Chapter 858: Abacus master

Chapter 858 Abacus Master
"The small round needle hangs the thread, and the back thread lengthens, and the vital signs of Secretary Ren and that patient are handed over to you.
Dr. Chen, extend the anesthesia time!
Dr. Wang, please talk to the patient's family. We have to do both preparations.
Once the spleen preservation fails, spleen excision surgery should be performed, the patient's family must be explained clearly the dangers of the operation. "
"it is good!"
"Yes!"
Ren Li agreed, and after listening to Zhang Fan, Dr. Wang immediately agreed to leave the operating room with a thick stack of surgical consents.
The device nurse took a lot of effort to hang the absorbable thread on the smallest round needle.
Needles, various leather needles, round needles, and special absorbable threads come with needles, which are particularly diverse in medicine.
The round needle is actually the needle of your own stitched clothes that is broken into a full moon shape, just like a full moon scimitar.
The shape of a leather needle is exactly the same as a round needle. The difference lies in the needle.
The head of a round needle is pointed, while the head of a needle is like a triangular thorn.
A leather needle is used to sew the skin and cartilage, and a round needle is used to sew the soft tissues and organs under the skin.
Because of the different needles, if the needle stitches the soft tissue under the skin, the result is that the tissue is split.
Don't look at a small needle, it is divided into three, six, nine, etc. in the hospital. For example, the round needle that comes with the absorbable thread of a country is quite easy to use.
Sharp, like the material comes with smooth oil, when inserted into the tissue, it does not bring a little dryness.
Moreover, the most amazing thing is that its material is used as a good needle, and doctors with good skills can use it to penetrate flat bones, such as ribs.
But the price is also good-looking, one thread, one needle, more than 400! This is still the price of the hospital. If you are in a beauty salon, it can cost thousands of things.
In order to prevent repeated use in hospitals, they have no threading holes at the end of the needle, which is considered a complete disposable item.
To be honest, if it is not a price issue, doctors like to use this kind of foreign needle thread.
It is estimated that small needles do not make money, and domestic manufacturers do not care about them. Then the domestically produced needles are really not very good.
Especially doctors with slightly poorer skills, suture tough tissues, if the force is not suitable, the needle will be bent first.
The nurse complained, the anesthesia doctor urged, and the superior doctor criticized, really, the young doctor can cry for the needle bully.
Although Zhang Fan doesn't have any requirements for needles, he likes to use this one which is not dry at all. When inserted, it is particularly slippery, like a popsicle, very smooth.
After taking the needle, Zhang Fan looked up and looked at the anesthesiologist. The anesthetist nodded gently to Zhang Fan, "Zhang Yuan can start."
"it is good!"
Abdominal tissues, including gastrointestinal liver, pancreas, spleen and kidney. These abdominal organs have great autonomy, and they do not urinate the brain much.
For example, intestinal peristalsis, which is managed by the intestine itself. If you eat too much, eat irritating food, or use something to tease from the back door, people will accelerate the peristalsis.
But for other stimuli, they are also lazy, and what happened, they don't give back to the brain much.
For example, if the intestine is perforated, only when the intestinal fluid flows out will it roll around in pain.
What is the intestinal juice, this thing is a strong base, even so, the pain in the abdomen is not very clear.
Abdominal organs are not very sensitive to temperature, cutting or acupuncture.
However, abdominal organs are the most sensitive to traction. This is why the second grassland brother sees any prey .
Once you bite at the head of the cecum, look back and talk, whether you are a two-ton rhino or a big lion with a tooth, you can lie on the ground and call your father.
Therefore, when performing abdominal surgery, when the old doctor took the little doctor, he would definitely say, "Slow down, slow down, move gently, don't pull!"
If it is pulled frequently, even if the patient has anesthesia, it will cause the patient to have restlessness or even painful shock.
And when there is pain in the abdomen, do not take painkillers at home, what is ibuprofen, diclofenac sodium sustained-release tablets.
Don't eat it. This thing doesn't urinate the brain. Once you take the painkiller, it is to cover up the condition.
Seeing the anesthetist nodded, Zhang Fan stabilized his emotions and settled down.
"Start!"
Lao Zhao held the tweezers with one hand, gently fixed the spleen in his hand with one hand, and then showed Zhang Shu the art field clearly.
Stitching, in the organ, the stomach is best stitched, with three or four layers, and the texture is tight, just like a pocket.
The spleen is the most difficult to stitch, how to say this thing, like a crisp water radish, or a green apple rich in water.
You sew a green apple with a needle to know the difficulty of this operation.
Once this thing is split, it is quite difficult to serve, the angle of the needle is a little misaligned, let alone stitched, it can continue to split a few petals for you.
Every kind of needle insertion is a gamble. You do n’t know if your needle will split the spleen tissue.
