Medical road
Chapter 773
With a full belly of glass ballast, to be honest, what Zhang Fan did during this operation was frightening.
One eye is staring at the intestine that has been opened, and the other is staring at the important part of the full stomach.
In his mind, a scene appeared continuously, sewing and sewing, and suddenly, the anesthesiologist shouted: The blood pressure is gone!Then, the abdominal aorta is like a fountain.
Maybe Zhang Fan is a pessimist. The hemostatic cotton has been opened and piled up at the hands of the surgical nurse. This is what Zhang Fan requested.
Bet, even though Zhang Fan said that he was very firm, it was actually to boost his assistants, and his heart was actually swaying.
After all, no one is sure about this stuff.
Lifting a damaged intestine, Zhang Fan is like holding a large blood vessel that is about to be broken. His eyes are not the damaged intestine, but whether there is bleeding under the intestine.
Really, it's like being a thief, treacherous and treacherous.Moreover, although he himself was worried, he still couldn't show it.
If you can't show it, you have to cheer up other surgeons, and then take time to appease the physician.
Because Ren Li and the others have exhausted all their tactics, if problems occur again, they must really be out of medicine.
"It's okay, it's okay. No, no, God will definitely forgive this kid."
The one beside Ren Li whispered.To be honest, the girl came from a good background and was not slapped by the society. Look at other people and see other doctors. They never say this.
God will forgive young people who make mistakes!
I don't know who said this. Even in this age, people who can be forgiven can only be people who are evil to the bones. For example, at a young age, they clamor that murder is not illegal.
As for a normal person, as long as he still wants to live a normal life, the cost of making mistakes is really not something ordinary people can resist.
In the work unit, the young man recklessly said the fault of the leader, which was passed on to the leader every minute.If this leader is small-minded, forgive you?I won't kill you.
Then, there are little shoes every day, why didn’t you wear a shirt today?The next day, why didn't you have a tie? On the third day, who made you wear a white shirt and a red tie?
As soon as you argue, the small shoes become a hat, and a hat that does not obey the leader is directly pressed on your head.
The resources are just that, and not everyone has a luxurious parent. If you lose an opportunity, you may be wasting half of your life.
Because what you are competing with is not the greasy old workplace oil, nor your leader. What you are competing with is the classmates who graduated with you, and the young people of your age.
One step is slow, and one step is slow. After ten years, people who make many mistakes can only look up.forgive?It's too late to regret.
Really, young people’s mistakes are best made quickly in school. After all, the school is relatively gentle, and it is also a short-distance train for a person’s life.
When it comes to society, if people already want to understand, let alone others, at least they will be more comfortable.
After all, not everyone can take the curve of life and overtake, such as a plug-in that fell from the sky, or the appearance is high enough to make all the opposite sex or the same sex tremble at you.
In abdominal trauma, there is a principle, if there is shock, correct shock first.But there is a prerequisite for this sentence, that is, when there is substantial organ damage or large blood vessel damage, the shock must be corrected while surgery to stop the bleeding.
The small-mass and smooth-surfaced glass sheet enters the abdominal cavity, and the fish enters the sea directly. There is no regular path for the doctor to grasp.
At this time, Zhang Fan and the surgeons, the first thing they looked for was bleeding spots, especially blood vessels that were bleeding out.
In special periods, the ones that can be ligated will never be sutured and connected. Only the thick blood vessels that cannot be replaced will Zhang Fan and the others suture them.
The human body is really powerful, especially the body in childhood, which is surprisingly powerful.
A life-long professor of the Royal British College of Medicine once said a particularly famous sentence: If you perform an operation on a child, if it is done, he will definitely live longer than you.
I don't know if it is a translation problem, or the original Mishima humor is this kind of cold humor.
However, he is just to explain one thing, the baby's body has powerful functions of error correction, catching up and compensation.
For example, congenital left leg contracture, if treated in time, watch the child limping while walking.
In a few years, the contracture leg will catch up, and the normal leg, like its brother, will slow down growth.It's so magical.
And as long as children are talented, they are absolutely eligible to participate in the Olympic 100-meter sprint.
Therefore, Zhang Fan's operation is also thanks to a young child, if an adult.
