Medical road

Regardless of the situation, whether it was serious or not, Ouyang had to explain to the leaders of the wounded.Although only the city hospital is considered the top hospital in this place, the necessary procedures are still required.

"I'm going to make a long story short now. The situation is not optimistic. I have asked all the backbone experts and doctors to go all out." Faced with the military, armed police, and police leaders, Ouyang quickly explained the situation briefly.

"Do you need doctors from the General Hospital or other large hospitals in Bird City to assist in the treatment. I can now..." The soldier's face turned blue.

"It's too late. You solve the problem of blood source first. Now the blood bank is not enough!" Ouyang directly interrupted the other party's proposal. The bird market experts, even if they are on the rocket, they don't have enough time now.

"You don't need to worry about the blood is not enough, I will bring a regiment, enough! But you must save my soldiers, and you must go all out." The military leaders are about to squeeze the hats into rags.

"Yes! We will go all out." After finishing speaking, Ouyang turned around and entered the operating room, organizing a large-scale consultation before the operation.

The police leaders have already started to call, and the injured family members of the police are in Chasu City. "Xiao Li, you take the office people, go with a few more people, and invite Wang Jun's family to the hospital. The situation is not optimistic."

Then called the government leaders to report.

"Bring the team into the city. Our soldiers need blood for surgery now. Let the soldiers clarify the situation. Regiment leaders and officers at all levels take the lead in donating blood."

"Yes!"

The soldier arranged for work, hung up the phone, and directly called the Lanshi Military Region Headquarters in Bird City.

"Chief, my soldier has just exchanged fire with a certain warrior who has already sneaked into our country to cause sabotage. Eight people were killed without alive. They have a radio station they carry, various foreign-standard weapons, and leaflets to be distributed, various propaganda. manual.

My soldier was injured in order to rescue a policeman in the garrison. The situation is very serious. The director of the Chasu City Hospital personally told me that the situation is not optimistic. I now need experts from the Army Hospital."The soldier didn't listen to Ouyang's words at all. He couldn't let his fate be fate, and he didn't worry about the Tea City Hospital.

"Okay, I see. The experts at the General Hospital of the Military Region will take tea as quickly as possible. We must save the lives of our soldiers. If there is a glimmer of hope, we must work hard. Also, please do a good job of comforting family members. "

"Yes!"

Ouyang entered the operating room and began to organize a large-scale preoperative consultation.

What is a large-scale preoperative consultation? In fact, it is to organize the most cutting-edge doctors in the whole hospital to discuss the problems faced by the patients during the operation, or to find special intervention methods for the patients to get better treatment.

"Comrades of the People's Liberation Army and civilian police have not only suffered severe wounds from shrapnel in their abdominal cavity, but also suffered certain impact injuries. It can be said that they are in danger.

We must come up with a predetermined plan before, during and after the operation, and a plan for emergency measures."Just in front of the operation door where the wounded were undergoing surgery, Ouyang said to the experts who were gathered together.

If the soldier had a single abdominal injury, there would be no need for such a scale of consultation now. It would be enough to come to an expert in heart and breathing to assist a general surgeon, but the soldier still has impact injuries.

The American army grenades, which are not heavy, are more than 1300 grams, but this thing can not only produce more than 700 pieces of 5mm size fragments with a killing range of about 18 meters, but also has a special defensive grenade, which is a shock wave directional grenade.

What exactly does this impact injury mean? It is actually an explosion that produces a huge amount of energy, which spreads rapidly through air, water, and soil, and is also a high-pressure and high-speed wave.

This kind of overpressure injury mainly causes bleeding and rupture of the eyes, ear canal, lungs, and gastrointestinal tract, and the most substantial damage to the liver, spleen, kidney and other substantive organs.

Modern weapons, range attacks rely on this thing to kill people.Only a few people can be killed with a single shot. The country of Maruko was attacked by nuclear weapons, and the number of people killed was not as many as the shock wave.

This kind of injury does not look at the facial features, but only at the surface of the body. There is no trauma, and the skin will not rupture a bit, but the organs in the fixed cavity are not visible.

The brain can be directly shaken into tofu flower, or the tofu flower mixed with chili oil and stirred for a long time with chopsticks.The liver, kidneys, and spleen are the substantive organs that turn into coffee-colored popcorn, and you can't directly see the original appearance.

Although the impact injury of the grenade was not serious, the explosion at close range directly caused the soldier’s lung edema, liver, kidney, and spleen bleeding.Then there is the abnormality of multiple organ functions.

To put it simply, a knife is cut on the back of the hand. Even though the blood hoops, if the knife is deep, you can still see the thick bones. In fact, for the doctor, this is nothing, and the sewing is finished.

But if you smash it with a hammer on the back of your hand, as long as the force is strong enough, it is troublesome. This kind of damage can directly cause the cell to rupture, and then a large amount of intracellular ions overflow.

As long as the range is large enough, it is directly fatal, and the potassium ions in the cell entering the blood into the heart are directly fatal.And it's not easy to treat!

