Four Hundred and Thirty Lottery
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In the operating room, following the nurse's announcement of the time, not to mention Zhang Fan and the others who were nervous about performing the operation, even the equipment nurse was nervous, and the speed of passing the equipment was a bit faster.
"Steady!" Zhang Fan was deeply afraid that something might happen, so he had to say something while undergoing the operation.
The busier you are, the more chaos you will have, and can this kind of operation go wrong? There is not much hope for not making mistakes. If there is another mistake now, there is no chance for the wounded to survive.
A doctor is a strange profession. Many people think that if you don't give some red envelopes to the doctor in the hospital, he probably won't be careful or will do something on purpose when performing the operation.
In fact, it is unnecessary. As long as it is an individual, facing the patient on the operating table, he did not say that he is not careful. At the moment when the blood spurts out, apart from the level of technology, he will definitely not have any wrong intentions. Just not human.
Everyone thinks that doctors' income should be extremely high. Not to mention other things, the income of the transfer dog is probably not as high as the salary of the hospital cleaning lady. Doctors in regular hospitals in the industry actually earn the same.
The really rich doctors are actually some kind of health care doctors who walk among the rich and famous. It is not known whether the level is high or not.
But eloquence and emotional intelligence are definitely high, and the income is also very high. This kind of doctor, such as Zhang Fan and other technical dogs, will never be able to handle it, and may conflict with clients.
"Wet gauze, suction device!" Opening the abdominal cavity, as Zhang Fan expected, the abdominal cavity was a mess. The food of the field troops is much better than in the early years.
But once there is an emergency, the compressed dry food and dehydrated vegetables have not changed for many years. Make a fire and eat hot food, I think too much. A puff of blue smoke above the wilderness can be seen several kilometers away.
This thing tastes good once in a while, it's salty and sweet, and it's greasy, so you'll be full after a few bites, but it becomes a torment if you eat it often.
Therefore, when these soldiers usually eat, they just wash it down with water. The dehydrated vegetables are like drinking medicine, and they go down with their heads tilted.
"This is spinach and diced carrots!" The white dry rations were ground in the stomach and then entered the small intestine mixed with blood and digestive juices. And because of the flow of blood, as the body temperature drops.
The mushy food immediately becomes a semi-solidified substance, which solidifies in the lower part of the abdominal cavity.
This is filled in the abdominal cavity like a creamy wafer, with a large piece of unchewed vegetable leaves and diced carrots interspersed in it. It is really like a foreign dark cuisine, what kind of vegetable cream cheese soup!
Zhang Fan took the wet gauze passed by the nurse and pulled it out in lumps. The blood in the peritoneal cavity oozing out of the digestive juice was not coagulated, and the blood dripped down the gauze along the palm of Zhang Fan's hand.
"Intravenous access plus a set of antibiotics." Zhang Fan said to the backup team while quickly holding out the semi-solidified digest with both hands.
Digestive juice is the liquid that aids in digestion when it is in the intestines. But once this thing leaves the small intestine, it will be TM's industrial alkali.
Reflux to the stomach and esophagus. If the reflux is frequent, the esophagus and stomach will be burned directly. Long-term reflux is cancerous and cannot escape.
Once it leaks out, it will cause severe pain, which is why patients with intestinal perforation can suffer from pain to shock. The stomach is full of alkali and digestive enzymes, and what they see breaks down. Can it not hurt?
turn! turn! turn! Zhang Fan inserted his hands between the intestines. "Bent pan!" Suddenly, Zhang Fan's voice was filled with a hint of joy, and the equipment nurse quickly passed it over.
"Clang!" A piece of black iron was put into the curved plate.
"Thanks to the exhaustion of the kinetic energy, it did not enter other organs, but stayed in the abdominal cavity. There is another piece, which probably did not enter other organs."
Zhang Fan was excited, too excited. He originally thought that he would cut out the kidney or spleen. As a result, he won the jackpot, and the shrapnel did not hurt other organs.
heard thousands of times,
I didn't even witness a single shock. When Lu Ning was a graduate student, he also underwent a lot of operations before he graduated with a doctorate, but this was the first time he had seen this kind of bomb injury.
"The damage is too great." He looked at the abdominal cavity, and his heart was really shocked.
Just like this, Zhang Fan couldn't be happier. If the shrapnel protruded a few centimeters, it would be either the kidney or the pancreas.
"Salt water! Salt water! A lot of salt water." Zhang Fan became energetic, as excited as if he had drunk Red Bull suddenly. When he didn't see the shrapnel, it was like a bomb that was about to explode at any time. No one knew when it would explode.
Now it is clear that other organs have not been damaged, so don't worry too much. "ten minutes!"
"Haha, there's no need to tell the time! There's no need to tell the time." Director Zhao, an old general outside the general public, was as happy as a child, and said to the itinerant nurse.
"Yes, there's no need to tell the time. Director Ren, raise your blood pressure and put on the cardiotonic. Don't be afraid. Now I'm going to find out the blood spots and raise the blood pressure." If it wasn't for the mask, Zhang Fan's cracked mouth could definitely be seen.
Lu Ning's eyes were wet. When the wounded was in the most danger, everyone tensed up. They didn't dare to relax for a moment. They were afraid that the wounded would die. There was no time to express emotion.
But suddenly hearing that he was saved, it was as if the lacrimal glands were stimulated by the relaxed nerves, sour. The operating room also seemed to have suddenly entered the dog days from the cold three or nine days, and the atmosphere was warm.