The practice of ligating blood vessels in their full stomachs, let alone save life, wait for the patient to get off the operating table, the intestinal necrosis will not escape, because the adult is stereotyped, the compensation is definitely not as effective as the compensation of children.
Stop the bleeding, just look for a rupture.The intestine is just like a policeman, with one section in each section.
"Salt water!" Zhang Fan shouted to the visiting nurse while lowering his head while handling the operation.
The nurse hurriedly opened the warm saline and poured it into the patient's abdominal cavity.Zhang Fan pressed the child's small stomach into the salt water.
Several doctors stared roundly, "Are there bubbles?"
Zhang Fan asked because he didn't see the blisters.
"I didn't see it."
"Zhang Yuan, I didn't see it."
"Okay, the stomach is not broken at all!" This is not too big or small.
In the abdomen, if you see food residue, you don't have to think about it, it must be a rupture of the upper digestive tract.
If you see purple blue purple blue bile, then the gallbladder or duodenum must be damaged.
If you see feces, don't think about it, it's damaged below the terminal ileum.
If the saline that was poured turned yellow before long, there must be something wrong with the urinary system.
This is the principle, this is the principle of rescue. It seems simple, but in fact these words are only refined.
After Zhang Fan stopped bleeding, the physicians first breathed a sigh of relief, blood pressure stabilized, breathing eased, and heartbeat slowed down.
However, the surgeon still didn't even let out the atmosphere.
Inside the belly, yellow, red, green, any color, the salt water enters the abdominal cavity, just like a colorful cocktail, where can you distinguish yellow, purple, blue, and green.
"You bastard, what leeks are you eating early in the morning!" The doctor on the operating table almost cried.
Children's gastrointestinal function is relatively weak. Some foods are really just what they eat.
The green leeks, it is estimated that this fart kid definitely didn't chew much, and swallowed it in two bites.
Now the doctor has made the operation more difficult.
"Zhang Yuan, the upper digestive tract is also broken. Look, this green leek leaf."
Zhang Fan looked at his stomach, the condition of his upper abdomen, and then took the leek leaves and took a closer look.I almost tasted it in my mouth.
"No, the leeks are yellow and black. This is the appearance of stomach acid and intestinal juice corroded, not from the upper digestive tract."
Looking forward to hearing, really, if Zhang Fan hadn't combined these skills in the system, he wouldn't even be sure where the leek came out at this time.
But it's a child, it would be even more troublesome if it were an adult.
Children’s intestines are pink and tender, and there is not much fat hanging on the intestinal wall, just like a section of peeled rubber or scraped bamboo shoots, white and tender with a little pink .
If an adult encounters this kind of injury, it can really be disgusting. The fat in the intestines is already too much, and then the temperature of the abdominal cavity is opened to decrease the fat and become hard.
Stool, food scraps, and semi-coagulated blood are all coagulated on it.Really, it's the swill bucket in the cafeteria, it's oily.
And the doctors must stare at this swill bucket carefully for a long time to think about how disgusting it is.
Zhang Fan took the child's intestines and examined them section by section. It was really like repairing the inner tube of a bicycle when he was a child.
Stroke a bit, let some water pour, stroke a bit, let some water.The exhaust gas in the intestines was squeezed out little by little.
Originally, the child's body temperature had dropped due to blood loss, so the air conditioner in the operating room was turned on very high.
At this time, as Zhang Fan and the others squeezed their intestines and squeezed out the fermented gas in the intestines, obediently, the temperature was so steaming, not to mention the pungent taste.
Even the eyes are irritated and want to cry.The doctors and nurses under the operating table are okay, they can't stand it anymore, so get some salt water to wash.
The few surgeons on the operating table are struggling.Keep blinking, as the saying goes, vomiting and crying.
"Zhang Yuan, there is liquid seeping here!" the assistant reminded Zhang Fan, "Well, I saw it too." Several people had red eyes, as if they were crying while performing an operation.
It seems that when I was a child, I didn't write my homework well. After being slapped by my old lady, she cried while doing homework.
The nurses went around in the operating room, and when they needed help, they reached out to help, and then passed on the news from the operating room to Ouyang.
"The four children have passed the dangerous period. Now the most serious one is still being rescued." Ouyang said to the county leader without any emotion.
"Oh, I will only be able to catch my breath now. I will report to the leader of the family now."
