Medical road

The spleen is the most easily injured organ in the abdomen, and the amount of bleeding after injury is extremely large, and the rescue principle of this kind of compound injury is: saving lives first, saving organs second.When Zhang Fan explored, he already knew that neither the spleen nor the left kidney could be preserved.

It's hard!Very cruel!Do you want kidney or spleen?Such a young body will be shattered from now on.Illness and pain accompany his whole life, and what Zhang Fan can do now is to minimize the injuries of the wounded while ensuring the lives of the soldiers.

The splenic artery must be ligated first to reduce blood loss, so that a large amount of blood in the spleen can flow into the circulating blood, making it the best autologous blood transfusion.During the operation, Zhang Fan first cut the gastrocolonic ligament and gastrosplenic ligament one by one to ligate the blood vessels in the ligament, enter the small omentum cavity, and expose the pancreatic body and tail.

Touch the pulsating splenic artery at the upper edge of the pancreas, and select a raised part of the splenic artery at the junction of the pancreas body and tail, cut the peritoneum, carefully separate the splenic artery with right-angle forceps, and ligate it with thick silk thread.When ligating the splenic artery, two ligatures must be made. The ligation should not be too tight to close the lumen to avoid tearing the artery wall. In addition, pay attention to avoid damaging the parallel splenic vein below it.

Only Ye Bo can help with this operation, and the remaining two doctors can only pull the hook.On Zhang Fan's side, during the emergency operation, I only listened to the very loud voice of Old Zhao from the side of Zhao Quanping's table: "Quick! Quiet push, Xidilan quiet push! Quick." Hearing it out, Zhao said in anxious and helpless tone.

"Director Zhao is dead! The medicine has no obvious effect!" said the anesthesiologist.

"Electric shock cardioversion!"

"Bang! Bang!" the voice of electric cardioversion.Zhao Quanping looked at the monitor expectantly. How much he hoped that the soldier's heart beat again, and after a while, there was no rescue in the end!Zhao Quanping clenched his hands tightly.

"You send him a hand!" Old Zhao said softly, the damage was too serious, and the soldier's luck was really bad. After the shrapnel entered the abdomen, it caused great damage, but the cruelty was cruel, it was not directly fatal. Instead, the soldier suffered tremendous pain before he died.

After stitching up the remaining wounds on his body, the nurse gently wiped the blood on his face, tidied up the dilapidated military uniform, and carried him onto the flat car!Covered with a white cloth sheet, he slowly rolled out of the operating room.

It is not a sad time yet, there are still operations waiting, and the wounded waiting to be rescued."Doctor Zhang, how's it going." Zhao Quanping gathered a little frustrated mood and asked Zhang Fan while standing under the operating table.

His meaning is clear: do you need help!Zhang Fan is not a young doctor outside of them, and Zhang Fan's skills are no worse than him. This question is about the respect for doctors of the same level.

"Bleeding is too severe. I just ligated the arteries of my spleen, and the kidneys have not been treated yet. Come on stage and help me with them." Zhang Fan can get angry and scold the assistant, but he can't tell people who are not involved in the operation. , That's humiliation!

The assistant was a little less rhythmic, so Zhao changed his surgical gown and returned to the stage.When he came up, he was different. Zhang Fan didn't need to explain what he should do, pulling hooks, sucking blood, clamping, and tying knots. The two had a great understanding.The speed was much faster. The spleen was removed, the kidneys were removed, and the abdominal cavity was cleaned.

Modern firearms are so powerful that they can cause a section of intestines to rot, become necrotic, and lose function."Hey! This wounded person will not even dare to eat a full meal in the future, it's really a pity!" The intestinal injury is also severe, Zhang Fan intercepted a long section of the intestine, and Zhang Fan said in a desolate voice after the interception.

"It's okay. The abdomen of the wounded I rescued was directly stirred into meat. The wound is not big and bleeding is not much. But the inside of the abdominal cavity has been rotten into a mass. Hey! So young, it is estimated that my children are a little older than him. Right. People have gone on the battlefield to defend their homes and the country, and that thing in my family is still in the Internet for a day! I can't even feed myself!" Old Wang also felt it.When people are old, in this special environment, looking at the soldiers who have just sacrificed, he will think of his own children.

With six sick numbers, three people were rescued in the end, one of Zhang Fan's chief surgeon.One of the orthopedics department, the orthopedic patient was injured in the thigh, there is no way, directly amputated.The other was shot in the upper chest. Fortunately, a single hole passed directly through the tip of the lung, and the shoulder blade was puffed. Although the injury was serious, it was not fatal.

