Medical road

On the operating table in the operating room, as if entering the telecommunications department, patients were covered with monitoring equipment.

ECG monitoring, blood oxygen monitoring, oxygen intubation, gastric tube intubation, urethral drainage, vasculature of aspirator, venous suspension of blood plasma and liquid on extremities.

Although the line is not densely packed, it makes the scalp numb.

Especially the transparent liquid and the red blood vessel are divided into two ends like wires.

The invention of intravenous infusion can be said to be an invention that can pull the patient back from the death line at a critical juncture.

Many people are often curious, why the infusion is not in the arteries but in the veins.

First of all, arteries are afraid of death. Larger arteries are generally hidden deeper. It is usually difficult to find them in an emergency, while veins are more superficial.

Secondly, the arterial pressure is relatively high. If no pressure is applied, it cannot be infused. If the pressure is applied, the red blood cells in the blood vessels may rupture.

Therefore, in general emergency infusion, the choice is intravenous, as long as the liquid bottle is raised over the head.

Under what circumstances should arteries be selected? For example, when the patient's veins can no longer be selected, arterial infusion, to be honest, is a last resort.

But now many addicts, in order to obtain more rapid satisfaction, will insert the artery injection into the groin. Really, if this method is not careful, it will cause arterial hemorrhage. The consequences...

Intravenous infusion, when this life-saving treatment is fully spread on the treatment of the common cold, it makes people speechless.

Is the cold treated with medicine?

Not!

This thing is a self-healing disease, the common cold, if you don't care about it, it will recover, and treatment is to relieve symptoms, such as nasal congestion and cough.

In other words, medication and non-medicine are no different for a cold.

"Knife!" The preparations for the operation were extremely fast, and there was almost no pause in the connection of steps.

The patient's blood loss was too serious, and the fluid that was infused could not withstand the patient's flow out.

Zhang Fan took the scalpel and began to expand along the wound on the patient's back.

If we say that some abdominal surgery such as appendix and gallbladder has a fixed format.

So this kind of traumatic rescue operation is a free operation for doctors.

It seems that free play is easier, but in fact, free play is even more difficult.

In fixed-format surgery, over the years, generations of doctors have almost discovered the unexpected situations near the organs actively or passively.

Therefore, as long as you are serious, as long as you have a solid foundation, there will generally not be things like cutting blood vessels and damaging nerves.

And this kind of free play is not enough.If one is not careful, it will make the patient worse.

The white fascia and red muscles have been turned out from the wound on the back of the male owner of the optical shop.

Like a kid, pouting, bulging his lips, revealing the red lining of his lips.

Just like spitting and spitting, the patient's wound is now spitting blood.

The abdominal cavity of the human body is slightly larger than the atmosphere, and most people probably have never seen it.

When the sharp weapon enters the abdomen, the wound will be like farting, and a snorting will emit a gas that does not smell, but is absolutely unpleasant.

This smell can be called Sao!It's like the smell of mouse urine evaporating on the hands.

"The blood doesn't coagulate, and the organ is injured. How are the vital signs?"

Zhang Fan made an incision along the wound while watching the uncoagulated blood, and he was also anxious.

"The blood pressure can't be measured, the cardiotonic drug has been used!" Naduo stared and reported to Zhang Fan.

That Duo was assigned to Zhang Fan's side to participate in the patient's shock correction, and Ren Li went to another operating room.

Now everyone knows that the life of a patient is on the line of life and death, and any small accident will lead to the death of the patient.

When the patient lies in the prone position on the operating table and cuts the abdominal cavity along the wound, the blood flows out like a pot of water.

"Quick, big curved pliers!" Sure enough, the patient's spleen was inserted into a large opening in the wound, just like a broken apple, and the wound showed a petal-like state.

After receiving the curved forceps, Zhang Fan directly put his left hand under the spleen, palm up and the back of his hand down.

Then he exerted a slight force to free the nearby tissues and the damaged spleen door. In an instant, Zhang Fan's palm was filled with bright red blood.

Without hesitation, Zhang Fan clicked and clamped the entrance vessel of the spleen with huge curved forceps.

The curved forceps bit the vessel of the spleen like a crocodile."Old Li, attractor!"

"Gauze!" Clamping the door of the spleen, this time is not enough, gauze must be used to fill the wound of the spleen.

Lao Li, who was acting as a helper, took the suction device and put it into Zhang Fan's left hand. The suction device was like watermelon juice.

Chi Chi Chi sucked the blood quickly, and the semi-coagulated blood clot in the blood was quickly sucked into the transparent plastic pipe like the black seeds of watermelon juice.

