Chapter 1135

People who engage in technology have a common problem. That's why he can do it and how I can do it. Of course, rowing doesn't count. With this trait, technology will develop more and more excellence.

When Zhang Fan's scalpel, like an elf, swam around the edge of the aorta and the edge of the lungs, the two assistants from the initial panic to the later surprise, and finally became silently bearing the horror Zhang Fan brought to them.

Thoracic surgery brings together a series of difficult operations. After all, it is the location of the two core organs of the human body. Coupled with the special environment of closed negative pressure in the chest, the starting point of thoracic surgery is not easy. Thoracic surgery is also the category of surgery most affected by the patient's own situation. The degree of thoracic adhesion directly affects the difficulty of surgery. When a patient with extensive thoracic adhesion is undergoing pneumonectomy, the anatomical relationship of the lung may be completely lost, and the shape of the lung lobe cannot be sorted out. During the operation, there is constant bleeding and air leakage.

This kind of surgery is also the most basic surgery outside the chest. Once it is not done well, it is not only difficult to hold your breath, but also like an air pump constantly pumping air from a flower. The surface of the human body is like circles of plastic containing gas, just like a rubber doll.

The ultimate body of lung surgery is unilateral lung plus total pleural resection. This kind of huge wound surgery is used to treat pleural malignant tumors. It needs to clean all the things in half of the chest. It is not only difficult to perform the operation, but also a great challenge to prevent mediastinal displacement.

Good to die, this is the disease in Marubeni. There is a hemangioma crawling on the most important side of one lung.

"What should I do?" The director of MARUKI state is big. When Zhang Fan finally found the lesion in the center of the bottom of the lung, everyone did not breathe a sigh of relief, but took another breath.

"Talk to your family. Conservative and non conservative treatment. Non conservative treatment is total resection of one side of the lung, and conservative treatment is tumor embolization. Go! "

Zhang Fan said that when the doctors of Qingniao province and Marubeni were still hesitating, Ren Li had gone out with the medical record.

The risk of non conservative treatment is the greatest, and long-term observation is required after operation, that is, after one step, the patient will lose half of his lungs. If there are other accidents, there is almost no alternative. If you say something bad, you can only wait to die.

However, if there is no accident, the postoperative patient can still look like a normal person for decades.

Conservative treatment not only costs a lot, but also takes drugs for a long time after operation and carries out regular examination. Once the tumor cannot be controlled, surgery is still needed, and the benefits are quite obvious, that is, the patient's organs are sound. Even if there are accidents, there are still relatively many options in the future.

General patients often choose non conservative treatment, which is the so-called one-step approach. Because there are too many non-medical problems involved. For example, the cost of conservative treatment and various drugs and examinations after discharge are really not affordable to the general middle class.

The non conservative treatment is selected. Although the injury is large and there are few options in the later stage, generally speaking, there are too few relatively conservative drugs in terms of the cost of surgery in China, which is also a benefit of the so-called drug use to support medicine.

If you change countries, the cost of such surgery is absolutely sky high. Because there are too few doctors who can do this kind of operation.

"We choose non conservative treatment!" After Ren Li told the patients' families about the prognosis and risks of the operation, they directly chose non conservative treatment.

For patients at this level, money is not a thing. You don't have to think about using money to buy one more health opportunity.

After the operation consent was signed, Ren Li entered the operating room for the first time“ Zhang Yuan, non conservative treatment! "

"Good!" Zhang Fan replied gently.

Other doctors are relieved.

Generally speaking, conservative treatment is to use a particularly advanced embolization plug, such as the patient's thymoma, to block its pathway, which is equivalent to starving the tumor. For example, it is equivalent to blocking all openings of the human body with a wooden plug, such as the mouth and anus, and then waiting for death.

The advantage of this kind of operation is that it has little damage and almost no damage to organs. If the tumor starves to death, it can be said to be a very perfect minimally invasive operation. But its disadvantage is that tumors are not easy to provoke. They often starve to death. This game will hide behind the scenes.

Instead of conservative treatment, it is relatively rough. You directly cut all the organs, so that the tumor is cut off without almost developing. But the damage is extremely huge. It's really a way to kill ten thousand enemies and lose eight or nine thousand.

Half of the lungs were excised. Even if they were young, they would be useless in the view of normal people in the future. And there is no guarantee that the tumor will relapse.

Anyway, each has its own advantages and disadvantages.

After Ren Lijin's operation and informed Zhang Fan's family's choice, Zhang Fan began conservative treatment.

"Twenty, twenty!" When Zhang Fan started embolism, several Bluebird doctors in the observation room talked silently.

