Chapter 516: Three or four years old

Chapter 516: Morning At Three or Four
Appendicitis, this kind of surgery, can be used as the subject of an intern's examination in general out-patient examinations. If you want to use this level of surgery to consider Zhang Fan's doctors of this level, it will be a bit tricky.
Not only Zhang Fan's side, even the medical team in Istanbul next door is not very happy. A well-known doctor in a country's capital was even considered by someone to take a small appendix operation, which is really childish.
However, since the patient is on the surgical cart, doctors will still do their best to complete the operation. Zhang Fan is a fat aunt, and Istanbul is an old man.
It's hard to say who's surgery is more difficult, anyway, it is just an acute appendicitis attack.
Acute appendicitis occurs. This disease is classified as acute abdomen, and it is also the most common acute abdomen. But there are two main reasons.
One is infection due to obstruction due to lymphoid follicular hyperplasia, and the other is infection due to stones.
What the is the lymphatic system? If you want to explain in detail, there is no way to say it, but you can understand it as a twin sister or brother in blood.
When progenitor cells produce blood cells, they are divided into two categories, one is the so-called red cells, which are various cells in the blood, and the other is lymphocytes. Red cells can be understood as working cells, just like worker bees in powder, while lymphocytes can be regarded as soldier bees.
Why does the appendix grow? Why do humans suffer from such cruel appendicitis? What causes inflammation of the appendix?
To sum it up in one sentence, it is actually war!
Humans with long mouths never stop trying new and exotic foods. For example, all kinds of dirty hot bars. After eating, there is war from mouth to anus.
"Oh! My mouth is blistered and my gums are swollen! My stomach is a bit uncomfortable. I want to have a diarrhea. The chrysanthemum is uncomfortable and bloated!"
Actually, this is a local allergy. Various soldiers in the lymphatic system fight against foreign bodies layer by layer throughout the body. And these swollen tissues are the battlefields and corpses of these fighting factors and various exotic foods.
Once the combat factors feel that they are not dry, they start to hit the ground. Whether it is foreign bodies or the original tissues in the body, they will be attacked by the factors that feel they are about to fail. Once attacked, the body's originally orderly system would collapse.
This is the principle that allergies can be terrible.
Especially the intestine, a dozen meters long intestine, the killing is very fierce, endless! Once the fight began, the thin bowel tissue began to edema.
The intestines in other places are relatively thick, and they are not afraid of edema, but the appendix in humans is not enough. Its lumen is too thin, and it will be blocked if it is slightly edema.
If it is blocked, it begins to stretch the intestinal mucosa, and then it begins to ache. This is the principle of appendicitis pain. Swelling is followed by infection. If you want to avoid this disease, as long as you eat less dirty food, you can avoid a 65% chance of triggering.
Surgical instruments and medicines are brought from China. It's very easy, but the surgical platform car donated by the petroleum system is hard to say.
Anyway, it is a high-priced thing, a fool.
"Get started!" Zhang Fan started the operation. Local anesthesia comes quickly and disappears quickly, and the local anesthesia effect of the master is very good. If you meet a low-level doctor, no patient can forget this pain in this life.
Dare to use local anesthesia to make the appendix, which Zhang Fan is quite sure about the positioning of the appendix. Zhang Fan must cut the skin and open the cover to see the appendix.
Otherwise, if you open your stomach and find that you can't find the appendix, then the scene is terrible. Because local anesthesia is just anesthetizing the skin to the intestinal wall, the depth and width are not large, which is about ten square centimeters.
The intestine is not afraid of cutting, but it is afraid of being pulled. Imagine opening the stomach and finding the appendix. The doctor is now riding a tiger.
Anesthesia, too late, the stomach is opened, you have to cut off the appendix, the doctor can only hold the intestine at a glance, pull out one can not see it, stuff it in, pull it out again, can't see it!
With a pull, the patient's abdominal cavity was constantly tearing at the patient's intestine as if he was drilling into a very hungry rat. Usually, even if the stomach hurts, there is no bowel in the abdominal cavity.
The stretch at this time will definitely make the patient realize that there is an intestine in the stomach. It is estimated that this is the worst in the world.
Therefore, appendectomy, surgery is not difficult, it is difficult to locate. Many doctors do not perform a detailed examination before the operation. During the operation, it was very dogmatic to open the incision at the Maiss point.
As a result, the appendix could not be found, and then like a popeye sailor pulling a cable, the large intestine was pulled out from the stomach and chopped in. MMP, you can not do a careful examination before surgery! Where is the most painful point of the appendix? I don't have a B number in my heart, I can only sigh.
After the operation, he had to exaggerate. Oh my god, today I made a peculiar appendix, which is almost reaching the pelvis! A good doctor will only say one thing to this kind of person: a second product with education and no knowledge!
Zhang Fan identified the location of the appendix early before the operation. Otherwise, he really didn't dare to do appendix under local anesthesia. Anesthesia layer by layer, Zhang Fan cut the abdominal cavity, of course, also cut layer by layer.
Small mouth opens! The length of the skin, about two or three centimeters, is definitely no more than four centimeters. Opening the skin, Lu Ning said to Zhang Fan: "The mouth is small, or should it be extended?"
The knife edge is too small and it takes a lot of effort to put even the smallest hook.
"Let's talk later." Zhang Fan did not directly refuse, although he was sure to open the abdominal cavity to find the appendix.
Cut open the skin and leak fat. The difficulty of this operation is estimated to be on this fat. People who have lived in rural areas should know that when the Chinese New Year is killed, when the belly of the pig is opened, people will use their fingers to measure the thickness of fat on the belly of the pig.
The fat of the two horizontal fingers is estimated to be about 100 kg, and the weight of the four horizontal fingers is about 150 kg. And this surgery performed by Zhang Fan today, the fat layer of the patient is too thick, it has already exceeded the thickness of a slap!
Fat under the electric knife, Zrazla's was cut open. Cut the fat, that is the muscle, open the muscle. At this time, the depth of the incision has passed ten centimeters, like a deep hole.
Zhang Fan inserted his fingers, and he couldn't touch the abdominal wall without any force.
"Head nurse, adjust the shadowless lamp, you can't see it!" Too deep, the shadowless lamp is beginning to have a shadow, Zhang Fan said to the head nurse.
"Okay!" The head nurse stood behind Zhang Fan and began to adjust the shadowless lamp across his shoulders. With the swing of the arm, soft things swept across Zhang Fan's head.
"Zhang Yuan, okay?"
"Row!"
Cut out the yellow fat, and there is a faint bloodshot in the middle. The crystalline fat particles are hung suddenly on the incision like plump pomegranates.
The ophthalmic hook gently hangs on the fat. The incision is too small, and only Zhang Zhi's can be reached. Zhang Fan gently clamps the peritoneum with pliers and pulls out a small pinch.
After entering with two fingers, he pinched the small peritoneum lifted by the forceps. "Well, there is no bowel in it! Scalpel."
The nurse passed the scalpel to Zhang Fan and swiped lightly without doing anything. The swollen appendix is ​​like the little brother of a three- or four-year-old child in the morning. "Oh!", Like the sound of champagne, the appendix popped out of the cut!
Starting from the bottom of the cecum, the appendix is ​​swollen and congested, like a cavernous body. At the very top of the appendix, because of the infection, white pus can be seen.
"The pus has become liquefied, and it is estimated that it will be perforated in a few days. Your positioning is too accurate, there is no extra one centimeter!" Lu Ning stared at the appendix, staring at the male appendix, smiling at Zhang Fan said.
(End of this chapter)