Chapter 234

Zhang Fan shook his head and said to the patient, "relax. It doesn't matter. I'll see where this thing is."

"Yes!"

Zhang Fan gently uses his greased fingers and slowly enters“ Well, it can be touched. The problem is that the fracture here still feels hard. " Zhang Fan said to LV Shuyan while making a finger diagnosis.

"What about that?" LV Shuyan asked.

"Let me see!" Zhang Fan did not dare to stimulate the anus and its nearby tissues, because it was already swollen. If the swelling was more severe, it would be troublesome.

Generally, the intestines and soft tissues of the human body have a certain hardness and toughness. Even if they are made of this soft rubber, there is nothing to worry about. But if it is edema, the problem will come. Once it is edema, the tissue thickens and becomes larger, the cell wall becomes thinner, and the toughness and hardness of the tissue will decrease accordingly.

Therefore, in order to remove the foreign body, first expand the anus, and then clamp it out with tissue forceps, and the broken end can not touch the surrounding edematous intestinal tissue.

"First of all, I can confirm that there is a foreign body in the rectum. Second, the broken end of the foreign body is obviously likely to damage the intestinal wall. Third, it may enter the sigmoid colon with the peristalsis of the intestinal tract. Fourth, it may fail to remove the foreign body from the anus. Then the foreign body enters the sigmoid colon with the peristalsis and loses the possibility of removal in vitro, You have to have an operation to squeeze this thing out of your intestines! "

Zhang Fan explained his illness to the two girls. He must explain it to others. It's really impossible to take it out, and his intestines are peristaltic. No one can guarantee what will happen with the development of time.

"I don't have surgery. I have a knife in my stomach. It's so ugly! I won't operate. " The charming girl lying on her side was worried at this time. Her tears splashed and washed her beautiful face into thousands of gullies.

"What should I do now?" The girl in black leather was also worried.

"I'm going to prepare the operation signature now. You sign it."

"I won't do it! Ah! Ah! " The girl lying on her side really broke out this time, and a sharp voice sounded. I don't know how high the decibel is, but it's obvious that Zhang Fan's eardrum is a little tingling. And this girl can't see it at this time.

This make-up needs a lot of colors. Tears rush, and then add the girl's emotional excitement, black, red and tears. The girl's big eyes, exaggerated expression and complex colors. When Zhang Fan looks at the girl's face, he suddenly feels like watching absurd comedy.

"Don't shout. Shout again. As soon as the abdominal pressure shrinks, your thing will directly enter the deep part of your intestines. There's no way to take it. " Zhang Fan said quickly while she was breathing. This girl is so confident!

"But I really don't want to have an operation ~!" The voice was much lower, the dark circles of the eyes, and the tears flowed.

"It's not an operation now, but because this is an invasive treatment, there is the possibility of injury and accident, so we must sign and agree as an operation. Do you understand?"

"Oh! Oh! " The two girls probably didn't understand. Zhang Fan whispered to LV Shuyan, "keep an eye on it. Don't be surprised! I'll print a signed consent form. "

"Yes." LV Shuyan looked up at Zhang Fan and agreed in a low voice. After the patient enters the hospital and is received by the doctor, a so-called contract, diagnosis and treatment contract, is reached with each other. Then the state emphasizes this contract. If the patient has an accident during this period, the doctor or the hospital has unshirkable responsibility. Therefore, Zhang Fan had to be careful.

For example, when Zhang Fan went to get something at this time, the girl fell off the diagnosis and treatment bed and died for various reasons! Then the doctor's responsibility accounts for 80%. If there were no more witnesses, it would be in trouble. Therefore, doctors are also a typical profession. The older the Jianghu is, the less daring it is.

Zhang Fan explained to Zhao Zipeng. After talking about several key points, Zhao Zipeng turned and went to the gynecological office to print. Zhang Fan didn't want to go in for the time being. Facing the patient, he stood at the door and leaned against the wall. His head was a little blank. I feel a little embarrassed and funny in front of this thing, but now I think it's hard to think about it again.

"Brother, OK." Zhao Zipeng gave the signed consent form to Zhang Fan.

"Well, I went first. If you can't, go to Corey to have a rest. Anyway, there's nothing here."

"It's all right, brother. Hurry up." This is the sadness of not doing well in the exam. If you knew today, why did you have to do it!

Zhang Fan turned and entered the examination room. LV Shuyan stared at Zhang Fan, but didn't speak. Man is a complex animal. The top people will never give in to all the rules or superiors, but most people will involuntarily approach the strong or superior.

"This needs to be signed by the patient and his family." Zhang Fan gave the pen and signature to the girl lying on her side.

Hem and haw's girl signed her name. After looking at it, Zhang Fan said to the girl, "what about the family members signing?"

