Medical road

In most parts of this world, chest trauma is the business of cardiothoracic surgeons, head trauma is the profession of neurosurgery, and bones and joints are the one-third acre of orthopedic surgeons.

A doctor is capable, and the era of starting from head to toe is gone.This may be the result of the development of medical technology.

Or maybe modern people can't stand alone, can't stand loneliness, can't stand a life without money, and are unwilling to settle.

Back then, if Zhang Fan didn't have cloth stickers in his pockets, there would be no way back. It is estimated that even if he had a system, he would be slower than he is now, and he would not have achieved the same results now.

People are sometimes fragile. A mouthful of steamed bread can choke a person, and even a word from others can make a person lose confidence in life and go to extremes.

But sometimes it is quite resilient.The ups and downs just don't admit defeat.

I don't believe in this fate. It's hard to say whether it is successful or unsuccessful, but once you seize an opportunity, such a tough person should never be underestimated.

Zhang Fan looks pretty awesome at the regional hospitals, even in some provincial hospitals, because there are too few doctors from head to toe. One of them counts as one, either he has become the dean or he has retired.

In the field hospital, there are too many such doctors, too many, is this they more talented?No, those who are forced, often sometimes, they are alone and have no way out.

When there is no team and no rear, one cannot do more than one professional, and can only watch the wounded sacrifice.

In the operating room, Mr. Wu Yisuke, the director of the field hospital Ersuke, and the director of XXX Hospital Sansuke.

Among them, there is only Elder Wu who is really involved in the bravery.In addition, Zhang Fan is registered in the Department of Orthopedics. The director of the field hospital is out of his head. The director of the XXX hospital is Zhenggao of the stomach and intestines.

Four people, four majors, do a liver operation together, and this situation can only be seen in a field hospital.

"Damage control! Doctor Zhang is too courageous!" The dean of the field hospital saw that the wounded man’s liver was covered with gauze after he stepped onto the stage. He was directly inconceivable and said to Zhang Fan quite surprised.

Liver, a long time ago, a doctor used tamponade to stop the liver damage.

What do you mean, to put it simply, the liver was damaged by a big hole, and the blood swelled like fireworks.

He didn't choose liver resection, he didn't choose discontinuous repair.Instead, stuff it with gauze and wait for the liver to repair itself.

His record was not recognized at the time. He had four operations, three died and one survived, but the liver that survived was intact.

His technique was considered a cowardly operation at the time.Because the probability of failure is too high.

After a hundred years have passed, the US military once again proposed this method of surgery.However, the risks are still considerable, and there are only a handful of doctors who can perform this kind of surgery in the US military.

The dean of the field hospital is a person who has met the world. When he saw this method, he was not surprised that it was impossible. This operation, to be honest, in their hospital, no one has dared to use it.

"Huh!" Zhang Fan nodded, carefully watching the gauze.

In surgical operations, when measuring bleeding, there is a standard. How much blood is in the aspirator is clear, because the drainage bottle has a measurement number.

How to calculate other bleeding is to count the gauze, count the gauze soaked in blood, 200ml a gauze.

"Have Dr. Zhang ever performed this type of surgical operation?" Although the field doctor asked Zhang Fan again, his eyes were fixed on Mr. Wu.

Zhang Fan was busy observing the gauze carefully. He didn't say for the first time that he wanted to determine whether the patient's bleeding was stopped or how much bleeding is now.

Elder Wu didn't speak either, but shook his head.

"I haven't done this kind of surgery, but this is the only way he can save his liver."

"Are you sure?"

"Have!"

"Brother Comrade, this is not a child's play, I understand your feelings, but let's put survival first, right?"

The dean of the field hospital said to Zhang Fan with a little regret.He admired Zhang Fan's courage to perform stop-loss surgery, but he did not agree with a doctor who had no experience in such surgery rushing to do stop-loss surgery.

Of course, this disapproval is not only a verbal disapproval, it will be reflected in subsequent medical records and reports.

This is not a villainous act. This is a doctor. The most basic practice ethics is not shielding, one is one, and two is two. Everything is based on the facts that oneself sees.

This type of stop-loss surgery used as a last resort is not familiar to Old Wu. This type of surgery has too many variable conditions to form a rule with data.

"I need eye surgery equipment, a doctor who can formulate TEG, and a nurse who reminds me every fifteen minutes. Be fast."

Zhang Fan did not explain or argue with the dean.He is not trying to convince others, but to save his liver.

"Hi! Okay, I will ask the doctor from the Hematology Department of the hospital to come over right now. Head Nurse Chen, your task now is to remind Dr. Zhang every fifteen minutes."

