Medical road

Medical this industry, it is easy for the foreman to make a low-key luxury connotation when they look at the parsers. For example, when the leader checks the room, the Director stands in the middle of the crowd, with a slight body movement of some body.

Then the kindness to give the young doctor around the patient, occasionally a foreign language speech, especially the middle-aged male director, and a low voice really have a fascinating feel.

The young doctor who stands around the director is that Nima said light! For doctors, this is absolutely not low-key and luxurious, and the real thing is to see it, and it will be discounted.

For example, is the most obvious one, the heart works cardiac surgery, cardiology, individuals pull out, can speak of a more than a agile, it comes to you from electrophysiological threshold cells to sodium ions out from you Said the state of the heart shrink.

Lets get started, full pull out three hospitals can boldly said, I do cardiac puncture do the most agile! Simplest, five punctures in cardiac puncture, which is explicitly requested intern on the Ministry of Health syllabus Must be mastered.

Can Nima to see, which medical school is full of medical schools to let the interns do this live, then the ending is that the students are excited, they are excited, it seems that they can finally see it. The rivers and lakes have been a long-awaited sword spectrum.

As a result, when the class, the teacher said faintly. This chapter will not explain in detail. Real Nima is like a junior high school biology class. It is necessary to have a physiological and physiological and physiological and physiological, and the beauty teacher actually does not care about it. Let the students go home to see themselves.

Nima, look at me, what do you want to do? Is it from the tuition fees?

In fact, this is really difficult. Your abdomen is puncture, even the worst result is to give people a bladder. The most is a few days of blood, let the prostate old old man suddenly have a kind of self. It can also come to the illusory illusions.

It is not enough, one is not enough, and a needle plugs too deeply to break the heart of the muscles. This Nima is not a joke to solve it with a few toilet paper. This is to live.

In the operating room of the School Research Institute, Zhang Fan has separated the child's circulatory system with Jiang's old man. How do you say it? It is like a roller washing machine on the edge of the operating station, but also Nima is double bucket.

The blood enters the vitro circulation machine, and the child is like an alien, a wire group full of electric lines.

Especially in infants, you are inserted with a pipe, then a pipeline, then a big blood cavulation in your chest, really, the more you think that you feel the heart.

At this time, Zhang Fan and Jiang Lao have time, when they have arrived now, they can say the most critical moments.

"The temperature must be lowered and then perfuse it. Otherwise, the brain will damage, the child is too small, we can't even judge the damage or not damaged, Zhang Fan cools!" Jiang Liang looked at Zhang Fan forehead. The big sweat is said to say a word.

To be honest, there is no opening of the secondary level system, it can do very well, but Zhang Fan can only say that there is a pair of golden hands, and lacks a brain that is a hammer of heart disease. .

Surgical volume and the amount of knowledge out of his heart is not enough.

Cool, cool operating table, to be honest, this thing is a double-edged sword.

Human brain tissue is extremely sensitive to ischemia and hypoxia. At room temperature, the cerebral ischemia time is five minutes, which is the treatment window of cardiopulmonary recovery, more than five minutes, will definitely appear.

So when rescued, the person in the non-medical industry, once the person who needs to be rescued does not jump, you don't think about it to you, you can blow it with the mouth of others, you first want to let the heart jumped.

Whether it is passive or active, as long as you can make your heart jumped up, this is successful, first of all, you extend the rescue recovery treatment window.

In brain tissue, 40% of oxygen consumption is used to maintain cell integrity and 60% is used for nerve impulses. This is why people will have some illusions when the carbon dioxide concentration is too high.

Because this time, the brain is actually like a worker who has salary, it looks at work, in fact, Nima is touching fish.

Now the current surgery, you need a whole body pause to circulate for ten minutes, ten minutes, other organs don't say, the brain is not willing.

How to do, reduce the temperature, the body reduces the decrease in linear decline in the body, and the two functions have a intersection, when the body temperature reaches 13 ° C, it can reach 29 minutes.

Of course, the body temperature continues to decline, and the safety consumption metabolism will continue to decrease, and the side effects will become more and more serious. First, the brain is happy, but the heart will not be willing, this temperature, the heart can not be done when you can't sleep Or the blood vessel will block.

This is why many old people will have a cardiovascular disease when they come in winter.

This kind of cooling is cumbersome, there must be a corresponding instrument, such as a special water bath. Cooling patients, but Nima is like you bought a piece of meat, and it is performed in the refrigerator, which is needed in a constant water bath.

And it is still necessary to start after the in vitro cycle. This cooling time is slow, sufficient cooling, at least 30 minutes, current experimental data clearly confirmed that sufficient and uniform cooling at least 75 minutes.

At the time of cooling, the other side has a mouth to open a mouth, and there is a temperature of the blood in the crush.