Moreover, when the suture opening becomes smaller and smaller, it is more difficult to sew, because the closer to the edge, the greater the chance that it will crack.
Just like a ceramic, this stuff breaks not just a point, sometimes, because of the problem of torque, this stuff can open the whole spleen for you.
Therefore, the older the doctor, the less dare to get the spleen, because one is careless, and it is an operation that has given up.
However, for Zhang Fan, accuracy and stability are no problem at all.
Zhang Fan took a long breath, and saw the moon-like needle pierce the spleen wound at ninety degrees.
On the edge of the spleen tissue with wounds like petals, the needle holder in Zhang Fan's hands pinched the round needle into the tissue firmly.
When suturing cartilage or even penetrating a flat bone or fascia, you must use the strength of the wrist.
And this brittle tissue must use the power of fingers, not only to have a clean penetrating power, but also to be impartial and stable.
The human body sews, not sews clothes. You can hold the needle in your hand.
The suture of the human body is to hold the round needle with the needle holder, so the force is transmitted to the needle through the needle holder.
Just like when you use your pliers to hold a nail and insert it into the wood, once you force it improperly, the nail is like a person who is not used to high heels, walking is twisted.
If this happens after this time, don't think about it. The spleen can definitely become a spleen flower, and it can only be cut.
With the insertion of Zhang Fan's closed breath, every time he inserts, Zhang Fan will insert with the breath at the most stable moment, and then seize the time to pass out.
This thing is not reckless, anyway, where is the spleen, I am desperately inserted, how can I go in.
Every insertion, not to mention Zhang Fan, was Zhao Quanping, the general director of One Help, unable to close his breath involuntarily.
It seemed that he was afraid that his breath would affect Zhang Fan's insertion.
One or two stitches. The distance between the pins is as neatly arranged as if measured with a ruler.
Surgery is similar to cooks. In cooks, the best people are men, and in surgery, the best people are men.
Not to mention tall, just say this stitching.
When Zhang Fan took the surgery class at the university, the teacher anesthetized the students and tied the rabbit with the skin on the operating table.
Then let the students practice stitching.
At the time, to be honest, everyone was a younger brother and a younger sister, who did this job.
The result of stitching is that the whole thing is that boys stitch better than girls.
The crisp apple-like spleen, as the stitches slowly oozed out a trace of blood, Lao Zhao glanced at Zhang Fan, and he dared not even wipe the blood.
Zhang Fanzhen's not only steady, but also fast. Watching Zhang Fan's dense sweat on his forehead, the traveling nurse did not dare to step forward.
At this time, it was too critical. The wound on the spleen slowly closed and closed slowly like the mouth of a crying child.
Stability is the foundation of this kind of stitching, and fast is the key. In trauma medicine, there is a prime time saying.
The spleen, for example, is full of tissues made up of various small bubbles. It can hold and eat, but it has few blood vessels.
Once the ischemia is caused for a long time, even if it is sutured, it will also cause ischemic necrosis.
Zhang Fan takes a quick suturing, he is like seeing through the eyes. Every time the needle goes down, he will avoid the blood vessels in the spleen.
On the surface of the spleen, there is only a light layer of superficial bleeding, and there is absolutely no situation like the rise of blood.
Doctors, although most doctors have the same education, the techniques shown by doctors vary widely during surgery.
Some doctors perform operations just like killing pigs, and the blood in the field is overflowing.
And like a solitary knight, he rushed forward with his head bowed down in the blood flower, cut an appendix, and the patient had to transfusion 400cc.
On the operating table, for this crappy doctor, the only weapon of resistance for the patient under anesthesia is bleeding.
Therefore, an excellent surgeon is not only good at stopping bleeding, but also good at avoiding bleeding in advance.
On the operating table, it can be said that 1g of bleeding requires 10g of treatment.
"Boost!" After Zhang Su sewed the last stitch, his left hand gently released the curved forceps holding the splenic door. This looseness was not completely loosened.
Instead, the mouth of the curved forceps has just left the blood vessel, but if necessary, it can immediately clamp the blood vessel again.
Bless with the left hand and gently press on the sutured wound of the spleen with the right hand.
This particularly fragile tissue sometimes causes the body to contracture due to suture, and then the body will be cracked after reperfusion.
Therefore, the suture of this kind of tissue is too strange. Sometimes, even after failure, even the doctor himself cannot find out what went wrong.
Zhang Fan is confident in his technology, but if it does not come together, he will come in case.
Therefore, before the blood is full of the spleen, you must not carelessly.
The idea at this time was a life.
Ren Li personally administers the medicine, and the booster medicine little by little enters the medicine pot. Slowly, the spleen that faded gradually began to become darker and darker.
Bleeding at the stitched stitches also became noticeable.
"How much blood pressure?"
"High pressure 120 mm Hg, low pressure 90 mm Hg!"
