Chapter 131 Let's Fight (Thanks to the Leader: Drink and Don't Smoke!)

In medicine, there is a famous saying: We doctors will commit crimes and accumulate virtue; we will encounter setbacks and succeed. The sins we have committed are often unavoidable at work, and of course they cannot be made up for.

The truth is that medicine is not yet a sophisticated science, and we work with living, breathing, intricate human beings, not a jar of chemical concoctions.

This sentence was said by an emergency doctor in the United States.

Ordinary diseases, routine diseases, often make doctors think and think again.

And this kind of sudden accidental injury is even more difficult. The treatment at this time is not like doing multiple-choice questions. I can discard the answers that I think are not good.

The organs of the human body are not leeks, so it is quite difficult to choose. Sometimes it's really hard to be a doctor.

To save lives, one may have to give up a kidney, or part of the liver. It is often an empty dream to save lives and preserve some organs.

Really, after many years of this kind of medical work, the hearts of many doctors are as hard as cold stones.

This is not born, it is created by the entire industry, he has to be tough, he has to make choices.

Operating room, one two three four five, bang! Bang! Bang, like stuffing steamed buns, the children were sent to the operating room.

From the emergency center to the operating room, Zhang Fan almost lost his strength in the compressions. This kind of rescue, especially cardiopulmonary resuscitation, is best done by a professional person from start to finish.

It's okay for the doctor to be a little tired, and it's a big deal to take a rest after finishing the work. But for the patient, a slight pause may cause irreparable damage to the brain.

Therefore, people often see a scene like this, where countless doctors gather together and watch a doctor rescue. This is the reason.

General patients, patients with heart problems, and their respective patient numbers were sorted out at the door of the operating room, and everyone unanimously left the most serious patient number to Zhang Fan.

In the operating room, the relatively light child slowly woke up at this time.

Look at the people around you who are wearing blue hats, blue masks, and green clothes, and then look at the people holding knives, scissors, and sharp needles that are shining coldly.

Shock, blood, pain, and a strange and terrifying environment made children who hadn't experienced anything curl up together.

The little heart was wobbling, beating fast, and with the wounds on his body, he didn't even dare to cry, just like a cub that had escaped from the herd, looking at these strange people pitifully.

The itinerant nurses are generally a little older. Seeing the child's pitiful appearance, she wanted to come forward to comfort her.

In the end, before he had even taken two steps, the director of the general surgery department stopped him with a yell. "Don't worry about it, these bastards should be frightened, otherwise there will be big troubles in the future."

The words are rough, but the heart is kind.

On the operating table at the cardiothoracic surgery side, the director looked at the wound and wanted to say something but couldn't say anything.

The child here is a little older. When the explosion happened, he stood a little farther away, but the damage was not small.

The air energy of the explosion ripped his clothes to pieces like a big hand, and the shattered glass shards were like pear blossom needles in a rainstorm.

stuck in his chest.

On the small chest, there are countless spots or flakes of blood, just like the lips with red lipstick growing on the chest. As the child breathes weakly, these lips are still spitting red. Spit ideas.

At this moment, the child's chest swelled like a toad about to cry.

His chest, which was originally frozen purple, now turned purple and blue due to lack of blood.

The other two children are relatively lighter, but there are sharp glasses stuck in their faces and necks.

The child on Zhang Fan's side was the most serious, and his stomach directly hit the first wave of the explosion.

The wound is like a sunken flower, and the meat on the wound is directly the slivers of meat coming out of the meat grinder, sticking to the stomach like rags, rising and falling with the blood in the stomach.

Coupled with the broken intestines, undigested food flows out.

Green vegetable leaves, various food residues in the form of chylus, plus digested yellow stool, obediently, stained on the floating meat strips.

Green, yellow, and gray, it's really like the mutton in the shabu-shabu, dipped in sesame sauce and coriander.

The smell of blood and poop is really like a disemboweled pig in a slaughterhouse.

The child's water and electrolytes have been disturbed, and he has already entered a state of shock.

Now there is no time to test the extent of his body fluid deficiency, all medications are based on estimates and all rely on the doctor's experience.

Ren Li is the host of the rescue, "Input 3% hypertonic saline, be ready to click, and if atrioventricular fibrillation occurs, electric cardioversion will be performed immediately.

