Chapter 781

Open exploration, many general surgery, the examination is not clear, open the stomach, many can be clear.

For example, is there a problem with the appendix or other intestinal problems? Open your stomach and see with your own eyes. You can understand everything.

After all, the gas and liquid in the abdominal cavity, like the coiled intestine of a python, can affect the examination results.

But it's different outside the brain. This thing, such as necrosis and degeneration at the bottom of the right side, often shows signs that are not at the bottom of the right side after the onset of the disease.

For example, it is obviously the necrosis of thalamic tract, but the body sign is the patient's nonsense, just like the great God attached to the body.

For a while, he said he was Sun Dasheng. For a while, he had to grab his husband and say he was the sea dragon king. He had to let him take out the hidden golden cudgel!

For example, some patients are as quiet as virgins. They sit there gentle and elegant. They can be called gentlemen directly by holding a teacup.

But once the disease occurs, it will move like a rabbit. The brain is a very thief organ. On weekdays, ordinary people may not be able to get on a bench with a three meter high wall.

But in a dangerous moment, when the dog chased his ass and opened his mouth to bite, a fat man of 200 kg rushed up with a miso, so that he could not go up again in the ordinary environment.

Just because of the chicken thief in the brain, this thing is also very lazy. It's easy not to mobilize all organs to cooperate. Isn't it good to lie down and be an uncle.

After brain disease, the brain can't control the body, and the reserves of the whole body will burst out sometimes.

When a girl is ill, three big men may not be able to live.

Doctors have no way to determine what went wrong. They can only judge it by combining examination and their own naked eyes. Therefore, the more advanced the instrument is, the better the diagnosis is.

The panting tube bed doctor came to the operating room with the examination results and looked at his teacher. Dr. Guo stared at him like a wolf looking at a sheep, as if he was going to peel off the skin and devour him.

The young man's heart is cool. "This guy is going to vent his anger on me again. I don't serve TN. I'll apply for a change when I go out!"

I've begun to plan to change jobs and groups! Since he was not afraid, since he was desperate, he stood in the operating room and began to observe the operation.

The operation begins, craniotomy. This craniotomy is very boring to explain in a serious way. Let alone not be a doctor. Even a doctor has a big head when he listens to the awkward terms and breaks through the positioning of the sky.

Frontal lobe, temporal lobe, pineal gland, hard inside, hard outside, arachnoid, moving, smelling, listening and speaking. Almost all nouns are made by foreigners. After they are translated into Chinese, they directly let the little tongue come to Balala.

These are also some of the simplest medical terms and Doggerels. Doctors outside the brain should not only find out the organization forcibly named by others in the brain.

We also need to understand the muscles and layers outside the brain.

Simply put, for example, the pain near the clavicle. After excreting organ variation, which nerve causes the pain in this place? Oh, it's managed by the nerve from the fifth neck near the clavicle.

Does it hurt near the sparrow? Oh, it's the nerve from the first lumbar vertebra, so the old saying is good. It makes sense that the sour chicken is useless!

And surgery outside the brain is also quite cruel. This thing is just the opposite of general surgery.

Before entering the abdomen, doctors were like Chinese nobles pretending to force them to eat Western food.

Clean your belly first, not only clean it, but also put some butter (iodophor and alcohol) on it, and make the knife and fork well. It feels quite tall.

Once you enter the abdomen, your nature is clear. Holding a knife and fork, you run to the fat intestines, cecum and appendix, and the taste is strong, otherwise you can't show other people's hobbies.

But it's different outside the brain. Before entering the skull, it's the same as the upstart.

Shave your head first. Whether you are green silk 3000 or board inch peach heart, shave it for you.

Then take an iron frame to fix it for you. This is as like as two peas. I've seen some disgusting videos and I know that the upstarts eat monkey brains.

Like the iron frame of the building, fix your head first. How can you fix it?

In fact, it is a fixed support, which is used to fix the brain. This thing is actually three support hands. Then there is a short nail on each support hand, and the rotating nut is directly nailed to the skull to fix it.

Three nails nailed his head to the cross.

Then draw a circle with gentian violet where the hole is to be opened.

Then, hammer, air drill, bone chisel and bone knife, just like orthopaedic carpenters, began rudely.

First open your scalp with a knife. The one with hair and skin is called clean, just like the pig's head with hair, with white bones.

Then, the air drill opens an eye on the skull, squeak! Squeak! At the edge of the circle, start drilling along the line.

