Chapter 588

Zhang Fan is really glad that after he had a system, he chose a medium-sized third-class hospital.

There are no operations in small hospitals, but there are so many operations in large hospitals that doctors can urinate blood. But, don't say you are interdisciplinary, that is, cross group surgery is impossible.

Moreover, in a small and medium-sized hospital, Zhang Fan came out early. Now, although his title did not go up, his position went up.

It's really big pressing small, small making big. Li Zixiong was helpless and the Dean moved out“ I have the right to change the position of your main knife during the operation. If you insist during the operation, I will... "

Li Zixiong stared at Zhang Fan and said it word by word. If he doesn't say this, if he doesn't go to the patient, maybe he will kill the other party

As the saying goes, bullying the old doesn't provoke the small, and it's such a powerful little. Director Li Zixiong is really a competent person to say such words!

"OK." Zhang Fan nodded and didn't speak again. Xue Xiaoqiao, standing on one side, almost said: if I don't serve this operation, it's coming.

However, his reluctance and curiosity prompted him to take a look at the legendary Zhang Yuan and see how the orthopaedic carpenter did it outside his brain.

"Out of the brain! Is this what you carpenters can do? Open the skull later and go down! Don't worry, I won't laugh at you! Go and be your good carpenter! "

Xue Xiaoqiao won't think Zhang fan can do this operation. Not only him, but also other doctors outside the brain are in the same mind.

At the beginning of the operation, the first thing is to prepare the skin, that is, shave a bald ladle, just like the later popular bright bald ladle. Under the sharp blade of extracerebral surgery, Professor Yang's natural and elegant head has become a bald egg.

Craniotomy! Drainage, Zhang Fan started the operation. Although Li Zixiong and Xue Xiaoqiao were very dissatisfied with Zhang Fan's forced operation, their cooperation was not vague at all. What should be done. This is the performance of their high professional quality.

Moreover, director Li Zixiong was extremely nervous. He was always ready to stop Zhang Fan from making mistakes. He can suppress his professional title, but he is powerless in his position, which is also a kind of helplessness.

Why is craniocerebral hemorrhage terrible? Because the brain has a very tough outer membrane for liquid, just as some people wrap a layer of plastic film on their fat stomach in order to lose weight.

Blood vessels burst and blood gushed out. It is a tough film facing outward. It can't break through. It can only find space deep in the brain.

The ejected blood is soft for the outer membrane of the brain, but for the brain tissue, that is the water jet.

Where you rush, where you break. Brain tissue, how to say, is a look supported by fat.

The outer layer is wrinkled, and the inner is a variety of cavities. These cavities are the space for cerebrospinal fluid flow, and the brain tissue from the cerebral cortex to these cavities plays a variety of functions.

It can be said that the bleeding will destroy wherever it rushes, and then the body will have corresponding discomfort. For example, Professor Yang is now bleeding in the left brain. If the place where the cavernous body is managed is destroyed, it is directly to watch the birds cry.

This is his superior brain, which manages the language center. His bleeding directly destroyed his proud language talent.

This destruction is an organic change. Generally speaking, it is an unrecoverable change. It is pitiful outside the brain. Seeing a doctor only prevents the further development of the disease. As for what has appeared, it can only depend on God.

Professor Yang has been flirting with this talent for most of his life, and finally this talent left him. There is a saying that good, God can still live for his sins, but he can't live for his own sins!

Perhaps his profound accumulated virtue in his last life made him meet Zhang Fan. God accepted his talent, but mercifully left his life. This may be a lesson. God taught him a lesson.

Craniotomy, the brain is really an extreme organ, the shell is the hardest existence of the whole body, and the inner is the softest existence.

Chiseling bones and opening windows is like selling melons in summer. In order to let you buy melons, he will open a window for watermelon to let you find out.

Extracerebral hemorrhage surgery is particularly similar to this operation, but the melon vendor cuts a triangular hole and will bring out the watermelon pulp, while the extracerebral doctor will not bring out the brain tissue. It is not a triangle, but a square hole, which is the difference.

Zhang Fan's craniotomy and Bone chiseling are very sharp, without a trace of fireworks. They are light and absolutely light. Unlike some two knives, craniotomy is as rude as smashing walnuts.

Professor Li Zixiong's eyes are always staring at Zhang Fan's bone knife, and his hands are always ready, ready

Xue Xiaoqiao looked at Zhang Fan's operation. Although he really didn't want to admit that Zhang Fan's craniotomy was really beautiful and clean, the facts were in front of him.

