Chapter 230

Anorectal department gives people the first feeling that it is a department for the treatment of hemorrhoids. In fact, anorectal department is a department for diagnosis and treatment of diseases at the end of the digestive system, and the specific etiology of many diseases in this department is a department that has not been studied clearly. The etiology is unknown, so it is very difficult to prevent.

Take the most familiar hemorrhoids. At present, the mainstream theory believes that there are two reasons for the formation of hemorrhoids. In plain words, one is that the blood vessels of hemorrhoids are blocked. Such as long-term sitting and standing, constipation, pregnancy, prostatic hypertrophy, huge pelvic tumor, etc., can cause obstruction of rectal venous reflux.

In fact, this statement is not very supported, but there is no evidence against it. The mainstream theory of Western medicine, in popular language, is that there are many reasons for the weakness of anal contraction.

Because the etiology is unknown, there is no certainty in prevention. In the doctor's own words, almost most bad habits and living habits can cause the disease.

The director of the anorectal department, let alone others, has a good level, and the Department can carry out many operations. Therefore, at the level of regional hospitals, this department is still above the level, but because of this marriage problem, the Department has no combat effectiveness.

No director, only Zhang Fan went to the clinic himself. Zhang Fan handed over his first clinic to the anorectal department with a water cup and a nurse. Zhang Fan went to the clinic.

Young patients in this department are almost the same as older patients. Moreover, because they need to be examined in special parts, men and women are different. It is also more convenient to bring a nurse.

When the head nurse of the clinic saw Zhang Fan, he greeted Zhang Fan with a smile: "Doctor Zhang, have you come to the clinic?"

"Yes, head nurse."

"Then I'll hang up your name."

"OK, head nurse, thank you." Zhang Fan said hello politely.

When he came to the corner of the corridor, he met Xue Fei of the first Department of orthopedics. Zhang Fan had the best relationship with him in orthopedics, and he was also a warm-hearted man. When treating the wounded soldiers, Xue Fei tried his best to provoke Ouyang's risk and specially reminded Zhang fan that Zhang Fan was very grateful to Xue Fei.

But this guy is out of tune and his work level is average. Although he is the main treatment, his technology is much worse than Zhou Chengfu, who is also the main treatment. Zhou Chengfu occasionally sneaks out to take a hole when Zhang Fan has not monopolized the operation. And this guy, his mind is all about mahjong.

"Why, director Zhang officially took office today?" Zhang Fan entered the anorectal department to temporarily manage the anorectal department, which is known to surgical people, because they are in a surgical building, and the news is transmitted very quickly.

"Yes, I'm going to the clinic today. Why, Dr. Xue, are you going to the clinic today?" Zhang Fan is lazy to compete with him. The more you explain, the stronger he will be. He will admit it openly, but he won't make fun of it.

"Say you're fat, you really start to breathe. Don't you just look at chrysanthemums, proud Maomao." As he spoke, Xue Fei raised his little thumb and despised Zhang Fan.

"Hey, don't look down on it. Wait until you play mahjong and get hemorrhoids. I'll definitely check you with my thumb. "

"Bah! Pooh! Pooh! You crow mouth, you get hemorrhoids. Seriously, will you come to the orthopedic department in the future? I still expect you to cover me. You really don't like the position of director of anorectal department. " Xue Fei is also struggling in orthopaedics. Orthopaedics is separated. The three orthopaedics departments are desperate to have another operation. He can't get many operations. Lao Gao is also dissatisfied with him.

"Elder brother, you asked for more luck. I went to the clinic." Zhang Fan went to the clinic of anorectal department. Xue Fei's attitude is the idea of many doctors. Although Zhang Fan is very skilled, it is impossible for everyone to be a department director.

The nurse Zhang Fan brought was Chen Xiaoli. The child was only two years old. She was a young woman. Among the nurses in the anorectal department, she is a skilled and agile nurse. The head nurse specially asked her to help Zhang Fan.

The first patient was an acquaintance, Lao Yutou, Shao Hua, a neighbor of their old community, in his sixties. Shaohua's father's chess friend quarreled for three days and made up for two days. If they don't see each other for a few days, they still miss each other very much. They also met Zhang Fan several times and said hello several times.

The old man is a little uncomfortable these days, because he is uncomfortable with his ass, and he is embarrassed to tell his children. He came to register with his wife to see a doctor. When he entered the anorectal clinic, he saw that it was Zhang Fan. The old man was excited first because the doctor was an acquaintance. Originally, a smile appeared on my face. As a result, I was a little embarrassed.

"Old man, come in. What are you doing at the door?" The first patient stood hesitating at the door. Zhang Fan was happy when he saw that he was an acquaintance, but he just couldn't bear to laugh.

"Ah! Dr. Zhang, you are in the anorectal department. "

"Yes, old man."

"Isn't it surgery?"

"Anorectal department belongs to surgery. Are you okay? That's uncomfortable. " Zhang fan can't follow him. He has a lot of old words. If you follow him, you may be able to talk until the afternoon.

"There's nothing wrong with it, but I've been coughing lately." Old Yu Tou is really a little embarrassed. This is the embarrassment. Because he was a little embarrassed, he began to talk about his symptoms.

So vague, his wife couldn't help it. "The doctor is still busy. This is not your chess stall. Dr. Zhang, he doesn't know what's wrong recently. He coughs for no reason, and sometimes when he coughs, a piece of intestines will fall out from under his ass! Say what you have. How old are you? You're still embarrassed! " The old lady made it clear in one breath.

"Oh, so it's like this, old man. How long have you been coughing, have you had a fever, have you had too much sputum, and do you have any other symptoms?"

"No, well, I started coughing for no reason, and my throat didn't itch. I just couldn't help coughing unconsciously."

"Oh, that's right ~" as he spoke, Lao Yu's head began to cough. Zhang Fan knew that his cough was not a irritating cough, but a cough caused by abdominal pressure, because it was very low and discontinuous.

"Seems to have come out!" Old Yu's head and face were red. Like a child who did something wrong, he lowered his eyes and dared not look at Zhang Fan and his wife.

"The intestines come out again?" His wife is a loud voice. The old lady is a little tiger and doesn't notice her old man's mentality“ What's the noise! It's not laying eggs. It's coming out. What are you shouting? " The old man was really angry.

"It's all right, old man. Don't worry. You climb onto the examination table and I'll examine you. "

The nurse helped the old man lie on the examination bed, and Zhang Fan began to wear gloves“ Girl, you pull up a curtain and go out! "

"OK, sir." After the nurse helped him lie on the examination bed, she pulled the curtain.

"Sir, take off your pants."

The old man was inconvenient to move. With the help of the old lady, he took off his pants. Zhang Fan looked, "Hi! A lump of meat came out of the anus, like a meat ball in the middle of the ass! "

This disease is really embarrassing. The rectum comes out when the stool is a little hard in the early stage, and then it retracts itself. With the development of time, it is troublesome. Exertion and cough will lead to rectal prolapse. Sometimes when walking, you have to cover your anus with your hands, or it will fall out!

Prolapse, if it can be returned, it is still good. If it is not returned in time, rectal swelling can form strangulated necrosis, so this disease is really embarrassing.