Chapter 744： Can't play

Chapter 744

Before Zhang Fan was in Fangdong Hospital, sometimes between the rounds of the rounds, sometimes the hospitalized sailors bragged.

"The Bohai Sea is a bathhouse!" At the beginning Zhang Fan felt that these people were really bragging. Is your bathhouse so big?

But this time, he felt that the other party was right. The ocean and the sea are really different. When Hua Guo tossed in the Bohai Sea before, he never said anything.

The navy is the navy, but when it rushed out of the Bohai Sea, it began to talk about the dark blue forces. Large ships were like dumplings. When they went down one by one, Hua Guo began to say dark blue.

What's more, we said that Deep Blue is not offensive, just to see the sea of ​​stars!

Bonding people is prudent. In particular, some people who are not in medical treatment have trauma and are far away from the hospital. They are anxious, and then start to strangle with a thin rope.

Bleeding, bleeding from small arteries and small veins, if there is no first-aid items, look for a wide one such as a towel the first time, when you can't find it, the sleeve of the clothes is also a perfect tourniquet.

Do n’t take a thin rope and tie your limbs. I do n’t know if I bleed to death. The long-term ligation of this thin rope will not stop bleeding in the hospital, and amputated.

The organs of the human body are not sauce trotters. This thing requires blood to carry oxygen, it needs to breathe.

Especially some people with special hobbies, what kind of jacks to play, brother die, which is full of sponge-like blood vessels, once broken, you will have no time to cry against it.

After Zhang Fan and his assistants were tied by a wide girdle, Zhang Fan really felt the cuteness of Mother Earth.

Damage, with more and more cars in the society, and more and more traffic accidents, in some cases, never mind.

Zhang Fan had encountered one case in the hospital. A car hit an old man. The driver got out of the car and quickly checked it. Hey, the other party is fine and the skin is not broken.

The uncle also said it was okay, and he got up and jumped in place. The driver was unhappy and gave the uncle 100 yuan, saying it was compensation.

Then the driver drove away. As a result, the old man had just entered the door when he came home and had not spoken yet. He fell into shock directly.

The family members were also blissful. They were sent to the hospital for the first time and then called the police. As a result, when the spleen was broken, the old man died, and Xue Fei was rescued. After waking up, the traffic police confirmed the driver and released the driver. escape.

The two wounded, young fishermen looked as if they were very serious, and their blood donations filled their stomachs, and they kept ticking down.

People are too weak to look like fish jumping onto the shore, with their mouths open and desperately breathing, they all look quite serious. Looking at the other one, there are no other symptoms except the face like gold foil.

Without experience, at first glance at this situation, it is estimated that I have committed a choice disorder, which one should I save?

Preoperative considerations are quite important in such emergencies, and sometimes they are more important than surgical techniques.

The damage caused by external mechanical energy (let alone talk about burns) can be roughly divided into two categories: blunt injuries and penetration injuries.

The penetrating injury mechanism is relatively simple. During the operation, a trauma life chain is guaranteed. It can never die if it is immortal. If it is really dead, it may not be sent to the hospital, such as hitting the aorta directly.

The mechanism of blunt injury is more complicated than penetrating injury. Other than that, the shearing torque generated by a pressure is not easily diagnosed by ordinary doctors.

This thing is like a missed shell. No one knows where to shoot and where to hit.

Often, blunt injury brings systemic damage to the organs. If there is a shear force, the left abdomen was originally damaged, and the right kidney, which was thousands of miles away, was also opened with a mouthful of blood, like a wronged doll.

"You took the hygienist quickly to deal with abdominal trauma, and gave it to me in shock."

"Okay!" Zhang Fan's assistant was unambiguous.

The gold-faced warrior was carried on to the surgeon. While the nurse took off his clothes, he opened other unopened channels, and the dark red blood transfusion bag was already hanging.

Even the blood transfusion bag and the infusion bottle were fixed on the top by the gauze circle by circle like wound bandaging.

Fan Zhang was thinking while disinfecting while working at the nurse. Surgery in the hospital, everyone seems to feel that the patient enters the hospital, then lifts up the operating table, let the doctor open the stomach to cut off the broken organs.

In fact, otherwise, a patient is admitted to the hospital, first checked and a clear diagnosis. Then at the morning meeting of the department one day before the operation, everyone began to discuss the surgical plan.

Whether it is cut horizontally or vertically is almost always scheduled in advance. Even unexpected situations are taken into account.

This is also the case where surgical patients often draw a lot of words in the place where the knife needs to be moved. This is the scheduled incision. Don't wipe it away with your hands.

However, under such a sudden and rudimentary situation, Zhang Fan now considers two things: First, after the stomach is opened, whether the wounded is physically strong enough to fully investigate.