What do you mean, in fact, it is white, while the blood is cooling, it is necessary to enter a little bit of blood, let the blood ensure that the neurons and internal organs in the body are not frozen.

This kind of surgery is particularly troublesome, while cooling, while still have a small amount of temperature and body temperature in the body, the temperature is high, the brain is active. The temperature is low, the other internal organs and neurons have necrosis.

Really, to tell the truth, don't say, just a cooling and warmth, it is enough for a doctor to learn a lifetime.

This kind of surgery, does not mention the tea, have not been done throughout the northwest.

"What should I do now?" Zhang Fan did not waste, and directly asked Jiang's old.

Jiang You is slightly stunned, and the brain is in a big sentence: stick! But still started to say: "Is there a water bathroom?"

"Yes!" The Director of the Children's Research Institute nodded, and then directly let the doctor pushed the water bath, which is a bit similar to the hatching chick.

"Is there a bedside detector?" Jiang You swallowed the swallow!

"What should I do with EEG and inductive induction point detection?"

"Yes, it is necessary to choose the European or the US, we have three sets!"

"It is best to have a cervic venous blood oxygen detection balloon catheter temperature detector."

"Yes, the child version!"

Jiang Lao He said that Vietnamea heart is surprised, and finally he wiped the sweat test and asked: "Is there a non-invasive transcranial oxygen saturation detector?"

The detection of blood oxygen saturation, usually puncture the artery, the general doctor nurse will take off your pants, in the root of your thigh, a thick needle tube. Under this operation, the nurse will not go to hand, and it is often assistive for doctors operating nurses.

Non-invasive detection, in fact, the infrared ray is launched to the outer edge cortical layer, as as the electronic thermometer. This is valid, but this means is new, so it just appears in some high-end laboratories.

As a result, the director of the School Research Institute is nodded, "I have, but ..."

Unexpectedly, Nima Teachers' research institutes also had. Jiang You listened, hurriedly asked: "What happened, is it broken?"

The old man thinks that things are too advanced, so that this is giving the goods.

I didn't expect the director of the School Research Institute to say: "It is not bad, it is not bad, that is, the doctor here is still not used!"

"Fast, push it out!" This almost sent Jiang's old, Nima He wanted this instrument for a long time!

When all the equipment is set, the child is like a small fish that is opened by the open belly.

As far as the onion ginger, it is really like marinated.

"DHCA temperature management begins!" Old Jiang Tou a one-piece start point name.

"Yes, DHCA temperature management begins!" At the same time, Yang Yong, Yang Yong repeated his old man, then clicked on the instrument.

"PH Management begins!"

"Yes, pH management begins!"

"Add the amount of fluorine, isoflurane!" Three old men outside the operating table, while changing anesthetic dose, when the child entered the pool temperature began to reduce, the injection anesthesia also slowly became inhaled anesthesia Main.

"Hormone doubles! Into the pot!"

"Kid, now look at you, twenty minutes, this hole will see if you can blocked." After the old Jiang He was arranged, he went deeply with his eyes deeply.

"Well, start!"

At this time, it is a steady unable to stabilize each other, like a patient with the prostate.

Under the microscope, Zhang Fan started. When all everything is smooth, tell the truth, this hole, the green hole, under Zhang Fan, as Nima is a brother.

Talent Nima yellow bean is too big, it is too clear that there is a good thing, you come out.

Zhang Fan does not use assistance, one hand holds the needle, holding the needle of the purple suture on the needle, and the other hand holds the eye, directly pulls the heart of the heart, no estimate.

Directly sewed, Toyima is simple, and there is a lot of white sweat.

The upper and lower, one cross knot was sewn by Zhang Fan, and beautiful is like a small chrysanthemum that is a child's heart, really with the muscles of the muscles, the small chrysanthemum is opened. So beautiful.

"Removal, perfusion!"

Blood, from the mass circulator, slowly sent into the body, the water temperature in the child's bath is slowly starting from cooling.

And the blue like a blue spirit is slow, first from the cheek, changing pink, then the neck, all body, and finally the limbs are still lips.

Slowly, I watched the little doll like a small devil. At this time, the powder of this time, Nima is a Page sleeping.

"Heart rate, blood pressure, blood oxygen, breathing is normal, the child is restored. Seeing the child's electroencephalas is normal. The Zhangyuan is successful!"

The director of the Search Institute didn't know what to say.

There is no hope, it is actually perfect, it is really unexpected.

Jiang Lao touched the instrument around him at this time, and his heart secretly squatted, "It's really good, it is a good thing!"

Zhang Fan looked at the child's instrument, he also excited, really, when the child can't operate after the child, his eyes are dark, really.

He looked at the data, took the time to see Jiang's old man, I originally wanted to thank the old man, and the result saw the old man to die, he smiled slightly.