stretch

Large arteries, large arteries, such as important roads, railways will be compared to large arteries.

The real arteries of the human body are actually similar in nature to highways and important railways. Oxygen-rich and nutrient-rich blood separates countless small arteries from the arteries.

The small arteries divide into countless capillary arteries, and finally the capillary arteries are interspersed with countless cells and then slowly become capillary veins, converging into small veins, and finally converging into large veins back to the heart.

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

It can be said that almost all other organs of the human body are closed loops, except that the organs that come out of food do not form a closed loop.

Even the respiratory tract is deceiving the air, come in and take a look, shout! This is a dead end, and then dropped the oxygen and went out by himself.

When the skin of the human body is intact and when acting as a city wall, it is possible to isolate bacteria and viruses that are invasive to the human body from the outside of the body.

So, sometimes, keep your mouth in check, don't lick it, keep your hand in check, don't touch it and wash your hands frequently.

Zhang Fan took the doctor outside, and the doctor outside his brain went to the operating table.

Lao Chen's stomach was bulging at this time, just like the pregnant woman waiting for delivery.

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

"Preparation." Zhang Fan said softly.

"Good!" Xue Xiaoqiao immediately began to prepare.

What are you prepared for? In this way, the abdominal aorta chicken thief is hidden slightly above the spine of the human body.

If you want to get started with it, you must first make clear the surrounding intestines.

The small intestine, the large intestine, to be honest, the fatter person, these things, the bath tub for a child may not be full.

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

You ask the tailor, you ask the doctor Pu Wai, he can cry and tell you that it is too thick.

For a fatter person, open the belly and dig out the inside, and put it in a five- or six-year-old child without any problems.

Such a depth can only be thought of before opening the abdomen. First, let the patient fast and defecate, and reduce the intestinal contents.

Then, lower the patient's head on the operating bed, just like in the shampoo room, when people put the chair down.

The patient showed a state of low head and high feet, and then began to use the knife to bypass the navel and draw directly to the upper end of the pubic bone.

It can be said that this kind of operation is a laparotomy, what kind of appendectomy, what kind of gallbladder removal, at most, even if it is a small hole, a hole is drilled.

During the general liver and gallbladder surgery, Zhang Fan not only passed the system level, but also got a feeling from a large number of operations, and the technology was sublimated.

Otherwise, Chen Kaiping, who is a laparotomy, envied the general.

The usual surgical incision is that the main knife takes a piece of gauze in the left hand, the assistant takes a piece of gauze, and then the two people gauze the skin to be cut tightly.

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

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

Xue Xiaoqiao had just picked up the gauze, and Zhang Fan had already started to cut it.

The knife and the right hand are held horizontally. In surgery, especially women's obstetrics and gynecology, they like to use the pen-holding method to hold the knife.

I do n’t know who started it. Anyway, if a male doctor likes to hold a knife with a pen, he often gets the sentence: Your teacher is maternity!

The pen-handling style is more precise. The horizontal knife has a feeling of wide-opening.

And Zhang Fan is no longer a problem with precision, so he prefers to hold it horizontally, just like Diao Xia just came out of the waterfall, and he likes a thick blade without a blade.

Hold the right hand horizontally, the index finger of the left thumb stretches open the skin, and then directly from the top down, Xin! Just like the same flash of lightning, around the navel opened Lao Chen's stomach.

The belly button, like the handle on the door, was perfectly avoided, "Stop bleeding, pull the hook."

To be fast, if there is no need for it, Zhang Fan does not lift his head, and the blood on his skin does not stop.

Director Pu Wai held the electric knife like an electric welder, and he stopped bleeding at once. Xue Xiaoqiao and another assistant took the super large hook and began to pull away the abdomen.

How big is this hook? Old-fashioned reinforced pans know it. The lid of a reinforced pan that can steam more than 20 large steamed buns at a time is split from the middle to become a big hook.

Anyone can pull this thing for a minute or two, but it can be pulled for half an hour or a few hours. People who don't have a lot of effort can't get it.

Not only to antagonize the contraction of the patient's skin and muscles, but also to change positions with the surgeon's surgery.

To be honest, the doctors in Puwai all have unicorn arms. Otherwise, it won't last for such a long time. You pull an orthopedic surgeon to hook him and perform the operation, which is absolutely full of stomach. Don't come to Puwai after the death to help pull the hook.

