Path of Medicine With a System

The latest website: Every drink and peck, there is a fixed number. Whether it is a person or a certain unit, seemingly irrelevant things, things that seem to be too small to be noticed by people, are often the root of traceability.

In the huge country of China, in the early years, orthopedics blossomed everywhere in China, and hospitals of all sizes had a certain standard.

With the development of the economy, no one pays attention to hand surgery, which was separated from orthopedics.

First of all, this operation is not easy to do. The muscle structure and nerve structure inside are quite complicated for a simple hand. After all, the hand is the second special organ that human beings can disdain all animals and plants on the earth.

Secondly, this subject is too unprofitable. In the past, if a finger was broken and sent to a public hospital, two doctors could do it for a few hours, and then the doctor's income was only 30 yuan for the stage fee.

Therefore, this area was abandoned by many doctors and many public hospitals.

However, Shanhua has a group of doctors who are at the forefront of the economic tide but don't care much about it.

Decades of accumulation, and then from hands to nerves, from relatively simple to relatively complex, it can be said that these two disciplines, a small mountain flower, stand on the pinnacle of Huaguo.

This is the role of a hospital or a leader in an industry. Don't they love money? But they started from the most money-conscious city in Huaguo, developed a subject that is the least profitable, and brought TN to its peak, which is really contradictory and incomprehensible.

The sublimation of the watch indirectly made the neurosurgery go more smoothly.

So later Shanhua's Shenwai stood up, no matter the capital or the magic city, only the military general hospital can compete with it, and the rest are no opponents. What does the military hospital do? The military hospital is the last barrier of health in Huaguo.

It can be said that from this point, the doctors at the beginning were admirable.

Craniotomy, transplantation. Blood vessel transplantation, not to mention in the brain, even in other parts, is a very troublesome operation.

The blood vessel can be said to be a channel for transporting oxygen, so once there is a lack of blood and oxygen, the guy's underwear will self-destruct after a short period of time.

Like an irritable chick who tore her own clothes after getting drunk.

And the vascular underwear,

It is the detonation point of coagulation in this coronary system. In layman's terms, once the underwear of this gadget is broken, the platelets in the blood, coagulation proteins such as coagulation proteins, may coagulate at any time and become a thrombus.

Therefore, it is best to complete the blood vessel transplantation within half an hour.

Dr. Ye started the operation with his assistant. Zhang Fan stood by the operating table, looked at the patient's vital signs, looked at the EEG, and took time to look at Dr. Ye's technique.

Nerves are mainly transmitted by electric waves, so brain waves are actually a regular graph.

A nerve sends out a wave, so there are countless wavy lines on the brain wave, just like the curve chart of the stock market.

There is a joke here. It is said that a divine doctor was looking at the EEG transmitted by the patient with a mobile phone. As a result, another patient took a look and saw: Hey, how dare you look at the stock market when you go to the clinic, and then hand it over to the doctor? Sued.

After entering the cranium and administering the drug, the patient's vital signs were stable. Dr. Ye started the transplant.

Extracerebral surgery not only pays attention to precision, but also pays attention to a pre-operative examination.

Moreover, the success rate of extracerebral surgery has actually only started to increase in the past ten years. It is not how much the doctor's surgery has improved, but the improvement of the examination and diagnosis equipment.

The patient's shaved head was mapped, and gentian violet traced the surgical route early on in the skull.

How to open the craniotomy? There are many methods, and hospitals at the grassroots level are nothing more than old-fashioned drills and bone knives. Like a butcher, the hammer and chisel smashed open the skull. It is estimated that patients will have concussions after surgery.

Drill a few holes first, and then use a bone knife to pry a piece of bone apart. Just like eating old-fashioned luncheon meat, the pull ring was accidentally broken. There was no way to smash a hole with a screwdriver first, and then use hand pliers to forcibly pull the iron cover open.

After the operation, the patient's skull is often severely damaged. There is no way to sew a metal mesh on the skull, which is very cruel. Sometimes through the metal mesh, you can directly see the brain wriggling.

