Chapter 379

Name:Medical road Author:臧福生
The smell of male gonads of this animal is very strong. It is said that female mice can smell it many kilometers away. Fortunately, it was his left hand, otherwise Zhang Fan had to grasp chopsticks with his right hand. Although it is not difficult, it is still inconvenient after all.

"Eat well and why wrinkle your nose." Shaohua's father didn't like it when he saw Shaohua wrinkle his nose at dinner. The old man has many rules. He can't eat lying down and there can't be any rice left in the bowl. Anyway, one set at a time.

"No, which ~ ~" Shaohua couldn't say any more. She was a little disgusted!

"Hehe, uncle, I went to do an animal experiment today and let the mouse pee. It smells a little bad." Zhang Fan hurriedly explained that he couldn't do without explanation, otherwise he would definitely be executed by Shaohua.

"What's wrong? We used to work in the field. How many mice did we kill, but we didn't eat as usual!" After saying that, the old man took a sip of wine and ate 22 baijiu.

"It really smells bad. You haven't been peed by a mouse! " Shaohua is not happy. Daughter and father are like this. Although the old man looks serious, in fact, if Shaohua is really angry, it is her father who will surrender first.

"I smell it. It smells bad and strange." The old man didn't believe it.

"Forget it!" Zhang Fan put his hand back deliberately.

"Eat, just you. The two of them have worked all day. Aren't they tired? " Shaohua's mother glanced at her old man, "it's so annoying. There's him everywhere!"

"Don't listen to them. Come and smell it. I won't believe it." The old man is stubborn.

"All right." Zhang Fan was helpless and stretched his left hand in front of the old man, but he didn't stretch forward any more.

"Er!" The old man stretched his head and put the tip of his nose forward, Hiccup“ My God, what's this? It smells so bad. The steamed bread was rancid and then covered for half a year! It's too strong. " The old man quickly gave the Baijiu in front of him a drink.

"You are old and immortal. Can you eat! I'm so angry. " The old lady is not happy.

"Hehe! Look, it smells bad. And me! Ha ha! " Shaohua was happy and her eyes narrowed when she saw her father making a fool of himself.

"And you, eat or not." Shaohua's mother turned and looked at Shaohua.

"Eat, aren't you eating! Hey, hey! " Shao Hua is really happy.

"Still laughing!" Shaohua's mother couldn't help laughing. The old man looked so strange that he took a sip of wine and held his breath for a long time.

"Oh, my God, I almost choked it." The old man knew that Shao Hua had been wronged and said an apology.

"Eat some rape. It's light. Hey, it's hard to be a doctor. It's said that nurse Chen upstairs is tired and dizzy in the Department, isn't it? " The old lady asked Zhang Fan gossip.

"Well, it's probably hypoglycemia." Zhang Fan is not very clear. There are too many such things in the hospital. Women, in particular, lose weight, go on a diet and have a holiday, and then the workload is too strong to pass out.

"Why is it hypoglycemia?" The old lady asked curiously.

"Go on a diet, lose weight or something."

"Did you hear that? I don't like meat all day. Here, chew this sparerib. Look at you. You'll be blown away in the strong wind." Shaohua's mother nagged at Shaohua and Zhang Fan.

Guests are coming. Shaohua's father is the head of the family. There are no outsiders. Shaohua's mother is the head of the family. Very warm, very warm, the day is so day by day, live safely.

When Zhang Fan went to work early in the morning, he handed over his shift and made rounds. There was no patient in their group. The first three patients were discharged from the hospital. Fortunately, Xue Fei went to the clinic, otherwise he would have to shave his head this week.

Only one patient was admitted one morning. Now, because the emergency center is about to be established, no one knows who will be sent to the emergency department. Therefore, surgeons, especially orthopedics doctors, are more and more dedicated. If you were sent to the emergency room, it would be too late to cry.

In the emergency department, laymen look as if they have boundless scenery and are very handsome. Doctors shuttle around the scene of various accidents like agents. In fact, professionals prefer pediatrics to emergency.

First of all, almost all the diseases that the emergency department can deal with are basic diseases. In fact, the number of years of work is not much improved for doctors themselves. Second, the diseases in the emergency department are too complicated. There are all kinds of accidents from head to toe. You have to learn how to get started in various liver departments, which has become the so-called panacea.

