Medical road

The extra-thoracic treatment is no longer effective, and now it depends on the skills of Zhang Fan and the Director of Cardiothoracic Surgery.There was a saying that auto mechanics were not convinced by the doctors of the heart surgery.

"They also repair engines. Why do you earn more than me?"

"Because the engine I repaired was repaired at work!"

Without mentioning anything else, first of all, it explains a problem. The heart cannot stop beating. Even if the chest stops, the effect is not very good. And this decision to open the chest is generally not good.

Opened the chest, people are alive and easy to talk, but what about people dead?And there is another problem, heart surgery and brain surgery, these two departments are not well developed in the northwest.

Because the requirements of these two departments are too high for doctors, the general Northwest Hospital will definitely not be able to keep doctors who are slightly promising in these two departments.

This has become a joke. Cardiac intervention is being promoted all over the world, and even some county-level hospitals have been carrying out turmoil.However, there is a prerequisite for cardiac intervention, that is, the hospital must be backed by a strong cardiothoracic surgery.

In other words, heart intervention at the county level or even at the city level is very dangerous. Once a major bleeding occurs, there is not even a doctor who can open the chest and can only wait to die!

What does the Department of Cardiothoracic Surgery of the City Hospital say? If it is good or not, Director Li of the Department of Cardiothoracic Surgery is quite good in this aspect.

Director Li has been rooted in cardiothoracic surgery for decades. In his early years, he suffered a lot and went for further studies.Now he, the operation of cardiothoracic surgery can be considered to be at the level of the city, but the problem is that he has been broken behind.

This department is wonderful, the director only has one attending, and the rest are all hospitalizations!Because cardiothoracic surgery is too difficult, and almost all doctors in the city hospital were undergraduates, no one wants to do cardiothoracic surgery.

The postgraduates of cardiothoracic surgery don't come to city-level hospitals at all, so the department depends on Director Li alone.

At the beginning, Lao Huang also felt that he could not develop. Cardiothoracic surgery has been hanging in the emergency department, and he suffered a rib fracture in one day. Later, the hospital went to the top three, and then he had to release the cardiothoracic surgery.

After Ouyang came to power, he recruited two graduate students from major universities and several doctors who were interested in cardiothoracic surgery, but they were all just a few days after leaving school. They were young. The department depends on Director Li.

Zhang Fan's system didn't open cardiothoracic surgery, so Zhang Fan generally rarely performed this operation. This operation is not something practice makes perfect.Its comprehensive basic requirements for a doctor are indeed super abnormal.

However, Zhang Fan's liver in the past two years has not been in vain. Although the system has not been turned on, Zhang Fan is now allowed to open his chest for heart surgery and perform aortic bleeding. It is estimated that Zhang Fan will not be able to do it.

However, it is still possible for Zhang Fan to open his chest and massage his heart.In terms of human anatomy, there are not many doctors who can surpass Zhang Fan.This is the foundation, this is the reserve, and this is the result of the past two years.

"Zhang Yuan, I guess it’s too late, look at the heart rate..." Director Li frowned into a step. He thought that opening the chest is dead now, and it is dead if not opening the chest, and simply not opening the chest, so that the child can walk peacefully. It is a kind of kindness.

However, Zhang Fan did not give up.It’s not a lie that people are small but high-spirited, and people are old and declining. Who is correct?It is correct for people to save Zhang Fan, but it is correct for people to save Director Li.

Are they wrong, no!This is the difference in medical treatment.It has nothing to do with others!

"It's time, start!" Zhang Fan gritted his teeth and said firmly. The patient was transferred from the emergency room to the operating room of the trauma center, brushing his hands, and Zhang Fan silently passed the structure near the heart over the brain again. .

"Zhang Yuan, it is impossible to enter the heart within five minutes. Moreover, the child has lost such a large amount of blood, and the trauma of the operation is just worse. Let's think again."

Director Li is also quickly brushing his hands, but he still discourages Zhang Fan.He is not selfish, nor afraid to take responsibility, just in accordance with the advice of a pure senior cardiologist to Zhang Fan.

Because he knew that he didn't want to get into the chest cavity within ten minutes, not to mention that Zhang Fan had never set a benchmark in cardiothoracic surgery, so he was a little worried that Zhang Fan would not think about it.

"Director Li, trust me, I will definitely be able to enter!" Zhang Fan looked at Director Li and said affirmatively.

"Uh!" Director Li looked at Zhang Fan's firm eyes, he knew that Zhang Fan was ready to open his chest, "Okay, I will be your assistant, don't worry!"

"Thank you!"

"Ka!" The shadowless lamp turned on, and the child was lying on the operating bed like a poor puppy.Channels were opened on the thin limbs, and fluids were continuously pumped in.The whole body's incision has been bandaged with suture accessories.

The white accessories lined up side by side are like a broken inflatable doll glued with white adhesive tape by a single man.There was still unwiped blood on the pale skin.

"Start!" Zhang Fan said through gritted teeth.The most suitable place for thoracotomy is the fourth or fifth intercostal space on the outside of the thoracic cavity. If time permits, this kind of surgery is very particular, and the incision should be cut about 15°.

However, it is too late now and can only use the fastest speed.The child is a girl. In order not to damage her mammary (a) gland, Zhang Fan cut directly under the armpit to the left edge of the child's sternum.

The pectoralis major, pectoralis minor, serratus anterior, and intercostal muscles are the protective muscles and respiratory muscles of the chest.The pectoralis major is the most famous, because this thing seems to be said to have become a sexy representative.

Open, enter, Zhang Fan is too skilled in the anatomy of the human body, the shape of the muscles, the passage of the blood vessels, the ones that should be avoided, and the time is lost.

The child's heart rate is getting weaker and weaker. Ren Li watched Zhang Fan's operation nervously. The effect of the cardiotonic was getting worse and worse. If he didn't enter the chest before the heart stopped beating...

The older a person is, the less he dared to have cardiac arrest.The simplest problem is that after the heart stops beating, blood clots such as platelets and other blood clotting cells will form.

Once a thrombosis occurs, the consequences are extremely terrible. The heart is rescued, but the embolus enters the brain and enters the lungs, which is a terrible thing, so you must enter before the heartbeat stops.

"Quick! Quick! Quick!" Ren Li watched Zhang Fan's operation while watching the ECG monitoring.

Director Li's sweat is all down outside his chest, it is fake not to be nervous, and it is hard to be too cautious about thoracotomy.But now, Zhang Fan is driving the car directly, faster and faster, Lao Li is afraid, this accident is the car overturned.

Zhang Fan's brain is clear and clear, he is not ambiguous at all, and his hands and brain work together to directly maximize precision.If the bleeding of the muscle is too late to stop the bleeding, directly clamp the hemostatic forceps, enter, enter, and accelerate the entry.

Finally, Zhang Fan entered the chest cavity when the child was about to stop beating, and entered the chest cavity dangerously and dangerously. It was too difficult.When Zhang Fan entered the chest before the child's heartbeat stopped, Ren Li was a little choked.

It's not easy.There are so many people and doctors who have rescued them for such a long time. It is impossible without expectation.In fact, most people still yearn for beauty.

Open the chest cavity and open the left lung.The heart comes out, the heart, how big the human heart is, raise your fist, your heart is about the same size as your fist.

Zhang Fan opened the pink lungs.The heart of the child was exposed.