Chapter 189: 189
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"Come on! Bleeding in the chest and abdomen! I'm in a coma! " The most seriously injured one is coming! There are serious injuries in the abdomen and chest. This compound injury is the most dangerous. A little delay is multiple organ failure, and the rest are experts in extracerebral urology! Zhang Fan didn't hesitate at all and rushed directly. When they saw Zhang Fan rush up, the experts in urology and outside the brain stopped. They knew that they were not as good as Zhang Fan in this kind of operation!
The disadvantages of youth come out. There is no one in Zhang Fan's hand. The experts who come here are either directors or deputy directors. They don't have to pick people. As soon as they go up, the backbone of the Department must go up. Originally, Zhang Fan had been standing in the ranks of orthopedics. As a result, he was named by Ouyang as a member of the expert group. Now it's embarrassing!
Although it has 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 master on a hospital! And now he is even more dazzling and can be mixed with the expert group of the municipal hospital! I feel proud to know Zhang Fan's old colleagues!
"Tucson! Ye Bo! Ainur! Come on. " Although Zhang Fan is not a doctor in Quark county now, his words still work. Three people came forward quickly.
For this kind of preoperative rescue, a professional doctor is enough, but there should be more nurses, otherwise they can't be busy. What Zhang Fan calls them is that they will be assistants when they go to the stage.
The wounded soldier was very young. It was estimated that he had just arrived at 20. His closed eyes, pale complexion and body were urgently handled by the county hospital, but Zhang Fan knew the trouble at the sight of his clothes and blood! He came forward and touched the carotid artery. Fortunately, there was a pulse.
"Is the blood group matched?" Zhang Fan asked loudly.
"Yes!" An armed police military doctor handed the information to Zhang Fan. Zhang Fan didn't have time to turn it over and directly said, "match the whole blood and put dexamethasone into the pot. Open three channels of vein. " Generally, this kind of border police, after joining the army, the blood group examination is very complete, for fear of accidents.
Zhang Fan said the doctor's advice and explored the wound. The little nurse who came with the car began to tremble. Zhang Fan knew he couldn't ask anything at a glance. Rapid physical examination, the more heart examination, the more heavy, chest bleeding with pneumothorax, the left chest can't even see the breathing range! The abdomen is more troublesome, and the blood color is very light, which indicates that the abdominal organs are damaged, and the digestive juice inside leaks out, and the amount is not small.
"Come on, get into the operating room." The little soldier who just hung the plasma was lifted by his comrades in arms on a stretcher, quickly entered the hall and ran to the elevator. In groups of four, the movements are unified and coordinated, and the speed is very fast. You don't even need to push the patient's car.
There was no sound in the whole scene except the doctor's voice. The armed police soldiers who have not been assigned tasks look at it quietly, quietly, and kill! An extremely calm killing scene.
Shi Lei prepared very comprehensively. As long as he could use the new and old equipment, he put them out. Although the scene was tense, he didn't panic. An expert is a medical team. It is really difficult for people to rely solely on the county hospital for this level of rescue.
There are only three operating rooms in Quark county hospital, but fortunately, the operating room is large enough. There are more than two operating beds in one operating room. It can be used directly by erecting shadowless lights. Itinerant and instrument nurses began to prepare. There's no way. The county hospital has no extra operating room. It's better in recent years. It used to be an operating room.
The patient has been unconscious. Zhang Fan and Wang Quanping are in an operating room. There is no way to start the operation at this time.
"Blood pressure, pulse, breathing." Anesthesia is an anesthesiologist in the municipal hospital. He also knows Zhang Fan very well. Under special circumstances, the wound was heavily wrapped by the doctors of the county hospital. In this way, the bleeding had been soaked with gauze.
"Doctor Zhang, you can disinfect this. I can't help it!" Tuxun, who wants face very much, opened his mouth. He was afraid“ OK, chief vomit, go and brush your hands, ye Bo will go, and Ainur will help me disinfect. " Generally, doctors dare not disinfect this kind of injury. Is it an artery or a vein wrapped with gauze? If the operation is improper, there is no need to rescue it directly.
