Chapter 1760 Can’t you be more subtle?

Medicines and poisons have been inseparable since ancient times. There is a saying in China that imperial doctors should exaggerate by three points when describing a condition, and restrain by three points when using medicine.

In modern times, many people don’t say whether they know pharmacology or not. Anyway, they say that astragalus is good, so they brew astragalus, and if Codonopsis pilosula is good, they brew Codonopsis pilosula. A health pot made of a broken glass bottle is priced at a high price by old men and women in China. Up to heaven. Then a lot of dangshen, astragalus and wolfberry were put together.

Every morning I would take health soup on time before taking medicine. As a result, after half a year of drinking it, I developed vitiligo.

To be honest, this is all lucky. It would be really troublesome if you suffer from liver and kidney failure due to drinking. Many medicines are effective because they contain alkaloids. However, even ordinary doctors, let alone ordinary people, don’t understand how these alkaloids match.

You just have the guts to drink it every day, how can you not get into trouble?

 Children who came to Chasu from Modu are now facing this situation, and there is no cure. Some drugs act as depressants in small doses and become stimulants when the dose exceeds a certain level.

 Generally everyone thinks that heart rate is not a big problem, but in fact it just breaks the normal operation of the heart and leads to pathological conditions.

 Normal people, that is, people with no underlying heart disease, have high heart rates all year round. This means that the car is running in S gear, and there must be wear and tear on the car.

 The result of the human heart is that the heart becomes correspondingly enlarged.

 The heart is like a house, it has doors and windows. The heart becomes bigger, but these matching doors and windows are not made of the same material as the house, so the windows and doors will not become bigger at this time.

 The result is air leakage, mitral valve regurgitation, tricuspid valve regurgitation, and aortic valve regurgitation, which are actually caused by the enlargement of the heart.

And once there are underlying diseases, such as dissection, a rapid heart rate can increase the possibility of rupture of the dissection. In layman's terms, the dissection thing is similar to a condom. If the friction speed is too fast, the thing will break. This is the reason. .

 It may not be possible to tell whether a normal person is a good or bad person in just one look or two, but the quality of his heart is enough. How to determine the reserve capacity of his heart? It’s simple! It is the difference between the heart rate during calm periods and the heart rate after intense exercise. The larger the difference, the better the cardiac energy storage. This is the simplest evaluation method.

 For example, your heart rate was 60 before a fight with your wife and 80 after the fight. It is estimated that antiemetics and sildenafil tablets will soon be on the schedule.

 The operating room is almost equipped with the most advanced medical equipment in China. Pediatrician Academician Jiang is sitting in the operating room and personally performs cardiac color ultrasound. There is a real difference between having an academician and not having one. Of course, this cannot be about paddling or appeasing academicians who are rewarded.

 With the development of science and technology, surgical medical teams are becoming more and more comprehensive. For example, a good cardiac surgery team includes a chief surgeon, an assistant, and a cardiac ultrasound doctor.

How to put it this way, in the past, doctors’ surgical level was mostly based on the curative effect. But now, with the birth of various instruments, surgical standards have been quantified.

For example, for the foramen ovale, without a good ultrasound doctor, the doctor would not know whether the hole is oval or perfectly round. But with a good ultrasound doctor, people can directly measure how big the hole is, and the surgeon can Once you know your own thickness, you don't even have to think about it. Just look at other people's data and you will know whether you can fit through it.

To be honest, if an academician can serve as an assisting doctor for a surgical team, I can count the number of doctors with this salary on one hand. If there is an age limit, only Zhang Fan can have this treatment.

 Zhang Fan in the operating room can be said to be a knife and a catheter.

 Hua Guo’s intervention is very strange, and the cardiology department is involved. To be honest, this thing should actually be done by cardiac surgery. In layman's terms, interventional surgery is similar to laparoscopy.

A doctor who can perform laparoscopy to 666 degrees is definitely a master of laparotomy, because this thing is supported. Once the laparoscopy fails, people can immediately lift the knife and cut the intestines.

 But the doctor in his heart intervenes. Once an accident occurs, he has no follow-up measures and cannot open the chest. He can only watch the patient die.

“No, the intervention failed, the aneurysm cannot be blocked and must be removed.”

The probe went in and tested several times. Seeing the aneurysm swinging with the blood flow like a balloon, the probe did not dare to move forward at all.

“Thoracotomy!” Zhang Fan saw something was wrong and immediately pulled out the probe and said to the people in the operating room.

This is the basis for surgeons to do intervention. If you ask a physician to do it, he can only go in and out, and he won’t dare to say a word.

Lin Qing'an, the director of the Cardiothoracic Surgery Department of Chasu Hospital, immediately notified him. Although he is a cardiothoracic surgeon, he is a pediatric cardiologist after all. He does little, so he can only play drums on the operating table.

 In the early years, most children in China had to go to three places for heart surgery, one was the capital, one was the Magic City, and the other was the digital hospital.

 Because the compensatory ability of young children is so poor, problems may arise if they are not careful.

 At that time, the hospital with the most severe congenital heart disease was the Digital Hospital. They would send a medical team to the plateau every year to perform surgeries on young children in plateau pastoral areas.

After Zhang Fan said that he wanted to open his chest, Bayin quickly brought Zhang Fan's special instruments, which were special instruments for cardiothoracic surgery customized by BlackRock for Zhang Fan.

