Medical road

In medicine, there is a famous saying: Our doctors will also commit sins and accumulate virtue; they will encounter setbacks and achieve success.The sins we make are often unavoidable in our work, and of course we cannot make up for it.

In fact, medicine is not yet a sophisticated discipline. We work with real, panting, intricate people, not a jar of chemical mixtures.

This sentence was said by a major emergency department in the United States.

Ordinary diseases and routine diseases often make doctors think about it.

And this kind of sudden accidental injury is even more difficult. The handling at this time is not like doing multiple-choice questions. I can discard the answers that I think are bad.

Human organs are not leeks, so it is quite difficult to choose.Sometimes, the doctor is really difficult.

If you want to save your life, you may have to abandon a kidney or part of your liver. It is often an empty dream to save your life and some organs.

Really, after years of such medical work, many doctors' hearts are as hard as ice-cold stones.

This is not natural, it is created by the entire industry, he has to be hard, he has to make a choice.

Operating room, one, two, three, four, five, bang!!Cang, just like a steamed bun, the children were sent to the operating room.

From the emergency center to the operating room, Zhang Fan's pressure is almost released. This kind of rescue, especially cardiopulmonary resuscitation, is best done by a professional person from beginning to end.

The doctor is a little tired and has nothing to do. After the big deal is over, take more rest, but for the patient, a slight pause may cause irreparable brain damage.

So, often everyone will see a scene like this, with countless doctors gathered around and watching a doctor rescue, and the reason is here.

The general, the mind-hearted, and their respective patient numbers were diverted at the door of the operating room, and everyone agreed to leave the heaviest patient number to Zhang Fan.

In the operating room, the relatively lighter child slowly regained consciousness at this time.

Look around people wearing blue hats, blue masks, and green clothes. Look at others holding knives, scissors, and sharp needles that are braving the cold.

The shock, blood, pain, and unfamiliar and terrifying environment caused children who had never experienced anything to curl up together.

The little heart was swaying and beating fast. With the wound on his body, he didn't even dare to cry, just like a cub leaving the herd, looking at these strange people pitifully.

The visiting nurses are generally a little older. Seeing the child's pitiful appearance, she wants to step forward and comfort him.

The result was not two steps, the director of General Wai said, he stopped."Don't worry, these rascals should be frightened, otherwise there will be big things in the future."

The words are rough, but the heart is kind.

On the operating table on the cardiothoracic surgery side, the director looked at the wound and wanted to say nothing.

The kid here is a little older. When it exploded, he stood a little further away, but the damage was not small.

The airflow energy of the explosion tore his clothes to pieces like a big hand, and then the cracked glass ball pricked his chest like a rain pear flower needle.

On the small breasts, there are countless dots or flaky blood holes, just like lips with red lipstick on the chest. As the child breathes very weakly, these lips keep spitting red Spits ideas.

The child's chest is bulging like a toad about to scream at this time.

My chest, which was originally frozen, became purple-blue and purple-blue due to ischemia.

The other two children are relatively lighter, but there are sharp glasses on their faces and necks.

The child on Zhang Fan's side was the most serious, and his stomach hit the first wave of the explosion directly.

The wound is like an inverted flower. The meat on the wound is directly the strips of meat coming out of the meat grinder. It sticks to the belly like rag strips, and it falls together with the blood in the belly.

In addition to the broken intestines, the undigested food flowing out.

Green vegetable leaves, celiac-like food residues, plus digested yellow stool, obediently, contaminated the floating sliver of meat.

The green, yellow and gray ones are really like shabu-shabu dipped in sesame sauce and coriander from the shabu-shabu.

The smell of blood and stool is really like a pig in a slaughterhouse that has been cut.

The child's water and electrolyte have been disordered, and he has already entered a state of shock.

There is no time to test the extent of his lack of body fluids. All medications are based on estimates and relying on the experience of doctors.

Ren Li is the host of the rescue, "3% hypertonic saline input, ready to click, if there is atrial fibrillation, the first time electric shock cardioversion.

ECG report!"

"Arrhythmia, shortening of QT, bending of ST-T wave..." The deputy director of the Department of Cardiology immediately reported the results of the electrocardiogram.

