Vol 2 Chapter 1445: Difficulty of the operation

  Chapter 1445 The difficulty of surgery
  Zhang Fan is still in the operating room. In the observation room of the orthopedic operating room, almost all the orthopedic elites of the Chasu Hospital are here.
  The operation room of the orthopedics department is different from the operation room of other departments, and it is more expensive. For example, in this observation room and operating room of the orthopedics department, the walls are not only thick, but the glass is all leaded.
Because various radiological examinations are often done in orthopedic operating rooms, such as C-arms, which are X-rays. Under normal circumstances, this kind of examination is either in the basement or in another building and placed in the operating room. , The requirements for the operating room are relatively high.
Because the operating room here is an old-fashioned operating room, unlike the operating room at the Bone Research Institute, which is dome-shaped. To observe the operation or on-demand operation, standing on the roof of the operating room can have a God’s perspective. Let's look at the operation process.
  The old-fashioned operating room has only one observation window, and this one is still occupied by Wang Yanan. There are three orthopedic departments and nine wards. Although there are several other female doctors, they may be called elite female orthopedic doctors, but Wang Yanan is the only one. The rest are only coming this year. I don’t know if I will not be in the future. Will pass by other departments.
  After all, orthopedic girls are really tired.
  Because she is a woman, not only is she beautiful, she is also Zhang Fan’s big disciple. So everyone was more modest, and the others looked at the monitor and left the observation window to Wang Yanan.
   People who have good deeds in the hospital will gossip. Some say Ma Yichen is Zhang Fan’s major disciple, and some say Wang Yanan is the major disciple. However, when Xiao Ma sees Wang Yanan, he usually retreats because he can't afford it.
  Wang Ya boy can scream directly when he gets angry: Zhang Fan!
  He dare not even if he gets angry!
  It seems to be bored when I watch it alone. Observing the operation is just like watching a TV series. You still need someone to chat with you.
   "Xu Xian, don't you say that this person is not a local tyrant? Why are there all kinds of scars on his face? Is this person a local tyrant or a bandit!"
  In the operating room, the disinfection has ended. Zhang Fan is in charge. Spine Surgery is the director of the second department of orthopedics, the second aid of the golden retriever of the orthopedic research institute, the director of the first department of orthopedics, the third aid, and the fourth aid of Wang Guofu make soy sauce.
  The patient’s face was also washed out at this time. Because of the neck surgery, the patient is lying on his side. The bed in the operating room, like the bed in some bathing centers, has a hole.
  The difference is that many of the holes in the bathing center bed can hold both the bottom and the bottom! And this bed in the hospital can only put the face.
  Because there is no such hole, the operation time is long, and it is general anesthesia, which will cause oppression and suffocation. After the operation is completed, the person is suffocated, and Nima will be shot.
  So, the side of his face was tilted down, just facing the direction of Wang Yanan's observation window. Wang Yanan looked at the patient's face clearly.
  Xu Xian is Wang Yanan’s Doudou. He has a good personality and has the style of an old-fashioned cultural person. He speaks and does things very tactfully. Being pulled over by Wang Yanan, Xu Xian glanced at this hideous face. Wei Wei said softly:
   "This kind of person's wealth accumulation is no less than robbery. Therefore, when he is estimated to be of average value, there is still a lot of blood and blood."
  Wang Yanan rolled his eyes, "As if you know well, how do you know about this kind of local tyrant!"
  Xu Xian looked at Wang Yanan, sighed in his heart, and said: "I'm nonsense!"
But I said again in my heart: "You are a city person, and you don’t know the price of coal. Even if tea is rich in coal mines, in the past few years, it has gone from 300 yuan per ton to more than 1,900 per ton now. It's a bit bloody, what else can there be."
  Surgery has already begun. To be honest, if the orthopedic surgery technology is viewed in the world at present, the orthopedics department of the tea hospital can also be squeezed into the first-class. The establishment of the orthopedic research institute and the cooperation of the Jinmao Special Orthopedic Hospital.
  Up to now, it can almost be said that operations that cannot be done with tea may not be able to be done in other hospitals. This is the difference. If this research result is placed in internal medicine, even if old man Hu and old man Zhong are brought in, they may not be able to reach world-class standards.
  This is the difference between medicine and surgery. Surgery spends money on it, and it can definitely produce a dazzling star across the sky. If the money does not follow, it is a meteor. If the money can continue, this thing is a star.
  But internal medicine is different. This thing needs to be accumulated, and it must be accumulated over several generations.
  "Enter the hypertonic saline solution, and the systolic blood pressure is controlled at 60mmhg." Zhang Fan held a small knife and slowly drawn while giving the anaesthetist an oral doctor's order.
