Medical road
Chapter 188
"Quick! There is bleeding in the chest and abdomen! The person is already in a coma!" The one who was injured the most came!There are serious injuries to the abdomen and chest. This kind of compound injury is the most dangerous. A little delay is multi-organ failure, and the rest is an expert in extracerebral urology!Zhang Fan didn't hesitate at all and rushed over.When they saw Zhang Fan rushing up, the urology and extra-brain experts stopped. They knew that this kind of operation is not as good as Zhang Fan!
The disadvantages of youth came out, and Zhang Fan had no one in his hands. The experts who came were either the director or the deputy director, and there was no need to pick someone. As soon as they went up, the backbone of the department would definitely go up.Originally, Zhang Fan had already stood in the ranks of orthopedics, but Ouyang named him as a member of the expert group. Now he is embarrassed!
Although it has been almost a year since I left Quark County Hospital, the story of Zhang Fan is still circulating here!Never underestimate the impact of a major medical technology on a hospital!And now he is even more dazzling, he can be mixed into the city hospital expert group!Old colleagues who know Zhang Fan feel proud!
"Tu Xun! Ye Bo! Ai Nur! Come on." These doctors are either the first or the second department of Surgery. Although Zhang Fan is no longer a doctor in Quark County, the words still work.The three quickly stepped forward.
For this kind of preoperative rescue, a professional doctor is enough, but there are more nurses, otherwise you can't be too busy. Zhang Fan told the three of them to mean that they will be assistants when they come on stage.
The wounded soldier was very young, probably just arriving in his twenties, with closed eyes, pale complexion, and although his body was urgently dealt with by the county hospital, he looked like rotten clothes and blood all over his body. Zhang Fan knew it was in trouble!I touched the carotid artery, but fortunately there was a pulsation.
"Are the blood types matched?" Zhang Fan asked loudly.
"Yes!" An armed police doctor handed over the information to Zhang Fan. Zhang Fan didn't have time to read it and said directly, "With whole blood, dexamethasone in the pot. Three intravenous channels." Generally this kind of border police enlisted in the army. After this blood type check is very complete, I am afraid of accidents.
Zhang Fan talked about the doctor's order and explored the wound. The already nervous lips of the little nurse who followed the car started to tremble. Zhang Fan knew nothing to ask.A quick physical examination, the more the examination, the more the heart sinks, the chest bleeding is accompanied by the pneumothorax, and the breathing range on the left chest is not visible!The abdomen is more troublesome and the blood color is very light, which indicates that the digestive juice in the damaged abdominal organs has leaked out, and the amount is not small.
"Quick, enter the operating room." The little soldier who just hung up the plasma, was lifted on a stretcher by his comrades, quickly entered the hall and ran to the elevator.In groups of four, the movements are unified and coordinated, and the speed is so fast that you don't even need to push the sick car.
Except for the doctor's voice, there was no other voice in the whole scene.The armed police soldiers who have not been assigned a task just watched quietly, watched quietly, and killed!Extremely calm killing scene.
Shi Lei's preparations were comprehensive. Whether it was new or old equipment, as long as they could be used, they were all laid out. Although the scene was tense, it was not panic.An expert is a medical team. If you rely solely on the county hospital for this level of rescue, it would be really difficult for others.
There are only three operating rooms in Quark County Hospital, but fortunately, the area of the operating room is large enough. Two operating beds in one operating room are more than enough. They can be used directly by setting up the shadowless lamp. The tour and equipment nurses begin to prepare.There is no way that the county hospital has this condition, there is no extra operating room, and it has only been better in the past few years. It used to be an operating room.
The patient was already in a coma. Zhang Fan and Wang Quanping were in an operating room. They couldn't help but start the operation.
"Blood pressure, pulse, breathing." An anesthesiologist is an anesthesiologist at the city hospital and knows Zhang Fan well.Special circumstances were treated specially. The wound was thickly bandaged in multiple layers by doctors at the county hospital. In this way, the bleeding had soaked into the gauze.
"Doctor Zhang, you can disinfect this, I can't help me!" Tuxun, who was very desperate, opened his mouth, he was scared!"Okay, Director Tui, you go to brush your hands quickly, Ye Bo will also go, Ai Nur will come to help me disinfect." This kind of injury is generally afraid of disinfection by doctors. Is the gauze wrapped in an artery or a vein? , You don’t need to rescue it if you don’t operate properly.
Zhang Fan said to the anesthesiologist, "Blood pressure!"
"Doctor Zhang, it can't be detected. The heartbeat is very weak."
"The cardiotonic static push!"
This operation is too dangerous. In a typical combined thoracic-abdominal injury, shrapnel penetrated directly into the abdomen from the chest. Looking at the situation, it is estimated that the abdominal injury is more serious.And this kind of firearm damage must be dealt with as quickly as possible. This is to race against death again to see who runs fast!When Zhang Fan saw the patient for the first time, he directly ordered to go to the operating room without even checking.It’s too late, it’s too much time to check.
Zhang Fan is standing in the main knife position, and he doesn't need to discuss with others.Open the chest directly, looking for the ballistics. Once opened, I was very lucky. The shrapnel penetrated the left lung, rubbed the edge of the heart and aorta, and entered the abdominal cavity, and then moved a little to the left. It is estimated that the soldier would not even be able to get off the battlefield.Stop the bleeding now!
"Hemostatic forceps, gauze padding. Then use professional clamps to clamp the injured lung. After this clamp, the patient's left lung begins to have respiratory movement." This kind of compound injury must be detected clearly, and then the focus must be selected. To do, if the detection is not clear, and the operation is recklessly performed, not only will not save the life, it may accelerate the death of the patient.
Exploring down the trajectory, the incision was extremely huge. Looking down from the shadowless lamp, it almost split the person from the chest!When he entered the abdomen, Zhang Fan's heart sank, and his left kidney, spleen, and part of the small intestine were directly penetrated!
This kidney is no longer saved and can only be removed.Zhang Fan inserted a pair of pliers directly from the place where the blood was coming out. After a little estimation, he directly clamped a very large piece of tissue. After ten seconds, no large blood flowed out of the abdomen.Anyway, Zhang Fan didn't tolerate the kidney that was about to give up. "Make a larger gauze bag and stuff it to stop the bleeding."
The injury to the abdomen is too great, it is not an exaggeration to say that it is messy.The kinetic energy of the firearm is too great. As long as it is rubbed a little, the nearby tissues must be removed, because these areas are already necrotic, and if they are not removed, it is the source of infection.
After packing and compression to stop bleeding, start to deal with the chest injury first.The heart and the lungs are one, if the lungs are not good, the heart will have problems immediately, that is, the problem of speed.After changing his gloves, Zhang Fan began chest surgery.
"Grab! Pull away a bit. Ai Nur, if you can't do it, go down!" Zhang Fan was anxious and became angry. This was the first time he was angry with an assistant on the operating table.No one cares about this tone at this time, even if you hate it, it is something after you get off the operating table, and now you can't take care of it!
The lower lobe of the left lung had to be cut off, and Zhang Fan quickly closed the blessing and blessing, the speed was very fast, he did not dare to be slow, and he was very concentrated.The depressive atmosphere in the operating room can be fatal, too depressing.Even the roving nurses are tense!
After removing the necrotic lung, Zhang Fan calmed down a bit.