"Oh, I have to sit for a while, I can't stand anymore. My calves are shaking a little." Jumabek also smiled, rubbing his calves, and said with a smile, I'm too nervous, and what the adrenaline drops brings is endless of fatigue.
"Hemostatic forceps!" Following the device nurse's handing over, Zhang Fan "Crack! Crack! Crack!" began to clamp along the intestinal bleeding point. "Has the blood pressure risen, and how is the heart rate?" Zhang Fan asked after no obvious bleeding could be seen in the operative field following Zhang Fan's clipping.
"Get up! Get up! The blood pressure has risen, and the heart rate has also begun to drop!" Ren Li said excitedly.
With her arms crossed, she continued, "The sound of Dr. Zhang's instruments clamping blood vessels is the best sound I've heard in recent decades. It's so clear that it can go around the beam!
No wonder male doctors are willing to do surgery, it is so fulfilling. It's really exciting to take your life from the hands of death. "As she spoke, Ren Li, who had rescued countless people, couldn't continue.
"Hehe!" Zhang Fan was also happy. Isn't the surgery just to save people, and now that the people are alive, these people are more happy than any compliment.
"The blood vessel is clamped, the blood pressure rises, and the heart rate drops. The remaining shrapnel is like catching a turtle in a jar. I don't worry about where it will go." Old Zhao said very confidently.
"Did you find it?" Lu Ning asked anxiously, unable to see what was going on inside the abdominal cavity.
"Hey! I can't find it." Lao Zhao said strangely, he was a little embarrassed, what he just said was a bit too full.
Although the space in the abdominal cavity is limited, it is really hard to find the various organs fixed in it, the fat in the intestines, and a small shrapnel caught in the fat somewhere.
"Go push the C-arm of the orthopedics department! Direct abdominal fluoroscopy." Zhang Fan said to the itinerant nurse after clamping off the blood vessel of intestinal bleeding, wrapping the ulcerated intestine with wet gauze.
"You can't rummage around like this anymore." Zhang Fan said to Old Zhao and Lu Ning.
"Well, good!" The intestines are sometimes very delicate. After turning over a few times, when the abdomen is closed, maybe it will stop wriggling arrogantly for you.
The roving nurse pushed in the C-arm, which is usually used in orthopedics, so it is usually placed in the orthopedic operating room.
"Go in and hide!" Old Zhao said to Zhang Fan.
"Director Zhao, you go in, I'll come." Zhang Fan didn't agree.
"How about I..." Lu Ning felt embarrassed and said something.
"It's okay, you all go in and hide for a while, just give it to me." Zhang Fan directly refused, and everyone hid behind the lead wall.
What are they grabbing? I'm grabbing the C-arm positioning. The abdominal cavity is not a bone. As long as the bone is not manually reset, the steel plate is on the bone, and there is no need to worry about it running away.
But the abdomen is different. This thing can be said to be a three-dimensional thing with several layers. So to do perspective, you must first position. When performing surgery, there is a rule that whoever has the sick number is responsible.
But Zhang Fan couldn't do it if the senior brother who came to help him eat the ray, and he couldn't do it if the old Zhao who was not young was given the ray, so Zhang Fan had to do it himself.
"Go down a little bit." Zhang Fan took the Kirschner wire and followed the C-arm while positioning it. Following the sound of the remote control switching on and off behind the lead plate, Zhang Fan was exposed to the X-ray and carefully looked at the monitor.
"Go on, stop! We've found it." Fortunately, the location is better, otherwise, Zhang Fan would have to take a lot of radiation.
A polygonal black high-density object appeared on the monitor. Zhang Fan fixed the position with the Kirschner wire, and everyone came out from behind the lead wall.
"How about I do it? You take a break." Lu Ning said to Zhang Fan.
"It's okay, Senior Brother!" Zhang Fan rejected Lu Ning.
"Surgery? Impossible. Our Dr. Zhang can do anything, except surgery." The anesthesiologist said to Lu Ning with a smile.
"Hehe, I have exactly the same temper as the teacher, and I won't allow the operation. No wonder the teacher said that I didn't have a clinical attitude, and I didn't understand it before.
It is only now that I know that it is necessary to have the momentum to do my part when doing clinical surgery. "Old Lu didn't care, he had seen too many domineering doctors like this.
"Hehe!" Zhang Fan laughed, and didn't say much. He glanced at the monitor and started looking for shrapnel. Foreign bodies in the abdominal cavity are very difficult to find.
Because there is a large amount of intestinal fat, just like lubricating fluid, it is still in this place for a few seconds, but with the peristalsis of the intestinal tract, maybe the next second it will move like a snow rabbit, moving along the fat like skis elsewhere.
And it can't be like digging through the closet, throwing out the clothes one by one if you can't find them, the intestines can't be thrown out.
Zhang Fan has been gently and gently inserting his hand between the intestines, not daring to move too much. With the increase of blood pressure and the clamping of the blood vessels, the temperature of the intestines also slowly rises.
When the temperature rises, the intestines will become more lubricated. If you don't find it quickly, it will become more difficult to find it with time. No matter how good the knowledge of anatomy is, no matter how much you can construct the abdominal cavity structure in your mind, you won't need it at this time, because this is a fucking uncertain movement.
Zhang Fan slightly raised his head, half-closed his eyes, and stuffed his hands between the intestines in the abdominal cavity, like a lottery. The people around were silently waiting for his news.