The incision in the neck, and even the incision in the spine, is different from other places. This place can be said to be scratched, such as the abdomen. A scalpel is cut across. It is as handsome as a knight in ancient times. The belly came out.
  Neck surgery, Nima is like a foodie holding a toothpick and smashing shell meat. Anyone who has eaten lamb necks knows that this stuff is delicious, but it takes a lot of effort, because it's just the flesh and blood.
  For surgeries that cannot be definitively checked by this type of examination, once the surgical tape is included, the doctor will always have only two choices.
  One, the patient is strong and can continue the operation. Second, leave this place of right and wrong and fight again in the future!
  Zhang Fan cut the skin of the neck,
Because the surgeons are all experts, there is no need for Zhang Fan to shout. When the black and red blood like a volcano comes out, there is only one second, or even a second. Zhang Fan and Yisuke’s four hands, the first time Covered the wound.
  Five fingers apart, the two hands, like a computer instrument, are inserted into each other’s fingers for the first time to form a human umbrella.
  This kind of tacit understanding, to be honest, neither Zhang Fan nor Shao Hua necessarily have.
  "Gauze! Small square scarf!" Zhang Fan and Yisuke's ten fingers crossed each other, and the second help took the suction device and quickly sucked, Wang Guofu was like a tool man, pulling the hook and not moving.
  Gauze, the gauze in the hospital is folded, there are about four layers, just like the special paper towels used by girls during their menstrual period, the size and shape are the same, but there is an extra layer of blue see-through lines.
  In this type of operation, the large gauze cannot be put in, so the nurse has to fold out the small gauze on the spot.
  After the first wave of blood spewed out, what was left was a trickle, and intermittently.
  At this time, don’t be careless, don’t look at this intermittent outflow is not too big, if you don’t deal with it in time, it will only get bigger and bigger, and in the end, you will lose blood and die.
  And the bleeding in the neck is different from visceral bleeding. The capillaries here are too rich, and it is difficult for doctors to determine the bleeding point in the first time. Perhaps this thing is oozing instead of out, so it must be compressed around.
   Pieces of gauze were stuffed into the patient’s neck, just like a gluttonous child, with lots of lumps of sugar stuffed inside, grinning not close.
  After the compression treatment, the surgery continues, and the neck surgery is difficult.
  First of all, because of the complexity of the nerves, let’s simply say that some people experience numbness and pain in the back of the head. This may be due to the compression of the nerves in the second neck, because this sensory nerve root extends from the second neck.
  For example, some people have numbness in their forearms and hands. At this time, consider whether the nerve roots of the sixth and seventh necks are compressed.
  How to describe the cervical spine, this thing is like a sleeve, and then the sleeve has seven pairs of openings from top to bottom, and the nerves that control the corresponding organs are derived from the holes.
  This is the periphery, that is to say, when it is on the periphery, if it is not done well, it will damage the patient’s nerves, which will cause the patient’s upper limb muscles to be unable to move, or cause one side of the face to lose sensation.
  Into the inside of the sleeve, one accidentally injured the spinal cord, which directly caused the brain and the body to lose contact, the patient instantly experienced incontinence, and the body was uprising!
  So, this operation is particularly troublesome from the outside to the inside.
  The few doctors just made a circle around the periphery, they were already sweating on their faces. Especially Zhang Fan, every time he makes a cut, he has to clearly construct in his mind whether there is anything else in this place.
  This makes laymen feel hypocritical. Where is Nima’s knife standing, motionless, and his hands move slowly like snails. How could it be possible to sweat profusely?
   To tell the truth, because of the high concentration of the brain, the hands can almost say where to hit, which is too tired.
  The director of the nursing department and the former head nurse of the operating room also came. Bayin left the operating room, and instead of going to the gynecological examination, he called the director of the nursing department.
  Surgery with this difficulty requires not only doctors to be top-notch, but nurses must also be top-notch.
  The director of the Nursing Department took off the three-bar hat, put on a hand washing gown, and entered the operating room with a surgical cap.
  A burst of scent rushed, as if there was no one in the elevator, but the scent remained, and the male compatriots would definitely think of a lordotic and backward-curved pattern in their minds.
  Ke Zhang Fan couldn’t take care of it now. With his head tilted, the director of the nursing department took the gauze soaked with Xinjieermei and quickly wiped Zhang Fan’s forehead.
  The cold gauze made Zhang Fan slightly cool down his brain.
  Not only the nerves, but also the white pieces of bone, travel through the torn muscles. And outside the operating room, Bird City is also opening the meeting at the Tea Hospital.
  (End of this chapter)