Zhang Fan said to the anesthesiologist, "blood pressure!"
"Dr. Zhang, I can't measure it. The heartbeat is weak. "
"Cardiotonic static push!"
This operation is too dangerous. It is a typical combined thoracoabdominal injury. Shrapnel penetrates directly from the chest into the abdomen. Looking at the situation, it is estimated that the abdominal injury is more serious. This kind of firearm damage must be dealt with at the fastest speed. This is to race against death again to see who runs fast! When Zhang Fan saw the patient at first sight, he directly ordered him to go to the operating room without even doing an examination. It's too late. It's too waste of time to do the examination.
Zhang Fan stands in the position of the main knife and doesn't have to discuss with others. He opened his chest directly and looked for the trajectory. Fortunately, as soon as he opened it, the shrapnel penetrated his left lung, rubbed the edge of his heart and big artery and entered his abdominal cavity. A little more to the left, it is estimated that the soldier can't even get down on the battlefield. Stop bleeding quickly!
"Hemostatic forceps, gauze packing. Then the injured lung was clamped with a professional clamp. After this clamp, the patient's left lung began to have respiratory mobility. " This kind of compound injury must be explored clearly, and then choose the key points to do. If the exploration is not clear, reckless surgery will not only save the living, but also accelerate the patient's death.
Probing down along the trajectory, the knife edge is very huge. Looking down from the shadowless lamp, it almost splits people from the chest! When entering the abdomen, Zhang Fan's heart sank, and his left kidney, spleen and part of his small intestine were directly penetrated!
This kidney is hopeless and can only be removed. Zhang Fan inserted a pair of pliers directly from the bleeding place. After a little estimation, he directly clamped a very large piece of tissue. Ten seconds later, there was no large blood flowing out of his abdomen. Anyway, Zhang Fan doesn't tolerate the kidney he wants to give up. "Make a bigger gauze bag and fill it to stop bleeding."
The abdominal injury is too big. It's no exaggeration to say it's chaotic. The kinetic energy of the firearm is too large. As long as it is rubbed a little, the nearby tissues will be removed, because these places have been necrotic. If they are not removed, they will be the source of infection.
After tamponade compression hemostasis, the chest injury was treated first. The heart and lung are integrated, and the lung can't work. Then the heart will have problems, that is, the problem of speed. After changing his gloves, Zhang Fan began chest surgery.
"Hold on! You pull it apart. Ainur, if you can't, go down! " Zhang Fan was worried. He 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 after you get off the operating table. Now you can't care about it!
The lower lobe of the left lung was to be cut off. Zhang Fan quickly closed and closed the blessing. The speed was very fast. He dared not slow down and was highly focused. The atmosphere in the operating room can be deadly. It's too depressing. Even the itinerant nurses are tense!
Cut off the necrotic lung and let Zhang Fan calm down a little.
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"Come on! Bleeding in the chest and abdomen! I'm in a coma! " The most seriously injured one is coming! There are serious injuries in the abdomen and chest. This compound injury is the most dangerous. A little delay is multiple organ failure, and the rest are experts in extracerebral urology! Zhang Fan didn't hesitate at all and rushed directly. When they saw Zhang Fan rush up, the experts in urology and outside the brain stopped. They knew that they were not as good as Zhang Fan in this kind of operation!
The disadvantages of youth come out. There is no one in Zhang Fan's hand. The experts who come here are either directors or deputy directors. They don't have to pick people. As soon as they go up, the backbone of the Department must go up. Originally, Zhang Fan had been standing in the ranks of orthopedics. As a result, he was named by Ouyang as a member of the expert group. Now it's embarrassing!
Although it has 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 master on a hospital! And now he is even more dazzling and can be mixed with the expert group of the municipal hospital! I feel proud to know Zhang Fan's old colleagues!
"Tucson! Ye Bo! Ainur! Come on. " Although Zhang Fan is not a doctor in Quark county now, his words still work. Three people came forward quickly.
For this kind of preoperative rescue, a professional doctor is enough, but there should be more nurses, otherwise they can't be busy. What Zhang Fan calls them is that they will be assistants when they go to the stage.
