Chapter 513

After a night's banquet, President Wang drank too much in a depressed mood. Holding Zhang Fan's hand, I had to get Zhang Fan a VIP card common to the national oil system. Zhang Fan doesn't want to refuse, but what does president Wang mean by holding a credit card of China Construction Bank ~!

In the early morning, when the sky slowly turned from dark to red, then white to blue, the long tone of distance and proximity, accompanied by horses hissing, cattle barking and dogs barking, broke the tranquility on the grassland.

Zhang Fan got up in the morning, just drank some tea and ate a few mouthfuls.

There are no steamed bread and noodles in the pasture. The most are milk tea, butter tea and milk. As long as Zhang Fan had surgery, he didn't dare to eat and drink dairy products. Zhang Fan's habit began to slowly affect the surgical colleagues of tea vegetable hospital.

"My dear distinguished guest, the patients are already suffering. Please use your magic medicine to save our poor patients from their pain!"

The young people on the grassland always talk as melodious and pleasant as singing. Of course, you're polite, but as for others, it's hard to say. You can do whatever you want. It's not vague at all.

Zhang Fan didn't expect him to do anything. There's no politeness in the adult world. When they went out, Zhang Fan put on their white coats neatly.

Tidy and smooth the folds on the white coat and go out!

The young herders and girls holding grass around are not only them, but also horses, grazing cattle and sheep are curious to look at these people in white coats.

Hold your head high. In the breeze, the hem of the white coat flutters slowly with the wind. The doctor and nurse went out facing the rising sun on the grassland.

Zhang Fan took his team and followed the Shaotou people to the operation platform car on the grassland.

Probably because they live by water, all the facilities on the grassland seem to be movable. And there are several surgical platforms here. But it seems to be the product of several countries.

"The blue and white one in the middle is from our company! The facilities inside are quite advanced. Zhang Yuan, it's up to you next, please! I'll wait outside for your good news. "

President Wang sent Zhang Fan to the front and back of the car and stopped!

"OK! Rest assured. "

They boarded the operating car, "check all equipment, debug and set our own parameters."

"Yes!" With Zhang Fan's order, doctors and nurses began to check relevant instruments.

"The ventilator is all right!"

"ECG monitoring is normal."

"Shadowless lamp is normal!"

... the reports slowly gathered in Zhang Fan's mind. He doesn't know what surgery to do today and what disease to face.

However, Zhang Fan is sure that today will never be a head surgery.

However, after entering the operating room, Zhang Fan left the rest of the chores behind. No matter who is sent to the operating room today, Zhang Fan will treat them equally. This is the bottom line of a doctor and the most basic professional quality.

It didn't take long. When Zhang Fan and his colleagues finished checking the equipment, the young man took an aunt to the operating car.

"My friends from the East, she has appendicitis. When it happens, it hurts over and over. Please help her." After that, the little head made an invitation.

At the door of the operation car, he looked at the young man. He thought he was going to operate on the old man today.

"Let's have an examination first. After the examination, we'll determine whether she needs surgery." Zhang Fan said without expression.

Zhang Fan is not surprised at all, but he will not violate medical rules for any leader.

"OK, I'll give it to you next!" As he spoke, the young man got out of the operating car with surprise. He was not surprised at Zhang Fan's words, but because Zhang Fan and the doctor in Istanbul next door said the same.

He felt that the doctors of the two teams were very reliable, more reliable than their own private doctors.

When getting off the bus, the young man turned back and said to Zhang Fan, "my dear guest, there is also a patient with appendicitis next door."

After listening to the translation, Zhang Fan didn't speak, just nodded. Surgery is not a trifle. No matter where you are, as a doctor, you should be responsible for the patient.

Appendicitis is a very famous disease, because there are too many, many of them are famous all over the world. There are not many people in a small place. It's really hard to find some of the same diseases that need surgery at a time.

But it's easier to find appendicitis. Appendicitis, as the name suggests, is appendicitis. Since the 19th century, appendicitis has been mentioned in every book involving general foreigners.

In medical college, in animal experiment class, most of the students' first surgery is appendectomy. This also shows that there are many such diseases. And the operation is not difficult.

As long as appendicitis can be diagnosed, according to the current medical level, it is estimated that a surgeon can win the operation.