Pulling the belly open, the edema of the small intestine is like a strip of balloon, bang! Huh! Huh! One by one stood up.

It was filled with air, undigested food, yellow, gray, and brown. With the creeping, it seemed like a group of villains rioted.

The air is rising, the solid liquid is sinking, and there are a lot of raised bubbles in the small intestine and the large intestine, as if to Zhang Fan, what are they doing, what are they doing? Come, who is afraid of who!

Ischemic edema, which makes the small intestine and large intestine full of bubbles, and then because of bleeding, the abdominal cavity is full of bright red blood

"Gauze! Come on, don't count, what are you doing!" Zhang Fan became very angry when he looked at the nurses counting the gauze piece by piece.

He must not worry, his stomach full of blood, like the red oil hot pot that has been boiled, keeps grunting.

At this time, one second slow is how many ml of blood is lost. The equipment nurse was stunned. The head nurse looked at it and said immediately: "Xiao Li, please give the gauze to Zhang Yuan. Quick!"

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

To be honest, such operations are illegal. On the operating table, especially the laparotomy, all the objects on the table and the table must be double checked.

Just two people, counting together twice. When the operation is completed, such scenes are often seen. The two nurses stand side by side like primary school students and shout loudly: one, two, three ... twenty.

It looks funny and naive, but this is the rule, for the patient's rule, the iron law.

If the inventory finds that there is one less gauze and one less needle, the patient cannot go down the operating table.

Then all the doctors and nurses pour their **** on the floor, the operating room, and the storage box full of medical waste.

Even if there are stools excreted by patients, the nurses and doctors have to squeeze them through and see, it is so harsh.

If you can find it, if you ca n’t find it, hey, which is what happened.

Forgetting instruments or gauze in a patient's abdomen is not a joke or a legend. In the early years, not only the country of China, but the medical professions all over the world had such accidents.

A piece of gauze went into the stomach, the patient didn't know, the doctor forgot, and then the patient's wound was like a child's mouth, and it had not healed, and a thread appeared in a few days, and a thread appeared in a few days.

The most exaggerated, even some patients have rejected for more than thirty years! Tummy has drained for thirty years, and the belly is like a long wool, and a piece of gauze is spit out for you every day. Really, it was all tears.

Later, a blue line was placed on the gauze. I don't know if you noticed it. All the regular medical gauze has blue lines. This thing is used for X-ray imaging.

However, even with this line, what should be forgotten is still forgotten, and finally an army nurse in China invented seven investigations and eight pairs.

She is also the first nurse in the Chinese army to receive the Nightingale Prize.

When Zhang Fan was in school, he was fortunate to have taken an old lady's surgical aseptic class. The old lady of the rank of major general could not see that he was a general-level figure.

A kind face, a kind face, unmarried all his life, and struggled all his life on the medical front.

Since the old lady of Hua Guo formulated seven investigations and eight pairs, there have been fewer and fewer things like gauze missing from the abdominal cavity.

Really, sometimes, the older generation of Hua Guo is too good, but few of them know that.

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

For what? Perhaps it is for the heart that will never lose. In order to make the oath under the Red Cross.

Sometimes, struggling and persevering, as if it were all egg soup, I just coaxed my belly and listened.

But sometimes, you look at him, perseverance, hard work, one day has not changed, one year has not changed, when ten years later, it is absolutely different, maybe this is the reason that faith will never fade.

Pulling his stomach open, Zhang Fan kept stuffing gauze into the lower part of the intestine, one, ten, fifty, and a lot of gauze was stuffed into it.

The belly is stuffed like snow candy, and the small intestine has protruded the suture of the abdomen.

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

"Tissue bag! Warm salt water!"

The large tissue bag, Zhang Fan is like washing the intestines of pigs, stuffing the protruding small intestine into the tissue bag, and then pouring into warm saline.

The intestine is different from the stomach. The stomach is very solid. You can take them out and step on your feet.

But the intestinal tract is different. This stuff is very precious, a little bit surprised by the cold, this stuff doesn't move and starts to pretend to be dead.

If the surface loses a little more water, it will be like a woman who hasn't put on a mask for a week, and it will directly cause you to die in the stomach.