Second, if the wounded person's condition does not allow surgery under these conditions after opening the stomach, will he be able to persist in the coming day and fight again!

For a few minutes, or even less than ten minutes, Zhang Fan had to stop thinking, because everything was ready, he was waiting for his operation.

"Get started!" Zhang Fan nodded and took a deep breath, "Knife!" Weird scene.

Just like a TV shot by a videographer with Parkinson's, Nurse Zhang Fan and patients lying on the operating table are shaking around with the same frequency.

Zhang Fan held the knife and opened it on the wounded's belly. This operation can be broadly called a laparotomy.

The wound went directly from the xiphoid to the pubic bone, and that's it, maybe after the exploration, you need another cross-section on the left or right.

How big this kind of wound is, the average person can't feel it. The feeling of this incision is definitely different from that of no incision.

When the pig is killed during the Chinese New Year, when the pig is hoisted to dig out the internal organs, this incision is particularly similar to this laparotomy.

In addition, the surrounding hooks are so hard to pull, obediently, so to speak, this abdominal incision, let alone a person's head in, there is no problem in putting a half-old child into it.

Just like you are wearing clothes, your girlfriend ca n’t get in, you unbutton your clothes, let alone one, even two can be wrapped inside, it is so wide.

Opening the peritoneum, the right side of the liver is like a mouth opening to laugh at a child's mouth, laughing out the front teeth.

"Sterile glass bottle!" Zhang Fan said in a sentence, if in ordinary hospitals, doctors and nurses may not know what this means.

In a hospital, as long as it is a regular hospital, few doctors encounter this situation.

The military hospital is different. When there is a critical moment, there is no rear, no support, it is called ineffective every day, and when the ground is not suitable, this kind of uncontaminated blood is the patient's final protection.

The assistant was holding the glass bottle to collect the blood. Although it is still unclear whether the blood has been contaminated, the collection is better than the non-collection.

Zhang Fan held a piece of wet salt gauze in his left hand and covered it on the rip of the liver, then probed into the abdominal cavity with his right hand, just like cooking the famous dishes of the capital.

Keep right hand reaching into the protruding intestine. Now Zhang Fan first determines whether there are other organ damage and bleeding, and second, determines whether the blood is contaminated.

There is an iron law for blood self-transfusion. Whether it is the chest or the abdominal cavity, once the cavity organs rupture, this blood cannot be recovered.

What are cavity organs? The largest cavity organs are the intestine and stomach. Zhang Fan kept tumbling in the intestine.

This tumbling is in order. The intestine is broken. The best test is CT and X-ray of the abdomen. You can know the free gas in the belly with one shot. But this is not the case now.

Zhang Fan's eyes stared like cows, carefully staring at the congestion in the abdominal cavity, and his ears were raised like police dogs.

Then the right hand was like a butcher washing a pig intestine. Starting from the stomach pylorus, Zhang Fan pushed down with his right hand a little.

What is this doing? Simply put, it is to see if there are any bubbles, and to hear if the wounded will fart.

Older boys are estimated to have had experience repairing bicycle tires as a child.

With a basin of water, turn the bicycle tire over the basin a little bit, and when you see the air bubbles, you can determine where it is broken.

In layman's terms, Zhang Fan will do this again now. Squeeze the smooth small intestine, pinch the large intestine in a bag and a bag, no air bubbles are seen, and there is a sound of exhaust from the ear.

"It can be used, ready to filter." Zhang Fan gave a little breath, this amount of bleeding, in this environment, can be autologous blood transfusion, it is really lucky.

Being able to return blood by itself, the patient's chances of survival have increased by several layers.

"Yes!" The circulating nurse took the recovered blood and started filtering, and the six layers of gauze started filtering the blood a little.

This filtering process is quite slow.

When Zhang Fan first came into contact with chemistry in the third grade of the year, there was an experimental class to learn filtration. The teacher took sand and salt-containing debris liquid and asked Zhang Fan to filter and precipitate.

Zhang Fan watched the turbid saline in the flask drop by drop, and at that time he didn't know what the prostate was.

It may be estimated that men are naturally disgusted with such ticking. Then, Zhang Fan said nothing, and his little finger gave a sip to the filter paper.

Men do not like the trickling water, but they like the caves very much.

What window paper, what kind of plastic foam, everyone does not believe it, for girls, girls can be transformed into very cute stuff.

And boys are definitely holes everywhere with their fingers. This is not a boy who likes to destroy. This thing is born with genes in it. It has been practicing in preparation for the future.

When Zhang Fan inserted the filter paper with his finger, he was deeply remembered by the teacher. A chemistry teacher who is as strong as Wu Song, a slap, an old foot.

As you fight, you ask, do you like 捅 so much? Ah, do you like it so much? Can this be done? I'll make you sting! I'll make you sting!