Zhang Fan pressed against the spleen, and at this time he also began to feel the swelling of the spleen slightly.
Just like a cat temptation, lick it first, then lick it deeply, and finally put the tongue directly on Zhang Fan's hand.
Swelling is inevitable, not to mention the damage. Even if you slap a person, your face will swell, not to mention this damage.
When the blood pressure rose to normal blood pressure, where the spleen was lying steady, he heard Lao Zhao's long sigh of relief.
"Quick, wipe sweat for Zhang Yuan, and wipe me by the way, I'm getting thin!"
Can you not be nervous, just like a time bomb, you can blow it up at any time!
"Close the abdomen, go out alone, and inform the patient's family that the patient's spleen is wrapped!"
As soon as the head nurse heard it, he hurried out quickly, and the little doctor on the side had not yet reflected it.
"Don't cry, okay, okay, wipe the tears clean, the patient came to the rescue, and the spleen was saved!"
Pulling down the mask, the head nurse who showed her face stood at the door and informed the family about the patient.
After talking, the head nurse turned proudly into the operating room.
The high head and the chest that seemed to stand up seemed so arrogant, and she liked this feeling, like being surrounded by grateful worship.
Before the operation, the doctor informed the patient that he was critically ill and might die on the operating table. The family members' hearts were like roller compactors, and there was black mist in front of them.
During the operation, the doctor came out of the operation and informed that the spleen might be cut. Although it is necessary to cut off an organ, as long as people can be saved, family members are willing.
When the family of the patient only had a little hope, that is, as long as the person was rescued, the beautiful and plump nurse proudly informed them that the person was alive.
The family is really pulled from the abyss to the top of the peak. This sense of gratification is really exciting.
The gray-haired old man who cried with his little granddaughter was called a hearty cheer.
One month after the operation, I heard that the female owner of the hardware store sold the shop and handed over the money to the female owner of the optical store, and then obtained the understanding of the optical store owner.
This is what Zhang Fan occasionally hears when the little nurses in the hospital gossip.
After the Spring Festival, the annual Practitioner Examination began to register again.
The technology of the hospital is now at the forefront of the tea, Ouyang still feels that it is not enough, not only to be at the forefront of technology, even in the exams.
Nadu, Xu Xian, Xue Xiaoqiao, those with scores of more than 500 in exams, and the directors of various subjects were led by Ouyang to set up an exam tutoring class.
Of course, Ouyang certainly did not let Zhang Fan, Zhang Fan is the main person in charge of the tutorial class.
Ouyang's current ruling philosophy is that she wants to come out once and quarrel with the government. She will send the elder first, but the elder will not work, and she will go out again.
The internal affairs of the hospital were almost all over Zhang Fan and Ren Li.
Ren Li was indifferent. Zhang Fan now thinks that Lai Pi can't pass it. Ouyang is getting more and more thieves.
As soon as Zhang Fan opened her mouth, she said that she had worked all her life. It was either a backache or a headache, or a headache or an annoyance. Now she can't even feed the fairy ball, so Zhang Fan must be considerate and considerate to her.
Zhang Fan can't say anything!
Anyway, the old lady does not work, you can do it yourself.
For the doctors who are practicing doctors this year, although they have Zhang Fan's tutoring, the bad news also makes them frightened.
Ouyang has already spoken out. He has passed the five-hundred-year bonus and performance for half a year, while doctors who have not reached the five-hundred but have passed the exam will receive one-month bonus and performance.
For doctors who have not passed the first test, they will stop issuing various performances on the day they get the results and only give 600 yuan per month as living expenses. Those who have not passed the second test will be given a labor contract cancellation.
The hospital's red-headed document came out, and there was a lot of wailing. With the continuous improvement of the reputation of the Municipal People's Hospital, I now want to enter this unit. To be honest, some undergraduates have spent a lot of thoughts. If the exam was dismissed, really, in the tea How does vegetarian still live, how to mix in the tea medical circle.
On the day when the auxiliary class started, the candidates who had to take the tea exams not only from the People's Hospital of the city, but also young doctors from other hospitals came to attend.
The deputy director of the medical office originally wanted to expel the doctors from these foreign hospitals. Isn't this cheaper than our hospital?
The result was stopped by the director of the medical office. Chen Sheng knew Ouyang too well, as expected, when Ouyang found a strange doctor in the auditorium, the wrinkles on his face laughed.
How is the hospital famous, is it not relying on peer support, is it not relying on peer envy and jealousy!
If these doctors are really kicked out, Ouyang estimates that he will definitely be angry.
Besides, if I can find some good seedlings in the study class, Ouyang is absolutely confident to dig people over. The old lady's abacus is very good.
Zhang Fan was the first teacher on the podium in the tutoring class.
When Zhang Fan boarded the podium, there was a momentary buzzing sound below.
(End of this chapter)