Medical road

In the operating room, with the nurse's chime, not to mention Zhang Fan and the others being nervous about the operation, even the equipment nurses were nervous, and the speed of delivering the equipment was a bit faster.

"Stay steady!" Zhang Fanshen was afraid of any accident, so he had to say something while performing the operation.

The busier the busier, the more chaos, but can this kind of surgery go wrong?There is little hope of not making mistakes. Now if another mistake is made, the wounded will have no chance to survive.

Doctors are a strange profession. Many people think that if you don't give red envelopes to hospital doctors, he probably won't be careful or deliberate in performing operations.

In fact, it is unnecessary.As long as it is a person, facing the patient on the operating table, he did not say that he was careless. When the blood spurted out, there was absolutely no crookedness except for the level of technology. Of course, what was the extra cost during the operation. It's not human.

Everyone thinks that doctors' income should be extremely high.Other than that, the income of the transfer dog is estimated to be lower than the salary of the hospital cleaning aunt.Doctors in regular hospitals in the industry actually have that income.

Really rich doctors are actually some kind of health care doctors who walk between the high-ranking families and celebrities. I don't know whether they are of high level.

But eloquence and emotional intelligence are definitely high, and the income is also very high. Such doctors, such as technical dogs like Zhang Fan, will definitely not be able to deal with them. Maybe they will conflict with customers.

"Wet gauze, aspirator!" Opening the abdominal cavity, as Zhang Fan expected, there was a set of numbness in the abdominal cavity.The food for the field troops is much better than in earlier years.

But in case of emergencies, dry food and dehydrated vegetables will remain unchanged for many years.I'm thinking too much to make a fire and eat hot rice.A blue smoke above the wilderness can be seen from a few kilometers away.

This thing tastes good once in a while, it's salty and sweet, and the fat is big. It's full after a few mouthfuls, but it becomes a torment if it is eaten frequently.

Therefore, when these soldiers generally eat, they just wash them down with water. Dehydrated vegetables are like drinking medicine.

"This is spinach and diced carrots!" The white marching dry food is grinded by the stomach and enters the small intestine to mix with blood and digestive juices.And because of the passing of blood, as the body temperature drops.

The mushy food directly becomes semi-coagulated and solidifies in the lower part of the abdominal cavity.

This is like a cream-shaped wafer, placed in the abdominal cavity, with a large piece of unchewed vegetable leaves and carrots interspersed in it, it is really like a foreign dark dish or vegetable cream cheese soup!

Zhang Fan took the wet gauze passed by the nurse and drew it out. The blood in the abdominal cavity of the digestive juice oozes directly and does not coagulate, and the ticking blood drips down the gauze Zhang Fan's palm.

"Intravenous channel plus a set of antibiotics." Zhang Fan quickly took out the semi-coagulated digestion in both hands, and said to the support team.

When the digestive juice is in the intestine, it is the liquid that helps digestion and dissolution.But once this thing leaves the small intestine, it is directly TM's industrial alkali.

If reflux to the stomach and esophagus is frequent, it will directly burn the esophagus and stomach. Long-term reflux is cancerous and cannot escape.

Once it leaks out, it will be severe pain. This is why patients with intestinal perforation can suffer from shock. One stomach of alkali, one stomach of digestive enzymes, see what is broken down, can it not hurt.

turn!turn!turn!Zhang Fan inserted his hands between the intestines."Bend the plate!" Suddenly, Zhang Fan's voice was slightly rejoicing, and the equipment nurse quickly passed it over.

"Dang Cang!" A black iron piece was placed in the curved plate.

"The kinetic energy was exhausted, and it didn't enter other organs, but stayed in the abdominal cavity. There is one more, and it is probably not entered into other organs."

Zhang Fan was agitated, too agitated. Originally, he wanted to cut his kidney or spleen.As a result, he won the jackpot, and the shrapnel did not damage other organs.

After hearing it ten thousand times, there is no shock that I saw once.Lu Ning also underwent many surgeries during his postgraduate and Ph.D. period, but it was the first time he saw this kind of bomb injury.

"The damage is too great." He looked at the abdominal cavity, really shocked.

At this point, Zhang Fan was very happy. If the shrapnel protruded a few centimeters, the kidneys and pancreas would be behind them. These organs would not be compatible with each other. Once they were broken, it would really be called daily irritation or earth-fed irritation.

"Salt water! Salt water! A lot of salt water." Zhang Fan was vigorous, as excited as he suddenly drank Red Bull. When he didn't see the shrapnel, it was like a bomb about to explode at any time, and no one knew when it would explode.

Now that it is clear that other organs have not been damaged, don't worry too much."ten minutes!"

"Haha, there is no need to report the time! There is no need to report the time." General Wai's old Zhao, Director Zhao was as happy as a child and said to the itinerant nurse.

"Yes, you don't need to tell the time anymore. As the director, raise the blood pressure and put on the cardiotonic medicine. Don't be afraid. Now I look for bleeding points and raise the blood pressure." If it were not for a mask, you could definitely see Zhang Fan's cracked mouth.

Lu Ning's eyes were moist. When the wounded were most dangerous, everyone was tense. They dared not relax for a moment. I was afraid that the wounded would die, so there was no time to sigh.

But suddenly I heard that he was rescued, as if the lacrimal glands were being stimulated by the loosened nerves, sour.The operating room also suddenly entered the dog days from the cold three or nine days, and the atmosphere was warm.