"The skull is also a bone. If he can't even open the skull well, he'll be sorry for the title of carpenter!" Xue Xiaoqiao thought comfortingly.

Opening the window, Zhang Fan opened a hole in his blue skin and head.

At this time, the lens is pulled away. If you stand on the shadowless lamp and look down, you will see such a scene.

A white hole appeared in the place covered by a green cloth sheet. Even if Zhang fan does it skillfully, the skull will still bleed, because the blood supply of the skull is very rich. It is impossible not to learn at all.

The blood stain is on the white brain tissue and on the surrounding green operation sheet. With the activity of the brain, the red blood flows slowly on the brain tissue. It's like bean curd with chili oil. And the bean curd will still move.

This scene is like a child eating bean curd and scattering it on the table. Bone residue and blood are scattered around the operation area.

In fact, brain tissue can move like the heart, but the range of movement is relatively small, but it can definitely be seen with the naked eye.

Waves of ups and downs, just like a big maggot in my brain. When the brain tissue was exposed, the operation also entered the most critical moment.

This thing is terrible. The bleeding may not be visible to the naked eye, which is one of the reasons for the very slow development outside the brain.

Because the brain tissue is three-dimensional, not planar, so positioning is very important, but even if the positioning is done, the inexperienced doctor's operation at this time is careless, it will not save people, but kill people.

It can be said that nothing can be wrong“ Zhang Yuan, look at the CT again. " Li Zixiong is nervous. He is much more nervous than he does his own operation.

"No, the diameter of the hematoma is 4cm, no more than 5cm, and the patient has a severe coma..." Zhang Fan said while taking out a thick puncture needle. He was going to enter the cerebral hematoma.

This puncture is very particular. We should not only remove the hematoma, but also avoid secondary damage to the brain. Therefore, the doctor's hand should be stable, and the most important thing is to have a good understanding of the structure of brain tissue.

Holding the puncture needle in his hand, Zhang Fan began to enter the brain tissue little by little, "pay attention to the patient's vital signs!" Li Zixiong gently said to the anesthesiologist.

Kill, save, in this moment.

Enter and insert slowly. The puncture needle is inserted into the brain tissue, which is not different from chopsticks on tofu. At most, there is a sense of hierarchy in the brain, while tofu has no sense of hierarchy and breakthrough.

The sense of hierarchy and breakthrough in surgery are two words that make some young doctors absolutely uncomfortable. This feeling must be mastered. I don't know how many times it can be felt. Unmarried single Wangwang doesn't know what a sense of breakthrough is.

If you enter gently, you must not shake at this time. A shake may hurt a function of the brain.

Steady, too steady. Zhang Fan's hands were holding puncture needles, and his shaking could not be seen by the naked eye. This was the Kung Fu under his hands. Li Zixiong looked at Zhang Fan's steady hands, and his eyes also had a little appreciation.

Because he knew that he must have worked hard under the operating table to have such a pair of steady hands.

Xue Xiaoqiao was envious. He was so envious. When he was in the capital hospital, he didn't see an expert doing surgery, but he really didn't see such steady hands as Zhang Fan.

"The orthopedic is so stable. How can we practice it!"

"Glucocorticoids into the pot to stabilize the patient's blood pressure. I'm going to draw blood." Zhang Fan felt a sense of breakthrough. He knew that the needle had entered the hematoma, and then slightly entered a little again. He said a word.

"Zhang Yuan, if you don't enter a little, the hematoma may not be cleaned!" Li Zixiong is also predicting. He thinks he should enter a little more.

"No, you can definitely clean it and listen to me!" Zhang Fan said very overbearing, not a little modest at all. This is the temperament of Surgical da Na.

Under the operating table, I can laugh when I see people. I can be approachable, but when I go to surgery, I am exclusive! This is not only the embodiment of technology, but also the embodiment of self-confidence.

"If only there were an operation CT!" Xue Xiaoqiao said to himself that in large hospitals, when this positioning is unclear, it can be solved with surgical CT. Of course, this thing is super expensive.

"Ha ha!" Zhang Fan and Li Zixiong both smiled like this.

Suction, blood is slowly absorbed from the puncture needle. Li Zixiong looked at the value in the container.

“10ml、20ml、30ml。 I shouldn't be able to get out. There's still 10ml. It's estimated to be a little more. " Li Zixiong thought with his own experience.

Zhang Fan's hands are too stable. At this time, Li Zixiong is a little relieved. At least Zhang Fan is not fooling around. Next, he can guide Zhang Yuan how to enter a little more and what he needs to pay attention to.

