Chapter 691: Baby's heart

691 Baby
Pancreatitis, if hypertension and diabetes are a little ghost around the crowd, then pancreatitis is a ghost king who can eat people.
In terms of costs, the cost of treating hypertension and diabetes for one year is also very huge, but if it is divided into 12 months, it can still make ordinary patients bite their teeth.
However, pancreatitis does not work. Once the disease develops, Qian Lima will splash out like water, without exaggeration.
If the symptoms are severe, at the current price in the world, an ordinary building in the second and third tier cities is estimated to be unstoppable.
Moreover, even if the money is spent, sometimes it may not give you the ability to keep people, which is such a terrible disease.
In the early years, pancreatitis in China was almost always caused by a problem with the biliary system, which caused pancreatitis because the bile from the gallbladder finally merged with the ducts of the pancreas and then flowed into the small intestine.
In the past, people did n’t eat well and the parasites were not well controlled, so these diseases often lead to blocked pipes and pancreatitis.
With the improvement of living standards, pancreatitis in China also began to change from concurrent biliary system to overeating.
The patient Wu Lao and Zhang Fan are business managers of a company.
The position is not small or small, but also a rootless child in a big city who can fight with his teeth.
In order to survive in the big cities, the young man is also desperate. The company's business, he is ranked in the top three, a quarter is over, the company has some bad debts that cannot be collected.
Then the boss promised that whoever got the account could be divided. The young man was thinking about the children he had at home, because his wife had less milk, so he wanted to buy milk powder, and then he thought that the old man was in poor health and needed to eat more nutrients.
As soon as he gritted his teeth, the young man took the trip. At the beginning, he could not even enter the door of the other company. He did not give up and slept at the door of the other company with a cover.
One week, it became a local landscape directly, and the boss of the other company was also given no help by the young man. Does the boss worth tens of millions lose face?
When people brought the guy to his office, he didn't talk much. He pointed at the pile of bluebird beer in the corner of the office. "One ten thousand bottles, how much you drink, how much I give you back."
"keep your word?"
"My boss like this will tease you? Drink it."
The workplace and business are cruel, very cruel, human dignity, and sometimes, really ...
For the children at home, for the elderly at home, he drank.
One can, two cans ... I don't know how much I drank. The boy who had been boiled for a week, just went from standing to drinking, sitting to drinking, and finally lying down to drink. Drink the wine in your mouth and then trickle out and in and out.
In the end, his frightening posture also made the boss of the other party scared. He wrote the check directly, and the young man climbed out of the other's office with the check.
When he went out, he vomited violently. The beer he drank was like a foamy fountain, and the sprayed water was sprayed like a bubble of water.
Then, suddenly there was pain, extreme pain. After the alcohol paralysis, he could feel his back and waist very clearly, and the pain was like a knife stabbing.
Thanks to a well-intentioned passer-by dialing 120, otherwise he may have died on the road.
His condition is a typical pancreatitis caused by severe drinking.
There is another, perhaps for life, or for the sake of ignorance. When you drink, you can ignore it.
Then, secretly go to the bathroom and put into his throat to dig out.
Do n’t learn this way. You may get a massive title when you vomit dozens of times. Once you cause pancreatitis, if you do n’t make it, your home will be ruined. Your wife will be slept by others and your child will be beaten by others.
No exaggeration at all.
The digestive system of the human body originally evolved according to the fact that it can only be followed and cannot be reversed. Once forced vomiting, once or twice or even hundreds of times are fine.
Once you cause a system disorder and pancreatitis, it is a personal or family disaster.
Therefore, don't hold the wall in while eating, hold the wall out, and don't drink to slap the hero.
There are 200,000 people admitted to the hospital in the United States each year for pancreatitis, about 20% of whom are severe pancreatitis, and the mortality rate is as high as 25%.
The response rate for pancreatic surgery is about 60%, that is, when patients with severe pancreatitis need surgery, the success rate is quite low, there is no healing rate, and a response rate is used instead.
It is conceivable that the disease is terrible. Lao Mei did not know the cause after the Second World War or the Vietnam War. Suddenly the number of alcoholics increased sharply. Therefore, the operation of pancreatitis is the best in the world.
However, in the country with the highest level, this disease also makes doctors talk about discoloration, and not all pancreatic doctors can perform this operation.