It can be made into a circle, a fan, or a peach heart, just like some people's hairstyles.

Bone meal is flying all over the sky! The fat and blood in the bone volatilized for a time, and the smell of barbecue was burning.

Sometimes, when playing the skull, I don't know whether the doctor's technology is bad or whether the skull looks like the cover of lunch meat, and the quality is not up to standard.

Opening the eyes is like making a pull ring. As a result, the hard work is broken and open! The lid didn't pry open and the pull ring broke!

That's only for the rougher, bone biting forceps.

This thing is like cutting nails with a nail clipper when dealing with the skull. After biting off all the bones bit by bit, the brain kernel inside is revealed.

How can a normal brain say that, in fact, it is like a fat meatball, really like a big lump of fat meatball with blood, rolling slowly in the Wen hot pot.

This thing in the skull, slowly like a twitch, and like a contraction, like what kind of alien mother nest in an alien movie.

When you open the brain, the normal brain is like a big girl who has not been out of the cabinet. It will be shy when you see a strange man, and the movement will slow down, just like hiding.

And this kind of brain mutated by (a) poisoning is just like erha releasing the door. It can't be pulled. When you open the skull and see the brain.

This thing is not only excited, but also like a sudden explosion. It keeps shouting: come on, come on, I won't hit you.

It's really a piece of fat flying meat. It seems that there are countless parasites crawling in it.

Zhang Fan takes Xue Xiaoqiao and enters the skull very quickly. After all, Zhang Fan is also an orthopedic doctor. It's very easy to do this kind of bone window opening.

Lao Li was sucking the smoke from the electric drill with a suction device like soy sauce.

Lao Guo has not adjusted from shame and annoy. He will watch the head nurse grind his teeth and watch his lower doctor cut his teeth.

It's estimated that I fantasize about being the Dean, what's wrong with the head nurse, and what's wrong with the doctor. I'm still trapped in endless taste.

The young doctor who made up his mind to change the group did not blink. He doesn't know anything else, but one thing he can be sure of is that a doctor who can open a throwing knife in the third class hospital in the provincial capital must have kung fu.

"Turn the fixing bracket!" After entering the brain, Zhang Fan looked at the peristaltic brain and gently said to the itinerant nurse.

The itinerant nurse turned the angle carefully.

"Good! Zhang Yuan, how about this angle? " Xue Xiaoqiao kept directing the itinerant nurses on the side.

"Yes!" Zhang Fan looked and nodded.

"Adjust the shadowless lamp!" After fixing the position, Xue Xiaoqiao was busy telling the nurse to get the lights.

When everything was ready, even if it was into the skull at this time, all the original rough instruments came out at this time.

At this step, the elegant, fine and accurate side of the extrabrain doctor comes out.

Instruments, such as attractors and conventional attractors, are actually a large straw, just like a thick straw for drinking pearl milk tea.

You put your mouth on the other end of the straw and suck it fiercely. Any fecal residue and blood clot in your abdominal cavity can be sucked out. Sometimes if you don't pay attention, you can suck in the intestinal wall.

The attractor outside the brain doesn't work. It's not straight, but like the picture that scares men in Brazil's no smoking advertisement.

The attractor is vertical, at right angles, and the suction port is quite thin. If it is a straw for drinking pearl milk tea, the attractor outside the brain is a straw for drinking wife's oral liquid.

The width units of all instruments, tweezers and pliers are mm level, which is quite fine, and these instruments do not look thin and narrow, but the hardness is unimaginable. It is estimated that the materials used for these devices outside the brain are more difficult to manufacture than other ordinary instruments.

Carrying a Rhoton gun with a length of more than ten cm, Zhang Fan began to prepare for the focus.

This thing is like a long needle. It is long and thin. There are cross shaped serrations on the 0.5mm needle, which is to prevent too thin needle from generating cutting stress on organs.

"Current stimulation, wake up the patient!" When he was ready, Zhang Fan began to give orders to the anesthesiologist.

"OK, Zhang Yuan, wake up immediately!" The anesthesiologist immediately turned on the switch of the electrode attached to the patient.

Extrabrain surgery, the wonderful work is here. Often a lot of organs to be removed, is it the patient's brain functional area?

Sometimes it's hard to say. What should I do? I can only try it bit by bit under the condition of semi anesthesia.

6mA current passed through the patient's body. The girl didn't wake up after convulsion for a while.