The wounded soldier was very young. It was estimated that he had just arrived at 20. His closed eyes, pale complexion and body were urgently handled by the county hospital, but Zhang Fan knew the trouble at the sight of his clothes and blood! He came forward and touched the carotid artery. Fortunately, there was a pulse.
"Is the blood group matched?" Zhang Fan asked loudly.
"Yes!" An armed police military doctor handed the information to Zhang Fan. Zhang Fan didn't have time to turn it over and directly said, "match the whole blood and put dexamethasone into the pot. Open three channels of vein. " Generally, this kind of border police, after joining the army, the blood group examination is very complete, for fear of accidents.
Zhang Fan said the doctor's advice and explored the wound. The little nurse who came with the car began to tremble. Zhang Fan knew he couldn't ask anything at a glance. Rapid physical examination, the more heart examination, the more heavy, chest bleeding with pneumothorax, the left chest can't even see the breathing range! The abdomen is more troublesome, and the blood color is very light, which indicates that the abdominal organs are damaged, and the digestive juice inside leaks out, and the amount is not small.
"Come on, get into the operating room." The little soldier who just hung the plasma was lifted by his comrades in arms on a stretcher, quickly entered the hall and ran to the elevator. In groups of four, the movements are unified and coordinated, and the speed is very fast. You don't even need to push the patient's car.
There was no sound in the whole scene except the doctor's voice. The armed police soldiers who have not been assigned tasks look at it quietly, quietly, and kill! An extremely calm killing scene.
Shi Lei prepared very comprehensively. As long as he could use the new and old equipment, he put them out. Although the scene was tense, he didn't panic. An expert is a medical team. It is really difficult for people to rely solely on the county hospital for this level of rescue.
There are only three operating rooms in Quark county hospital, but fortunately, the operating room is large enough. There are more than two operating beds in one operating room. It can be used directly by erecting shadowless lights. Itinerant and instrument nurses began to prepare. There's no way. The county hospital has no extra operating room. It's better in recent years. It used to be an operating room.
The patient has been unconscious. Zhang Fan and Wang Quanping are in an operating room. There is no way to start the operation at this time.
"Blood pressure, pulse, breathing." Anesthesia is an anesthesiologist in the municipal hospital. He also knows Zhang Fan very well. Under special circumstances, the wound was heavily wrapped by the doctors of the county hospital. In this way, the bleeding had been soaked with gauze.
"Doctor Zhang, you can disinfect this. I can't help it!" Tuxun, who wants face very much, opened his mouth. He was afraid“ OK, chief vomit, go and brush your hands, ye Bo will go, and Ainur will help me disinfect. " Generally, doctors dare not disinfect this kind of injury. Is it an artery or a vein wrapped with gauze? If the operation is improper, there is no need to rescue it directly.
Zhang Fan said to the anesthesiologist, "blood pressure!"
"Dr. Zhang, I can't measure it. The heartbeat is weak. "
"Cardiotonic static push!"
This operation is too dangerous. It is a typical combined thoracoabdominal injury. Shrapnel penetrates directly from the chest into the abdomen. Looking at the situation, it is estimated that the abdominal injury is more serious. This kind of firearm damage must be dealt with at the fastest speed. This is to race against death again to see who runs fast! When Zhang Fan saw the patient at first sight, he directly ordered him to go to the operating room without even doing an examination. It's too late. It's too waste of time to do the examination.
Zhang Fan stands in the position of the main knife and doesn't have to discuss with others. He opened his chest directly and looked for the trajectory. Fortunately, as soon as he opened it, the shrapnel penetrated his left lung, rubbed the edge of his heart and big artery and entered his abdominal cavity. A little more to the left, it is estimated that the soldier can't even get down on the battlefield. Stop bleeding quickly!
"Hemostatic forceps, gauze packing. Then the injured lung was clamped with a professional clamp. After this clamp, the patient's left lung began to have respiratory mobility. " This kind of compound injury must be explored clearly, and then choose the key points to do. If the exploration is not clear, reckless surgery will not only save the living, but also accelerate the patient's death.