"Can you get her to sign? She is my friend. "

"Yes. You can sign everywhere. " Because this is an emergency examination, and the requirements are not very strict. If you have an operation, your friends won't be able to do it.

"Here?" Asked the girl in black leather.

"Yes."

She brushed her name on it.

"Prepare lidocaine, rectal retractor." Zhang Fan said to LV Shuyan.

"Our department doesn't have a rectal retractor!"

"I asked Dr. Zhao to get it."

After a while, I brought the equipment. Zhang Fan said to the girl lying on her side, "I'm going to try to take out this foreign body now. It may be a little uncomfortable. Hold it. If you can't stand it, talk, but don't move. Do you understand? "

"I see! Doctor, you must slow down! I know it hurts. "

"Yes!" Zhang Fan, who has been grimacing, almost didn't laugh.

After diluting lidocaine, Zhang Fan is ready to start local anesthesia“ Doctor, you must be gentle! " The girl's pitiful face was ruined by tears. Now she is like a big flower cat.

"Well, OK. Please come and hold her a little. " Zhang Fan promised, and then said to the girl in black.

Lidocaine local anesthesia starts around the anus. How can I say this pain? Anyway, this pain is particularly painful, because the place of anesthesia is a very sensitive place, so the girl also suffers.

After waiting for the anesthesia to be effective, Zhang Fan said to LV Shuyan, after I pull it away, you help me hold the retractor“ Um. "

Enter slowly to minimize rectal irritation and reduce the possibility of edema“ Hold on. " Zhang Fan said. Then he looked through the light of the headlights.

"It's still fluorescent!" Zhang Fan scolded in his heart! Fortunately, there are many threads and small bulges on this thing, which has great resistance. Otherwise, this shape of front tip and back circle will enter the sigmoid colon with the peristalsis of the intestinal tract.

"Don't move!" Zhang Fan said sternly.

Rectal retractor, it must be uncomfortable. The girl is a little uncomfortable. But the original shape of this thing is cylindrical, and there is lubricating oil, which is not easy to clamp. If the patient moves again, Zhang fan can't clamp it, so his tone is particularly stiff.

Slowly clamp with tissue forceps. It's too slippery to bear the force. The forceps can't hold“ Dr. Lu squeezed his hand down at the bladder and toward the rectum. The action must be gentle and slow. "

"Yes!" LV Shuyan held the retractor during an operation and squeezed it slowly with one hand, "Hmm!" The girl lying on her side couldn't help making a strange voice.

The urine is squeezed out! Zhang Fan couldn't care about it at this time. While pressing the foreign body under the downward extrusion pressure, Zhang Fan clamped the broken end of the foreign body quickly and accurately.

Slowly moving, the girl lying on her side was hurt by Lv Shu's Yan. The retractor was forced to open the back. Zhang Fan put his hand against the root of her thigh again. Is it uncomfortable? To tell you the truth, it's super uncomfortable. There is no difference between estimation and punishment!

Moving slowly, this thing is not big or small, which is a little smaller than the rectal diameter. It's easy to get in and really difficult to get out. Moreover, Zhang Fan really didn't dare to clamp this soft rubber too hard for fear that it would crack. This removal can only be tried once or twice in a short time. If the number of times is too many, the rectum will be stimulated severely and the edema will be exacerbated, which will be troublesome.

Moving slowly, when he was about to reach the rectal venous plexus, Zhang Fan said loudly: "relax your muscles, quickly, just like in the toilet, relax quickly and make a shit state."

The girl couldn't care to feel uncomfortable at this time, because Zhang Fan's tone was too strict and fierce. She was afraid and had to listen to the doctor.

Slowly moving, the foreign body finally reached the anal section, which is a narrow place. Zhang Fan's sweat came down. At this time, if there is a jitter, this thing will go back directly.

Little by little, at the moment when the foreign body was about to come out, Zhang Fan quickly grabbed the broken end of the foreign body with his other hand.

Lubricating oil, digestive fluid, mucus, plus cylindrical shape and elasticity, Zhang Fan almost missed it. At the moment he grabbed it with his hand, Zhang Fan's cold sweat came down.

This thing is soft. When Zhang Fan pinches it hard, it has a tendency to retract. The friction of wearing gloves was not enough. When he saw that he was going in again, Zhang Fan really used his milk strength and pinched it desperately.

This thing directly makes Zhang Fan pinch flat. His pinching hand dare not move. Zhang Fan is afraid of moving his hand. This thing is pinched and slippery again.

"Needle holder!" Zhang Fan himself could feel the goose bumps all over his body had stood up, and his voice had been reduced by several scales.

"Here you are." LV Shuyan couldn't see it, but when she saw Zhang Fan's nervous and careful appearance, she held the retractor in one hand and slowly held the needle in the other hand and handed it to Zhang Fan.

"Ka!"