Chapter 267: No delusions (D version brother, hurry up and support!)

Chapter 267 No Disaster (D version, hurry up and support!)
At the beginning of the operation, Ouyang was angry. The general director and the urinary director were both on board. Although Ouyang did not specify who to let, the two directors obediently went to the surgery. It's not necessary for Ouyang to make up for it.
The director of the anorectal department is a bit awkward. He ca n’t get in or out, he ca n’t get out. Awkwardly, he rubs his hands and looks at Ouyang. Although he was not upset, he was frightened, but it ’s the director of the hospital ’s department. Ouyang's subordinates are not. The old lady said with a cold face, "Why are you still standing here without going to work? Let me give you a medal!"
"Okay! Okay, dean, I'm going to the clinic now." As he walked, he wiped the sweat on his head. His pressure was not small. For the young lady, he was considered to be out of the house, so the more he cared about. The more afraid to go over anything!
After speaking, he turned to the frontier boss and said, "Wait for the news! Greeting the Secretary-General for me." After speaking, he turned away and ignored a few people from the harbor.
The frontier boss has a look of Tieqing. He doesn't understand medical treatment, but he always knows that the older the industry, the more popular it is. Ouyang has a young man as the main knife. Can he have a good face? When ordinary people encounter this situation, they either have to find a way to plead, or they are leaping wildly.
Although the boss didn't speak well, he didn't say a word. He was thinking of a way to save it. One was to find someone to put pressure on Ouyang. The other was that today, if the hospital in Chasu City gave the harbor boss to Let it go, what should he do, how to stop loss in a timely manner, this is the difference with ordinary people.
In the operating room, doctors and nurses are busy. This kind of patient is the patient that anesthesiologists hate most. Not only should he pay attention to anesthesia, but also vital signs.
The operation started. Zhang Fan and the two directors started the operation in an orderly manner. This kind of operation, if there is no damage to the abdominal organs, is actually very simple. It is enough to repair the anus, but now there is damage to the abdominal organs, first After stopping the bleeding in the organs, treat the trauma.
Incision and exploration, the speed of entering the abdominal cavity for this operation is faster, which is originally blood loss. Now open a mouth, bleeding more, so it must be fast. Zhang Fan did not speak, one layer at a time, and entered quickly. The two directors cooperated well under the hands. This surgical approach was almost engraved in their brains!
Laparotomy requires rapid, accurate, gentle movements, both focused, and in a certain order to avoid omissions. Especially some hidden organs must be explored.
After laparotomy, you can determine which type of visceral injury is based on the contents of the abdominal cavity. When the peritoneum is cut, a large amount of blood overflows from the abdominal cavity, indicating that there is substantial rupture of organs or large blood vessels; there is gas or gastrointestinal contents overflow. Indicates rupture of the gastrointestinal tract; when there is bile-like fluid, it indicates that the biliary system or duodenum is ruptured; when there is fecal-like liquid or odor, it means that there is damage to the lower ileum or colon; when there is urine or smell of urine, Indicates ureteral or bladder damage.
When Zhang Fan opened the lower abdomen, direct urine rushed out! The washed urine is mixed with the blood and flows out directly. "Boost! Gauze! One more mid-order!"
Fan Zhang said to the equipment nurse and anesthesiologist. Abdominal pressure suddenly disappears, sometimes leading to a sharp drop in blood pressure. Zhang Fan had to guard.
"This man is really unlucky. He inserted it into the and did not say, but also broke blood vessels and punctured the bladder. You said that bad luck is not bad luck." Pharaoh said to the director of the urology department.
When performing surgery with Zhang Fan, the subordinate doctor doesn't matter. Zhang Fan doesn't talk, and no one else speaks, but the senior doctor and Zhang Fan are too uncomfortable to perform the operation. Zhang Fan doesn't say anything, and he is very focused and never talks! They made them feel embarrassed to talk.
"It depends on the situation. This person is very rich. Why do you say that it is not good to have money? Why run in the old woods! Isn't this to find something for chrysanthemums! It is estimated that even peppers cannot be eaten in this half year!"
"Southerners don't eat hot peppers!" Zhang Fan ended the two old men's Sosuo Yan, and Zhang Fan did surgery to hate others talking. This is practiced alone in the system.
In the past, I was not qualified, others would talk, but now Zhang Fan is qualified!
The treatment of visceral injury is based on the principle of "stop bleeding first, then repair". A large amount of blood in the abdominal cavity should be quickly sucked out. Zhang Fan holds the bleeding mass in his hand, and then checks the parenchymal organs one by one. Fortunately, there are not many pelvic organs in men!
After sucking clean urine, Zhang Fan gently opened the bladder and found the bleeding veins! Just point your finger up! One finger went up and held down the blood that poured out like a spring! "Fast, sucking blood!" Zhang Fan was so fast that Zhang Fan had held it down while the two directors were still finding the blood.