Therefore, the warm saline head nurses and traveling nurses in the tissue bag are constantly replacing the constant temperature saline. They cannot be hot or cold. To be honest, they are the uncle-level figures in the abdominal cavity.

Open the stomach and separate the intestines. At this time, I saw the abdominal aorta in the abdominal cavity.

If you raise the lens and put it in the position of the shadowless lamp, at this time, the heads of the four of them are as if stuffed into a big mouth of blood basin.

Unfathomable!

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

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

It was so uncomfortable, really, half bent over, like the sculpture among the comedians.

Zhang Fan's neck pulled his head rigidly and hung it in midair, his waist bent to send his head a little further.

Even if this is the case, the smell in the abdominal cavity is still unpleasant.

The warm abdominal temperature, the smell of the abdominal cavity, the smell of blood decomposition, and it is useless to wear a mask.

It's sticky, smelly, and slightly hot. Really, it's like someone licking your face with a tongue hanging out after someone eats a stinky egg or stinky tofu.

The father with a child has such an experience. The child has a bad stomach. The wife asks you to look at the child ’s stool. Then you stick your face five cm above the stool that the child just pulled.

You can't make a hiccup yet, otherwise your wife will definitely be soaring.

And Zhang Fan can't send hiccups, because once hiccups, he will shake hands, hands shaking, blood vessels will spray fireworks on you.

Really, Zhang Fan bit the tongue and operated.

Separation, non-stop separation, the intestine is suspended in the stomach, this thing is semi-free, if you want to perform surgery behind the abdomen, you must first swim away from these hanging ligaments.

After separating the ligament, then separate the blood vessels. The aorta divides countless small arteries.

This operation is too difficult, really without losing the status and title of the death rate of up to seventy or eighty.

"Heparinized whole body!"

Zhang Fan's head and abdomen are slightly above, and all the words he spoke seemed to have a response.

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

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

So, some people broke their hands and stuffed their mouths into wordy, wordy words, and then took them out to see, hey, no more bloodshed.

He proudly said: Look, Laozi's tongue and saliva can stop bleeding.

It's really chicken, this thing will be infected, hemostasis is not how flexible your tongue is, but people's blood vessels stop bleeding.

Ordinary people can coagulate blood, but Mishima's female boss can't do it, even if the little finger breaks a mouth, it can flow into shock.

The blood vessels should stop bleeding by themselves, but the arteries are too big to stop, and the blood vessels are also anxious. Then the whole body is stopped, and the slippery blood inside the blood vessels becomes cement, directly embolizing.

Therefore, this operation is very contradictory, while hemostasis, while using a large amount of anticoagulant 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, the kidney must be preserved, and the kidney is preserved, so do you protect the egg?

The blood supply to these organs is established before the abdominal aorta is repaired.

Not to mention Zhang Fan, the sweat of the head nurse who was watching on the side was down.

Zhang Fan gritted his teeth, and shouted again at his waist: Oh, son of the tortoise, dare you stretch out for Lao Tzu, just stretch it, it will break!

Xue Xiaoqiao is not much better. Both upper limbs were unconscious, the soles of the feet stood sore, and the toes of the five toes, like the fingers, were almost torn.

But they can't move, they can't move at all, because below are the blood vessels and the large arteries.

An hour passed.

Two hours passed.

The children outside the operating room were crying and tired, and stared at the wall with dignity.

Several doctors and nurses that the medical office is looking for are still talking and talking. Really, it's hard to be the director of the medical office. It's too good. These are too hard to find.

Open the blood vessel wall, make the round-tube-shaped blood vessel into a flattened paper, and then trim it to remove the separated interlayer.

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

"Zhang Yuan, shall I replace you?"

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

"No need to!"

That is, familiar with Zhang Fan's style, otherwise, he can't stand his attitude.

Sewn, finally, sewn. Zhang Fan straightened his body slowly, he could hear the sound of his waist squeaking.

Busy with work

I thought

Lao Zang can brag happily

result

The child must predict the name of elementary school in advance

Hey

to be frank,

Too difficult

Last elementary school

Too difficult

This is to be signed, then to be stamped

Harder in another place

Uncles

Forgive me

(End of this chapter)