Chapter 189： Compound injury

Chapter 189: Compound Injury

"Quick! There is bleeding in the chest and abdomen! The person is unconscious!" The most injured came! There are serious injuries to the abdomen and chest. This kind of compound injury is the most dangerous. A little delay is multi-organ failure, and the rest is an expert on extra-urinary urinary! Zhang Fan didn't hesitate at all, and rushed directly to it. When they saw Zhang Fan rushing up, urinary and brain experts stopped and they knew that this operation was not as good as Zhang Fan!

The disadvantages of youth came out. Zhang Fan had no one in his hands. The experts who came here were either directors or deputy directors. They didn't have to pick people. When they went up, the backbone of the department would definitely go up. Originally, Zhang Fan had already stood in the ranks of orthopedics, but was named by Ouyang as a member of the expert group, now he is embarrassed!

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

"Tucson! Ye Bo! Ainul! Come on." These doctors, either in the first or second department, although Zhang Fan is no longer a doctor in Quark County, can still work. Three people stepped forward quickly.

This kind of pre-operative rescue is enough for a professional doctor, but there are many nurses, or they can't be too busy. Zhang Fan called them three, meaning that when they come to the stage, the three of them are assistants.

The wounded soldier was very young. It was estimated that he had just arrived. His eyes were closed, his pale complexion, and his body was urgently dealt with by the county hospital. However, he looked rotten into clothes and blood. Zhang Fan knew the trouble! I came forward and touched the carotid artery fortunately.

"Are the blood types matched?" Zhang Fan asked loudly.

"Yes!" An armed police medical officer handed the information to Zhang Fan. Zhang Fan didn't have time to turn it over, and said directly, "Match the whole blood, and dexamethasone enters the pot. Open the vein three channels." Generally this kind of border police, join the army After this blood type test is very complete, I am afraid of accidents.

Zhang Fan said the doctor's order, and while exploring the wound, the little nurse who came with the car started to squeeze his lips. Zhang Fan knew at a glance that he couldn't ask anything. A quick examination, the more the heart becomes heavier, the chest bleeding is accompanied by pneumothorax, and the left chest can not even see the breathing range! The abdomen is more troublesome, and the blood color is very light, which indicates that the digestive fluid leaked from the damaged abdominal organs and the amount is not small.

"Hurry up, enter the operating room." The little soldier who just hung the plasma, was lifted by his comrades on a stretcher, and quickly entered the lobby and ran to the elevator. A group of four people, with uniform and coordinated movements, is extremely fast, and does not even need to push the sick car.

There was no other voice except the doctor's voice. The armed police soldiers who have not been assigned a task just watched silently, looked at it quietly, and killed! Extremely calm killing scenes.

Shi Lei is very comprehensive. No matter it is new or old equipment, as long as it can be used, it is displayed. Although the scene is tense, don't panic. An expert is a medical team. It is really difficult to rely on county hospitals for this level of rescue.

There are only three operating rooms in Quark County Hospital. Fortunately, the operating room is large enough. Two operating beds in one operating room are more than enough. They can be used directly by setting up a shadowless lamp. There is no way for the county hospital to meet this condition. There is no extra operating room. It has only improved in recent years. Previously, it was an operating room.

The patient was in a coma, and Zhang Fan and Wang Quanping were in an operating room. There was no way to start such an operation.

"How much blood pressure, pulse, and breathing." Anesthesia is an anesthesiologist at the city hospital, and he knows Zhang Fan very well. In special circumstances, the wound was heavily bandaged by the doctor at the county hospital. In this way, the bleeding had soaked in gauze.

"Doctor Zhang, you can disinfect it, I can't help me!" Tu Xun, who was very face-saving, opened his mouth, and he was afraid! "Okay, spit director, please go and brush your hands, Ye Bo will also go, Ainur will come to help me disinfect." Generally this kind of injury doctors dare not sterilize, whether the gauze is covered with arteries or veins. , Immediate operation does not need to be rescued.

Zhang Fan told the anesthesiologist, "Blood pressure!"

"Dr. Zhang, not detectable. The heartbeat is weak."

"Cardiotonic push!"

This operation is too dangerous. Typical thoracoabdominal injuries, 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 at the fastest speed. This is to race against death again and see who runs fast! When Zhang Fan saw the patient at first glance, he directly ordered to go to the operating room, and didn't even do the examination. It's too late to do the inspection.

Zhang Fan stood in the position of the main knife and did not need to discuss with others. Open the chest directly and look for the trajectory. Fortunately, when opened, the shrapnel penetrated the left lung, rubbed the edges of the heart and aorta into the abdominal cavity, and moved a little to the left. It is estimated that the soldier could not even get down the battlefield. Quickly stop bleeding!

"Hemostatic forceps, gauze stuffing. Then use a professional clamp to clamp the injured lung. After this clamp, the patient's left lung begins to have breathing momentum." This composite injury must be explored clearly, and then focus on If the investigation is unclear, recklessly performing surgery will not only save the inactive people, but may also accelerate the death of the patient.

Looking down the trajectory, the incision was particularly huge. Looking down from the shadowless lamp, it almost split the person from the chest! When entering the abdomen, Zhang Fan's heart sank, and the left kidney and spleen, part of the small intestine were penetrated directly!

This kidney is no longer saved and can only be removed. Zhang Fan inserted a pair of pliers directly from the place where the blood was leaked. After a brief estimate, he clamped a very large piece of tissue directly. After ten seconds, there was no big blood flowing out of the abdomen. Anyway, the kidney to be abandoned, Zhang Fan also did not condone, "make a larger gauze bag, stuffing and oppression to stop bleeding."

The abdomen was too damaged, and it was exaggerated to say it was messy. The kinetic energy of the firearm is too great. As long as it is rubbed a little, the nearby tissues must be removed, because these places are already necrotic, and the source of infection is not removed.

After tamping to stop bleeding, the chest injury was first treated. The heart and lungs are integrated, the lungs are not working, and the heart will soon have problems, that is, the speed problem. After changing his gloves, Zhang Fan started chest surgery.

"Catch it! You pull away a little. Ainul you just go down!" Zhang Fan was anxious, and his heart was angry. This was the first time he was angry with his assistant on the operating table. No one cares about this tone at this time. Even if you hate it, it's a matter of going down the operating table. Now you can't take care of it!

The lower lobe of the left lung was to be cut off. Zhang Fan quickly blessed and closed the blessing. The speed was very fast. He did not dare to slow down and was highly concentrated. The depressed atmosphere in the operating room can be lethal. It's too depressing. Even the visiting nurses were tense!

After removing the necrotic lungs, Zhang Fan calmed down a little.

(End of this chapter)