Chapter 541

Decentralization, with the assistance of the superior health system, Zhang Fan has autonomy. Treatment is a matter of weighing the pros and cons. What is often needed is a leading doctor to make a decision, just like a feudal emperor.

It may not be a good thing if there are more experts for consultation. Sometimes it's better to let one expert take charge.

"Immediately carry out CT plain scan of abdomen and chest, blood culture and drug sensitivity test." After Zhang Fan and the expert group unanimously approved the patient's diagnosis and treatment opinions, the treatment measures also began to be carried out one by one.

After examining and reporting one by one, the patient found lesions in the abdominal cavity“ Postoperative peritonitis! " Zhang Fan said softly to Ren Li and Juma Buick after reading the inspection.

"The lesion is not small!"

"Yes."

To be honest, it is extremely difficult to determine the cause of postoperative peritonitis. Unless the patient is carefully autopsied after death

In evidence-based medicine, most of this disease is actually caused by surgeons during surgery, but

"It seems that we must have a second operation." Zhang Fan took the film and sighed long.

"Explain your illness to your family." Zhang Fan asked Ma Yichen and his family to explain their condition.

After a while, Ma Yichen came in“ Zhang Yuan, the family members want to see the chief surgeon. "

"What's the matter?" Zhang Fan asked curiously.

"They must see the chief surgeon. As soon as I heard that I was an assistant, I directly refused to talk to me. "

"Oh, come on, let's go and have a look."

Outside the ICU, a group of foreign whites sat around“ I'm the chief surgeon of the patient. What do you need to know? "

The government sent an interpreter, and they also brought an interpreter. Although Zhang Fan doesn't know much about clothes, judging from the posture of these people, it is estimated that he is a relatively wealthy family.

"Doctor, is it necessary for my husband to have a second operation?" A European and American white woman who could not see her age asked Zhang Fan.

Say she's 50 or 60, but it doesn't seem like it. Say she's 30 or 40. Although there are no wrinkles on her face, the loose skin on her neck indicates that she's not young.

She must do beauty maintenance regularly, but the most difficult beauty of the human body is not the face, but the neck. There are too many and too long muscles in the neck. Once there is relaxation, it is almost impossible to carry out cosmetic surgery.

"It is necessary that we have found the infection focus in his abdomen. If the focus cannot be removed, the patient's condition can only get worse and worse. And it is best to operate as soon as possible, the longer the delay Kwai, the worse the patient will recover later.

"Thank you, God will bless him!" The woman stopped talking. Her haggard face and pious look seemed to relieve a lot of pressure when she made a blessing gesture.

"Hello, doctor, I am a supplier of French perfume. In the ward is my brother. Here is my business card. " As he spoke, the merchant handed Zhang Fan a business card that looked like wood or metal, and it was still a business card with fragrance.

Zhang Fan kept his stomach in his hand, and a big man took a incense piece! And because it's all French, Zhang fan can't understand it.

After handing out his business card, the pot bellied businessman didn't see Zhang Fan's surprise, but he still asked, "doctor, can you wait a few days for surgery?" He has contacted the specialist in his country and is expected to arrive tomorrow.

Zhang Fan looked up at the translator, who nodded definitely.

"Now the patient's condition can be very serious, Kwai fever does not retreat, continuous fever is constantly eroding his body, if not as soon as possible surgery, perhaps the original abdominal condition will become a problem of the brain, you can see, the patient has now appeared pneumonia. This has explained the problem. "

"Well, we need to discuss it and give you an answer as soon as possible." The merchant said helplessly.

"Good!" Zhang Fan nodded. After entering the ICU, Ren Li asked, "what's the matter? Are you ready for surgery?"

"They have to discuss it!"

"Where..."

"I can only wait. If they refuse to have surgery today, is there any way to delay the development of the disease? " Zhang Fan had to think about non-surgical treatment.

"Ice caps, vancomycin, hormones and respirators have all been put on, and the high fever can not be well controlled. Once delayed, I think it is very dangerous. Once sepsis breaks out, the consequences are unbearable..."

"Ah! I'll talk to them again. " Doctors should have the responsibilities and obligations of doctors. Zhang Fan must explain the consequences to his family members.

"Doctor, we have decided to agree to the operation. Next, please. " When the pot bellied businessman saw Zhang Fan coming out again, he hurried over, and they had already decided.

"OK. sign! Prepare for surgery. " Zhang Fan nodded and said to Ma Yichen.

"Yes, Zhang Yuan. Come on, you have a family member to sign! "

After everything was well prepared, Zhang Fan and Zhao Quanping, director of general surgery, took Ma Yichen to surgery. As for the doctors in Seleng County, Zhang Fan will not let them have an operation, even if it is a retractor.

Postoperative peritonitis? When it was the first operation, the doctor did not sew well, leaked a hole, or accidentally pierced the intestinal cavity. Therefore, Zhang Fan really did not dare to make fun of Se Leng's doctor with his professional career.

The bane left by the first laparotomy forced the second operation. The difficulty of which operation increased several levels.

The first is bleeding. What this kind of operation emphasizes most is a gentle operation. Because after the first operation, the patient's peritoneum, intestine and incision are edema.

The edema of the body is very troublesome. Originally, it is a very tough tissue. Once edema occurs, it becomes very thin and brittle. How is edema.

In fact, the cells are filled with water, and then the cells filled with water form the body organs. The swollen cells are like glass brittle grapes, which bleed when touched.

Laparotomy can only be entered according to the original incision. The worst thing in the world is to wipe people's ass and clean up their mess.

Zhang Fan gently opened and closed the suture with a scalpel. The bleeding began before he moved. Ma Yichen quickly began to wipe with gauze.

"Ka!"

Zhang Fan directly clamped Ma Yichen's hand holding gauze with his signature.

Director Zhao smiled! Because Zhang Fan's attitude shows that he took Ma Yichen as his apprentice. The average superior doctor would not be so rude to the ordinary doctor.

Ma Yichen is a doctor for general foreigners, or the doctor he signed with Ouyang Qin since Sanchuan medical college. He can be a legitimate doctor!

"Er, Zhang Yuan?" Ma Yichen was pinched by Zhang Fan. The long toothless curved pliers clamped Ma Yichen's three fingers.

"Remember, the patient's incision has edema. Don't wipe it with dry gauze!"

"I didn't notice. I'm sorry." Ma Yichen made a big red face.

"Ka!" Zhang Fan let go of the bending pliers! Ma Yichen secretly touched his finger.

"Hehe, it's still good. If I were you, I would drive you down directly. Zhang Yuan is still soft hearted." Lao Zhao smiled and said to Ma Yichen, and then said to Zhang Fan, "Zhang Yuan, is this ready to erect a flag?"

What he meant was to ask Zhang Fan if he was going to accept an apprentice.

"Look at the performance."

"One is free and two are in a hurry. Why don't you bring more. All the boys in our department are good. "

As soon as Lao Zhao heard this, he quickly began to sell young doctors for general foreigners. It was too difficult for him to be the director, so he also wanted to let the young doctors stand up early.

As soon as Ma Yichen heard this, his face was redder and redder. This time it was not shame, but excitement!