"Yes!" The itinerant head nurse saluted and started timing.

"Why, didn't the bleeding stop?" Wu Lao knew that the bleeding of the wounded was not optimistic.

"There is still a part of it bleeding, uncle, still need to wait two hours."

After checking the gauze, Zhang Fan looked up at Mr. Wu.

Elder Wu was also entangled in his heart. One side completely preserved the wounded man's liver, while the other side was sacrifice.

Really, at this time, the doctors are like standing in front of the god of death, slapped their thighs and cursed the street to provoke the god of death, come, come, come, come if you have the ability.

And the god of death roared like a Tibetan mastiff.

Sometimes even the patient has a cough, and the iron chain tied to the death god will break, and then there will be devastating consequences.

Difficult, often medical treatment, many, many times, will face this dilemma.

"I don't agree. He is still very young, Mr. Wu, we are gambling with his life. We are now doing a resection. Even if the liver is cut in half, his life can go on."

The director of the field hospital was also anxious. He and Zhang Fan had never met. He was definitely not against Zhang Fan, he was also for the wounded.

This is the difference in philosophy, the difference in age.Older people tend to be more conservative, while younger people are more aggressive.

Who is right and who is wrong?It's hard to say.

Wu Lao looked at Zhang Fan, Zhang Fan straightened his body, looked at Wu Lao, with firm eyes, without talking, the tacit understanding developed by the two masters, at this glance, Wu Lao knew that Zhang Fan was sure.

"There is still time, so let's ask someone to do the picture first. We are all doctors. We are all doctors responsible for the wounded. I support Zhang Fan and Director Li. How about you?"

At this time, Mr. Wu chose Zhang Fan because he truly recognized Zhang Fan's skills and his character. He didn't think Zhang Fan would be willful in this matter.

"I object!" The dean of the field hospital insisted on his opinion.

Three people, six pairs of eyes looked at the director of XXX Naval Hospital.The director closed his eyes at this time.

He is not escaping. At this time, his mind is full of clips of Zhang Fan performing surgery at sea, just like playing a movie.

Swipe section by section, precise, fast, and decisive!At the age of 40, he kept recalling Zhang Fan's surgery.

Slowly opened his eyes, but they looked like flashing lights, "I support Dr. Zhang!"

Saying this is not something that can be done by touching the upper lip with the lower lip. At this time, every word and every punctuation mark was recorded by the nurse.Then archive it, and it will not be destroyed within 20 years!

You are responsible for speaking at this time!

He did not choose a more robust hemisection operation, and he did not consider whether he would be responsible for today's words in the future.

However, he chose to support Zhang Fan today, just to make the life quality of the wounded more comfortable in the future.I just want to let him live in this world like a normal person, without the mercy of others, without the need of others...

"Hey! They are young, Mr. Wu, you, hey, I will contact the support staff now." Although no one supported him, the dean of the field hospital began to actively prepare.

This is the disciplined force.

This is the last medical force guaranteed by our Chinese medical service.

A little bit of time passed, and the TEG chart began to be described. In the sound of reminders again and again, 2 hours passed.

"Start!" Zhang Fan said after watching TEG.

In the operating room, only the sound of the waves came.

So clear!

The gauze, the gauze stuffed in the liver, Zhang Fan gently pressed his hands, and Zhang Fan could clearly understand the feeling from the gauze, how many gauze is dry and how much is wet.

This is his ability, this is the super sensitive perception he has cultivated in the system.

Dare to go to Daliang Mountain without three points?

joke!

Just like shaking a dice to open a treasure, gently, a piece of gauze was taken out without bleeding.

Although Zhang Fan could perceive how much bleeding there was, he didn't know where he was bleeding. Just like buying a lottery ticket, he knew that there would definitely be one winner, but he didn't know which one would win.

So every piece of gauze, he faced it as bleeding gauze, slowly, gently, and tightly.

"Salt water, ice salt water!" When the gauze covering the most surface was taken off, I finally saw the blood stained gauze.

Almost all people who have been injured have experienced dressing changes.The bigger the wound, the more painful it is to change the dressing.

If you encounter an anxious doctor, changing the dressing can become a real pig.

The gauze covering the wound surface is soaked in blood, and after drying over time, it sticks to the tender granulation that has just grown.

When the dressing was changed, the anxious doctor tore the gauze away. Really, there was no way to describe any pain.

Just like the meat that has been wrapped in the skin, one day it was suddenly slammed and pulled out, and then squeezed up and down on the denim. It hurts, painstaking pains, pains, and pains, and there are continuous thorns burning. Pain, really, people who can hurt, can't wait to hold this meat in their mouths.