This embolic material is extremely expensive. There are 200000 embolic materials alone.

"All right, stop talking. It's a pity!" For 200000 materials, according to the routine, the general equipment company will feed back to the doctor about 20000, which is clearly priced. Fortunately, this disease is extremely rare.

"Ah! When will I do such a high-precision operation? " The nagging man seems to be very unwilling to say.

"All right. What you are thinking about is not technology, but kickbacks! "

……

In eleven hours, all the people on the operating table changed except Zhang Fan.

Originally, the director of marubukuo was not like getting off the operating table, but in the late stage of the operation, Zhang Fan asked others to go down and have a rest in order to let the team have more experience. There were few opportunities for this kind of operation.

The old man got off the operating table wrongly.

Although the operation is completed, it is also a very troublesome thing after the operation. The patient should be fixed in one position, and the postoperative recovery is also a very troublesome thing.

……

"How's it going?" After the operation, after Zhang Fan left the operating room, Lao Chen came over at the first time. Zhang Fan stood in the operating room for 11 hours, and Lao Chen waited outside the operating room for 11 hours.

"Not bad. Do you have any water? I'll have a drink. " Before the operation, Zhang Fan ate two mouthfuls of chocolate. After the operation, his legs were a little soft.

And my mouth is dry. I feel my tongue has shrunk.

"Here, here, I made you medlar! Or black wolfberry! "

Like a robot cat, Lao Chen took out a water cup from his handbag.

Zhang Fan looked at Lao Chen with a slightly strange look, but he didn't talk much.

The next day, Zhang Fan had no chance to sleep in. He had to get up early to see the patients who had undergone the operation. Although the child was swollen like a dough, his body temperature and white blood cells began to drop. It shows that Zhang Fan's operating room is successful.

The patient's family members are also very polite. The president of the provincial hospital is even more polite. Zhang Fan's ward round is quite face-saving. It is the treatment of expert ward round directly.

"Zhang sang has worked hard!"

"It's not hard, it should be."

After Zhang Fan's ward round, his family and his subordinates bowed to Zhang Fan at the door of ICU. Zhang Fan politely said it was not hard.

Then wait for the other party to pay.

But after waiting for a long time, this guy kept saying polite words, and didn't see the envelope given to Zhang Fan by the provincial president. Zhang Fanting wondered whether such a big family business should be repudiated?

In the office of the president of the provincial hospital, the father of MARUKI patients finally began to say practical things.

"Zhang sang, I'd like to invite you to travel to meatball country for a few days. By the way, if I can, I want my children to go back to the meatball country. "

"Well!" Zhang Fan was stunned.

"Don't worry about the cost. This is the cost of this time. " Then he gave Zhang Fan a check in front of the president of the provincial hospital.

Although you deserve it, you should be polite. Of course, Zhang Fan will certainly not refuse, nor hypocritically say no, "a little too much, this is not very good."

"Oh, my face is full of smiles. I don't give up when I hold a check. I also say too much hypocritically!" The president of the provincial hospital despised Zhang Fan, stared at the check and looked at the numbers. But it didn't shock much.

Because this time not only Zhang Fan, but also other doctors who came to the consultation, especially old man Chen, I don't know how much he gave.

Two million, not Japanese currency, but RMB. This figure has been a lot of extra, but he also asked for more. I want Zhang Fan to go to the meatball country.

To tell you the truth, Zhang Fan doesn't want to go.

But looking at the check in his hand, Zhang Fan didn't want to give up.

Between hesitation.

The president of the provincial hospital also came out to help talk. He really didn't want to carry the pot. At the beginning of his diagnosis, the government criticized him.

"Zhang Yuan, you should take a rest and travel. You can't finish the operation in our business. And they sincerely invite each other. "

Lao Li's side has reached a critical moment. The younger martial brother has been caught by himself. It seems a little unreasonable to run to the meatball country by yourself.

Between hesitation.

The expert from the pill country in charge of Gastroenterology of tea element called, "Zhang sang, please go to the pill country. If there is the support of such enterprises, our cooperation may be improved to a higher level."

Then Ouyang called.

"Go ahead. I asked you this way. It's not a big problem if you go now. I heard that they want to cooperate fully, but they must have a responsible person to go to Marubeni country. "

"Really?"

"Go!"

Ouyang said definitely.

"But it's Chinese New Year!"

Ouyang is on the other end of the phone. He's going crazy!

"Zhang sang, we can invite your family to travel to meatball country!" Hung up the phone, deeply afraid that Zhang Fan would not go to the meatball country, the local tyrant added.

"Well, I'll go back to tea vegetable first and discuss it with my family."