And this disease is also very cruel for patients. Look at the treatment of this disease.
1. Analgesics, high-dose analgesics. 2. Inhibit pancreatic secretion. Drugs such as octreotide inhibit pancreatic secretion, and the price of octreotide can really make people smoke.
It's that simple. After the pain is covered up, the patient's pancreas reduces secretion, and then the patient recovers by himself.
It hurts, the pain of this disease, the iron man can hurt the mother, this is not enough, if it does not work, the next step is surgery.
This kind of operation, not to mention ordinary hospitals, some provincial key hospitals, can not be done.
The pancreas was clearly separated under Wu Lao's hands. The most difficult and most critical place for surgery was here.
Why is this operation so difficult?
To put it simply, it is like grapes are attached to the branches of grapes. Under the shaking, a grape falls off and breaks.
Now what Wu Lao and Zhang Fan have to do is to first cut off the broken grapes that may be bad, then try to restore the grape skin to completeness, and finally attach the patched grapes to the branches.
For example, it is so difficult. I can imagine the difficulty of this operation, and the pancreas is the human body's largest secreting gland except the liver.
Can be secreted, is still a very large secretory gland, so the ducts in the pancreas extend in all directions, just like a hive, connected by road.
There are countless vascular lymphatic and secretory channels inside, and once the surgical technique is not good, it will be blocked.
The blockage of the pancreas is not a blockage in the city. The driver scolded the mother for a few words. The pancreas secreted here is just like aqua regia, and will corrode. Once it is not done well, it is a pack of bombs that do not know when it will explode .
"Look here, the pancreas is already very swollen. This operation must not be rushed. You must be fully prepared. Failure and successful results must be estimated."
Wu Lao, who did not speak, began to speak, and Zhang Fan, who had originally spoken, began to stop speaking.
If we compare the level of Zhang Fan and Wu Lao, then Zhang Fan's current level is like the heroes on rivers and lakes.
A warrior who can do justice is bullied. Well, go to Zhang Fan, he can do it for you.
And Wu Lao's level, ordinary matters and Zhang Fan really do not differ much.
But the old man's heritage is that he and the people in the rivers and lakes he knows will not have an accident.
Zhang Fan is like a superb young knight, and Wu Lao is a famous place in the world of rivers and lakes. He can scare a river and lake by relying on his name.
This is the difference. This is the invaluable experience of the old man who has worked hard for more than half his life.
To be honest, there are times when doctors and soldiers are very similar. An army needs countless lives to build a strong team.
The doctor is actually similar. A good doctor actually accumulates his life.
The medical profession, the teacher is really just a leader, a simple cardiopulmonary resuscitation, to be honest, a little cultural people, training can be done.
But doing good or bad is the difference between heaven and earth.
If a few people haven't died of CPR in their hands, they really can't do well and can't improve much. No matter how much training, it is not as good as killing a person in your hand, a cruel industry!
"The swelling here, do not take it lightly. Once the pancreatic fluid has not been removed, no one can guarantee that this place will heal after surgery."
The old man glanced at Zhang Fan. Although Zhang Fan didn't look at the old man, he seemed to know that Master Shi was looking at himself, and Zhang Fan nodded gently.
After speaking, Wu Lao pierced the pancreas with a needle, slowly pierced the swelling like a bladder filled with urine, and then slowly began to extract pancreatic juice with a syringe.
The pancreas from which the pancreatic juice has been absorbed is really like a protruding tongue, and even the middle line of the tongue is very similarly reflected on the pancreas.
"Knife!" Emphasizing the place to pay attention to, the old man personally asked for a sharp knife.
The hand holding the knife started very stably from the center of the pancreas, which is the middle line of the tongue, and the knife edge crossed.
The old man's hand is quite sharp, cut, point, and cut. The epidermis of the pancreas is like an old man in the love field, using his teeth and sharp teeth to gently bite the dry skin on his girlfriend's lips.
Between the drops, there was no trace of involvement, but the other person's clothes fell completely.
The master is doing the terrible things in the calm seas. Dissect and isolate the necrotic pancreas.
"note!
No more, no less. After cutting the pancreas, it will not function, and if the pancreas is cut, it will become necrotic. "
The old man said as he cut. Needless to say, Wu Lao believes that Zhang Fan can understand.
Flexible fingers shuttle around the white greasy pancreas.