Just as he was about to open his mouth, the blood in the container still slowly began to rise, 40ml! When the blood reached 40ml, Zhang Fan's needle thread did not move.

"How could it be! Is it bleeding again? It's impossible. The patient's vital signs haven't changed! " Li Zixiong said it directly. He was really shocked.

"I entered by the lateral ventricle, which is just the lowest point of the brain, but not the lowest point of the hematoma. Choose other places. At this depth, the hematoma is not cleaned up. If the needle is inserted again, it will cause secondary injury. "

Zhang Fan gently explained.

"What? You have reached the lowest point. How is it possible? Where will you hurt the ventricle? " Xue Xiaoqiao's cold sweat came out.

"No, no, no, Zhang Yuan should go straight in, close to the brain tissue wall, and then slightly press the brain tissue to form an artificial low position." Li Zixiong looked at CT and said it slowly.

"Yes! Director Li is right. " Zhang Fan is a little proud, not because of the operation, but because his brilliance has been found. The night trip in royal clothes may be the high quality of others, but if others can find his brilliance, Zhang Fan is willing. After all, he is still a young man.

"No damage to brain tissue?" Xue Xiaoqiao asked again in surprise.

"Look at the patient's signs!" Director Li Zixiong said.

"The patient's vital signs are beginning to improve, and the operation is effective!" The anesthesiologist also confirmed Zhang Fan's operation in real time.

"Zhang Yuan, you are awesome!" Xue Xiaoqiao spoke directly. After all, he was a young man“ Zhang Yuan, how did you do it? Can you teach me? "

"Surgery first!" Director Li Zixiong glanced at Xue Xiaoqiao. He was not angry. If he met a director who was not lenient, he would definitely wear small shoes for Xue Xiaoqiao. My sister wouldn't take the director as a cadre?

At this time, director Li Zixiong was a little, a little reflective. After Zhang Fan came to the hospital, he first set up a flag in the orthopaedics department. At the beginning, he was in the orthopaedics department of fixed post, which was also said in the past.

Then in puwailiwei. This can also be said in the past. After all, general surgery is the largest surgical department in the hospital, and Lao Zhao is too face-to-face. The Department must also be rectified.

However, Zhang Fan has never been outside the brain. Even when he was transferred to another department, there was no display.

"Am I too overbearing? Did I make Zhang Yuan despise it? " Director Li Zixiong felt more and more uncomfortable.

When Zhang Fan began to inject urokinase and began to withdraw the needle slowly, director Li Zixiong said in a stuffy voice: "Zhang Yuan, do you have a problem with me?"

"Er!"

"Er!" Zhang Fan and Xue Xiaoqiao made surprised voices at the same time.

"Director Li, what do you say? I'll have a problem with you." The operation was successful. Zhang Fan was a little proud. As a result, he didn't understand what director Li said.

"No problem. Why do you never come out of the brain? This should be your first initiative to come out of the brain for surgery. If you have a problem with me, you can say it. " Director Li Zixiong is really a little angry.

"Extracerebral surgery is so powerful, but it has never been outside the brain or interfered in the work outside the brain. What does this mean?"

He was wronged in his heart. Outside the brain, it was the most difficult department in hospital surgery.

If Zhang Yuan doesn't have this ability, he doesn't insist, but if he has this ability and ignores outside his mind, it's naked contempt for people!

Director Li Zixiong, a tall man, like an angry little daughter-in-law, put his hands on his belly and began to strike!

"No, director Li, where do I have a problem with you? This, this..."

Zhang Fan's brain rotates rapidly. If you open Zhang Fan's head at this time, you can definitely see that Zhang Fan's brain tissue is about to jump up.

This is really hard to explain. I can't say that I couldn't climb out of the pit of general education at the beginning, and I couldn't open my mind!

"Hey, hey!" Xue Xiaoqiao, the bastard, added fuel to the fire and smiled, which made director Li even more angry.

"Xiao Xue, can you tell us whether it's difficult outside our brain? Tell us how difficult it was for an operation.

Tell Zhang Yuan about it so that our superior Zhang Yuan can understand our difficulties.

My waist is not very good recently. I think I should ask Zhang Yuan for leave and ask for annual leave! "

"Yes! At the beginning... "Xue Xiaoqiao began to add firewood unkindly. He began to admire this hospital as soon as the operation was done, but he was still a young man after all, and there was still unconvinced in his subconscious mind.