And the liver is the same, it hurts or not, there is anesthesia, the most difficult thing is the second bleeding.

After the protein in the blood coagulates, it sticks to the blood vessels, but it also sticks to the gauze.

The gauze at this time is not a small area of ​​your dressing contact, but a whole piece of adhesion.

Once one is not careful, all previous efforts will be lost.

The saline ticked, ticked low, and the blood-coagulated gauze didn't absorb much water.

This is also one of the difficulties that this kind of surgery is not easy to solve.Not only to prevent unclosed bleeding, but also to prevent secondary bleeding after adhesion, which is too difficult.

"Doctor Zhang, fifteen minutes have passed!"

"Yeah!" Zhang Fan nodded, the wounds were exposed for longer and longer, and the chance of infection was also increasing.

"Tweezers!" Zhang Fan took the forceps, and everyone in the operating room held their breath.

Tick, tick.

Gently, at this time, other people couldn't help Zhang Fan a little. Even if they could help, they could only pray in their hearts.

too difficult.

There should not be a slight tremor in the hand. After holding the tweezers to clamp the gauze, once it trembles, no one can guarantee that the invisible adhesion may be an artery.

Slowly, the heart hung up, opened his mouth, and there was a beating heart in his throat.

People with bad qualities can be scared to death here.

Once, once, a piece of gauze was taken out by Zhang Fan.

Just like a pink letterhead crumpled into a ball, Zhang Fan made a clanging sound when he threw it into the curved plate.

You can think about it, if the gauze is so hard that Zhang Fan can completely take out the gauze without bleeding the liver in all directions, how high is this level of technology.

After the gauze was taken out by Zhang Fan, the dean of the field hospital became more and more confident in Zhang Fan.

Just when everyone can breathe smoothly for a little bit, Bah!Bleeding, Zhang Fan, who was almost leaning on his liver, was sprayed with blood on his face.

"Quickly, I can't see it!" The blood ran into Zhang Fan's eyes.It is really worse.

The warm blood, like a beauty's tongue, has temperature and viscosity. Zhang Fan desperately tried to open his eyes, but his eyelids were stuck.

This wound can only be seen by the main knife, because the area is so small that other people can't see the specific wound inside.

And Zhang Fan's eyes were covered with blood again.The head nurse on the patrol, like a leopard, stunned, two or three meters away, in the blink of an eye.

One held the back of Zhang Fan's head, straightened up her chest, and one hand fixed Zhang Fan's head on her chest.

Then the other hand held the gauze of Xinjieermei and directly touched Zhang Fan's eyes.

As for Zhang Fan, after shouting out, it was like a big rooster with his head chopped off.

His head was leaned on his chest, he didn't feel it, and he didn't feel the jeremiat in his eyes.The head directly seemed to be not his own, without any resistance.

But the body and hands did not stop. At the moment when the blood came out, Zhang Fan's eyes hadn't had time to react, but his hands had already shot.

The pliers are shot at the blood vessel ejecting blood like the most accurate missile.

After just a few breaths, Zhang Fan immediately asked: "Uncle, look, look, is there bleeding?"

His heart hangs up, he can't see it, he doesn't know if he clamped the bleeding right away.He was flustered and panicked like thousands of wild dogs chasing him with bare butts and throwing elephants.

"Stop it, stop it, don't move, don't move!" The uncle's voice began to tremble.

Blood vessels, blood vessels that can suck blood, can't run away, they are definitely arteries, and the arteries are like earthworms that spit out in a cave. If they loosen a little, he can definitely take them back.

Once recovered, the liver can only be cut.

The hand, holding the vascular forceps, rests on the wound surface of the liver.

The eyes finally saw, "How about it, do you see it?"

"can!"

Then, Zhang Fan didn't dare to move, he didn't know what his posture was like now.

Gently, the head nurse gently pushed Zhang Fan's head away with his hands, and pushed it to the normal position.

Zhang Fan blinked, "Hemostatic forceps!"

One piece, one piece, there is no danger, there is really no danger, and slowly, all the gauze is taken out.

The wound of the liver was as clean as a bowl licked by Erha.

"Shh!" Old Wu let out a long breath.

"Awesome!"

"Place the drainage tube and close the abdomen!"

...

Cool!It was so cool, Zhang Fan looked at the young wounded, breathing smoothly, and slowly returning to his bloody face.

Although it was dangerous and dangerous all the way, he felt too cool.Especially the refreshing sensation of this loss of strength, as if the pores of the whole body were opened, and the muscles of the whole body were trembling slightly.

It was so cool that Zhang Fan could shout, and it was so cool that Zhang Fan could not bear to leave this feeling.