Chapter 1395

Under the leadership of Yang Hao, Zhang Fan walked with the dean of the First Affiliated Hospital, followed by a group of general foreign doctors.

In particular, a group of inpatients who were about the same age as Zhang Fan secretly looked at Zhang Fan and whispered: "the three generations of Qiu school, this NIMA is much better than the four generations of our director, the diamond. Have you heard that academician Lu is now giving lectures to the major county hospitals of tea vegetable. "

"Why not come to the bird market? After all, the bird market is still the capital of the province! An academician went to the county hospital and wasted it! "

"NIMA, isn't the bluebird bigger than the bird market? Is the capital not bigger than the bird market? It's all about looking at the face of Zhang Yuan. I don't understand. How did you graduate from the master's degree? Didn't you wash socks for your Shiniang! "

The wronged man blushed and didn't know what to say.

Of course, these words are said privately by the hospitalized dogs. They dare not speak louder. The unit is not a school, and the director is not the former head teacher.

After entering the ward, Zhang Fan saw the patient, a middle-aged man who was thin and haggard.

And the body is full of all kinds of plastic channels, like white thin candles for birthday, which is almost lit.

The channel of the chest is a drainage tube. Because of the fistula, what leek leaves, spinach leaves and pig hooves are more or less leaked into the chest. It's okay to keep this thing for a day or two.

But once 48 hours passed, it began to ferment, and then pus formed. The local hospital did not open the chest horizontally, so it had to insert a tube for drainage.

Sometimes it's helpless. For example, in many county hospitals, various interventions have taken off, such as heart intervention bridging, which seems to improve the medical level of the hospital. In fact, NIMA is purely moving forward.

A county hospital, even without cardiac surgery, dares to intervene in the heart. If NIMA's heart is punctured, are you going to let the patient die on the spot, or open the chest to block the hole.

For example, the closed drainage of pneumothorax in a hospital can't be done. As a result, people even have bronchoscopy! It's still flying.

This kind of thing can't be said. There's no accident. It's really convenient. Patients in the county don't have to go to the city or superior hospital. Once something happens, NIMA is still unlucky for the patient.

For example, this patient is, what can Zhang Fan say, stand in front of the patient and accuse his initial hospital? It's useless, so Zhang fan can only see a doctor.

Patients have tubes in the upper body and many abdominal tubes, including urinary catheters, drainage tubes and nutrition tubes.

The small intestine is the big food of the human body. For example, if you don't eat for 48 hours, you will feel uncomfortable at most, but the intestine can't. once you don't eat on time, the villi on the intestinal mucosa will be necrotic and degenerated.

What is fluff? This thing is the mouth of the intestine, which is used to absorb nutrients.

For example, many people pay attention to a diet without eating. Their perseverance is amazing. They say they don't eat. They insist on eating breakfast every day for ten days and a half months.

Indeed, NIMA lost weight, her big face became an awl face, and her little belly disappeared, but suddenly she seemed to be a sick beauty.

From time to time, I have stomachache and abdominal discomfort. I go to the hospital for examination. There is no problem at all. I used to eat hot pot and dare to eat abnormal spicy food. Now if I eat a little spicy, I can loose and pull straight like a whip rod.

This is the intestinal mucosal damage caused by diet, which is irreparable.

So in the hospital, if a patient can't eat for a long time, he will never simply give you some fat emulsion, glucose and vitamins. First, he should give you an eye in the stomach, and then punch the chyle food directly into the intestine.

This is not only to maintain life, but also to avoid intestinal necrosis.

After seeing the patient, Yang Hao quickly introduced Zhang Fan to the patient and his family, which is the rule of the medical industry. This is also the so-called patient's right to know.

"This is the dean of Zhang Yuan, an expert in general foreign studies. We specially invited you for consultation." Yang Hao didn't mention tea. Sometimes it's true that the less doctors talk, the more problems they have. When the disease is mild, some doctors will teach patients with a tiger face.

Because he knows that as long as he is ill, he can say anything, you can, and everything you say is right. But if you can't see well, the doctor will definitely cherish words like gold.

And tea is not as good as bird market. Ordinary people don't know much about this.

Zhang Fan nodded with a smile, then realized that the temperature of his hand was ok, and began to check his body.

To tell you the truth, it's the first time he's seen such a leak. Nima is suffering from pyemia after eating a fish, which is also going to kill her.

The shriveled abdomen and bowel sound are extremely weak, but the body is hot like an electric treasure in the body. Really suffer, there is a trachea near the neck, which leads to a urinary catheter. Weak hands are extravagant hopes.

People, once they can't eat, rely on people to feed, and rely on urinary catheters, life is really worse than death.

With both hands on the chest, the breathing range is obviously limited“ This is obviously caused by an internal infection in the chest. "

The bowel sound is like nothing. After the stethoscope is placed on it for five minutes, I can slightly hear the bowel sound like a groan. It makes a slight sound. It's like a little milk cat without its mother.

The structure of the human body is very wonderful. Many places are similar or even homologous, such as kidneys and eggs. When they were young, the two guys even lived together, but when they grew up, they divided their homes and did different jobs.

For example, lips and anus, if you look at the structure carefully, you will find that NIMA is clearly a thing.