"Increase the input and see if urine is produced? The wound has been clamped, and blood volume will be refilled quickly, so that blood pressure will rise immediately."

Zhang Fan frowned and gave orders to the anesthesiologist and physician while performing the operation.

"No urine, use diuretics!" Hearing that Zhang Fan had stopped the bleeding, the shock correction group in the internal medicine department felt relieved a lot.

Rescue without hemostasis, fill in a lot of liquid, just like raising soup to stop boiling.

It can only be to maintain the patient's fragile blood pressure and the electrolytic balance facing the collapse, the fundamental problem cannot be solved.

Now that the bleeding from the wound has been stopped, they can show their talents.However, Zhang Fan didn't relax a little bit, because the patient's spleen was seriously injured.

In Western medicine, if you choose a representative for human organs, you can use the heart, lung, liver, kidney, and brain plus a gastrointestinal to represent it.

The heart and lungs are not separated, representing the respiratory and vascular systems, the liver represents the secretory immunity, and the kidneys can represent the urinary system.

The brain can represent the central nervous system, and the gastrointestinal system represents the digestive system.

So, which system does the spleen belong to?

Traditional Chinese medicine believes that the spleen is the essence of the water, and it is distributed throughout the body.

Huangdi Neijing Suwen said: All dampness and swelling belong to the spleen.

Generally speaking, when a person becomes swollen, the problem lies in the spleen.

Back then, the ancestors of China didn't know if they opened the plug-in or not, how did they think about it, although it is very general, the explanation is also very general.

However, in recent years, Western medicine has only slowly studied what the spleen does.

Earlier, Western scholars believed that the function of the spleen is very important during the fetal period. It is the hematopoietic system.

After adults, its function is replaced by bone marrow, so it is a useless organ in adults.

In the past few years, the function of the spleen has been slowly discovered. First of all, the spleen can not only continue to produce hematopoiesis in critical situations, when the bone marrow of the younger brother is not as good as hematopoiesis.

It can also filter blood. When the red blood cells of the human body age, the spleen will eat these old red blood cells.

When this function is hyperactive, it not only eats aging red blood cells, but also healthy red blood cells, which then causes refractory anemia.

While eating red blood cells, it also stores blood. When the human body is excited or ischemic, it releases the stored blood.

Therefore, the blood comes out of the spleen.

There is a more important function: immune response.

After the human body is infected by bacteria or parasites, various combat factors in the spleen are released, and it not only releases combat factors.

For example, the plasmodium, the spleen can eat it like a jelly bean, which is a very domineering organ.

Therefore, this thing is actually a body's armed department.

However, its texture is not very good, it is very fragile, just like the most tender radish, falling from the bottom, snapping, can definitely break eight petals.

Although it is hidden under the ribs, it is the most vulnerable to damage and rupture of all organs.

And this thing is not only easy to break, as long as it is hurt, it is especially easy to cause splenectomy.

There is such a saying in surgery that spleen preservation surgery is thrilling. It belongs only to the noble surgical textbook and should not appear in the operating room.

The spleen is such a flammable, ruptured and explosive organ.

In the surgical operating room, the physiological function is the emperor, the unplaning form is the queen, and the doctor, a mature surgeon can only be a prince.

All things must be done with the consent of the emperor and empress before doing something sneaky, such as unspoken rules for a palace lady.

The shape of the spleen is like the subway in the rush hour of Maruko Country, with a thin coat on the outside.

Just like the body fooling the body, of all organs, its coat is the thinnest.

Inside this thin coat, the spleen tissue is stuffed full, just like a plump woman must wear one-size underwear.

I don't know what the body thought at the beginning.

Under this structure, sometimes, let alone a deliberate blow, an accident will break it.

In the winter, the man pulled his slender girlfriend, but his girlfriend's high-heeled shoes accidentally fell and felt nothing wrong. The woman didn't feel the pain at that time.

Walking along, half an hour later, the man patted the woman on the back and intimately said that the woman is a little fool.

The affectionate slap, a little bit of strength was useless, but the slap shocked his girlfriend!

Fear can scare people to death, this is because the spleen was shattered at the moment of the fall, but the clothes outside the spleen were not torn.

When the bleeding got more and more, the clothes couldn't hold on anymore. He snorted, the clothes were bloated, and the blood pressure disappeared instantly, just like bleeding.

Therefore, sometimes, such as being rubbed by a car or being pushed from the back by a motorcycle.

Many people, carelessly, pat their buttocks and say nothing!

Don't be careless at this kind of moment. It's not about touching porcelain. It's best to go to the hospital for an abdominal CT at this moment.

Because once the spleen is injured, it is really difficult to keep the spleen in the operating room.

