Chapter 419

The examination, especially the preoperative examination, seems useless. After the doctor gets it, he just looks at it casually. In this way, he has to let the patients queue up for examination.

In fact, every time there is a leap in western medicine, most of them have corresponding inspections or corresponding materials have been invented or promoted. Surgery is a traumatic treatment. If possible, doctors can't wait to give patients all the tests they can do.

Because the unpredictability of traumatic treatment is too strong, and because the patient is either old or weak, there is more chance of problems.

But today, not to mention the X-ray film, there is not even a color Doppler ultrasound. Because it is too late, and the silly child moves a little, he directly surges like a chrysanthemum spring, and there is no way to check.

"What to do!" The director of general foreign affairs subconsciously said. It's not that he doesn't know what to do, and he doesn't know whether he will succeed or whether he can save it.

Zhang Fan really wanted to say, "cold!" But he couldn't say it“ Let's have an exploratory laparotomy. What else can we do? "

"Shall I come? Or you. " Now the director of general foreign studies has put Zhang Fan in his equal position, perhaps a little higher.

"I'll take it." Although the operation is difficult, Zhang Fan doesn't want to miss it.

Since he decided to have an operation, Zhang Fan operated at the fastest speed. This kind of operation is very troublesome. No one is sure.

"It's estimated that the intestinal damage is out of shape, and the later recovery is a troublesome thing." The director of general foreign studies seems to have great confidence in Zhang Fan.

"Take care of your eyes first. You can't talk about life and death." Zhang Fan turned his eyes. Sometimes he was very happy to be relied on. Sometimes he was relied on. He always felt as if he had been trapped.

Why is this operation difficult? Let's talk about the digestive structure first.

To eat meat, first chew it in the mouth, then swallow, esophagus, stomach, duodenum, jejunum and ileum (these three groups become small intestine), and then cecum, colon, rectum (these three are large intestine) and anus.

After food is eaten into your mouth, it is not swallowed by gravity. If you eat meat upside down, it will not turn back from your intestines to your mouth. It is because of the peristalsis of muscles, like pinching a ball, you can't go back after pinching it out.

Just like you eat popsicle, you can't eat the last piece. You squeeze it from the bottom to your mouth with your hands. The reason is the same.

Muscle peristalsis starts from the esophagus and finally to the anus.

Because of peristalsis, there are not so many fixation systems in the whole digestive system. Common water is that there are few ligaments, which are fixed and dead, and the intestines are not active.

But we can't let it move randomly, otherwise three wriggles and two don't wriggle. Such a long thing may kill itself.

So there is a peritoneum hanging in the stomach, like a mosquito net, hanging in the stomach. From high to low, these intestines, like snakes, pass through this yarn for a while, to the belly, and then to the lumbar spine.

Therefore, the basic position is still fixed, but this thing is very thin. Such a large suction force sucks happily at the chrysanthemum. The vacuum formed after the water flows away, let alone breaking his large intestine, is not surprising even if he sucks his esophagus out of his anus.

"What's wrong with playing? Play this! Ha ha. " The director of General Foreign Affairs said whether he smiled or not.

"What a tangle." Zhang Fan hesitated a little with the scalpel. The incision is big. The damage is big. The silly child can resist it. It's not sure if he can't resist it. If it's small, the damage can't be handled well.

"Cut it!" The director of General Foreign Affairs said. Suddenly, Zhang Fan seems to have figured it out. Yes, it doesn't matter whether he recovers after surgery or not. Let's save his life first!

No matter how good and beautiful the operation is, it's useless if people hang up. This operation is very troublesome. Now the known situation is rectal injury and shock. Nothing else.

Cut, cut the skin, peel off the subcutaneous fat, open various aponeuroses that wrap the muscles, and enter the transverse abdominal fascia, the external abdominal fascia, and finally the peritoneum.

These tissues are probably a structure of the abdomen from outside to inside. In particular, all kinds of fascia wrapping muscles, these tissues are the most tenacious except bones.

When opening the peritoneum, Zhang Fan almost threw up. Really, during the first operation, I almost threw up because it was too sudden.

Open the peritoneum and bleed, especially at the end of the mesentery. The color is slightly black, and then mixed with yellow paste feces that are not completely absorbed.

And there are all kinds of feces the size of a walnut that have been absorbed with water. What's more disgusting is that the rectum and sigmoid colon have been sucked up by huge suction. Broken like a piece of paper torn into pieces.

Yellow Cherry sized fat particles and flaky intestinal tissue float on the mushy chylous brown or soy sauce liquid, the fishy smell of blood and the smell of intestinal semi fermentation.

It's just like putting more soy sauce in spicy soup, and then adding balls, meat slices and fat meat with yellow pimples. Because the bleeding continues, Gollum! Gulu, slowly, really like a small fire boiling iron pot spicy soup.

Really, Zhang Fan directly sprayed the lunch out of his esophagus. Fortunately, he was forced to shut up in time, and then swallowed it again. The stomach acid directly scratched his esophagus like a knife. After the scratched, he threw a handful of salt on the scar!

The sudden upward Er force from his stomach made Zhang Fan almost bend up“ Ah! " Even so, Zhang Fantong's tears turned in his eyes and didn't dare to delay under his hands, because the ink can't be stained at this time.

Once the abdominal cavity is opened, the pressure suddenly decreases. If the bleeding point is not found in time and the bleeding speed is accelerated, the person will hang up directly without thinking. The tingling of the esophagus and the pulling pain of the stomach removed the nausea at once.

"The rectum and sigmoid colon are no longer visible. Directly clamp the stump of the intestinal tract with pliers. " Like the Baijiu, the Cheung fan has sour gas in his nasal cavity, he told the director of general surgery.

The director of general foreign affairs was also uncomfortable. He just nodded and didn't say a word. It is estimated that he is also trying to suppress this disgusting feeling. This taste, coupled with this super burst visual stimulation, is really TM anti-human. It's the sphincter of the fountain that doesn't spit out. It's powerful.

"Gauze! Count clearly and give me more. Expand directly, don't close. " Zhang Fan said to the operation nurse. Because the gauze is folded.

The surgical field of vision is not light. There is no bleeding point or intestinal stump. The attractor is as thick and thin as ordinary chopsticks. It can't absorb all kinds of things in it at all.

The soy sauce colored chylous liquid is sucked into the transparent plastic pipe, and the rest can only be taken out by hand and gauze. It is not for no reason that general surgery is despised by doctors in other departments.

The white gauze entered the abdominal cavity, and then Zhang Fanqiang dug it out one by one with the smoke! When the gauze went in, it was snow-white, when it came out, it was sauce and oil, and it was still pulling silk.

"What a workout." Zhang Fan held his breath and make complaints about his nasal voice. With the increase of air conditioning temperature in the operating room, the taste is even more compelling!

Sweat, the sweat in the neck flows down the body towards the lower part of the stomach. It's not tired, it's the sweat you hold hard.