After the phone call, he looked at Ouyang eagerly, "European hospital, you will give the doctors instructions again. Four of them have died. This one must be used carefully! Don't take it lightly!"
Ouyang took a look at the frightened leader. He looked down on the other party in his heart. If something happened, it would be like this. It's better to retire early. "No, my doctor will definitely go all out."
"Let's make a call!" The leader heard that the four children had passed the dangerous period, and now unconsciously took the tone of giving orders in the past.
Who is Ouyang? Even the leaders in charge of medical care in the city gave her a three-pointer. Now the leaders of this county actually spoke to her in a commanding tone.
Ouyang, who hadn't looked down on this person, went crazy directly.
"Do you think my doctor is the same as you? You think my doctor will not actively rescue him without order.
Don't put your careful thoughts on my doctor. I tell you that rescue is our duty, but it is not the reason why you want to make excuses to shirk responsibility.
How can I give an order when someone is undergoing surgery?I still have a chance, do it yourself!"
After speaking, Ouyang walked away without twisting his head, and a few words almost suffocated the leader who had just passed a little breath in the office.
"Unreasonable, unreasonable!" The finger pointed at Ouyang's far away back like he had committed Parkinson's.
There is an opening in the intestines, and Zhang Fan has to repair it layer by layer. It is really like using a steel brush to pierce pigskin. The small openings in the intestines are sewn while the larger ones are made from the intestines. Take out the glass ballast that you can touch.
As for the things that can't be touched and can't be taken out, he can only prescribe the medicine to moisturize the intestines after the operation, and let him go to pull it. It is estimated that the chrysanthemum will have to speak and make this little kid feel uncomfortable for a few days.
It's hard, it's really hard, the doctors who performed the operation are extremely hard.
Little by little, a section, and finally, looking at the intestines full of stomach like a pair of torn pants full of patches.
Zhang Fan took a long breath, even if it was full of foul-smelling air, Zhang Fan didn't feel a little bit at this time.
"Good luck, there is no glass ballast left in the abdominal cavity." Zhang Fan said, there is a real smell of rebirth.
"Yes!" Ren Li replied, clutching her nose behind her.
"Oh, look at Zhang Yuan’s tiredness. You don’t wipe the white hair on one end. Quickly, dip the gauze on Xinjie Erjie. I will wipe it for Zhang Yuan. If it can disinfect it, it can wipe off sweat and cool down. ."
The head nurse in the operating room is like eavesdropping at the door, really, this woman feels super sensitive.
When Zhang Fan's operation just entered the final stage, she walked in with a fragrant wind.
She knew Zhang Fan's temper too well. If the operation didn't go well, she wouldn't come in and find it uncomfortable. As long as the operation went well, she would definitely show her presence.
After receiving the gauze from the itinerant nurse, she stood on tiptoe and wiped the sweat off Zhang Fan's head carefully.
While rubbing, he said to Zhang Fan: "Zhang Yuan, the other four children are in a more optimistic situation. After all, the injuries are a little bit lighter, and just like that, the tired waists of several directors can't be straightened.
I specially found a few surgical high chairs for them to let them rest for a while. This will be the end for the apprentices."
"That's good, that's good, is there no big problem with that child in the chest department."
Zhang Fan didn't answer her words, and the head nurse was flattering secretly, but he didn't understand.
"It's okay, it's okay, it looks serious, but it's not particularly dangerous."
After finishing speaking, he quietly glanced at the others, and then said to Zhang Fan more quietly: "Dean Ouyang has a quarrel with the leaders from the county."
"Oh?" Zhang Fan was stunned for a while, but he was stunned for a while, and then he didn't think much about it.
What else does the head nurse want to say.Zhang Fan quickly interrupted her: "Who won!"
"Um!" The head nurse couldn't take it anymore, and then twisted Zhang Fan's waist with a special twist.
"Hate, I'm so bullied to see your sister!" After she finished speaking, she glanced at Zhang Fan with her phoenix eyes, then turned her head and smiled and said to Ren Li: "Secretary, why don't you go to my office and take a break."
These surgeons are very rough, so you can resist the smell of female doctors."
"It's okay, it's okay, the operation will be over soon. Hold on for a while."
Ren Li smiled and said nothing.
The head nurse didn't say much, just stood by Ren Li and waited for the end of the operation.