However, the diagnosis of this disease is troublesome. Even the dentist would know the typical appendicitis with milch's point tenderness. But if you encounter atypical, you'll be in trouble.

Because this thing can't be checked. X-ray can not be developed, color Doppler ultrasound may not be able to diagnose, and blood drawing may not see the increase of leukocytes.

We can only rely on the doctor's physical examination and then laparotomy. Only when we see the inflamed appendicitis can we make a diagnosis, so God has mercy on human beings.

When medical students encounter the first operation in their career as doctors, they focus on physical examination rather than treatment.

Appendix, many people have never heard of it, and they don't know what it is. In popular words, the appendix is just where the small intestine is connected with the large intestine. In addition, there is a small intestine. This intestine has only import and no export. It can be regarded as a dog in the intestine.

It can also be understood that when the small intestine derived from the large intestine, it evolved two organs, one is the large intestine and the other is the appendix.

There are vessels and appendixes in the large intestine, such as arteries and veins, lymphatic vessels and mesentery. Large and small intestines, with a layer of wear-resistant and greasy coat outside, as well as the appendix.

This coat is to prevent the intestines from being worn out when they are coiled with each other. Therefore, sometimes wearing raincoats is not only to prevent vomiting, but also to resist wear.

Moreover, there are secretory cells in the appendix and large intestine. These special secretory cells are very important in herbivores, because the substances secreted by this thing are various enzymes that can decompose crude fibers.

Therefore, the appendix of herbivores such as rabbits is very thick, and the appendix of rabbits is long, thick and smooth. At the beginning, when Zhang Fan did the rabbit appendix without system, he couldn't distinguish the small intestine from the appendix, but he didn't. the two parties were similar.

And the rabbit's appendix is not inflamed.

In the early years, people in Marubeni were very cruel. They thought that children should have their appendix and foreskin removed when they were young. In this way, when they grow up, they will not ask for leave from work because of appendicitis and turtle (a) cephalitis.

So at the beginning, many children in meatball countries had their appendix and chicken foreskin cut off when they had no symptoms.

Later, with the development of science and technology, medical experts found that children who cut off their appendix in their youth love to get sick. Then the study found that the appendix has the function of immunity and mediating the internal environment of the body. It is not a good for nothing cecum leader!

The length of an adult's appendix varies. Generally, it is about two or three centimeters long, but there are also special ones. For example, people who love celery and leeks have thick fibers. It is estimated that the appendix will grow a little longer.

The thickness of the appendix is slightly smaller than his little thumb. This thing hangs at the beginning of the large intestine like the tail of a short tailed rabbit in the human body.

Where is the human appendix? According to the visceral projection on the body surface, the navel is connected to the middle and outer third of the iliac spine. Facing up, its neighbor is the liver. Facing down, it has the small intestine and large intestine.

And because this thing is free at the beginning of the large intestine, it is relatively free. If the large intestine is shorter and the starting part faces upward, the appendix can face upward with the large intestine.

If the large intestine is longer and the starting part is moved down a little, this thing may be free to the pelvis to make friends with the bladder and uterus.

The place of this thing is not very fixed, so we can probably talk about its location, because not everyone's intestines are the same length, and there are no fingerprints in the world, so the location of the appendix is not the cause of the appendix, but the cause of the large intestine!

Because the intestine is not sensitive to cutting pain and burning pain. For example, when eating super spicy food, only the mouth and anus can feel the burning pain of pepper. There is no reaction in the middle of the esophagus and intestines.

However, the gut is very sensitive to involvement and pain. Brother Pingtou bit the anus of the big bison, and it won't take long to put the big bison down.

Is brother Flathead strong? No, it's because the severe pain directly made the bison lose its strength. The same is true for humans, because there is an anti-wear raincoat on the surface of the intestine. This layer of clothes is very thin, with blood vessels, nerves and lymph nodes hanging outside.

After a little inflammation and swelling, it can roll people all over the ground and call mom. When the swelling reaches a certain degree, the raincoat is broken.

Hi! No more pain, okay! In fact, at this time, the symptoms are more serious. It hurts and doesn't kill, but when it doesn't hurt, it may kill.

That's why you can't give painkillers for abdominal pain.