And Shanhua is not comparable to grassroots hospitals. Their craniotomies are much more refined.

The air drill opens the hole, and the damage of this air drill is much smaller than that of the old drill bit. Draw a heart shape along the skull, and then make a small hole at three centimeters, and a small hole at three centimeters.

The skull is like a sewing machine stitching clothes, and the small holes form a heart shape.

Then, in the center of the heart-shaped figure, use suture thread to penetrate and tie a knot, and then gently pull, the skull is completely pulled up, which is simple and less damaged.

Pull up the skull, and the brain immediately appears in front of the surgeon. At this time, my brain is panicked like a girl whose skirt has been blown away by a strong wind.

Gulu Gulu wriggling, more like boiling brains in a pot of clear water.

Looking for blood vessels, the 0.3mm surgical forceps are looking for blood vessels.

It's like using chopsticks to fiddle with the brain flower while eating hot pot. It is necessary to let the brain flower be heated evenly without letting the brain flower be punctured by the chopsticks.

Very particular.

Looking at Dr. Ye's technique, Zhang Fan couldn't stop feeling emotional, "It's so powerful, Dr. Ye and his family have eaten too many pig brains."

Zhang Fan, who has been practicing in the system, is well aware of the difficulty of this operation. If there is no system, this operation will definitely not be able to be done without fiddle with thousands of pig brains.

The outer layer of the mucous membrane is as thin as a cicada's wings, let alone a big error in the movement, even a slight shake of the tweezers of a few millimeters can break it.

Ordinary people don't know how thin the outer layer of the mucous membrane is.

The simplest one, sorghum maltose, is a local specialty of Dongshan, sorghum maltose, which many people probably ate when they were young.

Open the candy paper, and the thin white transparent thing wrapped around the candy is actually similar to this film, and it can be blown apart by a strong wind.

You can think about how difficult it is to use a needle and thread to transplant the sugar coating from one sugar cube to another without destroying the sugar coating.

Zhang Fan watched and kept comparing in his heart, "Well, I can do it like this too."

"Well, here I should do better than Dr. Ye!"

"Well, I can't do this better than Dr. Ye. It seems that I have to go back and practice again."

Three people must have my teacher. The doctor's job is so sad. There is always room for improvement, and there is always room for improvement.

"Director, the patient's blood pressure has dropped! It is estimated that the gastrointestinal tract is bleeding."

"Blood transfusion!" Doctor Ye didn't dare to speak. At this moment, Wu Laoteng stood up like a leopard and said to the itinerant nurse.

Dr. Ye held the outer membrane in his hand, and he was so anxious that he could jump up and bite someone. The bleeding would stop sooner or later. It was the most critical moment, and the patient was bleeding!

"Zhang Fan!" Elder Wu shouted in a low voice.

This is like an order to charge. The old man knew that Zhang Fan might be a little worse than him in terms of the maturity of the operation, but in terms of the speed of entering the abdominal cavity, he was definitely not this kid's match. This is the difference in age.

Therefore, Mr. Wu did not stand in the position of the chief surgeon, but gave up the position of the chief surgeon to Zhang Fan.

Zhang Fan didn't hesitate either, this is not the time to be polite, he must have the spirit to do his part.

Life and death are on the line.

The brain thing, how should I put it. Just like a computer will crash. Especially in some special circumstances.

Under normal circumstances, when the brain is fine, such as gastrointestinal bleeding, the brain is like a very powerful general: the blood vessels start to constrict, and the generals go to fill up the hole in the gastric mucosa for me.

Hula la a group of platelets, protein, blood vessels, glued together, shrinked, the hole is filled up.

This is why people who are extremely angry sometimes vomit blood when they are angry, and there is only one or two mouthfuls of blood, most of which can still be mended by the brain.

I feel very handsome.

However, once the brain starts to lack blood and oxygen, many factors and hormones in the body cannot be controlled, just like the last dynasty that is full of wars, each has its own rules.

Moreover, the digestive tract is often the first to bounce back. I quit. Why do I have to pretend to have a stool while holding the rice?

