Chapter 1002

Doctors don't brag. To tell the truth, they brag. At the low end, you will talk about what super awesome surgery you have seen, and what surgery his teacher's teacher has done for a big man.

If it is a little higher, it will show off. Alas, there are too many operations today. The patient has to let me do it. Other doctors in the Department operate on him, but he is not willing to do it.

The middle end can blow. Recently, the section chief of his own scientific research project team has been attracted by the appropriation, and it is estimated that a large amount of money will be approved. Then, he is obsessed with whether to change the electrical display in the laboratory or the UHF incubator.

The high-end can't be blown at all. They can't sit together. They despise each other. What is he studying? It's wrong from the beginning!

The harbor doctor would be really stupid.

The word "one side is in trouble and all sides support" is really beyond the comprehension of ordinary countries.

This thing seems to be a simple word. In fact, it contains the most basic quality of China.

When nothing happens, the people of Sanchuan look down on the people of Shaanxi Province. Their diet is not as good as ours. They are either noodles or steamed buns.

Nanhu people look down on Sanchuan people. Can they count when they eat pepper? Just put some pepper in the pepper to scare people.

Hui Province despises Su Jiang. Money is great! Your capitals are all within our boundaries.

Anyway, there is more wine on both sides of the river. There are hot peppers on both sides of the river.

But once something happens, darling, thousands of troops can make people feel that they are too happy in China. Chinese people are so cute. Fuck, when it's all right, they start to hate each other again.

This is the operation of the golden mean. At the beginning, the hot ridicule and cold ridicule of the harbor, and the media in the golden Mao country had a sharp nose like a dog and began to joke across the shore early.

"After all, the development of extracerebral surgery in China is still slow. If this justice of the peace is in China, let alone Mayo, let alone Cleveland, any state hospital can do extracerebral surgery!

We now strongly urge the golden mean hospital to publish the gentleman's condition! "

After Jinmao finished, Sandao said. After Sandao finished, Li Jiapo said, as if they could get rid of the disease.

This disease, to tell the truth, may not be able to be done in any country.

Their medical treatment is really more advanced than that of China, but it is not to the point of hanging.

However, China's primary medical treatment has hit the world, although few Chinese doctors and nurses have a good temper.

The medical leaders in the meeting are more and more ugly. At their level, face is a very important thing.

Everyone is working hard to let those who look down on China have a look.

Therefore, when Zhang Fan showed that he was sure, the bosses stood up one by one, regardless of fame and wealth, and did not fight for steamed bread.

Zhang Fan stood at the position of the main knife. Holding gauze in both hands, he gently covered the patient's craniotomy incision, and did not start immediately.

Zhang Fan didn't move, and all the other doctors stopped. Quietly looking at Zhang Fan.

At this time, both the leader of the expert group and the major directors outside the golden mean's mind are waiting quietly.

"Report signs!"

"The patient's blood pressure is 160110mmhg and heart rate is 120..." the anesthesiologist reported the patient's vital signs for the first time.

"Mr. Chen, reduce blood pressure as low as you can." Zhang Fan said softly.

"Well, there's no problem with transient shock blood pressure, but too long and too low blood pressure will lead to insufficient perfusion and reperfusion injury."

The professor of Lanshi Medical College looked at Yaxiang's professor. After the two made eye contact, Professor Chen of Lanshi said in his awkward Mandarin.

Professor Chen is also a God. His two children are academicians of the Academy of Engineering in medicine, but it's his turn. Because of his age, he didn't get the evaluation.

Therefore, the old man complained that the expert committee had no eyes as soon as he took class a few years ago.

The old man gave Zhang Fan a physiology course. His awkward Mandarin was mixed with serious spoken English words from time to time. To tell the truth, his class was like listening to heavenly books.

Sometimes, he would say, "you should practice your oral English well. Look at me, my oral English is better than that of my children. Although I haven't been abroad, I'm still very good ~!"

He is also the only old man who can take postdoctors and continue to teach undergraduate students.

"Half an hour, I only need half an hour!"

"Twenty minutes at most, no matter how much, the patient is so old, I can't guarantee whether there will be injury!"

Ji Tong's director looked at Zhang Fan and said quite seriously. He also wondered that such a tall surgeon should have shock blood pressure for half an hour when he had brain stem injury.

"Aren't you a doctor? Master's time should also understand ah! "

The other doctors didn't say it, but they were a little suspicious.

The old man in LAN city looked at Zhang Fan and said, "I knew it. I knew it. You must be in surgery and didn't take physiology seriously. Okay, okay, there's no way now, there's no way!"

Zhang Fan Khan came down. The old man was so cute that Zhang Fan enjoyed the feeling of his student age again.

"Take amiodarone. I'll try to delay you. Hurry up! ~" However, the teacher is still a teacher. He also worked hard to see the students in trouble.

"Old Chen, it's dangerous. It's too long." The professor of Jitong looked at old man Chen and persuaded him. He muttered, "he's a surgeon. He doesn't understand anything. How can you follow the students when you're a teacher of internal medicine!"

"If something goes wrong, I'm responsible, but the person can't do it. Now if my students dare to take over, it will take some time. Can I not help the field? It's more dangerous than if the patient died on the operating table. I've decided! What do you think? "

To tell you the truth, even if you don't take political responsibility at this time, you're really a man of temperament with your reputation all your life.

Everyone looked at each other! Finally, the professor in the heart of the golden mean said: "at most half an hour, Zhang Yuan, more is really too dangerous. If the operation is finished, it's a vegetable!"

