Sleepless Doctor

Latest website: After sixteen times of repeated draws, the black bear dared not hide, did not dare to move, and even dared not do instinctive grinning movements. Seeing that it was honest, the gravel turned indifferently.

Because he was not healed from a serious injury, he couldn't do the neck back movement, so he looked stiff and a little weird and funny.

"Teacher Wu, it's okay."

It was really rough, much rougher than himself, Wu Mian thought in his heart.

However, Wu Mian's favor with Gravel has greatly increased as a result.

The B-ultrasound machine itself has a mobile power supply. Wu Mian turned on the machine and waited for more than ten seconds to start the machine, then found the gallbladder area under the xiphoid process of the upper right abdomen and pressed it lightly.

"Roar~"

"Slap~"

As the black bear roared, the palm of the gravel slapped its short kiss again.

It is neither minor nor serious, which brings enough pain and stimulation, but does not cause substantial harm.

Like an aggrieved kitten, the black bear snapped his small eyes, trying to express his humility and obedience. But just as it was about to move, it slapped its short kiss again.

The black bear is not without IQ, it soon discovered that as long as it maintains a position and does not roar or move, it will not be beaten.

Seeing it lying on the ground honestly, Wu Mian shaved off the short hair in the gallbladder area of ​​its right upper abdomen, applied couplant, and pressed the ultrasound probe on it.

Although it hurts, the black bear still doesn't move. In the constant beating, it has already figured out the pattern.

A strong echo group can be seen in the gallbladder, with a clear sound and shadow behind the strong echo group. Because the black bear was lying down, there was no sign of the strong echo group moving with its body position.

"Diagnosing gallbladder stones and preparing for surgery." Wu Mian said, "Side position, high epidural anesthesia."

Gravel didn't ask whether he was on the left or the right. Obviously, he had a certain understanding of emergency first aid, so he turned the black bear's body to the left.

"Teacher Wu, the vertebral body of the black bear..."

"Similar to humans, a little bit different, but the difference is not that big." Wu Mian said, "I'll do the puncture, and you can give the medicine. I told you about the drug concentration and dosage before."

Ren Haitao nodded and began to dispense the medicine.

Wu Mian placed her hand on the black bear's back spine and fumbled lightly. This is the vital part, and the black bear feels scared, but it has to face the existence that makes it even more scared, so even if the vital part is held in someone else's hand, it still lies down honestly and does not dare to move.

The joint lines of the subscapular horns on both sides intersect with the spinous processes of the thorax 7. Wu Mian touched a vertebra again and began to disinfect and puncture.

Ren Haitao completely forgot the threat of the black bear, and he watched Wu Mian's every movement intensively.

In the past, the bottle of salbutamol in the form of flying fairy from the sky brought Ren Haitao's memory so deep, in his memory, every movement of Mr. Wu was not redundant.

The middle and lower spinous processes of the thoracic spine are shingled, the gap is narrow, and it is difficult to puncture. Wu Mian didn't try the direct entry method either, but directly used the side entry method to puncture.

After the puncture is completed, 6 minutes after injecting local anesthetics into the epidural space, the skin dominated areas of the upper and lower segments of the puncture site may appear dull. Wu Mian used a fine needle to gently puncture the black bear's skin. At this time, he was a little bit distressed.

The grit exerted too much pressure on the black bear, which made the black bear not dared to move when he felt pain, and he couldn't communicate with this guy himself.

This is the reason why too much is too late. But facing the existence of the top of the food chain, Wu Mian has no reason to blame the gravel.

After 20 minutes, the block range can be expanded to the expected range, and the anesthesia is almost complete.

Wu Mian washes her hands with clean water and wears sterile gloves.

Although the level of sterility here is not good enough, this is the only way. You can't take the black bear to the hospital. If that happens, the impact will be huge.

Wu Mian still believes that the kings of the forest and the wild have strong resistance and immunity, and it is not a problem to give antibiotics for a period of time after the operation.

Routine disinfection shop towels. Take the oblique incision under the right costal margin, about 7 cm in length. Cut the skin, subcutaneous tissue, anterior rectus abdominis sheath, bluntly separate the rectus abdominis, and incise the posterior rectus abdominis sheath and parietal peritoneum.

Even if Wu Mian performed the operation alone, he was still quick and easy. Ren Haitao looked dumbfounded and asked, "Mr. Wu, the anatomical structure of a black bear is the same as a human body?"

"Not the same, some differences are still obvious."

"That……"

"Do you know what is easy?" Wu Mian said, peritoneal protection has been done, opening the peritoneum into the abdominal cavity.

The black bear is honest, perhaps out of fear of grit, or it is particularly well anesthetized, and has no pain at all; perhaps it is because it knows that these humans are treating themselves, so it is quite honest.

"The anatomical structure of the human body will also have abnormalities. Not everyone has the same anatomical atlas." Wu Mian said, "Don't worry about the specific details, you can master the general principles. As much as possible blunt separation, less bleeding, and less damage. That's enough."

While chatting with Ren Haitao, Wu Mian probed the black bear's abdominal cavity.

Exploring the abdominal cavity showed that there was no obvious ascites and exudate in the abdominal cavity of the black bear. The gallbladder is extensively adhered to the surrounding tissues, with pus moss on the surface, and gallbladder tension is great.

It is estimated that black bears have fever, and the inflammation is so severe that it is inevitable that there will be an inflammatory reaction. But Wu Mian has never studied the basal body temperature of black bears. It is not important to have fever or not, and antibiotics can be given for a period of time after the operation.

Then Wu Mian made a purse string suture on the bottom of the black bear's gallbladder, and cut the gallbladder wall to decompress. Along the bottom and both sides of the gallbladder, the serous membranes on both sides of the gallbladder are cut at 1 cm from the liver bed, and the gallbladder is gradually freed from the gallbladder bed from the bottom of the gallbladder to the neck of the gallbladder.

The movements were delicate and gentle. Ren Haitao looked at the operation and the black bear again. He felt that this natural and fierce beast seemed not as terrifying as it was in the legend, and he gradually relieved his mind.

Besides, ~www.wuxiaspot.com~ has been numb, Ren Haitao does not believe that this product can resist a large dose of anesthetic drugs to chase him down.

Mr. Wu's surgery was so good, Ren Haitao had known this for a long time. But it was different now. It was not a human being who underwent the operation, but a black bear.

Even if the bear was operated on, Mr. Wu still did not hesitate or hesitate. The hand speed is not so fast, nor is it dazzling, but it is so steady, step by step, in less than 6 minutes, the gallbladder has freed from the gallbladder bed.

"Ms. Wu, have you performed an operation on a black bear before?" Ren Haitao asked with some confusion.

The operations are all hand-skilled. Seeing Mr. Wu's movements are brisk and proficient, it is definitely not like the first time he has performed an operation on a bear.

"No, I have performed an operation on Panda Liangliang before. But the anatomy of the giant panda and the black bear is still different."

"Then you..."

"Didn't you say it, it's easy to do. The anatomical structure is abnormal, and it doesn't exceed the scope of my skills."