The general director Pharaoh quickly sucked clean blood and Zhang Fan began to ligate. This kind of ligation is very taboo and blindly ties in the pool of blood.
By the time Pharaoh was going to press with gauze, Zhang Fan was already on the hemostat.
"Be careful! Blood vessels!" Pharaoh was anxious. This kind of blind banding is very easy to damage the normal blood vessels, because the tissue here is very rich, and generally the large veins and arteries are accompanied, that is to say, the arteries are next to the veins, and the distance between them is about a few. Distance in millimeters.
Many times, when the surgical field is very clear, the blood vessels will be damaged, let alone such blindness! The moment Zhang Fan lowered the pliers, the general Pharaoh and the urinary director's cold sweats came down!
Because the two of them understand and know what's underneath. After a guy goes down and hurts the artery, the direct person is finished, maintaining the basic blood pressure, and then opening the artery! It's really unimaginable.
"Click", behind the pliers. Zhang Fan said: "Vampire!"
"Don't let go!" Pharaoh shook his hands a little, and then said to the traveling nurse, "Come on, get a lot of hemostatic cotton!"
Zhang Fan is confused! "What to do with hemostatic cotton?"
"You go down with this pliers, the arteries have broken early! Please say what you want to do with hemostatic cotton!" Pharaoh was angry and anxious! He originally felt that Zhang Fan was very stable in performing the operation, and his technique was also good. However, he did not expect to have made such a low-end mistake ~!
"Ah! It's still too young!" I felt a little sorry!
"Hehe! ~" Zhang Fan smiled, and wanted to say something. As a result Pharaoh said: "You are still laughing, go on! Think about it! Give me the pliers!"
Because the pliers are still in Zhang Fan's hands, if it wasn't the blood vessels that the clamps clamped, Pharaoh would have snatched the pliers already! Isn't this nonsense! This is surgery.
This is the gap, the gap brought by the system! Normal surgical training does not dare to blindly perform even 500 such operations, but Zhang Fan dares, let alone this distance, even if it is closer, Zhang Fan dares to blindly blind, without him, only familiar with !!
Others have no way to train, he can train, others have to wait for the opportunity to train, as long as he has time, as long as he is willing to work hard, he can train at any time! Can you be familiar?
"It must not be! Definitely clamped the bleeding point, and did not hurt the arteries!" Zhang Fan also wanted to stop bleeding more quickly, so he had no choice but to shine his hand!
"Crap! Go on!" Pharaoh was really angry!
Zhang Fan is really not in a hurry. At this time, the blood vessels are also stuck, so there is no need to worry. "Director Wang, really stopped the bleeding, and absolutely no damage to the arteries!"
"You won't go down, will you!" Pharaoh's face turned blue! Joking with the sick number, this is not something a doctor can do, so he is angry.
The conventional method is no longer able to calm Pharaoh's anger, Zhang Fan said after a short meal: "If the artery is broken today, I will bear the responsibility, and I will never have surgery again!" Zhang Fan said very formally! A serious and serious tone!
"Um!" Said this. Pharaoh calmed down, and he knew Zhang Fan's past, he had never been so reckless! I can't bear to destroy such an excellent young doctor.
"If it is clamped and there is no damage to the arteries?" Seeing the fun is not a big deal, the director of the urology department is relatively calm, which is due to the personality of the person.
"Oh, look at Director Wang!" Someone set up a platform for Zhang Fan to speak, Zhang Fan said after looking at Director Wang.
"What do you mean!" Pharaoh's tone was not very good, but his face was a little better, and his rounded eyes were slightly relieved.
"If there is no damage to the blood vessels today, the general surgery must be open to me in the future, and explain the reasons to the doctor in the department, and Director Wang will help me!" Zhang Fan said while holding the needles and preparing sutures!
"Um!" The old king froze. He stared at the pliers, because at this time, Zhang Fan had cleared the rest of the surrounding blood!
"One stitch and one thread!" Zhang Fan ignored the Pharaoh again and began to sew blood vessels. After a few stitches, Zhang Fan removed the pliers and dipped it gently with gauze. The gauze was clean!
Zhang Fan is not deliberately embarrassing Pharaoh, but an excuse to calm his anger! This kind of doctor has to be admired, caring about patients, and being able to turn his face on such a young and excellent person, regardless of the feelings of colleagues, is really admirable. As the saying goes, it's better to bully white beards than to bully young people! Not to mention the teenagers who have shown their level!
In the workplace, geniuses are privileged, and geniuses can get more people's understanding if they make mistakes! But this is the medical industry!
Today, if there is no general director, but only Zhang Fan and the director of urology do this operation, even if Zhang Fan breaks the blood vessel, the director of urology will not turn his face! Maybe it will help cover up! Who makes Zhang Fan a genius?