"Using furosemide, fast, and furosemide intravenously! Zhang Yuan, can the patient's condition be shocked now?"

A series of treatments are all protecting the child's heart, or all of them are protecting the child's circulatory system.

However, there will always be more lost than imported.

"Yes, or not?" Zhang Fan didn't have any confidence in his heart. Really, medical matters are often not absolute.

Cardioversion without electric shock, heart failure that cannot escape, cardioversion with electric shock, aggravated bleeding, is still a heart failure.

Clenching his teeth, Zhang Fan clenched his teeth, holding the gauze in both hands and desperately plugging into the abdominal cavity, constantly plugging.The white gauze was stuffed into the baby's belly piece by piece.

The roving nurses and equipment guards kept passing gauze.

"Electric shock! There is only one chance, who of you will come?" Zhang Fan was already wearing sterile gloves and sterile surgical gown.

"I'm coming!" Ren Li had to stand aside and grasp the overall situation. At this time, that Duo stood up.

"Remember, there is only one chance, there is absolutely no second time!" Zhang Fan said, staring at that Duo.

The flower pursed her mouth tightly, looked at Zhang Fan, nodded, and took a deep breath.Hold the electric shock device with both hands and place it on the child.

Bang!There was a lot of gauze in my stomach, and the flower at this moment was so nervous that it was almost unable to breathe.

Her ears were almost erected just like Ahu.She did not dare to watch the ECG monitoring, she was worried that an electric shock would cause more bleeding, which would directly lead to the death of the child.

"Effective! Cardioversion!" The anesthesiologist exclaimed in a soft voice. This sentence, this sentence, the excited face was flushed, and the adrenal hormones really reached the peak. If you let her shout, she Definitely roar through the sky.

Zhang Fan heard it and it worked.Then quickly took the general doctors to get started.

Fill in the white gauze, quickly take it out, white, white, then half white and half red, then red, green and yellow.

Take it out one by one.

"Continue to correct acid-base poisoning, cut open organs, and get on a ventilator.

Epinephrine, digoxin, dobutamine injections, ready to expand blood vessels..."

Internal medicine and surgery are performed at the same time, balanced, and now physicians are working hard to create a weak and short-lived balanced environment.

It's time to see Zhang Fan and the others.If the damage cannot be dealt with in a short period of time, then this environment will not last much longer. When this balance is lost, death will follow immediately, and there is no redundant alternative path.

For a normally healthy person, if you have abdominal pain for more than six hours without even thinking about it, it is an acute abdomen and you should go to the hospital quickly.

For surgeons, apart from postoperative bleeding, nothing is more terrifying than anastomotic leakage in the digestive tract.

Just think about it, an anastomotic leak can scare the surgeons, not to mention this child with a full stomach and flowers.

This kind of large-scale ulceration of the digestive tract, let alone the blood, let alone the loss of intestinal juice, the infection and poisoning caused by the bacteria in the stool permeating the abdominal cavity caused the surgeon's head to explode.

This thing is not a single thing now, it is that the function of the whole body is facing collapse, just in the line.

"Quickly, find the broken glass and find the glass shards involved!" Zhang Fan led the general doctor, lowered his head, looking for the broken and broken pieces with great difficulty.

I don't dare to think about it soon, this kind of trauma, especially the injury of a large area of ​​foreign body and sharp weapon entering the abdominal cavity is really quite overbearing.

Do you want to find the breach quickly, don’t you dare to be fast?Dare not!

The intestines full of stomach, maybe there is a glass ballast hidden under the duodenum. You are a little quicker, a little careless, the old hole is not found, and the new one comes out again.

"Warm salt water!" Zhang Fan doesn't rely on his eyes anymore. He puts his hands into the child's abdominal cavity like rubbing mahjong, slowly groping and moving little by little.

As the abdominal cavity is exposed for a long time, the child's body temperature is slowly dropping, and even the fat on the mesenteric in the abdominal cavity begins to slowly change like the leftover braised pork after eating it, and it begins to slowly change!