Probing down along the trajectory, the knife edge is very huge. Looking down from the shadowless lamp, it almost splits people from the chest! When entering the abdomen, Zhang Fan's heart sank, and his left kidney, spleen and part of his small intestine were directly penetrated!
This kidney is hopeless and can only be removed. Zhang Fan inserted a pair of pliers directly from the bleeding place. After a little estimation, he directly clamped a very large piece of tissue. Ten seconds later, there was no large blood flowing out of his abdomen. Anyway, Zhang Fan doesn't tolerate the kidney he wants to give up. "Make a bigger gauze bag and fill it to stop bleeding."
The abdominal injury is too big. It's no exaggeration to say it's chaotic. The kinetic energy of the firearm is too large. As long as it is rubbed a little, the nearby tissues will be removed, because these places have been necrotic. If they are not removed, they will be the source of infection.
After tamponade compression hemostasis, the chest injury was treated first. The heart and lung are integrated, and the lung can't work. Then the heart will have problems, that is, the problem of speed. After changing his gloves, Zhang Fan began chest surgery.
"Hold on! You pull it apart. Ainur, if you can't, go down! " Zhang Fan was worried. He 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 after you get off the operating table. Now you can't care about it!
The lower lobe of the left lung was to be cut off. Zhang Fan quickly closed and closed the blessing. The speed was very fast. He dared not slow down and was highly focused. The atmosphere in the operating room can be deadly. It's too depressing. Even the itinerant nurses are tense!
Cut off the necrotic lung and let Zhang Fan calm down a little.
"Come on! Bleeding in the chest and abdomen! I'm in a coma! " The most seriously injured one is coming! There are serious injuries in the abdomen and chest. This compound injury is the most dangerous. A little delay is multiple organ failure, and the rest are experts in extracerebral urology! Zhang Fan didn't hesitate at all and rushed directly. When they saw Zhang Fan rush up, the experts in urology and outside the brain stopped. They knew that they were not as good as Zhang Fan in this kind of operation!The disadvantages of youth come out. There is no one in Zhang Fan's hand. The experts who come here are either directors or deputy directors. They don't have to pick people. As soon as they go up, the backbone of the Department must go up. Originally, Zhang Fan had been standing in the ranks of orthopedics. As a result, he was named by Ouyang as a member of the expert group. Now it's embarrassing!Although it has 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 master on a hospital! And now he is even more dazzling and can be mixed with the expert group of the municipal hospital! I feel proud to know Zhang Fan's old colleagues!"Tucson! Ye Bo! Ainur! Come on. " Although Zhang Fan is not a doctor in Quark county now, his words still work. Three people came forward quickly.For this kind of preoperative rescue, a professional doctor is enough, but there should be more nurses, otherwise they can't be busy. What Zhang Fan calls them is that they will be assistants when they go to the stage.The wounded soldier was very young. It was estimated that he had just arrived at 20. His closed eyes, pale complexion and body were urgently handled by the county hospital, but Zhang Fan knew the trouble at the sight of his clothes and blood! He came forward and touched the carotid artery. Fortunately, there was a pulse."Is the blood group matched?" Zhang Fan asked loudly."Yes!" An armed police military doctor handed the information to Zhang Fan. Zhang Fan didn't have time to turn it over and directly said, "match the whole blood and put dexamethasone into the pot. Open three channels of vein. " Generally, this kind of border police, after joining the army, the blood group examination is very complete, for fear of accidents.Zhang Fan said the doctor's advice and explored the wound. The little nurse who came with the car began to tremble. Zhang Fan knew he couldn't ask anything at a glance. Rapid physical examination, the more heart examination, the more heavy, chest bleeding with pneumothorax, the left chest can't even see the breathing range! The abdomen is more troublesome, and the blood color is very light, which indicates that the abdominal organs are damaged, and the digestive juice inside leaks out, and the amount is not small."Come on, get into the operating room." The little soldier who just hung the plasma was lifted by his comrades in arms on a stretcher, quickly entered the hall and ran to the elevator. In groups of four, the movements are unified and coordinated, and the speed is very fast. You don't even need to push the patient's car.There was no sound in the whole scene except the doctor's