Looking at the wounds of these soldiers, Zhang Fan was particularly puzzled. The contact surface was a sesame-sized wound, but when he turned it over, there was a watermelon-sized wound on his back.This kind of injury is really too difficult to deal with. The bleeding is fierce, and the organs fail very quickly. Some even directly beat up the organs. This means that all the experts from the city hospital are dispatched. Otherwise, the results today will be even more severe. Tragic!

The county hospital has vacated two wards specifically to store all the rescue equipment. Various instruments are gathered in this ward. The soldiers who have just survived the operation cannot leave the hospital. They can only observe and treat them here.

The doctors and nurses of the city hospital have taken over them and accompany them 24 hours a day. The leaders of the municipal party committee specially explained to Ouyang, "People who dare to devote themselves in the peaceful era are even more precious. They have done what a hero can do. We Don’t let the hero bleed and shed tears. I don’t understand the specific profession, but I’m here to make a statement and let them recover at all costs. If you have any problems, contact me directly. The municipal party committee will fully cooperate!"

After all, it was an emergency, and the upper-level leaders of the armed police had not arrived yet, and the leaders of the city were in charge!

In the lobby of the hospital, there were three flat cars covered by a white cloth sheet. Very young soldiers lay on the flat cars.I tried my best, but still didn't take their lives back from the death god.

The Captain of the Armed Police, the iron man crying like a child, these are all his soldiers, one by one, they all ate together yesterday, trained together, lively, but today they are lying here cold.

"Get up! Get up all of you! Just stand up if you are a man!" Sobbing voice, bitter tears.

The iron-blooded soldier bleeds without tears, but it is not yet sad.The laughter and the sweat during training rained down the iron-blooded soldiers one after another, tears streaming down.A group of young soldiers defended the chaotic border with blood and sweat.What is for it is to allow people to walk freely and peacefully on the street.

It's over, it's all over!Armed police in police uniforms and doctors in white coats stood on both sides of the flat car to see these heroes off.

"Brother! Let's go!" He took off his hat and saluted and bowed.The captain who was crying and fainting was full of guilt in his heart. These fighters were trained by him!This kind of heartache is really incomprehensible to ordinary people, but there is no regret medicine in the world!He sent him to the battlefield, he buried him!It's not that soldiers cannot understand!

Pensions, disability payments, chronic pains that accompany life, and the distress of not being able to integrate into society are all the pain they have to bear.Is poison (a) terrible?Quite terrifying, this thing is not only an addictive problem, it has too many evil consequences, AIDS and social instability are all brought about by this thing.

Once the most beautiful border city, the number of AIDS patients is huge!Why is it that these chaotic countries have brought a lot of smuggling and selling (a) prostitution, and they also speak the language of many people.Once infected, it spreads through various channels, and the spreading speed is quite astonishing.Drugs (a) and AIDS have become a dark cloud over this peach orchard.

Old Zou woke up and it was over!When the operation was over, the county party committee directly ordered the removal of his dean.In charge of Shi Lei, the former surgeon, sitting on the chair of the dean, said goodbye to the technical post completely.

The director of the ICU of the city hospital and the director of the respiratory department, general surgery, and orthopedics each left a doctor to continue treating the surviving soldiers. The others rushed back to the city overnight because they had to go to work and go to the clinic the next day.No one's passing can stop the sun from rising the next day.

On the way back, Zhang Fan and Zhao Quanping were in the same car.In the car that was silent for a long time, Zhao Quanping said softly: "What should their parents do?"

"Yeah!" Zhang Fan looked out the window blankly. This disability was really shocking. They lived in a peaceful environment, really shocked.

They can only chat in the car now, because before getting on the car, Ouyang has already given the password. This is for fear of causing panic among ordinary people. If the war is so close, the people will definitely have a sense of fear if they learn about it.

With a normal life and a quiet job, Zhang Fan started to study English hard. After passing CET-4 in his junior year, he never touched English again. He has almost forgotten English. Let's start over.

On the weekend, Director Li, General Foreign Affairs Office, a subsidiary of the University of California, took his team and patients to the Chasu City Hospital.The gates of the hospital, the outpatient building, and the surgical building were all covered with banners, all of which used the reputation of the University Hospital to raise the slogan of the city hospital.

