Chapter 1031

Sure or not! In the past, female doctors often asked a man on TV to protect the big and the small. This kind of TV, which is not misleading, has derived a lot of jokes.

For example, before a pregnant woman enters the delivery room, she writes a note in her hand. If there is an accident, you must not give up on me!

This is a very small chance that things can happen, and now the pre pregnancy examination and prenatal examination are so strict that they can hardly happen.

But there are many choices in medical treatment.

Medical research is accurate, but it can be slightly blurred during serious treatment.

Because diseases don't grow according to human ideas. For example, if a tumor grows one centimeter more, the doctor will cut five centimeters more of normal tissue.

This is why sometimes doctors open the patient's stomach and dare not cut it. Because the extended cutting will cut the patient to death on the operating table, so how to open the stomach and how to sew it honestly.

It's no exaggeration.

Zhang Fan is now facing this problem.

The tumor of the lower limb has made the bone like the skin of a toad, full of bone bubbles. This kind of bone can't be left, but can only be cut! And an extended cut.

But cut a little more up to the knee. How to do a little more, cut or not? Just a little more, Dr. Xia became a disabled person.

In other operations, doctors are misers. They can keep as much as they can for patients. The bone residue with large nail cap tries to press it.

However, when it comes to tumor surgery, doctors have become the rich second generation of extravagance. They want to remove even their organs. Because the tumor is terrible.

Zhang Fan hesitated for three minutes, which was like a century for other doctors.

Because of the pause in the operation, especially in this large incision operation, the doctor's pause, not only the capillary rebleeding, but also the probability of infection will increase over time.

At this moment, the pressure of doctors can be imagined. One choice may make patients face different lives.

Wang Yanan looked at Zhang Fan with a small fist. She wanted to help Zhang Fan on the operating table. Xu Xian's tangled mouth was almost crooked. He thought again, what should he do if he was the chief surgeon!

Lao Gao wants to speak, but he opens his mouth and doesn't speak. He believes in Zhang Fan, so he doesn't want to interfere with Zhang Fan's decision now.

Lao Wang tends to amputate directly. After all, the principle in medical treatment is to save lives and then preserve them.

Chen Qi tends to keep it. His gambling is too big!

Chen Qi jumped into the second Department of orthopedics at the beginning, and later fell out with Zhang Fan and Ouyang. They are all alone. Now the orthopedics department doesn't take him to play.

This kind of person is definitely a person who can't eat five tripods in troubled times and can cook five tripods in death.

Just when everyone was choosing in their mind, Zhang Fan had checked the two results of the operation in the system.

Amputation, needless to say, is the safest. The premise is that the operation must be clean.

It was as if Zhang Fan, who had entered the settlement, suddenly said, "Bao!"

"Too dangerous, too risky." Lao Gao spoke at this time.

"Zhang Yuan, our mood is the same as yours, but I think it's better to be conservative."

Although Chen Qi didn't speak, he still said in his heart, "this boy has great courage and responsibility. I don't have a chance!"

"I'm sure, don't worry!" Zhang Fan didn't explain much. He didn't have time to explain on the operating table.

In the words of early leaders: if you don't understand, you have to find a way to understand. Orders are orders!

With that, Zhang Fan said to Wang Yanan: "the operation record is clear!"

There was no sound. This is the word for reality.

"Again, there must be no omission." Zhang Fan said softly. There doesn't seem to be a little pressure.

Zhang Fan then started from beginning to end, that is, his own hospital, that is, Zhang Fan's achievements are placed here, otherwise the assistants will definitely turn over.

In those days, Qiu Lao said that it's not too much to be cautious in medical treatment, but how many people can do this?

After the inspection, Zhang Fan was reassured. There's really nothing wrong with these old guys. The operation is quite clean.

"Zhang Yuan, we have discussed the medical treatment plan!" At this time, Lao Ju came in.

Zhang fantou didn't answer, but simply asked, "have everyone's opinions been unified?"

"No, I finally had to turn to Director Li of the oncology department of cancer university to determine the final plan!" Lao Ju said embarrassed.

Departments jointly formulate plans, which is such a disadvantage in grass-roots hospitals. Each department only considers its own side. And inexperienced.

"Good!" In fact, Zhang Fan sighed a long time in his heart.

"Truncation!" Zhang Fan doesn't have too much emotion. The reality is like this. He can only work hard.

The itinerant nurse immediately put protective glasses on Zhang Fan and several assistants. Immediately, the doctor became the scientists of the Kesai! It looks like a high-end thing. In fact, it's a windscreen, and it's very tight.

Buckle it on your face and the meat on your face will hurt.

The electric saw, which was debugged by Xue Fei himself, was carried up.