ECG report! "

"Arrhythmia, QT shortening, ST-T wave bending..." The deputy director of the Department of Cardiology immediately reported the results of the electrocardiogram.

"Use furosemide, hurry up, push furosemide! Zhang Yuan, can the patient be given an electric shock now?"

A series of treatments are all to preserve the child's heart, or in other words, all are to preserve the child's circulatory system.

However, there is always more lost than input.

"Can it, or can't it?" Zhang Fan didn't have any certainty in his heart. Really, medical matters are often not absolute.

Cardioversion without electric shock, heart failure that cannot run away, cardioversion with electric shock, aggravated bleeding, is still a heart failure.

Gritting his teeth, Zhang Fan gritted his teeth, holding the gauze in both hands, desperately stuffing it into the abdominal cavity, and kept stuffing it. The white gauze was stuffed into the child's stomach piece by piece.

The itinerant nurses and equipment nurses kept passing the gauze.

"Electric shock! There is only one chance, which one of you will get it?" Zhang Fan was already wearing sterile gloves and a sterile surgical gown.

"I'll do it!" Ren Li wanted to stand aside to grasp the overall situation, but at this moment, Naduo stepped forward.

"Remember, there is only one chance, there will never be a second chance!" Zhang Fan said while staring at Naduo.

Naduo pursed her lips tightly, looked at Zhang Fan, nodded, and took a deep breath. Hold the electric shock device with both hands and place it on the child.

Boom! A lot of gauze popped out of her stomach, and at this moment, that one was so nervous that she could hardly breathe.

Her ears were almost pricked up like Ah Hu. She didn't dare to watch the ECG monitoring, she was worried that an electric shock would cause more bleeding, which would directly lead to the death of the child.

"It's effective! Cardioversion!" The anesthesiologist exclaimed softly, this sentence, just this sentence, that excited flushed face, the adrenaline really reached its peak, if she was asked to shout, she would It can definitely roar through the sky.

When Zhang Fan heard it, it worked. Then he quickly led the general surgery doctors to get started.

The white gauze filled in, quickly taken out, white, white, then half white and half red, then red, green and yellow.

Take them out piece by piece.

"Continue to correct the acid-base poisoning, cut the organs, and put on a ventilator.

Epinephrine, digoxin, dobutamine injections, ready to dilate the blood vessels..."

Medicine and surgery are carried out at the same time, balanced, and now physicians are doing their best to create a weak and short-term balanced environment.

Now it's time to look at Zhang Fan and the others. If the damage cannot be dealt with in a short period of time, then this environment will not last long. After losing this balance, death will follow immediately, and there is no extra path to choose from.

For a normally healthy person, once the abdominal pain lasts for more than six hours, there is no need to think about it. This is an acute abdomen and should be rushed to the hospital.

For surgeons, apart from postoperative bleeding, there is nothing more terrifying than gastrointestinal anastomotic leakage.

Just think about it, an anastomotic leak can scare the surgeons, not to mention this child with a full stomach.

This kind of large-scale ulceration of the digestive tract, let alone the blood, let alone the loss of intestinal juice, the infection and poisoning caused by the bacteria in the stool permeating the abdominal cavity makes the surgeon's head explode.

This thing is not a matter of one point now, but the function of the whole body is facing collapse, right between the lines.

"Quickly, find the breakage and find the glass fragments involved!" Zhang Fan led the general surgery doctor, lowered his head, and searched for the breakage and fragments with great difficulty.

Don't dare to think about it quickly, this kind of trauma, especially the injury of a large area of ​​foreign body and sharp object entering the abdominal cavity, is really quite domineering.

You need to be quick to find a breach, don't you dare to be quick? dare not!

With a full stomach, there may be a piece of glass shard hidden under the twelfth intestine. If you are a little quick or careless, the old hole will not be found, and a new hole will come out.

"Warm salt water!" Zhang Fan no longer relied on his eyes, but relied entirely on his hands, like rubbing mahjong, stuffing it into the child's abdominal cavity, groping slowly, moving bit by bit.

With the long-term exposure of the abdominal cavity, the child's body temperature is also slowly dropping, and even the fat on the mesentery in the abdominal cavity begins to slowly change, just like eating leftover braised pork, and begins to slowly change!

I dare not pour too much warm salt water, because I am afraid that too much salt water will spread the infection, so I can only pour it where I can feel it, and I have to suck it out as soon as possible. Really, Zhang Fan's operation was extremely difficult.

