Chapter 810

Name:Medical road Author:臧福生
Attacking cities and conquering land was originally done by the army, but Zhang Fan was doing it after the Spring Festival.

In the past, the system only opened the general surgery and orthopedics department. Zhang Fangan's liver. The hospital has countless operations, so he can't finish them.

I can't even finish the operation day and night. What can we say about China's medical care? There are good and bad.

But after seeing the doctor, if he asks you to wait, such as appendicitis perforation due to appendicitis inflammation, you can point to his nose to greet him and make him feel overwhelmed.

Overtime is too common in hospitals, so surgery can't be done by one person or several people.

However, after playing open heart surgery and opening the outside of the brain, Zhang Fan was a little unable to perform.

Surgery in some departments such as general surgery, orthopedics and even urology cannot be completed, while the amount of surgery outside the brain and heart is too small to do.

Looking at the requirements of such magnitude in the system, Zhang fan can only go to the bird market to find a way.

Therefore, after the beginning of the new year, Zhang Fan ran the bird market more and more frequently.

General foreigners, Zhang Fan has become a name in the frontier. No matter the general foreign experts in the north and south of the river, throwing knives will never come to the frontier, because there is Zhang Fan here.

Generally, doctors who can fly knives say this to doctors in other hospitals in the frontier:

Oh, it's too far away to turn around time. Otherwise, you can find someone else.

The frontier doctor wondered, in the past, you ran three times a week and never said it was far away?

If you are familiar with a better relationship, people will tell the truth: Hey, ask your tea vegetable Zhang Fan to do it. They are in the frontier. I'll fly a knife again. It's not good-looking.

This is actually the common name agreement of top doctors. For a discipline, the top medical circle is so large, unless there is a problem with the relationship between the two.

If the relationship is OK, it is often: Lao Li, someone asked me to fly a knife to you. I heard that you are very busy. Give me face and make this of mine first.

There is love on both sides! And this is not only a question of friendship, but also a question of income.

Orthopedics, relatively speaking, the difficulty coefficient of orthopedics is a little lower, but in case of serious spinal trauma and spinal deformity, it still needs experts to do it.

Although it's a little difficult, it doesn't seem to have an immediate effect. Therefore, Zhang Fan's orthopedics is not as famous as that of ordinary foreigners.

Moreover, Zhang Fan doesn't need to fly a knife for orthopedic surgery. There are many tea minerals and road risks. The surgery here can't be finished.

But outside the brain and outside the heart are different. These two things need a population base to support them. Therefore, Zhang Fan went to the bird market a few days after work.

"Zhang Yuan, I'll buy you a ticket. You don't make a plane. You have to drive yourself. How sorry."

The director outside the heart of bird City Central Hospital personally greeted Zhang Fan at the door.

Looking at Zhang fanhong's car driving into the hospital, I was drooling with envy.

The car doesn't matter, but this brand has too much face. It's really an identity.

In fact, if it hadn't been for the help of the traffic police at the critical moment, Zhang Fan didn't find it. Seeing that everyone didn't pay attention, the old man climbed to the overcoat cabinet with a ladder like a Acrobatic trick.

He was old and dazzled. One fell carelessly. He just heard a click and the left femur broke directly.

Like a prosthetic leg, the left leg has become a double knee, directly facing the back, the heel is ahead, and the thigh has become a three section stick, thrown in the wind!

At that time, the old man in pain ouch ouch.

It was also a loss that someone in his family called Wang Yanan in a hurry. While calling, he sent him to the hospital.

Emergency surgery was directly pulled onto the operating table on the same day. At that time, Zhang Fan went to the bird market, and Wang Yanan accompanied Lao Gao to operate on the old man himself.

The operation was very successful. As a result, something happened when I was discharged from the hospital.

Orthopaedic surgery, such as femoral head replacement surgery, or some large bone fractures, such as thigh bone, that is, femur and pelvic fractures, these operations seem to look at bleeding as the most dangerous.

For example, pelvic and femoral fractures are often shock.

However, this shock can be rescued, that is, doctors still have time to break their wrists with the God of death.

However, there is another complication. Once complicated, there is almost no time to rescue.

Moreover, this complication is almost difficult to prevent.

Everyone has eaten bone marrow, especially big bones. Take a chopstick, take it out bit by bit, put it in your mouth, smash it, smash it, it's more fragrant than meat.