"Half an hour, please!"

With that, Zhang Fan took away the gauze that had become a red scarf, turned his head and gently nodded to Lao Chen, "step down!"

Antihypertensive drugs are pushed directly.

Blood pressure quickly starts from high pressure and jumps all the way to shock blood pressure.

Blood pressure, human blood pressure, why does high blood pressure damage the body.

In fact, high blood pressure will cause damage to the blood vessel wall, and excessive pressure will lead to the expansion of capillaries at the end of some organs to form congestion.

There is also high and low blood pressure, which damages blood vessels.

Many old people at home have high blood pressure and feel that they are not dizzy or dazed recently. I didn't take the medicine on time. Then I felt uncomfortable a few days later and began to take antihypertensive drugs again.

This is absolutely not possible. Taking antihypertensive drugs actually controls blood pressure at a stable level, from high to low, which is not only easier to damage blood vessels, but also particularly easy to cause cerebral infarction.

Therefore, when you have high blood pressure, don't listen to any folk prescription. Remember to take medicine.

When the blood pressure drops, Lao Chen's heart is lifted up. He is deeply afraid that the patient will have thrombosis and infarction.

At this time, once there is another infarction, such as pulmonary thrombosis and coronary embolism, there is no need to do the operation, and the white cloth will be pulled directly.

Just when blood pressure drops, "start!"

The leader of the expert group, Lao Li of the second Department of mediocre brain surgery, took a small retractor to open the brain tissue for Zhang Fan to create a surgical field of vision.

Surgery is hard to say. This thing is very particular. A sterile concept has many rules.

For example, the sterilized hands should not be higher than the shoulders or lower than the waist. No matter whether you touch anything or not, once they are higher or lower than these two positions, they will be polluted.

Doctors must exchange positions back-to-back and never face-to-face.

So, in the operating room, if the doctors are waiting for the patient's examination, you can see a pair of doctors hanging their hands like erha. If they don't have a mask and stick out their tongue, they are really a group of erha.

If the description is simple, it is also simple.

Two or three people try to pull open their muscles and let another person repair deeper tissue with a knife and fork.

The pulling of brain tissue is not the pulling of other places, such as the abdominal cavity, such as limbs. The pull hook is like a rake. Sometimes, the doctor needs a lot of effort to pull it apart.

But the brain can't. this thing is a pile of fat. When pulling, don't say too much. Even if it's a little inappropriate, this thing can give you an instant collapse like the cream of a birthday cake.

And what are they doing now?

In fact, it is to gently move a gap along the gap of the cream cake, and then repair the red rotten strawberries in this gap.

It is necessary to repair the rotten strawberries, that is, plasticity. Put the broken and rotten strawberries together one by one with small tweezers and scissors, and then try to stick them together with transparent tape.

Brain surgery is about that.

Sounds like it's hard, because cream, everyone knows. If you don't pull it, it's easy to collapse, let alone pull it.

In fact, it is more difficult than this, because the cream cake of the brain also has a layer of capillaries like fishing net red silk stockings inside and outside.

The blood vessels of other organs of the body are broken by doctors, because most of the blood vessels in the body are circuit. If they are broken on the left, they can continue to supply this piece of blood from the right.

But cerebral blood vessels are not. This thing goes black. If you break it, it can't return.

Therefore, after many patients with intracerebral hemorrhage were rescued, like Nicholas Zhao Si, the mouth was crooked and the leg was lame because the blood vessel in charge of the mouth and leg could not be repaired, and the brain was responsible for the strike.

And the brain stem is even more terrible.

If you don't know which one to move here, you can make the patient suffocate.

You don't know which piece can make the patient have a fever and roast chicken.

You don't know that if you move that piece, the patient's heart may jump out of your mouth.

Because breathing, heart rate and body temperature are almost a joint relationship, it is no exaggeration to call the brain stem a forbidden area for surgery.

Zhang Fan holds small tooth forceps in one hand and ophthalmic forceps carefully in the other.

Just like devils entering the village, take a step, look around, take a step, look quietly, and I'm afraid of stepping on thunder.

Time ticked along.

Five minutes have passed.

The sweat on the general physician's face flows down. Aren't you nervous? Those who are not nervous are stupid and bold.

Now Zhang Fan is dancing, dancing on the two eggs they created. One carelessness is the matter of breaking eggs and hanging people.

ten minutes

Finally, in front of the broken blood vessel.

At this time, the blood vessels are like a naughty little boy hiding behind his door and poking his head, spitting to people outside from time to time.

When he saw the little broken child, not only Lao Li, the leader of the expert group, but also Zhang Fan held his breath.

Because so far, people have not hung up, indicating that Zhang Fan's operation is effective.

However, this is the beginning. Being able to get to this step can only show that Zhang Fan is an expert outside his brain. The really difficult thing starts.

Everything in front is just an appetizer.

Spitting blood vessels are just like women who wore flirtatious clothes at the mouth of small hutongs and felt a thick layer of white powder on their face in early years, and they can't see their age!

"Come on, come on, uncle, come and play!"

Puff, puff, the blood vessel broken fiber thread danced with the wave in the blood, just like a handkerchief in a woman's hand.

Doctors are like a man looking for flowers and willows. They know that they may be caught by the police and may be infected with some poison, but their brother's firmness makes him know that there are tigers in the mountain and his brain is like crazy. He has to see the depth inside!

Zhang Fan took a deep breath.

Success or failure depends on it.