Just like a boxer, he could beat the opponent clearly, but his hands were tied together with a rope, and then he kept letting the opponent, crackling, crackling left uppercut and right uppercut hit his face.

Dang clang, clang clang, clang clang, glass shards like pearls and diamonds were pulled out from the child's abdomen by Zhang Fan and the others.

Really, glass is something that can only be touched by hand. If it’s something like iron, if it’s irradiated directly on the C-arm, Zhang Fan can quickly find the iron even if he eats the ray, but the glass is under the C-arm, so it doesn’t show up, so he can only rely on his hands. Can only rely on the feeling of the hands.

Really, Zhang Fan's body was covered with cold sweat, and even the inside of the slippers under his feet were wet.

Right now, Ren Li was still anxiously urging, "Yuan Zhang, the blood potassium level is obviously abnormal, and a blood transfusion has already been given."

Zhang Fan really wanted to gag Ren Li, but he still had to listen to the patient's signs being reported to him at any time.

Disaster! ~

Touch, touch, touch. It's really like washing pig intestines at home, Zhang Fan didn't dare to be careless from the beginning to the end, from top to bottom.

If you touch it once, you often have to go back and touch it again. Don't talk about the intestines, which are full of grease and mucus.

Even if a needle accidentally sticks into the fat layer of the human body, don't even think about it, just take it to the radiology department. It will never stay in one place honestly, waiting for you to find it.

Therefore, due to the peristaltic nature of the intestinal tract and the lubricity, the glass slag is like a naughty child, constantly playing hide-and-seek with the doctors.

"Zhang Yuan, it's over, I can't hold on anymore!" Ren Li's voice became more emphatic.

Really, sometimes, when resuscitating, I just watched a life, which was obviously about to be rescued.

In the end, all of a sudden, as if the Hades were angry and unhappy, the defense that the doctor had built up with great difficulty was instantly overthrown and trampled down.

Outside the operating room, the boss of the chemical factory stared blankly at the fluorescent lights in the corridor as if he had lost his soul.

Parents whose children entered the operating room felt like they were sitting on pins and needles, neither sitting nor standing. Whenever a nurse or a doctor came out, their eager eyes were really pitiful.

In the morgue, the parents who lost their children cried heart-rendingly while holding the children in their arms.

When the most serious children were sent to the hospital, there was no need to rescue them, and they had already lost their lives.

At this time, the parents, really, are like cutting their hearts with a blunt knife.

There are even mothers with children, crying and crying, and suddenly want to hit the wall.

The women around one side were thankful that their children were fine, while shedding tears of sympathy.

Clinging tightly to this mother who wanted to commit suicide.

"He hasn't been rescued, my soldier hasn't been rescued, even if he can't be rescued, I'll feel better.

God, God, you're blind, my soldier. "

The people around couldn't even persuade them, what they could say, what else they could say, it was useless to say anything now, it was too late to say anything.

The leader in charge of security in the county stood in Ouyang's office with a livid face, unable to say a word, staring at the phone on Ouyang's desk, staring at Ouyang's phone.

Before he came to the hospital, he had already been severely scolded by his superiors. Let him deal with the follow-up in the hospital first, and then talk about it after the matter is over. Really, he is really exhausted physically and mentally.

He is also wronged, he is too wronged. Originally, in their county, there was not even a flour mill for grinding flour, so there was no industry. In the past, he also managed a few blacksmiths who forged iron and made knives.

As a result, as if overnight, all the factories in the county were established. At that time, he felt that it was not a good thing. As a result, the good ones did not come, and the bad ones came.

"Zhang Yuan..." Ren Li's voice had already begun to appear helpless.

Zhang Fan gritted his teeth, "Start, start the operation, hurry up!"

"Zhang Yuan, I still can't guarantee the glass in my body..."

"If something goes wrong, I'll be responsible. Quick, surgery!"

Zhang Fan rudely interrupted the surgical assistant.

There is no way, really there is no way, I can only bet that all the glass in the child's stomach will be cleaned up.

Fight hard, what else can I do? If there is any delay, there will be no chance of surgery.

Now in surgery, an accident is better than no chance of surgery. Human life is at stake. Zhang Fan gritted his teeth. Even if something happened, he would rather take responsibility than let the child lose his life.

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