In fact, the structure of bone marrow is similar to that of fat. On weekdays, as long as you are healthy, adult bone marrow is like an uncle. Where can you lie in the bones safely and stably.

Don't do any work, not only don't work, but also nourish others.

But once there is massive bleeding, when the human body is in a state of anemia, at this time, people immediately turn into the hematopoietic system.

The energy source constantly creates fresh blood cells for you, so some diseases, such as leukemia, are extracted bone marrow.

So this thing is important. In fracture surgery, this thing is a particularly dangerous time bomb.

Orthopaedic surgery pays attention to asepsis, and extremely pays attention to asepsis.

Often, after many orthopedic operations, the chief surgeon will wash the broken end of the fracture with a vessel with a large washbasin filled with normal saline.

What are you doing? Do you want to flush the bacteria?

No, this is actually washing the fat particles in the broken bone marrow.

There is a saying of cramping and peeling in general surgery, while there is a saying of beating bones and sucking marrow in orthopedic surgery.

For example, internal fixation after fracture, you may think it's very simple. Don't you just connect it with a steel plate.

In fact, the steel plate is not omnipotent. For example, if the long bone fracture is crushed too much, the steel plate is not applicable.

At this time, we need to put on the intramedullary nail.

What do you mean? It's to take a file like a three edged thorn. It's long and hard.

Then put the file into the bone marrow cavity and use a hammer. It's really a hammer, or a metal hammer, which is not much smaller than a child's head. It's no exaggeration at all.

Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang Bang.

Its function is broad pulp. When doing this operation, people who don't know thought that the decoration of the orthopaedic operating room smashed the wall. Bang! Bang! Bang, it's going to expand the bone marrow cavity.

Do you think that even a thing that can expand bones can retain bone marrow? impossible!

Under this kind of attack, the bone marrow directly turns into bean curd stirred with chopsticks. I don't know how many times.

The mushy bone marrow is completely turned into fat, and then the doctor will rinse it with a large amount of normal saline.

If you eat a mouthful of fat meat, most people can't resist it except those who like to eat fat meat. This thing can make you vomit on the spot.

In fact, the body is the same. No matter how much water is washed, fat particles and invisible fat particles will enter the blood.

It can be said that this thing is inevitable.

After the fat particles enter the blood vessels, this thing floats with the blood flow like a boat floating in the river at the beginning.

If the blood flow is slow and the elasticity of blood vessels decreases, this thing will converge somewhere like a traffic jam.

Then, with the combination of the strong and the strong, the fat particles invisible to the naked eye will fuse into a life-threatening fat aircraft carrier.

Protein can run out of blood vessels from blood vessels and tubes, and sugar and salt can sit in and out of blood vessels.

Fat doesn't work. It goes into the blood vessels. It's a troublesome thing.

When the assembled fat aircraft carrier drove up, it was lucky to be blocked in the lower limbs.

For example, some people, healthy, suddenly walk and limp. And at that time, there was lower limb pain.

It hurts like a dog bites off a piece of meat and can't walk. But after a rest, it may be better again.

It's not Lao Zhao's bluff. If you are over 35 years old and like to eat fat, you don't like meat and smoke, you must be careful. If you don't do well, it's fat deep vein embolism. You must tell the doctor about it.

Blocking your lower limbs will make you lame. Block in your brain. Well, you may not have to do it yourself for the rest of your life.

What if it's blocked in the lungs? The direct is the so-called triple syndrome of pulmonary infarction: chest pain, hemoptysis and suffocation.

This kind of pulmonary embolism often occurs when the patient suddenly changes his face and hasn't put his hands on his chest. As a result, his eyes close and fall to the ground, and he doesn't even have time for rescue.

It's more scary than what's in the movie, so it's right to have less oil and less meat.

Wang Yanan's grandfather, the old man, after the operation, lay in the hospital for a few days and couldn't stay in the hospital.

Yelling to go home every day. Wang Yanan is cruel to the old man every day, but the old man still wants to go home.

Wang Yanan removed the suture, checked it and recovered well.

Pushing grandpa in the wheelchair, he walked slowly towards the elevator and was ready to leave the hospital.

"Grandpa, I've suffered this time. I can't climb up and down again when I go home. How old are you!"

"Well, don't climb. My daughter is a doctor now. I want to listen to women!

