Vol 2 Chapter 1254: can you do it

   Chapter 1254 Can You Do It
  When the intestines were thrown away, Zhang Fan looked at the intestines and felt a bit resentful towards Li Hui in his heart. Had it not been for this to always tempt him to smoke when he was quark, I guess he would never smoke a cigarette in his life.
  Smokers seem to be harmless at first.
  It’s harmful if you haven’t drunk alcohol. If you get drunk, it’s easy to get into trouble. But smoking seems to be okay, even if the girl is idle with bad breath, Green Arrow can still do it.
  You can look at the intestines, not only Zhang Fan, but even Zhao Zipeng, who has not quit smoking now, is beginning to tremble.
  Because of Stan’s local tyrant, I like to smoke a cigar.
  Self-encouraging diseases, in fact, if you really use drugs to control, as long as there is a reasonable treatment plan, the patient has good cooperation and can be controlled.
  For example, there is a paragraph in the 9th Hospital of Magic City, saying that a patient with lupus disease, and her attending doctor is the same age as the patient.
  This patient cooperated with his attending doctor very well. The doctor said not to leak the skin when the sun was strong. This patient never wore short sleeves or skirts again.
  As a result, many years have passed, and the patient is alive and well, but the doctor finally went to another world early because of abnormal sleep.
  The local tyrant's life, it is said that people who can make a fortune, such a person, should be very self-disciplined.
  But this one, the cigar will not leave your hand.
  Many people say that cigars are okay, cigars are harmless, and cigars do not enter the lungs.
  In fact, this is all a lie.
  There was a celebrity who smoked a cigar and got out of oral cancer.
  Because the oral mucosa can not only kiss, but also absorb it.
  Many drugs are absorbed sublingually, because this is the fastest and the fastest way to enter the heart.
  For example, nitroglycerin is the kind of life-saving medicine in Huaguo porcelain gourd.
  Why don't you swallow it, you have to swallow it.
  Because this way of taking the medicine makes the medicine enter the heart the fastest, even faster than the intravenous infusion.
  The nitric oxide, carbon monoxide, and various macromolecular substances in the cigar can enter the blood vessels through the oral mucosa.
   Then, hit the blood vessel wall.
  The intestinal blood vessels of patients like Crohn have already become a mess.
  But he smokes a cigar desperately.
The result of    is that the condition worsens, and the drug control has no effect at all.
  So, only surgery.
Zhang Fan set aside the intestines, this kind of abandonment is like a child peeling off the ham. The metal at the top of the ham can’t be removed, and the child is not stupid. He bites a small bite from the side, and then pulls the ham with his little hand One.
  And Zhang Fan’s current surgery is actually like this.
  First, make a small opening in the middle of the intestinal lesion.
   Then in this small mouth, start holding the scissors up and down.
  How to diffract.
  Scissors cut!
  To stop bleeding, first ligate all the surrounding blood vessels.
  Tie the black thread ends one by one, just like using a burning incense head to burn the ring scar in the intestines.
  The long pinkish-white intestine is covered with black dots, and it looks like a pig's large intestine is covered with black bugs, crawling with the peristalsis of the intestine.
  People who are watching, can’t wait to pluck them all with their hands. People with obsessive-compulsive disorder can be forced to death on the operating table.
  Zhao Yanfang knotted Zhang Fan while touching the lesions on the inner wall of the intestine.
   "Wait for the pathological tissues that will be cut, don't send all of them to the pathology department, leave a section for me, I think our laboratory is alive."
   Zhang Fan heard that this matter is not gossip.
   "How?",
  "This is an atypical Crohn’s disease, and we can study it further."
Zhang Fan was stunned. He felt that there was nothing else to study about this thing. It has been studied by the whole world. Since 32 years, how many European and American experts have been rushing in this area, there is no result in the end. .
   is also strange, this kind of disease is actually not many in China, this kind of disease is more likely to occur in Europeans and Americans. In Europe and America, this disease is particularly common.
   "You don't understand!" This time it was Zhang Fan's turn to be assaulted.
  Zhao Zipeng originally looked at it with relish, and he could see the anorectum with taste, not to mention the small intestine and large intestine.
  You can hear Zhang Fan being assaulted. He immediately raised his head and looked at Zhang Fan.
  This is not a provocation.
  This is for Zhang Fan to step down, let Zhang Fan say something to him, so he can step down.
The   people thing, sometimes it can be successful, or can get ahead in a group of people, it’s really not for nothing.
  If it’s someone else, even if they don’t laugh, they might lower their heads and look like they don’t care about me.
  And others, directly to Zhang Fan steps.
  This is the skill.
  Zhang Fan smiled.
  The operation is slowly cutting along the intestine.
  The intestinal solution is mixed with the mucus secreted by the infection.
  Intestinal solution is slightly thicker than saliva.
  The fluid secreted by infection is similar to yellow thick phlegm.
  And because of the secretion of intestinal flora, green liquid appears.
  There is also the destruction of the intestinal mucosa, and blood is also mixed in it.
  Zhao Yanfang took a piece of gauze, Zhang Fan cut one centimeter, and she was going to wipe one centimeter.
  Be good, even if you wear a mask.
   can also feel an extremely disgusting taste.
  It's like a canned herring is stepped on to a muddy foot, and then he falls and his nose is close to the muddy top.
  Absolutely uncomfortable.
  How do you say this feeling, it's like a man enters a woman's bathroom.
  Not only is it smelly, but it also has a very uncomfortable smell.
