Chapter 138 It's Okay Not to Be One of Ourselves!

The flower hen flew from a distance with a rattling sound. It seemed that the speed was not very fast, and it had a big belly. In fact, the speed is quite good, and the signal light is not very obvious in the daytime, unlike the purple headlights of 120, which flash like a beauty salon, not only bright but also sound.

Zhang Fan put down the phone and ran towards the elevator. Wang Hong took a look, put down the things in his hands, grabbed the phone and ran after him.

"Call the logistics team to free up the operation elevator, and let them coordinate other operations."

"Okay!" Wang Hong called the logistics staff while running, panting. If she didn't know that she was in the work unit, she would have thought she was doing something.

For the elevator in the hospital, in order to save money, some people wanted to build a big elevator, and the other elevators were made into small elevators.

In fact, a large elevator is not much more expensive than a small elevator.

At that time, Ouyang did not agree. All the elevators in the hospital were the same as the freight elevators in the shopping mall. At this time, the advantage came out. After the operation elevator was controlled, other elevators could still enter and exit the operation flat car. The hospital was a big waste.

In many places, it seems frugal, but in fact it is short-sighted. For example, when a non-medical professional director came to a county-level hospital, he even emphasized saving. Can needles be reused? It's not easy, and he also said that he came here like this back then, and he didn't see any diseases.

Then there was an outbreak of hepatitis C in the Pediatric Department of the hospital, and no one told the news to the parents of the children.

WHO has a special statement on hepatitis C infection: in health care institutions, reusing or not thoroughly sterilizing medical equipment (especially syringes and needles); transfusing unscreened blood and blood products; sharing injection equipment Injecting drugs.

There is no danger of repeated use of Nima injections, so one can imagine how brain-dead this dean must be.

Is this Nima cost control controlled in this way? Sometimes, things in the medical industry really cannot be said.

After the rattling flower hen stopped steadily on the tarmac, Zhang Fan waited for a while, and after the propeller speed slowed down, he led the nurse and doctor to push the flat car and ran over.

The cabin door slammed open.

Before the person came out, what came to his face was not the smell of blood, but the smell of fireworks after the fireworks were set off.

Then jumped down a few soldiers holding submachine guns or automatic rifles.

"How, how? How many injured?"

As soon as Zhang Fan finished asking, he saw that the cabin was covered with a white cloth. He was stunned immediately. In the frontier, there are actually many things. Even Zhang Fan is at this level. It took many years to read the news to find out what happened in the first place.

But, no matter what, Zhang Fan didn't want to see problems with his soldiers. They all had green faces and took off their green military uniforms. In fact, they were just a group of simple and honest children.

Just when Zhang Fan was in a daze, Xue Fei jumped down.

"Zhang Yuan, Zhang Yuan, a soldier was injured, and I have dealt with it. But surgery is still needed."

Zhang Fan was taken aback, "Is it just an injury?"

"Well, I was injured by a stone. It's quite serious. Come and take a look."

Zhang Fan went over and saw that the young man's head, face and upper body were bandaged like a mummy, with only his eyes and nose exposed.

"It hit the brain and scapula. There was a history of vomiting and syncope. The intracranial pressure increased significantly. He vomited blood, but the amount was not large."

As Xue Fei introduced, he, Zhang Fan and the doctors in the emergency department gently lifted the young soldier off the flower hen.

After putting it on the flat car, Zhang Fan immediately said to Wang Hong: "Notify the extra-brain team and wait in the operating room!"

"It's in place."

Then Zhang Fan looked at the cabin again, meaning what was going on inside.

Xue Fei pulled Zhang Fan out, "This is not our person, I was shocked when I first arrived." He said while pulling Zhang Fan downstairs.

No one reported this to Zhang Fan, and Zhang Fan felt like a cat's paw scratching his head, but he couldn't ask.

Until later, Yang Ma suddenly released a documentary one year, in a piece of Gobi, the country's digital army was chasing a group of militants.

On the plateau, even in summer, the temperature is still freezing.

The militants not only have guns, but also push down the rocks on the mountain, just like shells.

Boom! A young fighter was smashed.

It was like a dead tree in an instant, and it was smashed to the ground without even making a cry.

The battalion commander went crazy, commanding the troops to rush forward, while the instructor and two other soldiers carried the wounded and ran down the mountain.

In the end, the militants were trapped in a cave...

Sometimes, talking about this kind of thing is like bragging. Not to mention the ordinary people in the interior, even the people in the frontier are actually the same.

How can such a thing happen when the sky is bright and bright?

In fact, it is these children who are stationed on the border of the motherland who are working hard and dangerous. Sometimes, some people don't quite understand the frontier, and feel as if it's too strict here.

To be honest, it is indeed very strict, but what if this group of armed devils once entered the city?

The bright and clear sky was forged by these children with their blood and sweat.

As soon as Zhang Fan heard this, he didn't worry about it anymore, as long as he wasn't one of his own people, he picked up his white coat and started running down the road.

"Hurry up and get a CT scan, it's time, you're still wearing a shitty lead suit." The director outside his head scolded wildly.