Under the stimulation of various hormones, a state of stress occurs, and the digestive tract begins to bleed. At this time, the nerves in the stomach still listen to the command of the brain.

But as for the brain, because of ischemia and hypoxia, I can hardly take care of myself. The nerves of the digestive tract feed back to the brain: Boss, the digestive tract is bleeding, constricting blood vessels?

"Shrink an egg, I will be hypoxic and ischemic, let me expand the blood vessels and increase the delivery!"

Then the heart began to beat faster immediately, and the blood vessels began to congest and enlarge like cavernous bodies. This time, like a domino, the landslide and the sea split.

There is a saying here that the place where the brain controls the most is the heart and lungs.

Simple, I have heard of drowning, but I have never heard of myself suffocating myself to death. Therefore, the heart and lungs are not controlled by human will, but listen to the brain.

Once the brain fails, the first task of the heart is to protect the brain directly.

But the digestive tract is different, this thing is like a person floating on the edge, most of the time it listens to the greetings of the boss brain, but sometimes it doesn't listen to the greetings of the brain.

For example, the peristalsis of the intestinal tract, the brain says: Come and dance a fast-paced disco for me, the intestinal tract ignores the brain at this time, and it still wriggles slowly by itself.

And once there is a stimulus, such as eating inappropriate things, poisonous mushrooms, etc., this thing will immediately crawl around and pretend to be dead, and I will not move. Did the poisonous mushroom poison it? No, but it just lay there and pretended to be dead without wriggling, as if to say "what can I do!"

Therefore, when the brain is short of blood and oxygen, the digestive tract bleeds.

The current situation is that the cerebral hemorrhage is about to improve, but the digestive tract has not listened to the call, "You will be congested for a while, and you will not be congested for a while, I will not play with you anymore!"

The focus of the surgery gradually changed from the brain to the digestive tract.

Half an hour of blood vessel suturing was about to end, but the gastrointestinal tract was bleeding.

Dr. Ye was holding his breath, not daring to let a little extra sound enter his ears, because he was worried that if he was affected, his success would fall short.

"It's okay, it's okay, it's definitely okay, Mr. Wu is here, Mr. Wu is the surgeon, and he will be fine." He said in his heart, stitching up the anastomotic blood vessels without stopping.

One stitch at a time, the blood vessels are like pockets, and the opening is slowly closed.

Only after the last stitch was sutured did Dr. Ye dare to take a deep breath, "Quickly, open the closed blood vessel! How's the blood pressure?"

The first half of the sentence is for the assistant, and the second half is for the anesthesiologist.

"Blood pressure continues to drop, and the bleeding is probably severe. I have entered 400 CC, and there is no improvement."

The heart that had been clenched was raised even more. Before he moved his eyes from the microscope, a sentence jumped out of his mind: "The operation was successful, and he died!"

This is the scene that all doctors are unwilling to see in the medical field. Obviously the operation was successful, but the person died. So the comprehensiveness of a human body is too nonsense.

Watching the assistant open and close the blood vessels, Dr. Ye took his eyes away from the microscope at this moment.

As soon as he turned his head, Lao Ye's gripping heart almost gave out a heart failure.

He didn't say anything, but his heart burst out: "How can old man Wu do this, such a big operation, such a big bleeding, he actually gave up the first aid of the operation to a young man!"

The thrills of the operation made Lao Ye almost jump up and scold others. To be honest, today is Mr. Wu. If they were doctors in their own hospital, Dr. Ye would probably jump up and scold at this time.

With a livid face, Dr. Ye immediately left the brain surgery site, "You closed the skull!" The blunt words made Dr. Ye's assistant shudder.

"What's wrong, boss?"

Leaving the position of the chief surgeon, Lao Ye lay behind Zhang Fan and looked over with his head.

He is not an expert in general medicine, and he has nothing to do with hemorrhage, but his vision is there. Have you never eaten pork or seen a pig running!

Dr. Ye, who was lying behind Zhang Fan and poking his head, was speechless.

With the scene in front of him, his clenched heart slowly began to relax.

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