Medical road

When Zhang Fan was in Fangdong Hospital, he sometimes listened to the hospitalized sailors bragging during the rounds.

"Bohai is the bathhouse!" Zhang Fan felt that these people were really bragging, your bathhouse is so big?

But this time, he felt that what the other party said was too right. Yang and Hai are really different. When Hua Guo was tossing in the Bohai Sea, he never said anything.

The navy is the navy, but when they rushed out of the Bohai Sea, they began to talk about the deep blue troops. The large ships are like dumplings. When they go down one by one, China begins to talk about the deep blue.

What's more, we are very particular about it, our deep blue is not offensive, just to see the sea of ​​stars!

Tying people is exquisite.In particular, some people who are not engaged in medical treatment have suffered trauma and are far away from the hospital. They are anxious, and then start to strangle them with a thin rope.

Bleeding, bleeding from small arteries and small veins, if you don't have first aid supplies, look for a large towel like a towel at the first time. When you can't find it, the sleeve of your clothes is also a perfect tourniquet.

Don't take a thin rope and tie your limbs to death. I don't know if the long ligation of this kind of thin rope will stop the bleeding in the hospital, and the limb will be amputated directly.

The organs of the human body are not pork knuckles. This thing needs blood to carry oxygen, and it needs to breathe.

Especially for some people with special hobbies, what kind of pendant, brother die, which stuff is full of sponge-like blood vessels, once it is broken, it is too late for you to cry.

After the wide belly belt tied Zhang Fan and his assistants, Zhang Fan firmly felt the loveliness of Mother Earth.

Injuries, as there are more and more cars in society nowadays, there are more and more traffic accidents. Sometimes, you must not be careless.

Zhang Fan encountered a case in the hospital. A car crashed into an old man. The driver got out of the car and quickly checked. Hey, the other party was fine, even the skin was not broken.

The uncle was also reasonable, saying it was okay, and he got up and jumped on the spot. The driver felt sorry to give the uncle one hundred yuan, saying it was compensation.

Then the driver drove away.As a result, the old man had just entered the door when he came home, and he fell into shock without even speaking.

The family members were also agile, sent to the hospital for the first time and called the police. As a result, when the spleen was ruptured, the old man was dead, so Xue Fei was rescued. After waking up, the traffic police confirmed that the driver was released, otherwise it would be a direct cause escape.

The two wounded, the young fisherman looked very serious. The blood donated on his stomach was dripping ticking down.

People are also weak enough to be like a fish jumping on the shore, with their mouths open and desperately breathing, looking very serious.Look at the other one, except that the face is like gold leaf, there are no other symptoms.

Inexperienced, looking at this situation, it is estimated that I have committed a difficult choice in my heart, which one to save!

Preoperative considerations are very important in such emergencies. Sometimes, this consideration is more important than surgical technique.

Damage caused by external mechanical energy (not to mention scalds first) can be roughly divided into two categories: blunt injury and penetrating injury.

The mechanism of penetrating injury is relatively simple. During the operation, it is guaranteed that a traumatic life chain can never die. If it is really dying, it is estimated that it will not be sent to the hospital, such as directly hitting the aorta.

The mechanism of blunt injury is more complicated than that of penetrating injury. Regardless of the others, the shear torque generated by a pressure is not easily diagnosed by ordinary doctors.

This thing is like a missed cannonball, no one knows where it hits or where it hits.

Often blunt injuries bring systemic damage to organs connected to organs.If there was shear force, the left abdomen was originally injured, and as a result, the right kidney, which was thousands of miles away, was also opened with a hole, bleeding like a wronged doll.

"You took the hygienist to deal with the abdominal trauma quickly, and leave it to me in shock."

"Good!" Zhang Fan's assistant to the director was also unambiguous.

The soldier with a face of gold leaf was carried to the head of the surgeon.While the nurse took off his clothes, he opened other unopened passages, and the dark red blood transfusion bag had been hung up.

Even the blood transfusion bag and the infusion bottle are like wound bandages, which are fixed on the top by gauze.

When Zhang Fan worked as a nurse, he disinfected and thought.There is an operation in the hospital, and everyone seems to think that the patient enters the hospital, and then he lifts it onto the operating table, asks the doctor to open his stomach and cut off the broken organs and it’s done.

In fact, it is not. When a patient is admitted to the hospital, he will be checked first to confirm the diagnosis.Then at the morning meeting in the department the day before the operation, everyone began to discuss the operation plan.

Whether to cut horizontally or vertically is almost always predetermined in advance.Even some unexpected situations will be considered.

This is also the case where patients undergoing surgery are often drawn by doctors where they need to move a knife. This is the scheduled incision, so don't wipe it off with your hands.

But under this sudden and poorly equipped situation, Zhang Fan now considers two things: First, after the belly is open, whether the wounded person's physique is strong enough to be fully explored.