The doctors standing behind Zhang Fan, at this time, they were in a state, "Are I going? Will they? But they just can't do it."
But Zhang Fan is different. What he needs is not the minutiae. What he needs is an overall view of the disease.
When the old man started to do it from beginning to end, Zhang Fan kept making comparisons in his mind.
"What should I do? If I were to do this step, what should I do."
A little bit of confirmation, Zhang Fan finally asked his own questions at the most critical place of the operation.
"Master, why don't you unblock the ducts in the gland before dividing the necrotic tissue under the incision line? Isn't the pancreas better able to ensure patency?
"Oh, it seems you really understand it. It is not impossible to clear it first, but there is a chance that it will damage the parapancreatic duct.
We can clear it a little bit more slowly, but there is no way to recover the injury of the parapancreatic duct. This was something I figured out when I was 50 years old. "
"Uh, fifty years old? Parapancreatic duct?"
When the doctor of Sansuke was not convinced, he was convinced because he didn't understand.
As the director of the second assistant, it seemed as if he understood something, and looked at Zhang Fan with a very grateful look.
As for the group of people behind the surgeon, they are directly facing each other in the mist in the clouds. What do they say?
Figured out! Zhang Fan, who figured out the key points, was like a window paper. After being broken, the sky suddenly lighted up. A word from Master Shi made him transparent, and the operation of the pancreas went straight through.
"Oh my God, this is the case. How do I say, in the system, pancreatic surgery sometimes succeeds, sometimes it is judged to fail, obviously the method is the same. It turned out that the parapancreatic duct was ignored!"
What is dial cloud seeing the sun, this is dial cloud seeing the sun, what is the word of gold, this is it. If there is no Wu Lao, even if Zhang Fan has a system, it is estimated that when he did not enter the second class, he still couldn't figure this out. This is not to say that Zhang Fan does not work hard, but he has no time! Not enough people died on his hands!
Really, Wu Lao's generation is not for nothing. This is also the place where surgeons and senior surgeons of senior doctors often have one sentence to solve the problems that junior doctors can't figure out for decades.
Zhang Fan and Wu Lao, who had repaired, connected and figured out pancreatic problems, became more and more comfortable.
The surgery is also getting faster and faster. The two hands, like a brain in command, cooperate very well.
At this time, the second assistant and the third assistant only found out what is a master. Zhang Fan and Wu Lao are like a sports car that rises.
Speed, precision, anticipation, no communication, the two are directly synchronized.
As assistants, they were sweating and trying to catch up with Wu Lao and Zhang Fan.
"It's too bullying. It's too bullying." Tears of Sanzhu almost shed. He is aggrieved, sincerely aggrieved.
He could still keep up with the old Wu's surgery, and the pride in his heart was full.
A doctor under thirty-five years old, he felt he could sit in the first spot.
This was not only his own idea, but also the approval of all colleagues in the hospital's colleagues department.
As a result, today, he did not expect that a black guy who did not know where it came from was as good as discussing with Mr. Wu, while increasing the difficulty of the operation and increasing the speed of the operation.
It's nothing, but he can't keep up, and he can't keep up with his energy.
"The first person below the deputy high school, and the leader of the young doctors in East China are all deceiving! Oh! Oh! Oh!"
He was extremely sad, and the difference in technical level was the deeper the human body understood.
Repair, fill, fill, point, cut, cut, the original pancreas was like white tofu dropped on the ground, slowly repaired by Wu Lao and Zhang Fan.
Zhang Fan, who had figured out the difficulties of the pancreas, was seduced by Wu Lao's superb surgical skills, and Zhang Fan was able to get more and more transparent.
Immersed in a clear sense of refreshment, the effort under Zhang Fan's hands slowly began to play out.
When he didn't figure it out, Zhang Fan couldn't fully exert his full strength, because he didn't know why the operation sometimes succeeded and sometimes failed in the system.
And now, figured it out, don't need to talk about it. Then, when Zhang Fan figured it out, a group of people behind him opened their mouths!
"Guy, what is this guy doing!"
In the operating room, especially in the face of very strict experts such as Wu Lao, nonsense will definitely be scolded.
However, even when Wu Laoai was there, the observer who stood behind the surgeon was so surprised that he even forgot to say the rules.
Two chapters combined into one chapter
Uncles
Uncle Zang
Do you know what to do?
(End of this chapter)