voice. The armed police soldiers who have not been assigned tasks look at it quietly, quietly, and kill! An extremely calm killing scene.Shi Lei prepared very comprehensively. As long as he could use the new and old equipment, he put them out. Although the scene was tense, he didn't panic. An expert is a medical team. It is really difficult for people to rely solely on the county hospital for this level of rescue.There are only three operating rooms in Quark county hospital, but fortunately, the operating room is large enough. There are more than two operating beds in one operating room. It can be used directly by erecting shadowless lights. Itinerant and instrument nurses began to prepare. There's no way. The county hospital has no extra operating room. It's better in recent years. It used to be an operating room.The patient has been unconscious. Zhang Fan and Wang Quanping are in an operating room. There is no way to start the operation at this time."Blood pressure, pulse, breathing." Anesthesia is an anesthesiologist in the municipal hospital. He also knows Zhang Fan very well. Under special circumstances, the wound was heavily wrapped by the doctors of the county hospital. In this way, the bleeding had been soaked with gauze."Doctor Zhang, you can disinfect this. I can't help it!" Tuxun, who wants face very much, opened his mouth. He was afraid OK, chief vomit, go and brush your hands, ye Bo will go, and Ainur will help me disinfect. " Generally, doctors dare not disinfect this kind of injury. Is it an artery or a vein wrapped with gauze? If the operation is improper, there is no need to rescue it directly.Zhang Fan said to the anesthesiologist, "blood pressure!""Dr. Zhang, I can't measure it. The heartbeat is weak. ""Cardiotonic static push!"This operation is too dangerous. It is a typical combined thoracoabdominal injury. Shrapnel penetrates directly from the chest into the abdomen. Looking at the situation, it is estimated that the abdominal injury is more serious. This kind of firearm damage must be dealt with at the fastest speed. This is to race against death again to see who runs fast! When Zhang Fan saw the patient at first sight, he directly ordered him to go to the operating room without even doing an examination. It's too late. It's too waste of time to do the examination.Zhang Fan stands in the position of the main knife and doesn't have to discuss with others. He opened his chest directly and looked for the trajectory. Fortunately, as soon as he opened it, the shrapnel penetrated his left lung, rubbed the edge of his heart and big artery and entered his abdominal cavity. A little more to the left, it is estimated that the soldier can't even get down on the battlefield. Stop bleeding quickly!"Hemostatic forceps, gauze packing. Then the injured lung was clamped with a professional clamp. After this clamp, the patient's left lung began to have respiratory mobility. " This kind of compound injury must be explored clearly, and then choose the key points to do. If the exploration is not clear, reckless surgery will not only save the living, but also accelerate the patient's death.Probing down along the trajectory, the knife edge is very huge. Looking down from the shadowless lamp, it almost splits people from the chest! When entering the abdomen, Zhang Fan's heart sank, and his left kidney, spleen and part of his small intestine were directly penetrated!This kidney is hopeless and can only be removed. Zhang Fan inserted a pair of pliers directly from the bleeding place. After a little estimation, he directly clamped a very large piece of tissue. Ten seconds later, there was no large blood flowing out of his abdomen. Anyway, Zhang Fan doesn't tolerate the kidney he wants to give up. "Make a bigger gauze bag and fill it to stop bleeding."The abdominal injury is too big. It's no exaggeration to say it's chaotic. The kinetic energy of the firearm is too large. As long as it is rubbed a little, the nearby tissues will be removed, because these places have been necrotic. If they are not removed, they will be the source of infection.After tamponade compression hemostasis, the chest injury was treated first. The heart and lung are integrated, and the lung can't work. Then the heart will have problems, that is, the problem of speed. After changing his gloves, Zhang Fan began chest surgery."Hold on! You pull it apart. Ainur, if you can't, go down! " Zhang Fan was worried. He 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 after you get off the operating table. Now you can't care about it!The lower lobe of the left lung was to be cut off. Zhang Fan quickly closed and closed the blessing. The speed was very fast. He dared not slow down and was highly focused. The atmosphere in the operating room can be deadly. It's too depressing. Even the itinerant nurses are tense!Cut off the necrotic lung and let Zhang Fan calm down a little.