Second, if the wounded person’s condition does not allow surgery under this condition after opening his stomach, can he insist on fighting again in the coming day!

For a few minutes, not even more than ten minutes, Zhang Fan had to stop thinking, because everything was ready, he was waiting for the operation.

"Start!" Zhang Fan nodded and let out a deep breath, "Knife!" Weird scene.

Like the TV filmed by a cameraman suffering from Parkinson's, Nurse Zhang Fan and the patient lying on the operating table swayed at the same frequency.

Zhang Fan took the knife and opened it in the stomach of the wounded. This kind of operation can be called exploratory laparotomy in a broad sense.

The wound went directly from the xiphoid process to the pubic bone, and that's it, maybe after the exploration, another crosscut is needed either on the left or right.

The average person can't feel how big this kind of wound is. The feeling of an incision and no incision is absolutely different.

When killing pigs during the New Year, when the pigs are hung up to dig their internal organs, this incision is particularly similar to this type of laparotomy.

Coupled with the pulling hooks around you so hard, obediently, let's say that this incision in the abdomen, let alone plug the head in, there is no problem in putting a half-year-old child in.

Just like you are wearing clothes and your girlfriend can't get in, you unbutton the clothes, let alone one, even two can be wrapped inside, it's so wide.

I opened my stomach, and the blood and water were mixed with semi-coagulated blood clots, just like any kind of duck blood to be poured into a hot pot, the soup overflowed.

Open the peritoneum, and the right side of the liver is like a laughing child's mouth, laughing with his front teeth open.

"Sterile glass bottle!" Zhang Fan said in one sentence. If it were in an ordinary hospital, doctors and nurses might not know what it meant.

In the hospital, as long as it is a regular hospital, few doctors encounter this situation.

The military hospital is different. When it comes to critical moments, there is no rear, no support, and when the ground is not working, this kind of uncontaminated blood is the last protection for patients.

The assistant was holding a glass bottle to collect the congested blood. Although it is still impossible to tell whether the blood has been contaminated, it is better to collect than not collect.

Zhang Fan held a piece of wet salt gauze in his left hand and put it over the crack in his liver, and then leaned his right hand into his abdominal cavity, just like cooking a famous dish in the capital.

Keep reaching into and out of the intestine with your right hand.The current Zhang Fan first determines whether there is any other organ damage or bleeding, and second, whether the blood is contaminated.

There is an iron law for blood self-refusion, whether it is the chest cavity or the abdominal cavity, once the cavity organs are ruptured, the blood cannot be recovered.

What are hollow organs? The largest hollow organs are the intestine and stomach.Zhang Fan kept churn in his intestines.

There are rules for this churn.Whether the intestine is broken, the best examination is the abdominal CT and X-ray, you can know the free gas in the belly with one shot.But now there is no such condition.

Zhang Fan's eyes stared like a cow, staring carefully at the congestion in the abdominal cavity, and his ears were erected like a police dog.

Then his right hand is like a butcher washing pig intestines.Starting from the pylorus in the stomach, Zhang Fan pushed his right hand down a little bit.

What this is doing, in short, is to see if there are bubbles, and to hear whether the wounded will fart.

It is estimated that older boys have had the experience of repairing bicycle tires when they were young.

Take a basin of water, and then turn the bicycle tires over the basin a little bit. When you see bubbles, you can determine where it is broken.

In layman's terms, Zhang Fan will do this now.I squeezed the sleek small intestine, and squeezed the large intestine bag by bag. No air bubbles were seen, and the sound of exhaust gas came through my ears.

"It can be used, ready to filter." Zhang Fan let out a sigh of relief, this amount of blood, in this environment, being able to autologous blood transfusion is really lucky.

With autologous blood return, the patient's chances of surviving are improved by several layers.

"Yes!" The visiting nurse took the recovered blood and began to filter, and the six layers of gauze began to filter the blood little by little.

This filtering process is quite slow.

When Zhang Fan was first exposed to chemistry in the third year of the junior high school, he had an experimental class to learn filtration. The teacher took the sundries liquid mixed with sand and salt and asked Zhang Fan and others to filter and settle.

Zhang Fan watched the turbid salt water in the flask endlessly drop by drop. At that time, he didn't know what the prostate was.

It may be estimated that men are naturally disgusted with such ticking things.Then, without saying anything, Zhang Fan's little finger directly stabbed the filter paper.

Men don't like the slow flow of water, but they like to poke holes very much.

What kind of window paper, what kind of plastic foam, don't believe it, for girls, girls can be transformed into very cute things.

And boys are definitely sticking their fingers with holes everywhere. It's not that boys like to destroy. This thing is born with genes, and it's always practicing in preview to prepare for the future.

When Zhang Fan pierced the filter paper with his finger, he was deeply remembered by the teacher.A chemistry teacher as strong as Wu Song, a slap and an old foot.

Ask while hitting, do you like poking so much?Ah, do you like poking so much.Can this be stabbed?I let you poke!I let you poke!