It's not a top-tier tertiary hospital, I can't even think about it.

"The blood pressure is up! Zhang Yuan, the blood pressure is up!" The anesthesiologist immediately reported the patient's life status to Zhang Fan.

"Okay! That one, if there is still bleeding, can you guarantee to maintain the patient's current state!"

Zhang Fan turned his head slightly and asked that one.

When that Duo heard it, he groaned slightly, and then held an emergency small meeting with several other physician novelists.

"If the bleeding is not very fierce, it should be ok, but if there is another major bleeding, the patient's medication threshold is almost at its peak, and it is estimated that it will not be able to keep it."

Naduo told Zhang Fan the results of their discussion.

Surgery, especially the preoperative discussion, such as simple appendix, the gallbladder also said in the morning meeting, conventional surgery.

For other slightly larger operations, whether you are a doctor in the same group or not, as long as you are a doctor in the department, you must express your opinion at the morning meeting.

However, emergency surgery is not good. For example, now, it is just between Zhang Fan's thoughts to preserve the spleen or cut the spleen.

Is it difficult to cut the spleen?It's too simple. It was almost taken by the surgeon more than a hundred years ago.

But what about protecting the spleen?

As far as the current technology and the current medical level are concerned, the weaker top three hospitals dare not mention it.

Don't ask, just ask.

This is not because the doctors are irresponsible. When the spleen is damaged, cutting the spleen can save your life.

But spleen preservation surgery, the cost of the operation is high before the spleen is cut, and the risk is still quite high. If it is not done, the spleen is not saved, and even people can't save it.

Therefore, the organ of the spleen is really an alien in the human body.

Zhang Fan pondered, the first time this happened during the operation.

"Zhang Yuan, cut it if it doesn't work, the blood transfusion has almost lost thousands of ml, it's too dangerous!"

As an old doctor, Lao Li understands Zhang Fan, and he understands what Zhang Fan is hesitating now.

"Director Zhao, how is their operation?"

Zhang Fan nodded slightly, but still unwillingly asked more.

"The operation on their side went smoothly. The patient corrected the shock and repaired the blood vessels. Now it is almost over."

The head nurse in the operating room answered immediately.

"Okay, let Director Zhao come over!" Zhang Fan made up his mind. Since he is capable, he must make the operation perfect.

The organs of the human body are not leeks, this thing cuts a crop, and will never regenerate.

Now that conditions and certainty are certain, Zhang Fan decides to have a spleen preservation operation.

Outside the operating room, the patient’s family members cried and became tearful, and the parents of the owner of the eye shop were out of breath holding the little girl crying.

In the laneway where the incident occurred, the heartbeat of the boss who bought the dried fruit could not be suppressed.

On weekdays, he relied on his body to be strong, and he was considered a tyrant, but now he can't hear the metal clash.

As long as there is a crisp metal crashing sound, his urination will flow in his heart, and he can't hold it!

In the operating room, Lao Zhao also went to Zhang Fan's operating table.The director of General Wai did not give it for nothing. Although Zhang Fan did not perform the operation as well, there was still life in his eyes.

Zhang Fan asked Lao Zhao to look at it.

"how about it?"

Zhang Fan asked.

"Zhang Yuan, you can give it a try, I'll help you."

"Okay! Who is the second helper?"

"Zhang Yuan, I'll come!" Although Lao Li supports spleen cutting, now the chief surgeon and the director decide to protect the spleen, and he has to go all out.

This is the hospital, this is the operating table, the assistant can have opinions, or even reserve opinions.

However, when the chief sword makes a decision, whether you object or not, you must go all out to complete the chief sword command.

Therefore, a qualified surgeon is very valuable in the department or even in the hospital.

Internal medicine can discuss together around the patient's number and slowly study medication together, but surgery is not good. In a short period of time, what to do and what to do, someone must stand up and take this responsibility.

Therefore, surgeons pay attention to one inheritance and one up and down, because their experience can be said to be practiced with one life after another.

"Okay, start! Spleen protection begins."

"Start!" Lao Zhao also gritted his teeth and roared in a low voice.

Just like the cry before the charge, the cry in a low voice made everyone's spirits absorbed.

The wound of the spleen, like a flower petal, appeared in front of them.They started spleen preservation surgery.

The female owner of the eye shop was also awakened by the anesthesiologist and slowly woke up.

Looking at the white wall above, her heart was full of regrets, and all kinds of regrets were mixed together.

Tears filled her eyes, looking at the nurse beside her, she didn't even have the courage to ask her husband.

She dared not ask, for fear of hearing bad news.

Really, what is hard to buy in this world is regret medicine.