Chapter 436

In the operating room, with the nurses telling the time, let alone Zhang Fan who was nervous about the operation, even the equipment nurse was nervous, and the speed of transferring the equipment was a little faster.

"Stabilize!" Zhang Fan was afraid of something unexpected and had to say something while performing the operation.

The busier the more chaos, and can this operation go wrong? There is not much hope that no mistakes will be made. If there is another mistake now, how can the wounded have a chance to survive.

Doctors are a strange profession. Some people think that without giving a red envelope to the doctor in the hospital, he may not be attentive or deliberate.

In fact, it is not necessary. As long as he is an individual, in the face of the patient on the operating table, he did not say that he was unconscious. When the blood spurted out, there was absolutely no crooking except for the high and low technology. Just not human.

Everyone thinks that the doctor's income should be extremely high. Not to mention, the income of transfer dogs is not estimated to be higher than that of the hospital cleaning aunt. Doctors in regular hospitals in the industry actually have the same income.

The really rich doctors are actually some kind of health care doctors who walk between high-ranking families and celebrities. I don't know if they are high-level.

But eloquence and emotional intelligence are definitely high, and the income is also very high. Such doctors, such as Zhang Fan, can't handle it. Maybe they will conflict with customers.

"Wet gauze, attractor!" Open the abdominal cavity, which was similar to Zhang Fan's expectation, and there was a mess in the abdominal cavity. The meals of the field forces are much better than in earlier years.

However, once there is a sudden situation, it is still years of compressed dry food and dehydrated vegetables. I have a hot meal for a fire, I think too much. A green smoke above the wilderness can be seen a few kilometers away.

This thing, occasionally eating a meal tastes very good, salty and sweet, and the fat is large, it will be full after a few mouthfuls, but often eaten becomes a torment.

Therefore, when these soldiers usually eat, they are directly washed down with water, and dehydrated vegetables are like drinking medicine.

"This is spinach and diced carrots!" The white march dry grains were ground in the stomach, mixed into the small intestine, mixed with blood and digestive juices. And because the blood flows, as the body's temperature drops.

The mushy food directly became semi-coagulated, and solidified at the lower part of the abdominal cavity.

This is like a creamy wafer in the abdominal cavity, with a large piece of unchewed vegetable leaves and diced carrots interspersed in it. It is really like a dark cuisine abroad, or some vegetable cream cheese!

Zhang Fan took the wet gauze handed over by the nurse and drew it out, the blood in the abdominal cavity leaking from the digestive juice was not solidified directly.

"A group of antibiotics is added to the venous channel." Zhang Fan said to the backup group while holding out the semi-solidified digestion with his hands quickly.

When the digestive fluid is in the intestine, it is a fluid that helps digestion. But once this thing leaves the small intestine, it is directly the industrial base of TM.

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 is very painful. This is also why the patients with perforated bowel can suffer from shock. The alkali in the stomach and the digestive enzymes in the stomach can break down what you see. Can it not hurt?

turn! turn! turn! Zhang Fan inserted his hands between the intestines. "Bend!" Suddenly, Zhang Fan's voice was slightly fortunate, and the equipment nurse passed quickly.

"Dang!" A black piece of iron was placed in the curve.

"Kinematic energy is exhausted. It doesn't enter other organs, but stays in the abdominal cavity. There is another piece, and it is estimated that it does not enter other organs."

Zhang Fan was excited, so excited, originally thinking that it would be difficult to cut the kidney or cut the spleen. As a result, the jackpot was won, and the shrapnel did not hurt other organs.

Heared 10,000 times without hearing a shock. Lu Ning had a lot of operations during his postgraduate period and before his Ph.D., but he still saw this kind of bomb wound for the first time.

"The damage is too great." He looked at the abdominal cavity, his heart was really shocked.

In this regard, Zhang Fan would be happy. If the shrapnel bursts a few centimeters further, there is no kidney or pancreas behind, and these organs are not compatible. Once broken, it is really called every day should not be called, the ground should not be called.

"Brine! Brine! A lot of salt water." Zhang Fan was energetic, as excited as suddenly drinking Red Bull. When he saw no shrapnel, it was like a bomb that would explode at any time, and no one knew when it would explode.

It is now clear that other organs have not been damaged, so don't worry too much. "ten minutes!"

"Haha, don't tell the time! Don't tell the time." Lao Zhao, director of General Pu, was as happy as a child, and said to the visiting nurse.

"Yes, don't tell the time. As the director, raise your blood pressure and boost your heart strength. Don't be afraid. Now I need to find the bleeding point and let the blood pressure rise." If it is not a mask, you can definitely see Zhang Fan's cracked mouth.

Lu Ning's eyes were moist. When the wounded was most dangerous, everyone strained his nerves. He didn't dare to relax for a moment. He was afraid that the wounded would be killed.

But suddenly I heard that he was saved, as if the lax nerves started to stimulate the tear glands, sour. The operating room suddenly entered San Futian from the icy thirty-nine days, and the atmosphere was warm.

"Oh, I have to sit for a while, I can't stand anymore. There is a little trembling in the calf." Juma Buick also laughed, rubbing the calf's belly, said with a smile, too nervous, the fall of adrenaline brought endless Tired.