Although the policeman’s shot was not in a deadly place, the US military’s standard weapons were too vicious, and the bullet exploded in his body like a small bomb.

Not to mention the damage, the surrounding tissues may not even be repaired, and because the bullet fragments are too small, there is no way to completely remove it, unless a large-scale excision is made, otherwise the infection will follow.The real is one ring after another, endlessly dying.

It can be said that the two dead bones have been overthrown. With time, the injury will only get heavier. When the quantitative change reaches the qualitative change, there is no way to correct it.

In the operating room, Zhang Fan was preparing for the preoperative preparation. The soldiers had four venous channels opened. When the soldiers were given the needles, they were all operated by the head nurse. Nurses who were not experienced enough could not find the blood vessels directly. .

"A large number of diuretics are used as a shock to reduce pulmonary edema. Cardiotonic drugs are selectively used, but excessive doses should not be used. Although the soldier is now in a state of heart failure.

However, once the output of cardiac function is increased, the bleeding will increase, so now the input can only be increased to maintain a delicate state.

It depends on whether the surgeon can stop the bleeding before this state is broken."Ren Li, the director of the cardiology department, was almost frowning by herself.

It’s too difficult to take medicine. Now I’m dancing on the wire rope. A strong heart will speed up the bleeding and cause more shock.Not strong heart is heart failure.Both of these are terrible things, and there is no alternative at all.

The opinions of the directors and experts of each department formed a set of treatment plans within a few minutes.

"As the director, director Jumabek, you bring the director of digestion and kidney into the soldier's operating room to assist Dr. Zhang in the operation." The plan was formed and Ouyang began to give orders.

"Yes!" The director and deputy senior wearing a surgical hat and mask entered the operating room where Zhang Fan was.

The deputy director of the heart and the deputy director of the respiratory department entered the police operating room.

Normally, there is only one anesthesiologist for surgery. It's great that another anesthetist student will follow along.But today is different. Three anesthesiologists came.

The anesthesia of lung shock is very troublesome. A little carelessness will cause the formation of air embolism because of the ventilator.The gas embolism caused by the ventilator is not the kind of small bubbles that enter the infusion.

The principle of the ventilator is actually simple, it is a pump.Use a certain pressure to press oxygen into the lungs, allowing the alveoli to exchange.There is pressure, so as long as a blood clot is formed, there is no need to perform an operation, and the person can be killed directly.

"Induction of a small dose of thiopentona, and then use 50% nitrous oxide to maintain it, there is no other way, the wounded will be in shock, and spinal anesthesia can not be used. Come on!" The anesthesiologist is also negotiating.

"Dr. Zhang, we can only maintain the patient's current state for 20 minutes, at most half an hour. This is our estimated time. If there is an accident, there will be less time, or death from shock or heart failure." Internal Director Ren Li said solemnly to Zhang Fan.

The director of the Respiratory Department, Jumabek, is still leading the doctor to use drugs to maintain the soldiers' pitiful balance.It is not an exaggeration to say that now the soldier is like a dead leaf on the water, and it will sink to the bottom with a little wind.

The average doctor can't even get in the abdominal cavity for half an hour.What's more, this kind of situation does not even know how serious the organ damage is.

Zhang Fan, General Wai's director, and Lu Ning quickly prepared electrocautery and aspirator, and nurses checked the equipment.

Although there was a general surgery director and Lu Ning on the operating table, the director in my heart still regarded Zhang Fan as the chief surgeon, and she just reported the situation to Zhang Fan.

When Zhang Fan listened to Ren Li’s words, there was no use to stop under his hands. The General Wai’s director was shocked. He watched Zhang Fan’s movements and continued to prepare. He almost said not to have surgery. The wounded died in the ward and on the operating table. The above is different.

Zhang Fan gritted his teeth and said nothing, do it or not!

Do, must do, as long as there is a glimmer of hope, he will do it, even if the soldier dies on the operating table, he has to gamble.

It doesn't matter if others don't understand it, or if it causes complaints in the future, he will do this operation.

For nothing else, he fought bloody battles for the soldiers, and he did it all.After so many operations in the system, he would not dare to perform this operation.

No need to do anything, open the windows and jump off the building!Don't talk about other things, don't talk about technology, and don't even have the courage to be a doctor.

It sounds fake, but in fact, many critical operations are just betting!It can be said to be a gamble with life.

As Lu Ning was busy preparing for the operation, he was thinking in his head whether there was such an operation, whether there was a similar operation, he was thinking!

Finally, Lu Ning's eyes lit up and said, "Zhang Fan, the master and master brother Zeng Jin also had a similar operation. The operation was a success for a wounded who was crushed by a truck."

He hadn't finished speaking yet. After the operation that year was completed, the master brother was invited to Modu and became the dean of the foreign-related hospital.Which operation was his brother's famous operation.

"However, there are still two pieces of shrapnel in his abdomen!" The director of General Wai did not lift the bar, but wanted to make Zhang Fan's thinking clearer.

"I know, I mean you can fight it."

Zhang Fan didn't speak much, but simply raised his head and said to the itinerant nurse.