I don't dare to pour more warm salt water. I am afraid that more salt water will spread the infection. I can only touch where I pour it and suck it out as soon as possible.Really, Zhang Fan was so uncomfortable with this operation

Just like a boxer, he can obviously beat the opponent, but his hands are tied together with a rope, and then he keeps making his opponent crackle, crackle left uppercut and right uppercut hit his face.

Dang Cang, Dang Cang, Dang Cang, the glass ballasts like pearls and diamonds were touched by Zhang Fan and the others from the child's abdominal cavity.

Really, the glass thing can only be touched by hand.If it is an iron object, directly irradiated on the C-arm, Zhang Fan can quickly find out the iron even if he tries to eat the rays, but the glass thing is under the C-arm, so it can’t be developed and can only rely on his hands. I can only rely on the feeling of my hands.

Really, Zhang Fan's body was constantly sweating, and even the slippers under his feet were wet.

Just then, Ren Li was still anxiously urging, "Yuan Zhang, blood potassium is obviously abnormal, 1000cc of blood has been transfused."

Zhang Fan really wanted to plug Ren Li's mouth, but he still had to listen to people telling him the patient's physical signs at any time.

difficult!~

Touch, touch, touch.It was really like washing pig intestines at home, Zhang Fan didn't dare to be careless from beginning to end, from top to bottom.

Touch it over and over again, and often have to look back and touch it again.Don't say that the intestines are full of grease and mucus.

Even if a needle accidentally pierces the fat layer of the human body, don't even think about it. Go to the radiology department.It will never stay in one place honestly, waiting for you to find it.

Therefore, the peristalsis of the intestines, coupled with the lubricity, the glass ballast is like a naughty child, constantly playing hide-and-seek with the doctors.

"Zhang Yuan, it won't work, it can't be maintained!" Ren Li's voice changed and emphasized.

Really, sometimes, during the rescue, watching a life helplessly, it will be rescued soon.

In the end, all of a sudden, as if the king was angry and unhappy, the defense that the doctor had built up was overthrown and collapsed in an instant.

Outside the operating room, the boss of the chemical plant looked at the fluorescent lights in the aisle blankly as if he had lost his soul.

Parents whose children enter the operating room are like sitting on pins and needles, neither sitting nor standing. Whenever a nurse or a doctor comes out, their thirsty eyes are really pitiful.

In the morgue, the parents who had lost their children were crying with their children in their arms.

When the most serious children were sent to the hospital, there was no need to rescue them, and they had already lost their lives.

The parents at this time, really, are like cutting their hearts with a blunt knife.

There are even mothers of children, crying and crying, and suddenly want to hit the wall.

The women on the side shed tears of sympathy while rejoicing that their children were fine.

Grasping the mother who wanted to find a short sight.

"He has not been rescued. My soldiers have not been rescued. Even if they can't be rescued, I feel better.

Goodness, goodness, you are blind, my soldier."

The people around can't even persuade, what can they say, what else can they say, now it’s useless to say anything, it’s too late to say anything.

The county leader in charge of security, with a stern face, stood in Ouyang's office, unable to say a word, staring at the phone on Ouyang's desk, staring at Ouyang's phone.

Before he came to the hospital, he was scolded by his superiors. First let him deal with the follow-up in the hospital, and then talk about it when he was done. Really, he was really exhausted.

He was wronged too, he was too wronged.Originally in their county, there was not even a flour mill for flour milling, so there was no industry.In the old days, he also managed a few blacksmiths who made knives.

As a result, it seemed that all the factories in the county were set up overnight. He felt that it was not a good thing at the time. As a result, the good did not come, the bad came.

"Zhang Yuan..." Ren Li's voice had begun to appear helpless.

Zhang Fan gritted his teeth, "Start, start the operation, hurry up!"

"Zhang Yuan, I still can't guarantee the glass in the body..."

"Something went wrong, I'm responsible, hurry up, surgery!"

Zhang Fan violently interrupted the surgical assistant.

There is no way, there is really no way, I can only bet that all the glass in the child's stomach is cleaned.

Fight, what else can be done, if you postpone it, you won't even have the opportunity for surgery.

It is better to have an operation now than if there is no chance to have an operation. Life is at stake. Zhang Fan gritted his teeth. Even if something happens, he would rather take the responsibility than just let the child lose his life.