Therefore, although Pharaoh got angry, but Zhang Fan didn't go to his heart at all, this kind of doctor is his role model. Although Pharaoh couldn't hold the other deputy director of the department, he could express his concern for the patient to the patient. , Can really be called a healer!
After Zhang Fan quickly sutured, he was ready to repair the first, because the relative pollution of the is higher, suture repair earlier can also prevent infection earlier!
"Metronidazole rinse!" Zhang Fan said to the visiting nurse.
"Huh!" Pharaoh was a little embarrassed, but he wasn't annoyed at all. After touching the sutured vein gently, there was no need to confirm, because there was no bleeding anymore!
"Even if the arteries are not damaged today, it's nothing great. Just a few seconds, why don't you wait until the surgical field is clear and clamp it, you won't know the result of breaking the arteries? A few seconds more venous blood, And puncture the arteries, is that risky? "Pharaoh Anyway, is a director, or there are two. Not only criticized Zhang Fan, but also resolved the awkward scenes!
There is really no way to explain this, can it be said that an artist is bold? Dare to say this, it will allow Pharaoh to drive him off. This is an operation, not a tightrope!
The director of the urology department said, "Director Zhang is absolutely sure. Are you in a hurry without seeing others! This is the level. You have to take it!"
"Huh!" Pharaoh couldn't say! After the hemostasis, the operation is much smoother! After a large amount of metronidazole is rinsed, gently remove the wooden sign.
The circuit nurse took the wooden sign with gloves and looked at it, and said in a daze, "It's rough!"
"Hmm!" The director of urology and anesthesia smiled. "It's pretty rough!"
"Hate!" The tour blushed, she realized that there was a bit of ambiguity, and hurried out with a wooden sign.
"Zhang Fan, if you don't come here, I'll give you a hand, Corey's surgery lets you choose!" Pharaoh recruited Zhang Fan for the second time! Zhang Fanliang gave a hand, he thought carefully, and felt shocked! Really shocked! This level is too high!
"Hehe, Lao Gao probably won't let people go." The director of urinary said in a provocative manner.
"Does it have anything to do with you! Why are you everywhere?"
"Oh, don't be shy!"
The operation went smoothly, and the tone of the two was much easier, but Pharaoh was still a little liver tremor. Zhang Fan's look was too scary. The left and right sides were slightly shifted and shaken. Pharaoh looked at Zhang Fan, he really felt everything!
Repair the rectum, check the abdominal wall, there is no damage, continue, you must change gloves at this time. Because the is a contaminated area and the bladder is relatively clean, change gloves again.
The bladder is very sutured. This thing has a certain degree of contraction and stretchability. Like a basketball, it has an inner capsule. The inner layer is sutured first and then the outer layer. There is no need to pay attention to the suture when it is sutured. Just cannot leak after suture!
Finally it's anal! Very troublesome, although the wooden sign is not triangular, but the has been torn! Little by little stitching. Circular muscle! Sphincter!
"Two leaders, in which department is the sick number!"
"Put it out of the ordinary!" Pharaoh said. Zhang Fan originally wanted to put the disease number in the urinary, and there were fewer urinary patients. But the director of urology was afraid of Ouyang, and he didn't want to be infected at all!
After the operation was completed, Zhang Fan, as the chief surgeon, had to hold a wooden sign to explain to the patient's family. Outside the surgery, the life secretary, bodyguard, and frontier boss were all there. Several parties don't care much about each other!
The frontier boss really looked like an ant on a hot pot before the operation, and people all over the world wanted to pressure Ouyang. As a result, I asked Li Xiao!
As soon as Li Xiao heard it, he said, "The main knife is Zhang Fan, Dr. Zhang?"
"Yes, I asked clearly, a doctor who has not been in the hospital for two years! President Li, save the brothers! Hurry up and think of a way, otherwise I'm dead!"
"Relax, it's okay, you can just wait and feel relieved!" Li Xiaoyi heard that it was Zhang, and she was not in a hurry. She had a good relationship with the boss. She had planned to go to the hospital and sat down again.
"What?" The Frontier boss heard something wrong.
"President Ouyang has given the Secretary-General a face. The young doctor is a knife in their hospital! The first knife! Got it!"
"Just him! A baby!" The frontier boss didn't believe it!
"Yes! Just him, you will be polite ~! Very good doctor!"
He couldn't believe it when he hung up the phone. It was incredible. He knew the medical industry anyway.
"Old, is the Chasu city familiar!"
The director Chang, who was far away from the Mainland, had a tremor in his liver when he heard of Chasu City!
"Well, what's wrong!"
"Zhang Fan, does Dr. Zhang know!"
"That bunny! Did he say that my technique was not good, he would be a cow! I am careless, I do n’t understand! I am careless!" Lao Changqi foamed, Lao Tzu was far away from the mainland, you still Chasing! Is this interesting!
No delusion! Zhang Fan touched his ears with a fever ~!
Great recommendation tomorrow!
Various requests!
(End of this chapter)