The third and most important point. Emergency departments often go to all kinds of accident sites, and vice versa for doctors. If someone gets drunk and fights, the beaten party can't beat the other party, maybe he will vent his anger on the doctor. The most irritating thing is that you have to put up with some unreasonable people in the emergency department.

"Does the ambulance still charge? For what? I won't hand it in. Do you have the ability to do it? "

In fact, the doctor is helpless. The price and charges are not under the doctor's control, but if you really don't pull, then people die and there is a problem. It's so troublesome. Therefore, few doctors are willing to be emergency doctors.

Large hospitals, especially super hospitals, have more methods. Almost all ordinary doctors in the emergency department are hired externally, which is the so-called no staffing.

They are all people who make money from their youth. When they are a little older, they don't have to rush to the hospital, because they can't do it anymore.

Grass roots hospitals can't do it. Who hasn't prepared it? Who has prepared it will go to the emergency department! So, this department is troublesome enough. Xue Fei finally accepted a patient with clavicle fracture, and Zhang Fan's group was also opened.

The patient is a young girl who is a dancer of the tea vegetable City troupe. Beautiful, fair skin, long neck, it seems that when rehearsing the dance, I didn't cooperate well with my partner, resulting in clavicle fracture after falling.

When it was delivered, the girl cried loudly. It hurts. It hurts too much. With dance makeup, it looks black. Should have sympathized with things, but when you see her face, you will unconsciously want to laugh.

"Stop it. Use some dehydrating medicine today and have an operation tomorrow. The swelling is too severe. " After checking, Zhang Fan said to Wang Yanan.

"Good!"

"Doctor, it hurts me. Do something. " The girl cried.

"OK, I'll deal with it for you now." Zhang Fan comforted the patient. Then he prepared a triangular towel and hung the girl's arm“ Give me some more painkillers. Complete the preoperative preparation as soon as possible. "

One morning, Xue Fei admitted a patient. Let the expected Wang Yanan disappointed again. The girl's level is getting better and better now. The stitching and steel plate have been set.

Zhang Fan now runs at both ends. He works in the hospital in the morning and has to go to the animal laboratory of tea vegetable City University in the afternoon. Now that you have promised Professor Zhao, you must finish it seriously.

"Here comes Doctor Zhang!" Dr. Liang and two graduate students are already in the laboratory.

"Hehe, do you want to catch mice. I went back and thought about it all night. I think now I can catch the mouse safely! " Zhang Fan really thought in bed for a long time. He practiced Dr. Liang's actions repeatedly in his mind. I don't know how many times.

"Not today. Start the operation directly. " Lao Liang is also worried that if he is in bad shape again today, he will be in trouble.

You don't have to catch mice yourself. It's better. Zhang Fan's hand washing and disinfection is actually similar to surgery. The mice have been anesthetized.

The anesthetized mouse stuck out its tongue, tilted its head, was firmly fixed, and its limbs were fixed on a small operating table. One more thing than people was that its tail was tied.

"Skin preparation! Disinfection! " When Zhang Fan wore gloves, Xia Qingyang and Liu Hanqing began to prepare skin for disinfection. This kind of mouse is very big. It looks as big as a little rabbit. Its body hair is also very heavy. The hair on its stomach is very thick. The two masters did too many such things when they were in school. They were very skilled.

"Dr. Zhang, your attainments in hepatobiliary surgery are so high, and your school is a very orthodox general foreign hepatobiliary surgery. How did you go to orthopedics?" Xia Qingyang asked casually while disinfecting.

Zhang Fan follows the example of old Lu Qingniao, and now more and more people know it. People in other departments listened and didn't think it was very powerful.

But for the master of hepatobiliary surgery, it can be said that he is jealous to death. Really, I'm so jealous. To sum up, Master Zhang Fan's master is the ancestor of Chinese surgery. His main merit lies in his liver and gall. Even Germany recognizes others' merit.

And master Zhang Fan's senior brother, Academician Wu Mengchao. It's even more ferocious. The first liver and gallbladder center in China was set up by others, and many of the world's first in liver and gallbladder surgery were created by others.

Although Zhang Fan's master doesn't seem to be very famous, it's all because their school is too dazzling. Zhang Fan is so old and lucky that he can become the third generation of this department. Can't they envy him!