The electric saw on the operating table is slightly smaller than the electric saw for sawing wood, but the sharpness is definitely inferior to the electric saw for sawing wood.

In terms of the surgical cruelty of various departments, if anorectal is the first, orthopedics can definitely enter the top three.

The operation of removing anus in anorectal surgery is probably no more cruel than this.

Although orthopaedic surgery is not the most cruel, but all are so kind.

For example, the moment when the steel plate is put on and the electric drill drills into the bone marrow, blood flowers accompany the bone marrow and bone powder. Under the high-speed rotating electric drill, let alone anything else, the smell of barbecue is unforgettable.

It's better. Amputation is even more terrible.

What Zhang fan does now is to cut off the two broken ends of the tumor directly with an electric saw.

Like King Li, Zhang Fan pressed the trigger with a chainsaw, and then looked at Lao Gao and Lao Wang.

Lao Gao and Wang put the big hook next to the bone to be cut at the first time, which is to protect the patient's muscle tissue. This thing is no joke. Once it touches muscle tissue, it is meat paste directly, and there is no chance to save it.

Like a roaring small sports car, the electric saw was placed on the bone, and the neat port appeared.

Cut off the bones corroded by the tumor. Finally, the healthy bone section appeared, white as jade!

When the operation achieves this step, the most important steps are actually finished.

But there is a missing piece between the bones. The recovery ability of the human body is very strong, but this defect can't be healed.

Autologous transplantation!

What do you mean, people's limbs are actually very similar.

The forelimb has a bone, ulna and radius, and the lower limb also has two bones, tibia and fibula.

The ulna and radius of the forelimb can't move. If there is a problem with these two bones, such as falling and finding a bone setting with two knives, in the end, you can't even use chopsticks.

Finally, as a last resort, let the doctor cut open, interrupt and reconnect. Because these two bones are like a connecting rod, twisting up and down is turning your hand over the clouds and covering your hand with rain. If the two bones are not well connected, even if there is an error of two centimeters in length, you can't get them.

The lower limbs are different. The fibula in the tibiofibula has evolved only the assisting function. When there is no way, this bone will be used by doctors to replace other bones.

For example, the heightening operation, which was particularly popular in previous years, actually broke the tibia and fibula, and then added the bone of the fibula to the tibia to increase the height.

Although it is only an assistance function, without this bone, people's stability is a little poor.

It's not worth breaking the fibula for a little height. But breaking the fibula to keep one leg is different.

Several people cut off the fibula very quickly. At this time, it is actually a simple internal fixation. The most important thing is to measure the length of the leg on the healthy side. It can't be long or short.

Usually others do this kind of operation, it is necessary to measure. Zhang Fan doesn't need it. Zhang Fan's eyes are rulers, and they are quite accurate rulers.

Bone connection, steel plate and fastening screw are used to make clouds and flowing water.

There is a saying in orthopedics that there are no steel plates that can't be put on, only screws that can't be taken off.

Because most of the orthopedic screws are locking plates, as long as the torque deviates a little, the doctor can kneel down and cry when they are taken out.

So, generally, who puts the steel plate and who takes it!

Suture, the operation is over. In Lao Xia's mask, he stretched out his tongue and turned his white eyes. Zhang Fan looked at Lao Xia and felt a little more comfortable.

"You must take good care of it! Check the room more times, Dr. Xia, and I'll give it to you! "

Zhang Fan said to Wang Yanan while taking off his gloves.

"Well, don't worry, you must take good care of it!"

……

Within a few days of the operation, Zhang Fan and Chen Sheng left for Lianda.

Zhang Fan really doesn't like flying, especially the feeling of total time and space when the plane falls together. This feeling of being unable to grasp life is particularly bad.

But I can't help it. China is too big.

"Zhang Yuan, let's go there by ourselves, or will someone pick it up?" Chen Sheng has never been to Lianda.

"It's estimated that someone will answer!" Zhang Fan feels that his current position should be taken over by a specially assigned person.

When we got to the hall, we saw a tall girl holding the sign of the world orthopaedic annual meeting.

To tell you the truth, girls all over China have their own characteristics in terms of beauty. But relatively speaking, the girls in Lianda are generally tall.

With long hair and appropriate light make-up, you look beautiful barefoot under small jeans, and wear small leather boots at your feet. Darling, how do you look young and beautiful.

Zhang Fan said to Lao Chen, "look, someone answered. Let's go. "

Zhang Fan and Lao Chen walked over with a smile. Before Zhang Fan with a smiling face spoke, the girl turned her face.

Zhang Fan was so embarrassed that he couldn't hang his smiling face, "Hello!" As a last resort, Zhang Fan said to the back of the girl's head.