"Hemostatic forceps!" With the passing of the instrument nurse, Zhang Fan "click! Click! Click" along the bleeding point of the intestinal tract and started to clamp. "Have blood pressure risen, what's the heart rate?" Zhang Fan asked after Zhang Fan's clamping and no obvious bleeding was seen in the surgical field.

"Get up! Get up! Blood pressure is up and heart rate is starting to drop!" Ren Li said excitedly.

She held her chest with both hands and then said, "Dr. Zhang's instrument for clamping blood vessels is the best sound I've heard in recent decades. It's too crisp and it can go around the beam!

No wonder male doctors are willing to do surgery, it is too fulfilling. It's really exciting to take death from the hand of death. Talking, Ren Li, who has rescued countless people, can't talk anymore.

"Oh!" Zhang Fan is also happy. Isn't the operation just to save people? Now that people are alive, they can make them more happy than praise.

"The blood vessels were clamped, the blood pressure rose, and the heart rate went down. The remaining shrapnel was like catching a cat in the middle, and I didn't worry about where it could go." Lao Zhao said with confidence.

"Did you find it?" Lu Ning asked anxiously, seeing nothing inside the abdominal cavity.

"Hey! I can't find it." Lao Zhao said strangely, he was slightly embarrassed, and just said a little too full.

Although the abdominal cavity has limited space, the various organs fixed in it, intestinal fat, and a small shrapnel are really hard to find if they are caught in the fat somewhere.

"Go and push the C-arm of orthopedics! Direct abdominal perspective." After Zhang Fan clamped the intestinal bleeding vessel, wrapped the ruptured intestine with wet gauze and said to the visiting nurse.

"Can't turn around like this without purpose." Zhang Fan said to old Zhao and Lu Ning.

"Well, okay!" The intestinal tract is sometimes very delicate. After turning it a few times, when you close the abdomen, maybe it will not let you creep.

Itinerant nurses pushed in the C-arm, which is the most commonly used orthopedics, so they are usually placed in the orthopedic operating room.

"Go in and hide!" Lao Zhao said to Zhang Fan.

"Director Zhao, you go in, I'll come." Zhang Fan did not agree.

"Otherwise I ..." Lu Ning felt embarrassed and said something.

"It's okay, you all go in and hide, just give it to me." Zhang Fan refused directly, and everyone hid behind the lead wall.

What are they robbing? Positioning for grab C-arm. The abdominal cavity is not bones. As long as the bones are not reset manually, the steel plate is on the bones, and there is no worry that it will run away.

But the abdomen is different. This thing can be said to be a three-dimensional thing. So to do perspective, we must first locate. When it comes to surgery, there is a rule, who is responsible for who is sick.

But the teacher who came to assist the fist eats the rays, Zhang Fan can't do it, let the old Zhao who is not too old to eat the rays, he can't do it, and only Zhang Fan can do it.

"Go down a bit." Zhang Fan took the Kirschner wire and followed the C-arm while positioning. With the sound of the remote control switch hiding behind the lead board, Zhang Fan exposed the X-ray and looked at the monitor carefully.

"Go on, stop! I found it." Fortunately, the position is relatively high, otherwise, Zhang Fan will have to eat a lot of rays.

A polygonal black high-density object appears on the display. Zhang Fan set the position with a Kirschner pin, and everyone came out from behind the lead wall.

"Will I do it? You take a break." Lu Ning said to Zhang Fan.

"It's okay Shishi!" Zhang Fan rejected Lu Ning.

"Let surgery? Impossible. Our doctor Zhang, everything can be done, but surgery cannot." The anesthesiologist said to Lu Ning with a smile.

"Hehe, just like the teacher's temper, he won't be allowed to go to surgery. No wonder the teacher said that I didn't do the clinical momentum, I didn't understand it before.

I now know that for this kind of clinical operation, there is still the momentum to be patient. "Lao Lu didn't care, he had seen too many such overbearing doctors.

"Hehe!" Zhang Fan laughed a little, but didn't say much. He glanced at the monitor and started looking for shrapnel. The foreign body in the abdominal cavity is very hard to find.

Because there is a large amount of intestinal fat, it is like a lubricating fluid. It was still in this place for a few seconds. With the peristalsis of the intestine, it may move like a snow rabbit in the next second. Somewhere else.

And it ca n’t be found in the closet. If you ca n’t find it, throw out the clothes one by one.

Zhang Fan has been gently inserted between the intestines with a gentle hand, and did not dare to move too much. With the rise of blood pressure, the blood vessels were clamped, and the temperature of the intestines gradually rose.

As the temperature rises, the intestinal tract becomes more lubricated. If you don't find it out quickly, it is estimated that it will become more difficult to find it over time. No matter how good the anatomical knowledge is, the celiac structure can be constructed in the mind, which is not used at this time, because this mother-in-law is an uncertain movement.

Zhang Fan slightly raised his head, half-closed his eyes, and shoved his hands between the intestines and intestines of the abdominal cavity, as if touching a prize. People around him waited quietly for his news.

(End of this chapter)