Zhang Fan was beaten from the beginning to the end of the classroom. Now the chemistry teacher estimates that when he meets a student like Zhang Fan, he will not hit anyone anymore, because he is now at the age of prostate rebellion.

While the circulating nurse was collecting blood, he was dripping anticoagulant into it, and there was no need to shake it on the boat. The glass bottle had its own rhythm! Hold the bottle in your hand and it will move by itself.

After turning the intestine, Zhang Fan still left his left hand pressed against the fissure in the liver.

The greasy intestine is like a fish with slime on its body. It is quite slippery. This kind of examination cannot be light or heavy, and the intestinal tube slips away accidentally. If it is heavy, it may cause intestinal damage.

After touching the intestine, touching the spleen, the spleen rupture ranked first in the closed abdominal injury. According to some data, the death rate of spleen rupture alone is 10%. If there is multiple injuries, the death rate can directly rise to 50%.

So don't take it seriously when your abdomen is hit hard. Go to the hospital for a check.

Why do these non-cavity organs not hurt after being smashed, and do not immediately cause shock?

Quite simply, these organs are in outer clothing. These coats, like the more expensive apples bought in the supermarket, are covered with a plastic film.

At the beginning, when these bleedings overflowed from organ wounds, this layer of film blocked the blood. Although the organs were ruptured, but the clothes were not broken, the brain thought the thing was complete.

Then, like putting water in a condom, it gets bigger and bigger, and then slaps it.

Ruptured, the brain and blood pressure are in a hurry. Just like a roller coaster, blood pressure can drop from 200 to undetectable.

The blood pressure dropped sharply. This is a person who is obviously good and was hit. He also said with a smile that after half an hour, he suddenly lay on the ground, touched the carotid artery, and it was over.

With blunt impacts, cavity organs are particularly unlikely to be damaged, such as the intestines, such as the stomach.

This thing is inherently buffered. The gastrointestinal tract of the stomach contains a lot of gas, not only its own gas, but also food mixed with various digestive fluids. In the process of digestion, this is directly the gas generating tank.

Some people have a breath, brushing their teeth eight times a day, brushing their teeth, but the breath can still spit out his girlfriend.

This is a problem with the digestive tract. Try some hawthorn pills and stop staring at the toothpaste.

Substantial organs do not work. Such as spleen, kidney, liver. The spleen is most vulnerable to injury in these organs.

Because this organ is not taken seriously in the human body. You just say that the kidneys have a padded jacket, although there is no air buffer.

Men like to eat big waists. Two big waists and a bottle of beer on the barbecue booth are not for the gods. In fact, what they like to eat is not the waist, but the padded jacket outside the waist.

If the fat near the kidney is evolving, it is estimated that it can develop into a tendon. You can imagine the toughness of this fat.

The spleen was not treated so well, let alone hit it, and sometimes it was awkward, involving the ligaments in the stomach, and the stomach was okay, and the spleen was opened.

Flipping through the intestine, Zhang Fan probed the spleen as soon as possible. "Hey, my spleen is broken!"

After exploring the spleen, Zhang Fan asked directly, "Did the urine come out?"

"Come out, come out!"

"Is there blood?"

"No! No significant blood was seen."

"Good potassium supplement, clamp the spleen vessels directly!"

Before the 1980s, as long as the spleen was slightly damaged, it was generally not repaired and cut directly. At that time, doctors knew that this thing was useless as an adult.

In fact, the spleen has many functions. The simplest and most useful function is to filter the bacteria in the blood, which is quite good.

The spleen is a food, red blood cells, white blood cells and bacteria! Therefore, people, do n’t be too edible, or they will be abandoned like the spleen.

"Can't keep it?"

"No way, the mouth is too big." Zhang Fan shook his head, cruel, really cruel, but medical treatment is like this, and sometimes cruelty is to make patients survive longer.

"Vascular forceps!" Card, card. Just like a crocodile pouting, vascular forceps directly clamp the spleen's access to and from the blood vessel channel.

"Repair the liver!" The organ that was about to be abandoned is not in a hurry now.

Zhang Fan took the gauze from his left hand and took a breath.

In the beginning, in order to detect the surgical injury as soon as possible, Zhang Fan did not look at the liver carefully.

At this time when looking back at the liver, Zhang Fan's face was as uncomfortable as thousands of ants marching.

This feeling is not tingling, but the feeling of goose bumps standing up. It's shaking!

The wounded liver wound is not big, at most it is as big as the mouth of a three-year-old child, but when Zhang Fan gently separated with his index and middle fingers, um! This action, uh, men should understand.

Gentle, quite soft, brittle like a green apple's liver slowly separating.

The shadowless lamp penetrated the wound ...

Uncles,

One more chapter

Anyway, you need to enter the top 100 monthly pass.

(End of this chapter)