Although they are similar, they are still slightly different. At this point, slightly different structures lead to great differences in functions.

The egg can secrete the mask. Your kidney is dead. It's just a bloody urine.

The anus and lips are even different. If you put a banana in the anus, you can easily clip it without effort, but you can try with your lips. If it gets swollen, you can't clip it. Of course, biting is cheating.

Therefore, people are innate advantages, not always advantages. The day after tomorrow's efforts are the most important. If you don't work hard, you may not be able to cut the banana. Of course, the idea of reincarnation against the sky is not discussed with us.

The gut and esophagus are the same.

But the anatomical description of the two things is different. The esophagus is a muscular tubular organ with flat front and back, while the intestine is a tubular organ. But their structure is as like as two peas.

The intestines, like soft insects with many feet, push food through the anus wave by wave. The esophagus, too, pushes food toward the stomach in waves.

If you don't believe it, take a big tripod upside down and eat an egg, the egg can still go into your stomach.

As like as two peas, they have four layers, including intima, muscle, outer membrane and mucosa. But in the muscle layer, it's a little different.

The muscles of the small intestine are hard, but not tough. It's round, like a girl pursing her lips. It feels a little shaped. The muscles of the large intestine are like a greasy middle-aged man. Without hardness, NIMA has toughness.

The muscles of the esophagus are like a layer of cotton wool, which can't even support a little weight.

In this reality, you can find out. For example, if you eat stewed large intestine and the heat is not enough, you can eat a feeling of braised rubber. You can pull it constantly and waste your teeth. The small intestine, on the other hand, is different. It tastes just like it.

The esophagus is like eating steamed buns with some meat. It doesn't have any chewing power.

"The operation is difficult, but now the liver and kidney function can barely support. If the operation is not carried out as soon as possible, the physical condition will not support the operation in the future."

After Zhang Fan finished the physical examination, he not only told the attached doctor, but also told his family members and patients.

"Yes, because this kind of operation is very difficult! At present, the internal opinions of our department are not unified. "

"OK, let's go to the office and say that the family members have strengthened nutrition for the patients these days. There can be no shortage of protein and fat."

As soon as the Dean saw it, he quickly closed the topic and didn't say his own junk things in front of the patients.

Into the office. Zhang Fan is also welcome. He sits directly at the top. This makes sense. If you hold an administrative business meeting, even if Zhang Fan performs the operation well, he is not the president of the other people's hospital.

But when it comes to surgery today, Zhang Fan must have the same posture. After all, he has been throwing knives so many times and has long trained a skill of control.

"First of all, I would like to commend the tube bed doctor of the first affiliated general surgery department. After the patient's fistula is formed, he enters the hospital and gives various drainage at the first time. It seems that the damage is great. In fact, you create hope for the patient.

Although we can't make a thorough diagnosis and treatment, this step is the basis of all future treatment. Yes, the doctors in Annex I can still pull it out. "

Zhang Fanyi said, a tube bed chief stood up and bowed slightly excited. Then he said it was the oral medical advice given by the superior teacher.

Zhang Fan nodded to a deputy director, "an old doctor is an old doctor. What you've seen is more. Director Li, have you seen this kind of injury?"

The superior deputy director of the bed doctor, when Zhang Fan called the roll, he had a conflict in his heart at the beginning. Although his level was not as good as Zhang Fan, he still had an identity after all. This is that it seems that foreign monks can recite scriptures. If you come to the capital as an expert. People don't have this resistance. It's strange.

However, Zhang Fan's first few words have satisfied the director. He can no longer be satisfied. This meeting has entered the working state“ Zhang Yuan, to tell you the truth, I haven't seen it. I also gave oral medical orders by instinct, and the comrades below have strong executive power. "

"Yes!" Zhang Fan smiled and nodded, then turned his head and asked Lao Xu, "Dean Xu, you are an elder. Have you seen this kind of injury?"

After thinking a little, Lao Xu said, "I saw such a case when I was a resident in the major surgery department for 30 years. However, after the patient entered the hospital for examination, he didn't have an operation. After hearing the operation fee and nutrition fee, he directly pulled it home."

"Yes, esophageal cancer is common in the northwest, but esophageal fistula is rare, and it is more common in the south. Director Yang, have you seen it when you were studying? "

"Yes, I saw it when I was abroad. The operation is very difficult, mainly because the probability of secondary fistula formation after suture is particularly high, and the patient in our department has formed sepsis.

His fistula is more difficult to repair! So I advocate throwing a knife. "

"Yes!" Zhang Fan nodded, "director Yang said well. This cautious attitude is a qualified director of general foreign studies. This operation is difficult, especially in the case of rare fistula in Northwest China. Therefore, for this operation, I need the full cooperation of the directors and experts in Annex I!

About six assistants! "

The directors of Annex I heard that NIMA needed six people to repair a hole. You didn't mean to say that to support your nephew.

However, we just think about it a little. The operating table, especially this flying knife operating table, NIMA is similar to the battlefield. Zhang Fan should not be trifling.

In fact, when Zhang Fan asked, he took a look into the system. This fistula repair operation after infection and suppuration.

To tell you the truth, there are thousands of operations. There are really those kinds of operations that can make you ignorant.