Tea Su's extra-brain group is almost like a brain surgery room set up with moderate doctors. On weekdays, this group of people don't know whether they are pretending or they are of high quality.

He spoke harmoniously to everyone, and even the nurses and patients of Chasu Hospital gave him a thumbs up, saying that he was a great expert from the capital, not only good in technology, but also good in temper. It's not like Zhang Heizi who looks like tea, his face turned dark before he even spoke.

But at this time, the director outside the brain scolded and flew up in the operating room.

Radiological examinations in general operating rooms, such as C-arm and bedside CT, require doctors to wear lead suits or hide behind lead plates.

A doctor who came for advanced training followed the routine operation and was pushed aside by the anxious department director just as he was about to put on the lead suit.

Then get started on your own.

The doctor who was studying was so wronged that he was about to cry. He usually had a radiological examination. If he acted quickly, the director would not be happy. But today...

Yes, you have to be careful on weekdays, but today is different.

Will doctors be exposed to radiation to treat patients?

meeting! But such doctors may become less and less!

As soon as Zhang Fan entered the operating room, the director outside his head did not pause. Zhang Fan didn't retreat either, but gently let the trainee doctors and nurses retreat.

If you have enough manpower, you can dodge it or dodge it for a while, especially for women, the breast is too easy to be treated by radiation factors.

"The fracture of the cranial cortex produces a depressed fracture, and the possibility of venous sinus injury cannot be ruled out. The broken end of the fracture is bumpy. The cranial nerve vIII is considered damaged..."

The director outside the brain began to report the damage situation loudly to the monitor.

Zhang Fan and the others don't need to watch the film any more. In the sentence-by-sentence report, Zhang Fan has already constructed the injury situation of the little soldier.

Just as it was engraved in his mind, Zhang Fan took out gentian violet while listening, and began to draw the surgical approach mark on the little soldier's head.

Under normal circumstances, Zhang Fan seldom draws preoperative marks, because the human body structure is almost engraved in Zhang Fan's brain.

But not outside the mind.

In the simplest case, for example, when a person falls or has a car accident, what flows from the nasal cavity is not blood, but streams of clear liquid.

At this time, don't be careless, don't think this is snot.

This is cerebrospinal fluid, which is even more dangerous than bleeding at this time, so in this situation, don't move without authorization.

And the same goes for surgery.

The little soldier not only had a lot of blood flowing out of his mouth, but also blood mixed with cerebrospinal fluid flowed out of his nasal cavity.

Moreover, the most troublesome thing is that the fracture is embedded in the skull.

How to describe it, probably a bone slag inserted into the tofu.

If it is in other parts, it is amazing to pull out the bone scum, and then sew two stitches on the wound, even without numbness, anyway, it is a matter of two stitches on the left and right.

But the brain can't.

The doctor must weigh the risk of raising the bone fragments, because a careless one can cause iatrogenic epilepsy.

This is an extremely serious mental blow to patients and their families.

"Begin to expose!" As soon as the director outside the brain reported the film, Zhang Fan gave the order to start the operation.

The director outside the brain saw it, and immediately shouted to the itinerant nurse: "Acetazolamide and mannitol 1g/KG are intermittently infused intravenously, and the intracranial pressure must be stable.

Quick, barbiturate static push inhibits the formation of brain waves,

1g of methylprednisolone administered intravenously, 2000 units of heparin administered intravenously..."

The director outside the brain doesn't need Zhang Fan to worry about these things at all. When Zhang Fan started the operation, he had already started to take corresponding protective measures.

None of these measures should be missed. They may seem simple, but they are actually quite important.

For example, with barbiturates, the human brain is just like the heart, and it can move. During surgery, the brain will move violently due to pain or drugs.

Compared with other organs, the peristalsis of the brain is like brains in a hot pot. But in surgery, especially trauma surgery, it's a pretty dangerous thing.

Tea Su's extra-brain is already very powerful.

However, no one was unconvinced by Zhang Fan's position as the chief surgeon.

Because everyone knows that although Zhang Fan rarely speaks or shows off outside his head.

In fact, Zhang Fan must be one of the best brain surgeries performed in Huaguo at present.

Open the bone flap, apply counter pressure with both hands, and clamp the bleeding blood vessels with ophthalmic forceps immediately.

"Quickly, let the orthopedic department come over and take a section of the radial artery for me!"

After opening the brain, Zhang Fan was sweating profusely.

The stone was dropped from an unknown height, and the helmet did not have a protective column, and the side of the temple was smashed like a brain flower with fermented bean curd.

The red and white ginseng were joined together, and the superficial temporal artery was pierced by bone fragments like a leaky cover.

If it is placed in the extremities or internal organs, the superficial temporal artery, which is not too thick, will be ligated directly. Don't even think about it, fix?

If it is not used, the body can directly generate collateral circulation.

But not in the brain.

Because the brain is a foodie, before the collateral circulation is formed, this piece of the brain is starved to death.

"Zhang Yuan, Wang Yanan and Xu Xian are here."

"Three centimeter radial artery, remove it immediately."

Without even raising his head, Zhang Fan gave the order. Remember the URL of this site, www. biquxu. Com, convenient for reading next time, or Baidu input " ", you can enter this site