"Well!" The anesthesiologist was embarrassed. This current can definitely open ordinary people's eyes, but the girl twitched her hips!

"Well!" Zhang Fan was also embarrassed. The needles were ready. As a result, no one woke up.

"Increase the current?" Zhang Fan asked uncertainly.

In the past, most anesthesiologists were part-time surgeons. Later, as the discipline became more and more refined, such as craniocerebral surgery, they were not professional anesthesiologists, so they could never get drugs down.

Therefore, there is no problem with conventional anesthesia. Zhang Fan is a little uncertain about this high-level anesthesia.

"Zhang Yuan, no, if the current increases again, it will cause abnormal heart rhythm!"

The anesthesiologist said awkwardly that at least he graduated from a doctor. He really hasn't seen such patients.

"Short acting barbital hydrochloride stimulation!" I can't help it. I have to take medicine.

Compared with the current, the drug has a failure period and drug resistance. It is not stable without current.

Therefore, conventional surgery generally selects current stimulation instead of drug stimulation, which is also no way.

A little bit of medicine dripped into the girl's lesion. The girl's stimulation became more and more severe, and then she woke up after twitching.

"Start!" As soon as Zhang Fan saw that the patient opened his eyes, he hurriedly said, and then said to Xue Xiaoqiao, "start a dialogue!"

Surgery to remove brain lesions is so troublesome. Sometimes, the doctor actually cuts while determining and testing.

Dialogue, what do you want to do.

First, judge whether she can speak, second, judge whether she thinks clearly, and third, judge whether she can move.

For example, what's your name? The other person answered correctly, which shows that the stimulating area is not about thinking and language. If you ask the other person, what's your name, she said: I eat hot and dry noodles.

So bad, this place can't be cut, and everything will be cut into fools!

Also, for example, come and move my eyes and fingers. As a result, people have been talking with big eyes open for a long time.

While stimulating, Zhang Fan asked Xue Xiaoqiao to talk, "what's your name!"

"Give me a bite! Come on, give me a bite! "

"Well!" Xue Xiaoqiao looked at Zhang Fan helplessly.

Zhang Fan glanced at Xue Xiaoqiao. The meaning was obvious. Find a way to ask me quickly.

This kind of patient is really difficult!

Xue Xiaoqiao turned his eyes and the beads lit up like brother Yixiu!

"OK, I'll give you a sip. I'll not only give you a sip, but I'll also give you some dolantin. See? There's dolantin in this needle. Do you want to eat eszolam? You're good. I'll give you what I ask you to say!"

"Good, good, good!" The bone nail stared at the brain. The girl who couldn't move directly spattered. Really, she pulled the silk down. Just like the clear runny nose with a cold, it pulls the silk flow and pulls it constantly.

Zhang Fan and Xue Xiaoqiao looked at each other. Zhang Fan blinked, which means: ask something conventional. How do you ask the doctors in the provincial central hospital to write medical records?

Does it say: experts seduce patients with poison (a)?

"What's your name?"

“xxx”

"Do you have a boyfriend?"

Zhang Fan immediately glared at Xue Xiaoqiao.

This kind of private question is actually asked in gynecology and obstetrics. Generally, other departments also ask whether they are married or not.

Xue Xiaoqiao glanced and said in his heart, "what do you want me to ask? Apart from these questions, what else can such people ask? Do you ask about Chinese history and geography?"

"Yes, both boyfriend and girlfriend. We sometimes... "

"Ask others!" Zhang Fan stares at Xue Xiaoqiao. Xue Xiaoqiao is waxing. He didn't expect it!

"Well, where did you go to kindergarten?"

With the step-by-step test, Zhang Fan stabbed the other party's brain with a long gun, and then cut it bit by bit.

At this time, the young doctor watching the tube bed of the operation can see it.

"The expert's level is very high!" Because Zhang Fan's operation is not disorderly, it can also determine the patient's brain function. To tell the truth, they can only see it when they invite experts from the capital.

Although he can't see how high-end it is, he knows that this Zhangyuan is very high-end.

Then he turned his eyes and turned out of the operating room. When he went out, he didn't even look at Lao Guo.

"Miss Wang! If you're not busy, come to the operating room and have a look! "

"What's the matter? The patient is dead? " Another deputy chief physician is also paying attention to the operation.

"No, no, the level of this hospital is very powerful, but I can't see how powerful it is. I think you can see it. I'll call you the first time."