Don't listen to your mother. She doesn't know anything. When you become a doctor, Grandpa supports you!

It's good to be a doctor. It's good to be a doctor and heal the wounded. This is accumulated virtue.

Just get married early, and I can bring you children.

It's good for me to see a male doctor. " Then the old man pointed his finger at Xu Xian.

Wang Yanan is an orthopedic doctor. Her grandfather is in hospital and takes good care of her from top to bottom.

It was time to leave the hospital. A group of nurses accompanied Wang Yanan to send the old man, while male doctors came out of the office and watched from a distance.

It can be regarded as a face for Wang Yanan.

"Ha ha! The old man has a good eye. He fell in love with the best young doctor in our department at a glance. "

Miao Juan, head nurse of orthopedics department, also joked with the old man.

Wang Yanan also smiled and teased the old man. He walked slowly to the door of the elevator.

The elevator door hasn't been opened yet. As a result, the old man suddenly changed his face and trembled his hands to lift it, but he couldn't lift it. His chest hurt and his teeth twisted.

Wang Yanan looked at the shadow through the elevator door. Grandpa seemed wrong. He turned around and squatted directly in front of Grandpa.

"Grandpa, grandpa! What's the matter with you? "

As he spoke, the old man slowly slid down from his wheelchair.

"Grandpa! grandpa! Don't scare me. "

Talking, the nurses who had not left and the male doctors standing in the distance all ran over.

"Come on, put it down, put it down, come on! Put the old man flat. "

Zhou Chengfu, Xu Xian and the nurses quickly put the old man flat.

At this time, Wang Yanan's mind was full of dark shadows. There was no professional knowledge, but subconsciously, she knew that grandpa had a big problem.

Tears, in the face of the valiant female doctor, broke the flow of the line. In the dark, she had realized what was the same.

"Grandpa, Grandpa, open your eyes and look at the women. You have to look after the children for the women, Grandpa."

"No! Fat embolism, come on, call the heart. Rescue, push the ambulance. "

Not even the time to move, not even tens of seconds from the onset.

Xu Xian pressed desperately, and Zhou Chengfu went straight to his mouth and gave the old man first aid mouth to mouth.

However, the old man grabbed Wang Yanan's hand and sent it away slowly.

Then the heart stopped slowly.

"Grandpa, Grandpa, wake up, wake up, you promised me, you promised me.

Grandpa, wake up! "

Wang Yanan ran away and sat beside the old man who was just smiling.

The heat director of the Department of Cardiology ran over with the flower. As a result, it was still late and looked at the doctors who had given up treatment.

Looking at Wang Yanan, who was already crying softly, several female doctors hurried forward to help Wang Yanan.

Before long, Wang Yanan's mother came up from downstairs.

"I want to call Zhang Yuan, I want to call Zhang Yuan, I want to call my master, he can save my grandpa, Grandpa."

Wang Yanan couldn't cry. He was a good old man. As a result, he closed his eyes in one breath.

Crying out of breath, Wang Yanan couldn't speak clearly on the phone. He kept saying that he was dead in front of me.

Zhang Fan clenched his teeth, hung up the phone directly, and then called Xu Xian.

"What the hell is going on? What happened? " Zhang Fan's voice was on fire.

How can a girl who is so persistent in medicine and medical skills suddenly give up.

Xu Xian answered the phone and said, "Zhang Yuan called me."

Then Xu Xian said it quickly.

Zhang Fan is silent. The doctor is not omnipotent. However, in Wang Yanan's case, it can be said that a close relative died in his own hands.

It really makes the girl feel bad. After hearing this, Zhang Fan said to Xu Xian, "let the hospital logistics help. You send a female doctor to comfort Ya Nan. She is stubborn. Don't anything happen again. Everything is waiting for me."

"OK!"

After hanging up, Zhang Fan called Shaohua and asked Shaohua to come to the hospital to accompany Wang Yanan.

Then, Zhang Fan rushed to tea vegetable all night.

Yu Gong and Wang Yanan are his subordinates, Yu private. Wang Yanan is Shaohua's best friend, Zhang Fan's first serious apprentice, and a very hard-working and hard-working apprentice.

This kind of thing, what to say, Zhang Fan will go back.

In fact, in the medical system, there is a rule that everyone does not say, that is, if a doctor's close relatives need surgery, they often ask their colleagues to do it.

The more you understand, the easier it is to step over the heart!