The chief director of Shanghai Magic City glanced at it, and while the nurses were preparing, he asked, "Why does this look like a high-quality imitation? It's not seen on the market. BlackRock's is not specifically for sewing hair." Are you helping me make equipment?"

Zhang Fan took a bone cutting knife and handed it to the chief director of Huaxin in the Magic City, "I don't know if it's a high imitation. Last time I was in Wanzi Country, they made several sets specially for me, one for orthopedics, one for orthopedics, and one for orthopedics." There is one set for the brain and one set for the heart. There is only one set, otherwise I will give you another set, it is very useful."

 After the chief director took it, he was still trying out the feel. When Zhang Fan said this, he immediately put down the equipment and even raised the mask. He probably wanted to get a set like this when he went back.

 At the beginning of the operation, because he was a young child, his ribs were as soft as adult tendons, and they could be easily cut with a scalpel.

　　It entered very quickly, opening the chest and pushing open the lungs. The little baby's heart was like a candied haws in the heart, shaking like a small egg about to hatch.

This is the difficulty of open surgery. It is not as big as an egg, but now you have to open the egg and completely cut off a piece of meat on the egg. To be honest, this piece of meat is really not as big as the gap between teeth. After eating, the meat is removed.

This kind of resection is not simply done with one knife.

 First of all, a thin film on the outside of the shredded meat must be removed, then the inner cavity of the shredded meat must be opened, the hole must be blocked with a sealing technique, and then the shredded meat must be completely removed.

 It sounds troublesome, but it is even more troublesome to do.

The Leica long-arm large microscope is hung above the child like a crane. I don’t know how difficult this microscope is. Anyway, there are three hospitals, and these large microscopes are all Leica.

At the beginning, the Special Orthopedic Hospital got Zhang Fan some kind of high-pressure freezing device that combines light stimulation. This is the only one in China. Later, Zhang Fan found it useful and asked Dean Stan from the Department of Special Orthopedics to get one for neurosurgery and ophthalmology.

 The four directors looked at the equipment in the operating room of Chasu Hospital, and their stomachs swelled as they were sucked in by the cold air. Zhang Fan really wasn't bragging. According to the level of equipment, Chasu can really be said to be the first operating room in Asia.

The tweezers, which are not much thicker than a hair, are tossed back and forth in the hands of the four people, and they are exchanged gently, just like one person sucking a popsicle with four or five people when he was a child. Although it looks like it will melt away, but every time By inverting, the film can be released a little outward.

This kind of movement must not be fast, because this thing is sticky, and every time it is separated, it is based on how much it is separated and how much it is separated.

 Once the movement is a little bigger and it breaks, there will be an explosion of blood.

 A ruptured aorta can spray onto the roof, but a heart is even more terrifying. Therefore, doctors must practice this operation not only in the hospital, but also at home.

For example, using toothpicks as chopsticks is such a delicate operation.

 The five doctors seemed to have stopped in time, with almost no movement visible. Little by little, several doctors from other departments passing by outside the operation looked at the operation on the screen.

 “This is so slow. I can’t even take off my partner’s clothes so slowly.”

 Little by little, take off the membrane, plug the hole, then retreat the same way, and then suture the heart.

 The heart, which is as big as an egg, kept Zhang Fan and the others busy for nearly 20 hours.

While the four directors lamented the advanced equipment of Chasu Hospital, Zhang Fan also lamented the strong assistance of the four directors today.

To be honest, if Dr. Chasu alone could do this surgery today, he would not be able to do it.

After suturing the heart, closing the chest, and watching the heart rate slowly drop from over 130 to below 100, Zhang Fan and the others finally breathed a sigh of relief.

This kind of surgery is different from other surgeries, such as fracture surgery. No matter how severe the fracture is, the doctor can predict the prognosis as long as it is fixed according to the direction of torque.

 But if the heart is not good, you cannot see it return to normal. You really have no way to ensure that this thing will beat in a normal rhythm when it beats.

After watching the electrocardiogram slowly become normal, Zhang Fan said with a smile, "Today's operation might have failed without a few directors."

“Zhang Yuan is very polite. We have seen Zhang Yuan’s accuracy.”

 The director took the lead and spoke politely. He also wanted to praise the hospital's equipment, but the words had not yet come out of his mouth.

 Zhang Fan then spoke, "Except for the chief director, each of you directors leads a department?"

 Liu Ailian, the fourth-ranked director, smiled awkwardly. He was obviously a man, but he had to give him a feminine name. I don’t know what he thought.

Director Liu said awkwardly, "I am the deputy director of the department, and my professional title is chief physician."

 As soon as Zhang Fan said this, his tired body was no longer tired.

"How much scientific research funding does Director Liu have per year? Your hospital is so stingy that it doesn't even provide arrangements for a director. Isn't this a waste for you? Come to Chasu. As long as you can join the job full-time, you can get the scientific research funding you want, no matter what. Capped. If you bring out a graduate student, you will be rewarded with 500,000 yuan; if you bring out a doctorate, you will be rewarded with 1 million yuan.

Director Liu, is he 40 this year? Our hospital still has a quota for outstanding young people this year..."

 The chief director of Magic City turned green.

 (End of this chapter)