Chapter 420

Take it out! Take it out“ How much did the child eat! " Zhang fan can not speak during the operation, but this is too suffocating. Zhang Fan takes advantage of his speech to exhale the unpleasant gas better.

"Yes!" The director of general surgery just nodded and hardly responded.

"Pliers!" Suddenly, Zhang Fan said to the instrument nurse, because he found the intestinal stump in the process of pulling out,

"Direct clamp?"

"I can only clamp it directly. There's no better way." Zhang Fan replied.

The structure of the human body is like a closed ring. The left heart pumps oxygen rich blood into the aorta, and then makes arterial blood spread all over the body with strong cardiac power and arterial elasticity.

The aorta was first divided into two, one went to the head and the other went down to the abdominal cavity. If you encounter an organ in the abdominal cavity, you will separate one.

Finally, it becomes an extremely small arteriole, and then these arterioles slowly derive into micro veins. These veins begin to converge, and finally enter the right heart, enter the lung to exchange carbon dioxide, and then enter the left heart.

Human blood circulation is probably such a situation. Especially after reaching the intestines, the branches of blood vessels are particularly thin, almost fine into wool.

According to the conventional intestinal surgery, the blood vessels attached to the intestinal tract must be separated and ligated before continuing the follow-up operation, such as appendix surgery.

The difficulty of appendiceal surgery is not its location. No matter where it is hidden, you can find the cecum and roll it out along the cecum. The difficulty is the artery in the cecum. If the ligation is not good, or the separation is not good, it will bleed and die.

"I can't keep it. The rectum and sigmoid colon have become rotten cotton wadding!" After cleaning up the intestinal contents of the abdominal cavity, Zhang Fan sighed. The young man is young, and the delivery is timely. If it is later, it is estimated that there are no people.

"It would be nice to keep my life!" The director of general surgery is not surprised at all. From what Zhang Fan took out, we can see a large number of intestinal tissues, piece by piece.

This is equivalent to directly inserting a big artillery battle into the chrysanthemum, and then the intestines really bloom.

Although they communicate occasionally, they are not idle at all. The cooperation was quite tacit, and the speed was relatively fast. When the pliers clamped the intestine, the blood pressure finally improved.

"It's not easy!" Zhang Fan took a long breath, and the air was mixed with this special smell. It was like being stuffy in a closed small room in the hottest weather in summer, eating sheep offal, and the sheep offal had not been washed ~!

Outside the operating room, Ms. Jiang is on the phone. Anyway, she has the responsibility to explain the situation to her sister.

"Sister, something happened to Xiaoguang! Don't worry, you've been sent to the hospital. But the situation is more critical. "

"What's going on? Did he fight again, or did he drive fast!" A mother knows her son too well.

Ms. Jiang was embarrassed to open her mouth and said, "your son chrysanthemum blows the trumpet!", It is estimated that her sister can be angry. Her tangled tone makes her sister more worried.

"Come on, give it to me!" Ouyang asked for a call at the right time, "Hello, I'm the president of the people's Hospital of chasu city. Your son is undergoing surgery because of intestinal rupture."

"How did it break ~!"

"When swimming, you may accidentally turn your hips against the rejection pipe, and then your intestines will be broken due to large suction." Ouyang thought about it and told it in the most concise language.

"How's it going now, doctor?"

"It's very dangerous. There may be massive bleeding leading to..., so please come to the hospital as soon as possible."

In the silence of the other party, he hung up the phone. I'm embarrassed to ask for help in this matter. Parents know their children best. But for the government's repeated emphasis on paying attention, Ouyang would not have come in a hurry. What's the matter? After hanging up, Ouyang thought about the child's problems and involuntarily tilted his mouth.

In the operating room, "what's the difference between this operation and rectal cancer?" After Zhang Fan cleaned up his abdominal cavity, the director of general surgery looked at it and said.

"Rectal cancer is not so dangerous, but fortunately, there is no need to clean the lymph nodes." Because the suction of the swimming pool is super large, the rectum and sigmoid colon can no longer be seen.

The anus, rectum and sigmoid colon are just like those bitten by brother Flathead. The internal damage is very terrible.

To stop bleeding, clamp the superior rectal artery, look for the sigmoid intestinal artery and the middle rectal artery. To tell you the truth, it's too hard to find the messy intestines.

The intestines are not very sensitive to cutting and temperature. In other words, if you scratch with a knife, it will break at most, but it won't work.

After this thing is pulled several times, the intestine feels unsafe, and then it will have intestinal paralysis, that is, it will not peristalsis, which will directly lead to obstruction.

So Zhang Fan doesn't dare to affect the intestine too often. He can only slowly look for all the places where there should be arteries. The conventional tissue has been sucked.

Zhang Fan had a hard time with this operation. The branches with damaged tissue relations are zero broken, which is originally like the blood vessels of spider webs. It is more difficult to ligate.

"If not, ligate the inferior mesenteric artery directly from a high place, and then ligate the middle mesenteric artery branched out of the internal iliac artery from a high place to reconstruct the fistula." Looking at Zhang Fan's difficult look, the director of general foreign affairs suggested.

"I want to keep a little more sigmoid colon, if too little..."

"Now the time of vascular clamping is not short. If you hesitate again, intestinal necrosis may occur after operation." Zhao Pingquan, director of general foreign affairs, said with his teeth clenched.

There is a reason why Zhang Fan wants to keep more sigmoid colon. Here we will talk about the function of this large intestine. The large intestine consists of ascending colon, transverse colon, descending colon and sigmoid colon, which roughly surrounds the abdomen.

The place where the large and small intestines meet is the cecum. The digestion in the small intestine contains a large amount of water in the form of chylous paste liquid. After entering the large intestine from the cecum, these water begin to be absorbed. Until the sigmoid colon, the chylous liquid will not form into feces.

If the damage of large intestine tissue is too serious, then terrible things will come. If the water cannot be completely absorbed, the patient will have to excrete a large amount of feces and supplement a large amount of water, otherwise there will be dehydration symptoms. In other words, you can't leave the toilet or the kettle.

The reason why surgery is difficult is that it should be handled according to the basic knowledge and specific conditions. Generally, the variables of surgery are small, but once there are variables, the difficulty will increase by magnitude.

If you want to keep your intestines longer, time is not allowed. If we don't stay long, the patient's life and quality of life will be unspeakable in the future. Zhang Fan hesitated.

"No more hesitation, no more hesitation, there is a large area of intestinal necrosis, the problem is not a matter of length, but a matter of life and death."

"Ligation!" Zhang Fan made up his mind and had no choice but to avoid the key and give up the relatively unimportant organization. Because the blood vessels are poorly filled due to bleeding, many arteries fluctuate very weakly like veins.

"Procaine dilution." Since he decided to ligate, Zhang Fan won't tangle. Let's live first. The fluctuation of mesenteric artery is poor, and the injection of procaine will enhance its fluctuation.

Blood vessels were ligated one by one. Two hours have passed since pieces of intestinal tissue were cleared.