Path of Medicine With a System

"Quick! There is bleeding in the chest and abdomen! The person is already in a coma!" The most seriously injured one came! Both the abdomen and the chest were seriously injured. This kind of compound injury is the most dangerous. If it is delayed for a while, it will cause multiple organ failure, and the rest will be experts in extracerebral urology! Without any hesitation, Zhang Fan rushed over. When they saw Zhang Fan rushing up, the experts in urology and extracerebral surgery stopped in their tracks. They knew that they were not as good as Zhang Fan in this kind of operation!

The youthful disadvantages came out, and Zhang Fan had no one in his hands. The experts who came were either the director or the deputy director, and there was no need to pick people. Once they went up, the backbone of the department would definitely go up. Originally, Zhang Fan had already stood in the ranks of the orthopedics department, but he was named by Ouyang as a member of the expert group. Now it is embarrassing!

Although it's been almost a year since I left Quake County Hospital, Zhang Fan's story is still circulating here! Never underestimate the impact of a medical technology leader on a hospital! And now he is even more dazzling, and he can be mixed into the expert group of the city hospital! The old colleagues who knew Zhang Fan all felt proud!

"Tuxun! Ye Bo! Ainuer! Come quickly." These doctors were either from the first department of surgery or the second department of surgery. Although Zhang Fan was no longer a doctor in Quake County, his words still worked. Three people stepped forward quickly.

For this kind of preoperative rescue, a professional doctor is enough, but there must be many nurses, otherwise they will be overwhelmed. Zhang Fan called the three of them to mean that they will be assistants when they come to the stage.

The injured soldier was very young, probably in his early twenties, with closed eyes, pale complexion, although he was treated urgently by the county hospital, his rotten clothes and blood all over his body, Zhang Fan knew he was in trouble! I went forward and touched the carotid artery, but fortunately there was a pulse.

"Is the blood type matched?" Zhang Fan asked loudly.

"Yes!" An armed police doctor handed over the information to Zhang Fan. Zhang Fan didn't have time to look through it, and said directly, "For the type matching, put the whole blood, and put the dexamethasone into the pot. Open the veins three ways." After this blood type examination is very complete, I am afraid that there will be accidents.

While Zhang Fan said the doctor's order, he inspected the wound. The nervous lips of the little nurse who came with the car began to tremble. Zhang Fan knew that there was nothing to ask. After a quick physical examination, the heart sank more and more, the chest bleeding was accompanied by pneumothorax, and the breathing rate could not be seen on the left side of the chest! The abdomen is more troublesome, and the blood color is very light, which indicates that the digestive juice in the damaged abdominal organs has leaked out, and the amount is not small.

"Quickly, enter the operating room." The little soldier who had just hung up the plasma was lifted by his comrades on a stretcher, quickly entered the hall, and ran to the elevator. In a group of four, the movements are unified and coordinated, and the speed is so fast that they don't even need to push the patient's cart.

Except for the doctor's voice, there was no other sound in the whole scene. The armed police soldiers who were not assigned tasks just watched quietly, watched quietly, chilling! An extremely calm and chilling scene.

Shi Lei prepared very comprehensively,

Regardless of whether it is new or old equipment, as long as it can be used, it is displayed. Although the scene is tense, it is not panic. An expert is a medical team. It would be really hard for others to rely on the county hospital alone for this level of rescue.

There are only three operating rooms in Quark County Hospital, but fortunately, the area of ​​the operating room is large enough. There is more than enough space for two operating beds in one operating room, and it can be used directly with a shadowless lamp. The itinerant and equipment nurses began to prepare. There is no way that the county hospital has no extra operating room due to this condition, and it has only gotten better in the past few years. There was only one operating room before.

The patient was already in a coma. Zhang Fan and Wang Quanping were in the same operating room. At this moment, there was no other way, so the operation started directly.

"Blood pressure, pulse rate, breathing rate." The anesthetist is an anesthesiologist at the city hospital and knows Zhang Fan very well. Special treatment was given for special circumstances, and the wound was bandaged several layers thickly by doctors from the county hospital. In this way, the bleeding had soaked through the gauze.

"Doctor Zhang, you can sterilize this, I can't help it!" Tu Xun, who wanted to save face very much, opened his mouth, he was scared! "Okay, Director Tu, go and brush your hands quickly, and Ye Bo will also go, and Ainuer will come and disinfect me." Doctors really dare not disinfect this kind of injury. Is the gauze wrapped in an artery or a vein? , Improper operation does not need to be rescued directly.

Zhang Fan said to the anesthesiologist, "Blood pressure!"

"Doctor Zhang, I can't detect it. The heartbeat is very weak."

"Stimulus static push!"

This operation is too dangerous. It is a typical thoracoabdominal injury. The shrapnel penetrates directly from the chest into the abdomen. Looking at the situation, it is estimated that the abdominal injury is more serious. And this kind of firearm damage must be dealt with as quickly as possible. This is a race against death to see who can run faster! When Zhang Fan saw the patient for the first time, he immediately ordered to go to the operating room without even doing an examination. It's too late, it's too time-consuming to do the inspection.

Zhang Fan stood in the position of the chief surgeon and did not need to discuss with others. The chest was opened directly to look for the ballistic trajectory. Fortunately, the shrapnel penetrated the left lung, rubbed the edge of the heart and the aorta and entered the abdominal cavity. Stop the bleeding now!

"Hemostatic forceps, stuffed with gauze. Then the injured lung was clamped with professional clamps. After this clamp, the patient's left lung began to have breathing mobility." This kind of compound injury must be clearly explored, and then choose the focus to go Do it, if the investigation is not clear, and the operation is performed recklessly, not only will not save the life, but it may speed up the death of the patient.

Probe down along the ballistic trajectory, the knife cut is particularly huge, looking down from the shadowless lamp, it almost splits the person from the chest! When it entered the abdomen, Zhang Fan's heart sank, and the left kidney, spleen, and part of the small intestine were directly penetrated!

The kidney was hopeless and had to be removed. Zhang Fan inserted the pliers directly from the bleeding place, and after a little estimation, he directly clamped a very large piece of tissue. After about ten seconds, there was no large blood flow out of the abdomen. Anyway, Zhang Fan didn't tolerate the kidney that was about to be given up. "Make a bigger gauze bag and stuff it to stop the bleeding."

The damage to the abdomen was too great. It would not be an exaggeration to say that it was a mess. The kinetic energy of the firearm is too great, as long as it is rubbed on, the nearby tissues will be removed, because these places are already necrotic, and if they are not removed, they will be the source of infection.

After hemostasis with packing and compression, the chest injury should be treated first. If the heart and lungs are integrated, if the lungs are not good enough, then the heart will go wrong, which is the problem of speed. After changing the gloves, Zhang Fan started the chest surgery.

"Catch it! Pull it away a little bit. If you can't do it, Ainur, go down!" Zhang Fan was anxious, and his heart was so anxious that he got angry. This was the first time he got angry with his assistant on the operating table. At this time, no one cares about this tone, even if you hate it, it will be something after you get off the operating table, and you can't care about it now!

The lower lobe of the left lung was about to be cut off. Zhang Fan fastened and closed it. The speed was very fast. He didn't dare to slow down, and his mind was highly concentrated. The atmosphere in the operating room is so depressing that it can kill people, it's too depressing. Even the itinerant nurses were tense!

The necrotic lung was removed, and Zhang Fan calmed down a bit.