"Oh, I have to sit for a while and I can't stand anymore. My calf is trembling." Jumabek also smiled, rubbing his calf, and said with a smile, too nervous, the fall of adrenaline brings endless Of fatigue.

"Hemostatic forceps!" With the delivery of the equipment nurse, Zhang Fan began to clamp the bleeding point along the intestinal tract with "Crack!"Has the blood pressure risen, what is the heart rate?" Zhang Fan asked after Zhang Fan was clamped and there was no obvious bleeding in the surgical field.

"Get up! Get up! Blood pressure has risen, and heart rate has begun to drop!" Ren Li said excitedly.

She put her hands on her chest and then said: "The sound of Dr. Zhang's instruments closing blood vessels is the best sound I have heard in recent decades. It is so crisp that it can go around the beam!

No wonder male doctors are willing to do surgery, so they feel so fulfilled.It's really exciting to take your life from the hands of death."As he said, Ren Li, who had rescued countless people, couldn't say anything.

"Haha!" Zhang Fan was also happy. Isn't the operation just to save people? Now that people are alive, they can be more happy than any praise.

"The blood vessels are clamped, the blood pressure rises, and the heart rate drops. The remaining shrapnel is like catching a turtle in the urn, and I don't worry about where it can go." Lao Zhao said with confidence.

"Have you found it?" Lu Ning asked anxiously without seeing the inside of the abdominal cavity.

"Hey! I can't find it." Old Zhao said strangely. He was a little embarrassed, and he was a bit too full.

Although the abdominal cavity has limited space, the various organs fixed in it, the fat in the intestines, and a small shrapnel are really hard to find if it is caught in the fat somewhere.

"Go and push the C-arm of the orthopedics department! Direct abdominal fluoroscopy." Zhang Fan said to the visiting nurse after closing the blood vessel of the intestinal bleeding and wrapping the ruptured intestine with wet gauze.

"You can't go through it without purpose." Zhang Fan said to Lao Zhao and Lu Ning.

"Well, good!" The intestine thing is sometimes very squeamish. After turning it over a few times, when the abdomen is closed, maybe it will stop you from squirming.

The itinerant nurse pushed the C-arm in. This thing is usually used in orthopedics the most, so it is usually placed in the orthopedic operating room.

"You go in and hide for a while!" Lao Zhao said to Zhang Fan.

"Director Zhao, you go in and I will come." Zhang Fan did not agree.

"Or I..." Lu Ning felt embarrassed and said.

"It's okay, you all go in and hide, just give it to me." Zhang Fan directly refused, and everyone hid behind the lead wall.

What are they grabbing?In grabbing the C-arm positioning.The abdominal cavity is not bone. As long as the bone is not reduced manually, the steel plate is on the bone, so I don’t worry about it running away.

But the abdomen is different. This thing can be said to be a three-dimensional thing.So to do perspective, we must first locate.There is a rule for surgery, who is responsible for the number of patients.

However, Zhang Fan couldn't do it if he asked the brother who came to help boxing to eat the rays, and he couldn't do it if the old Zhao, who was already quite young, had the rays. Zhang Fan could only do it himself.

"Go down a little bit." Zhang Fan held the Kirschner wire and followed the C-arm while moving and positioning.With the sound of the remote switch hiding behind the lead plate, Zhang Fan was exposed to X-rays and looked at the monitor carefully.

"Go on, stop! I found it." Fortunately, the location is better, otherwise Zhang Fan would have to eat a lot of rays.

A polygonal black high-density object appeared on the monitor.Zhang Fan fixed the position with Kirschner wire, and everyone walked out from behind the lead wall.

"Should I do it? You take a break." Lu Ning said to Zhang Fan.

"It's okay brother!" Zhang Fan refused Lu Ning.

"Let the operation? Impossible. Our doctor Zhang, you can do anything, but the operation is not allowed." The anesthesiologist said to Lu Ning with a smile.

"Haha, it's exactly the same as the teacher's temper, so I won't be allowed to undergo surgery. No wonder the teacher said that I didn't perform clinically. I didn't understand it before.

Only now I know that doing clinical surgery requires an attitude of doing my part."Old Lu doesn't care, he has seen too many such domineering doctors.

"Haha!" Zhang Fan laughed, without saying much, he glanced at the display and started looking for shrapnel.Foreign bodies in the abdominal cavity are very difficult to find.

Because there is a large amount of intestinal fat, just like lubricating fluid, it is still in this place for a few seconds, but with the peristalsis of the intestines, perhaps in the next second it will move like a snow rabbit, moving along the fat like skiing. Other places.

And you can’t just throw out the clothes one by one when you can’t find it like looking through the closet.

Zhang Fan has been gently inserting his hands between the intestines, not daring to move too much. As the blood pressure rises and the blood vessels are clamped, the temperature of the intestines slowly rises.

When the temperature rises, the intestines will be more lubricated. If you don't quickly find out, it may become more difficult to find over time.No matter how good the knowledge of anatomy is, the structure of the abdominal cavity can be constructed in the mind, and it is not needed at this time, because this is the damn movement of uncertainty.

Zhang Fan raised his head slightly, half-closed his eyes, and stuffed his hands between the intestines in the abdominal cavity, as if he was touching a prize.People around are quietly waiting for his news.