Along the way, Li Jingjin's face turned black. This Ouyang does everything, and is really a bit unspecial.But he can't help it, who makes him worse than others.

The meeting room in the hospital is better. The layout here belongs to the equipment dealer. The layout of the meeting place is very high. The mineral water is imported. The gift for the doctor in the county is a two hundred yuan shopping card per person.This equipment manufacturer is a rising star because the leader is young!This will not be explained.

So now I have spent money in order to open up the market.There were many doctors, hundreds of people, sitting in the big conference room of the hospital.

Debugging the lens and microphone, Ouyang personally presided over the meeting."Experts and colleagues, first of all welcome you to the Chasu City Hospital. On behalf of all the medical staff of the hospital, I would like to extend a warm welcome to you. Today, the doctors in our hospital are fortunate to have the same operation with Professor Di University. Experts and scholars give corrections and criticisms." Ouyang is full of spirits, can she be upset!Lao Huang has been in surgery for a lifetime, and she has never been so successful. She has only been in office for a few days!

In the operating room, pre-operative preparations are still being made. These things are done by Professor Li’s doctoral disciples. He ridiculed Zhang Fan and said, “I’m going back to Bird City this time. incredible."

What can Zhang Fan say, it's not easy to talk to.However, the director of the Anesthesiology Department answered, "Is the Dean of the University of California willing to criticize you? I heard that you were invited to the capital for surgery a few days ago. This is what you are doing in the border areas." Stand it up.

"Hi! Ashamed, do you know what surgery I performed in the capital?" Lao Li looked embarrassed.

"What's wrong!" Zhang Fan was also curious.Zhang Fan was going to help and do some pre-operation preparations, but Lao Li was not allowed to do it.

"A leader with a special status in the frontier didn't know what was going on, he had hepatic hydatid. I diagnosed him when he was diagnosed. I suggested that he have an operation at that time, and he said to go back and think about it. The result was a week later. , Mr. Chen from the capital Zhongyong called me and said that there was a liver hydatid operation and asked me to fly over to do it. Although we are a frontier hospital, but the liver hydatid operation, really, let alone China, it is estimated that the whole world It's also top-notch."

The anesthesiologist asked applaudingly: "What about."

"Then I was embarrassed! I hurriedly flew over to take a look, hey! Isn't this an acquaintance, that's the one, he is also embarrassed, traveling all the way, hey!"

A few people chatted and waited for the preparation before the operation, and the two doctors that Lao Li had brought were a bit unhappy.They almost didn’t have to do these things in the hospital attached to the University of Dili. As a result, they came to a small city hospital and started to work as a resident doctor. The most irritating thing was that the surgeon turned out to be a young man who was younger than them. Doctors.

They have been in the high-end medical industry of a province for more than seven or eight years. Today, this kind of operation is said to be performed by a small doctor in a small frontier city. I really don’t believe it. This completely subverts them. He struggled for more than ten years of education.

Five years of undergraduate studies, three years of postgraduate studies, and two years of Ph.D., but the result is probably a bachelor's bachelor who is sitting and chatting with their tutors, and it seems that their tutors are kind of flattering!Have we read our book for nothing!

Those who can be brought out by their instructors for surgery, and this kind of important surgery, are all learned masters and top-notch skills. Although many of them are PhDs, many people don't even recognize the equipment.

Although dissatisfied, but the tutor is sitting, even if there is a big dissatisfaction, he will not show it. Come on stage to watch.For PhD students who are still studying, Tiandadi is the biggest tutor.

The operation began and after the anesthesia was complete, Zhang Fan went to the stage.Now Zhang Fan is really bullish. In a municipal hospital in a region, wearing surgical clothes can make the head nurse of the surgery rush to wear him. It is really bullish.General department directors do not receive this treatment.

"Doctor Zhang, what approach are you preparing for today." Professor Li asked. Zhang Fan is too stable. If you don't ask him, he won't take the initiative to say anything to you.This made Professor Li a little depressed. A professor who had been taking the initiative to ask a low-age doctor, really blushed!

This was actually wronged Zhang Fan. He also felt that he was a little doctor, and he took the initiative to talk to a professor-level doctor about surgery. It was a bit embarrassing. He was really a technical house and he was hopeless!

"Conventional approach. Professor Li, let's start the operation?" Zhang Fan asked.

"Start, start!" It was an awkward chat, both of them were very embarrassed.

"Turn on the lens, turn on the headset! Connect to the conference room!" The staff of the technical department turned on the power after watching the surgeons start the operation and notified them to go out.