"Good boy, have a heart. I'll be right there. " After hanging up, Dr. Wang rushed to the operating room.

There are several Department of cerebral surgery in the hospital. There are many deputy directors in the Department.

The news came out of the operating room, and then a phone call came in.

"Xiao Li, how was the operation?" This is the deputy director of the Department.

"Director, I just wanted to call you. I observed that the operation was very smooth. The patient did not have coma, asphyxia or heart rate. From the beginning to now, the patient's vital signs are particularly stable."

The bed doctor said on the phone.

"OK, I see." After hanging up, the deputy director couldn't figure it out, "orthopedic doctor? General practitioner? Do you have the same name? "

Although I don't seem to understand, I'm not slow under my feet.

The deputy directors entered the operating observation room one by one, "turn on the camera!"

"Hiss!" One after another, it was like toothache breathing air conditioning, which kept coming out between them.

"That's great."

Then, when the deputy directors entered the operating room one by one, the directors couldn't sit still.

"How's it going? How's the other party?"

"Powerful, no less than the director of the capital."

"Director, I think we should have more departments, and the Dean should communicate more!"

This time, the directors in the office did not find an excuse for the meeting, and rushed to the operating room one by one.

Lao Guo's superior, director Chen of the second Department of neuroscience and surgery, was director Chen who found an excuse for the meeting. He entered the operating room with a mask and a wash coat.

He first glanced at Lao Guo and then gently stood opposite Zhang Fan.

"Zhang Yuan, is everything going well?"

Zhang fantou didn't turn. He was never distracted during the operation!

Time, one second, ten seconds, half a minute, director Chen was embarrassed.

Lao Li was embarrassed to death. He knew Zhang Fan's problem. He had an operation and refused to recognize his relatives!

"Director Chen, it's OK. Our dean is a little focused on the operation. Don't think about it!"

"Hehe, it's okay, it's okay, the same, so am I. Either, or I'll give you a hand on the stage? "

Lao Li looked at Zhang Fan, thought about it and said, "well, you will take over from me! I'll take a break. "

The good man got off the stage and replaced Lao Chen and director Chen. In the face of technology, to tell the truth, doctors are actually quite active, especially in class III hospitals. In this industry, it is like sailing against the current. If you don't advance, you will fall back.

"Has director Chen finished the meeting?" Xue Xiaoqiao watched his director get off the stage. He was a little angry, so he asked jokingly.

"Xiao Xue! Can't you learn from Zhang Yuan for surgery? "

Lao Li's heart is very warm, but for young doctors, they should not only give technical help, but also check their character. This is the old school master's work and life.

"Oh!" Xue Xiaoqiao still respects director Li.

The operation continues. This kind of operation is actually simple.

First test to see if it is a functional area, not a functional area, then stop bleeding and ligate the surrounding blood vessels.

Although the brain is so little, there is a lot of blood supply!

After ligating the blood vessels, the rest is simple.

First jump off the outer membrane with a long gun, and then pick up the bone scraping spoon. This thing is not the thick black of orthopedics.

This thing is like a silver ear scoop. It's very exquisite.

Use the bone scraping spoon bit by bit, just like a child eating white cream strawberry ice cream, dig out the lesions inside and put them into his mouth bit by bit.

Looking at Zhang Fan's technique, director Chen envied, "MMP, youth is good. This technique is stable, too stable. How did you practice this skill ~! "

"Zhang Yuan, ha ha, your skill is really powerful. It seems like the shadow of the director of the golden mean. It seems different. I have stayed in the golden mean for a year. I don't know who you are..."

This is ready to pull the relationship.

"Oh, I'm just a little interested in outside my brain. I usually figure it out by myself!"

The operation was smooth, and Zhang Fan said a word.

"Well!" Director Chen's sweat has come down. Not only director Chen's sweat has come down, but also a group of directors and deputy directors in the observation room, one by one, shouted in their hearts: TN's can be installed too much!

Old Chen Xin said, "you might as well not speak! That's bullshit! "

The thought of pulling a relationship is gone, and the thought of learning some technology is gone.

He thought the young man was too cocky and proud of the cow.

To tell the truth, he was regarded as bragging force, but who let him ask Zhang Fan on the operating table? Zhang Fan on the operating table can answer well!

As for other people's feelings, I'm sorry. I'm having an operation. I'm not in the mood to fool you!