  Wipe, a piece of gauze is used up, it is quickly put into a tissue bag and sealed up.
   "It's a bit long, I guess the length of the intestines is not enough." Zhang Fan looked at the small and large intestines a little bit frustrated.
  This kind of surgery, to be honest, destroying the lesion is too simple.
  Hold the scissors to click, just like eating braised pork intestines, just cut it.
  The difficulty is the post-alignment stitching.
  Don’t look at the large intestine and small intestine as both intestines, but the effects of these two things are different, resulting in a different organizational structure.
  For example, many people like to eat the large intestine. Why, not only is there a slight smell in it, but also because the large intestine is soft and rotten.
  The small intestine is different. This is a tedious thing.
  Because gastric acid rushes out of the stomach, the first thing it enters is the small intestine.
  The bile from the pancreas rushes out, and it enters the small intestine first.
  They will neutralize here. However, acidic liquids and alkaline liquids become neutral liquids.
  So, the small intestine should be thick.
  The large intestine is different. The large intestine is a lot thinner for the first time, and because it needs to absorb water, it is quite thin.
  This thing, if the acid and lye enter the large intestine directly, the reaction has not been completed yet, it is estimated that the large intestine can be corroded out of the hole first.
  Even if the small intestine is not corroded, the small intestine is too short to cause injury to the large intestine.
  This is the so-called stump cancer.
  Such as stomach cancer.
  Many people know that gastric cancer patients can often survive for a long time as long as the lesion is removed.
  Surviving for five years is the start.
  Some have no problem even for thirty years.
  Some doctors have done gastric cancer, and the patient has complicated stump cancer within a few years, and then died.
  In this case, sometimes it is a problem with the doctor’s surgical technique.
  So, Zhang Fan looked a little worried at this section of the intestines.
  If you say, ordinary doctors, maybe they just tugged and sewed them together. It's not considered deliberate, because surgery is something, sometimes if there is really no way, you can only count on the body to make up for it.
  For example, after a fracture, the steel plate is tightly fitted. After the film is taken, the layman will look at it and behave. The operation is done well. It is like a steel plate without a fracture.
  And the insider just smiled and laughed in obscurity. Because this method damages the bones too much, all the periosteum on the bones is scraped clean.
  What does the periosteum do? The bones eat with this stuff, blood vessels, nerves, and so on.
  So, without the periosteum, bones can grow well in one hundred days. It takes half a year. This is all good luck and bad luck. After two months, the bones have shrunk.
  And this kind of suturing of the intestinal tract, the patient will have a high probability of cancer, stump cancer.
  But if you don’t pull it, after the intestine is loosened, the damage in the patient’s intestinal tract will increase, and the patient will suffer from intestinal obstruction.
  This kind of aggravated damage, sometimes may not be able to do well.
  The difficulty of surgery has increased a lot.
  So, one is that there will be diseases that make people hang on. If the stump cancer comes out, there will be no chance of cutting the intestines.
   can increase the damage and reduce the damage, which will cause the patient to hit the floor and painful intestinal obstruction from time to time.
  To be honest, this choice is really not easy.
  In this case, ask the patient’s family, there are few that the patient’s family can understand.
  Ask the patient, the patient is numb.
  What to do, it’s up to the doctor to choose.
   "Continue to peel!" Zhang Fan gritted his teeth.
   "Don't, let me think about it." Zhao Yanfang stopped Zhang Fan.
  Zhang Fan glanced at Zhao Yanfang.
   "Let me think about it, let me think about it." Zhao Yanfang frowned, thinking carefully.
   Just when Zhang Fan and the others were about to continue the decomposition, Zhao Yanfang's eyes lit up.
  "Ice cubes, warm water, fast."
  The operating room is always carrying distilled water and ice cubes of distilled water.
  The visiting nurse quickly came over with ice cubes and warm water.
   Zhang Fan looked at Zhao Yanfang.
  Not only Zhang Fan, but also Zhao Jingjin do not understand, let alone Zhao Zipeng.
  "I read a case paper on BJM. The paper said that the small intestine will be prone to derivation when the temperature is minus 15 degrees Celsius, while the large intestine will slowly extend when the temperature exceeds 40 degrees.
  The small intestine is composed of the circular orbicularis muscle. It has four layers. After freezing, there will be a temperature difference between the four layers, which will make the link side of the tissue long! And the large intestine..."
   Zhang Fan understands this truth.
  However, the intestines are not afraid of knife cutting or needle sticks.
  But this thing is particularly sensitive to pulling and temperature.
  During abdominal surgery, senior doctors will often say that it should be easier, lighter, and don’t pull it.
  If you are not careful and stretched too much, the intestinal tract will often lead to heart failure in the patient.
  And the temperature is the same. When the abdominal cavity is flushed, it is usually about 37 degrees of water.
  The simplest thing is to swallow a hot pill in one bite, and then, it hurts from the tongue to the stomach.
  So, this method is really dangerous.
  
If you can guarantee that the stitching is completed within three minutes when the temperature changes, I don’t think it will be necrotic.
  Tissue cells will not become necrotic in such a short period of time.
  Now it's up to you to see if you can finish stitching in three minutes. "
  Zhang Fan nodded.
  Then gently fumbled along the intestinal orifice circle with your finger, and estimated about how many stitches it would take to complete the suture.
  Lao Zhao, Zhao Jingjin looked at the head of the large intestine and the head of the small intestine, and shook his head gently.
  The difficulty is too high.
  Zhao Zipeng looked at Zhang Fan!
  (End of this chapter)