"Okay, the operation begins, please give me your advice!" Ouyang put down the microphone and sat down where she was.

When the picture appeared, some of the doctors present involuntarily uttered "Huh!" They thought they were the general surgery directors of the city hospital, but when they saw it, they were an unknown doctor and a particularly young doctor. They were all surprised. They can't even close their mouths. These particularly surprised doctors are actually doctors from other hospitals in the city.

The doctors in the county were also surprised. They did not expect that Doctor Zhang, who was invited by them for profit, could perform this level of surgery. Some people could not help but said: "Zhang Fan! Doctor Zhang!" Quite a lot, in a year's time, Zhang Fan has become very famous in the county.

In just one year, Zhang Fan has broken out of his own sky in the surrounding county hospitals. Although there is systematic help, without a strong liver, and the practice of giving up part of his benefits, Zhang Fan will never be what he is today. Reputation.

When these sounds came together, everyone in the venue knew that Zhang Fan was the chief sword!

At the beginning of the operation, Zhang Fan did it quickly.This operation is already very proficient, and after seeing Zhang Fan's huge liver tumor resection, Professor Li lay in bed at night, and he did not know how many simulations he had done.This is the talents, the constantly improving talents, why they can stand at the top of the medical industry in a province, without the spirit of enduring hardship, relying on qualifications, how can you think too much~!

Zhang Fan did it fast, Professor Li was not bad, and the other two PhDs were not given for nothing.All kinds of retractors, all kinds of good surgical vision, do quite awesome, almost comparable to the assistant in the system.

Because it's observing the operation, the surgeons hardly communicate with each other, and the whole process is silent, and doctors of their level do not need to communicate, and there is no need for Zhang Fan to mention what they are going to do next.

Entering the abdominal cavity, Zhang Fan slowed down, and entering the abdominal cavity would not be fast anymore. Slow is fast, the classic mantra of a general foreigner.Start a little bit of ligation to stop the bleeding.

The head nurse of the operating room personally made Zhang Fan a tour!In the observation hall, when the operation progressed to the abdomen and everyone saw a huge tumor, they involuntarily exhaled the sound. It was too big and the position was so centered. This kind of operation, let alone done, even the surgical textbook. He clearly wrote: "It is not suitable for surgery!"

But now, the operation to subvert their worldview is coming. This is a small place on the frontier. The doctor's sorrow is regarded as a classic saying or practice, maybe it is out of date!But they don't know!

"After this operation, it's all about whether the patient can get off the operating table. Really! Professor Li is also a little bit silly." The general surgery director of another hospital in the city said to the other director.

"I guess not, I'm not very sure, do you think Ouyang will be so fanatical? I don't know if the operation will be successful, but what I know is that this woman is very powerful. There will definitely be nothing wrong."

A little bit of peeling, a little bit of hemostasis, the scary thing about the tumor is that the tissue boundaries are not clear. To remove a one cm tumor, you should at least remove the surrounding five cm or more of the normal tissue.

Zhang Fan, who has average talent and average IQ, finally reached the top of the level of the regional city hospital. This operation was his path to the Dao.

He was helpless after graduation. He envied others who had a good father. He rode his bicycle around the world looking for work. He finally did not have to spend two years in vain. At this time, on this operating table, he was highly concentrated. He is already in the forefront of people his age.

Hard work is worth it, as long as you struggle, even if you are in the mud or rain, you will climb out sooner or later, and sooner or later you will see a rainbow. Don't wait!Don't rely on it!Relying on mountains and mountains, and on everyone, only one's own strength is really strong.

The two doctors from the University of Texas Medical College had difficulty breathing. They knew who invented this technique. They knew the brilliance of this technique, and they knew the difficulty of this technique even more.

Today, just today, a small undergraduate resident in the Chasu City Hospital taught them a lesson that is unforgettable for a lifetime, what is precision surgery and what is precision liver cancer surgery.Lao Li has the deepest experience. Last time he was a bystander, but this time he was a participant. Is the operation difficult?It's really difficult. It is estimated that without dozens of such surgeries, he might not be able to do it alone.

Because the tumor is too big, the position is too centered, a small inadvertent, either liver failure or tumor removal is not clean, the failure of this kind of surgery does not give you a chance to do it again, once it fails, it is either death or tumor cancer. diffusion!

Slowly, when the last cut was made, Zhang Fan spoke.