Look at the other third generation, almost all of them can participate in the publication of medical textbooks.

"Well! Orthopedics, orthopedics makes money. " Zhang Fan said embarrassed. Zhang Fan felt that he couldn't stop pulling the tiger's skin. He knows that old Lu is very good. As a result, I didn't expect that old Lu's master and elder martial brother were even more ancient gods.

"Well, make money?" When Xia Qingyang heard him, he would like to strangle Zhang Fan. He was quick to scold Zhang Fan. He said, "woodlouse, it's a big woodlouse. I'll give you one million. I'll be an apprentice to Lu Lao."

"Oh, well, start the operation." Zhang Fan directly put out the topic and couldn't talk. It's so annoying.

The liver has super powerful regeneration ability. The liver of rats or dogs is cut off by 80%. After one year, the liver can regenerate and repair to the weight of the original liver, and the human liver is the same.

Moreover, because the liver function is super, from coagulation to hematopoiesis, from detoxification to immunity, from metabolism to synthesis, the liver is directly or indirectly involved in almost all biochemical reactions of the human body.

Strong repair means that it has more plasticity and more functions, which means its importance. Therefore, many medical teams all over the world have entered this liver pit one after another.

Although it can regenerate, the liver structure is very complex. Not to mention others, first of all, there are two sets of blood system and liver. 50% of the normal blood supply to the liver comes from the hepatic artery and the remaining half from the portal vein.

The portal vein is formed from the lower abdomen, from the veins of the intestine and spleen. When the liver produces tumors, problems or even failure, it will produce poor venous blood reflux.

Zhang Fan's goal now is to shunt the portal vein from the large vein to the normal tissue of the liver. Because the blood of the intestine contains a large amount of ammonia, if it is not detoxified by the liver, it will poison the brain directly after entering the blood.

Ammonia is actually the product of protein decomposition. For example, eating beans will fart more. In fact, this is the truth. Beans contain a lot of protein.

Reconstruction, but also to ensure the normal operation of the body. Difficult, very difficult. Zhang Fan, they just chose a collateral circulation, which is very difficult.

"The portal system of rats is still too small." Zhang Fan is also difficult to do. Under the microscope, the pipes near the hepatic hilum are scattered like disordered wires.

"Our funds are limited. If we choose dogs, it is estimated that this experiment will not be carried out. And the liver of this mouse recovers the fastest in unit time. " Lao Liang monitored the vital signs of the mice.

"No!" Dr. Liang said.

"No!" In an instant, the blood vessels of the mouse collapsed. Zhang Fan felt it. It was a manifestation of heart failure. There was no power.

Whoa. The mouse died. "Well, the operation is still too big and irritating. The stress response is too strong. We have to find a way to improve the operation. " Dr. Liang looked at the ECG monitor and said.

"Yes, I have to think about it." Although the operation was unsuccessful, Zhang Fan's progress was much faster than that of Dr. Liang in the bird market. This is the first operation and has been greatly improved.

Although the operation failed, Lao Liang was not depressed“ Yes, Dr. Zhang, I've had a huge liver tumor. It's really good. It's too powerful! ~ "

The other two research laboratories have not had a profound experience. But they saw Zhang Fan's operation, especially the fine degree of Zhang Fan's operation, which made them feel.

"Miss Zhang, how do you usually exercise. It's too stable! " Xia Qingyang, who graduated from Sanchuan, asked admiringly.

"Do more surgery. Well, there's more practice. Buy some pig liver and practice more." Zhang Fan thought for a moment and said, this is really hard to explain.

"Well, it seems that I haven't practiced enough." Six months later, our doctor Xia Qingyang stopped eating the liver and hurt himself. One pig liver a day. There is really no shortage of vitamin A.

After the operation, when Zhang Fan washed his hands, he took time to enter the system and took a look. Sure enough, the operation progress did not change“ Hey! I still have to go to the hospital. I'm not in here. " Zhang Fanming knew the result, but he was also a little disappointed. If only animal experiments could improve the progress of surgery! This is how people get long and look forward to Shu.

The next day, just finished checking the room. The family members of the patient with clavicle fracture came to the Department. Zhang Fan went out for convenience. When he returned to the Department, he found that Wang Yanan and the patient's family members quarreled again. The girl's face turned red and tears were turning in the circles of her eyes. She was about to fall down.