Zhang Fan was beaten from the beginning to the end of the classroom.Now the chemistry teacher estimates that when he meets students like Zhang Fan, he will no longer be able to beat people, because he is now at the age of prostate rebellion.

While the itinerant nurse is collecting blood, he drips anticoagulant into it. There is no need to shake it on the boat. The glass bottle has its own rhythm!Hold the bottle in your hand and it will move by itself.

After turning over the intestines, Zhang Fan still pressed his left hand against the crack in his liver, which was also due to Zhang Fan's hard work.

The greasy intestine is like a fish with mucus on its body. It is quite slippery. This kind of examination cannot be light or heavy. If the intestine is light, it will slip away accidentally.If it gets too heavy, it may cause intestinal damage.

After touching the intestines and touching the spleen, the rupture of the spleen ranked first among the abdominal closure injuries.There is a set of data, the mortality rate of simple spleen rupture is 10%, if there are multiple injuries, the mortality rate can directly soar to 50%.

So, when the abdomen is hit hard, don't take it seriously.Go to the hospital for a check, it won't be too much trouble.

Why don't these non-cavity organs hurt after being punctured, and there will be no shock immediately.

Quite simply, these organs are wearing coats.These coats, like the more expensive apples bought in the supermarket, are covered with a layer of plastic film.

At the beginning, when the bleeding overflowed from the wounds of the organs, this film blocked the blood. Although the organs were ruptured, the clothes were not torn, and the brain thought the thing was intact.

Then, just like putting water in a condom, it gets bigger and bigger, and then it bangs.

If the sleeve is broken, the brain and blood pressure are anxious. Just like a roller coaster, blood pressure can drop from 200 to undetectable.

The blood pressure dropped sharply. This was a person who was obviously good. He was hit and smiled and said it was okay. After half an hour, he suddenly lay on the ground and touched the carotid artery.

Blunt impact, the chance of damage to the hollow organs is particularly small, such as the intestines, such as the stomach.

This gadget is naturally buffered.There is a lot of gas in the stomach and intestines. Not only does it carry gas, but the food is mixed with various digestive juices. During the digestion process, this is directly the gas producing tank.

Some people have a breath, brushing their teeth eight times a day, the teeth are all brushed off, but the breath can still vomit their girlfriends.

This is a problem with the digestive tract. Go and try some hawthorn pills. Don't keep staring at the toothpaste.

The substantial organs will not work.Such as spleen, kidney, liver.Among these organs, the spleen is most vulnerable to injury.

Because this organ is not very important in the human body.You just said that the kidneys, although there is no air cushion, but people have cotton jackets.

Men like to eat big waists. The two big waists and a bottle of beer on the barbecue stall are not exchanged for the gods. In fact, what they like to eat is not the waist, but the padded jacket outside the waist.

If the fat near the kidneys is evolving, it is estimated that it can evolve into tendons. You can imagine the toughness of this fat.

The spleen is not treated as well, let alone the impact, sometimes the hiccups are severe, involving the ligaments of the stomach, the stomach is fine, and the spleen is torn apart.

Turning over the intestines, Zhang Fan immediately probed the spleen."Hey, the spleen is also broken!"

After exploring the spleen, Zhang Fan asked directly, "Is the urine coming out?"

"Come out, come out!"

"Is there blood?"

"No! No obvious blood."

"It is good for potassium supplement, directly clamp the spleen vessel!"

Before the 1980s, as long as the spleen was slightly damaged, it was generally not repaired and cut directly. The doctors at that time knew this thing as an adult and it was useless.

In fact, the spleen has many functions, one of the simplest and most useful is to filter bacteria in the blood, which is quite awesome.

The spleen is a foodie, red blood cells, white blood cells, and bacteria!So, humans, don't be too edible, otherwise, just like the spleen, they might be abandoned someday.

"Can't keep it?"

"There is no way, the mouth is too big." Zhang Fan shook his head, cruel, really cruel, but medical treatment is like this, sometimes, cruelty is to make patients survive longer.

"Vascular clamp!" Ka, Ka.Like the mouth of a crocodile, the blood vessel clamp directly clamps the spleen's access to blood vessels.

"Mend the liver!" The organs that have already been given up are not in a hurry.

Zhang Fan took off the gauze on his left hand and took a breath.

In the beginning, in order to detect the surgical damage as soon as possible, Zhang Fan did not carefully examine the liver.

When looking back at the liver at this time, Zhang Fan's face was as uncomfortable as thousands of ants marching.

This feeling is not tingling, but the feeling of getting goose bumps.It's trembling!

The wound on the wounded man’s liver was not big, at most as big as the mouth of a three-year-old child, but when Zhang Fan used his index finger and middle finger to gently separate it, eh!This action, well, men should understand.

Gentle, quite gentle, crispy like a green apple liver slowly parting.

The shadowless lamp hit the wound...