Chapter 534: 534
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The treatment outside the chest has been ineffective. Now it depends on the ability of Zhang Fan and the director outside the chest. There was a saying that auto repairmen were not convinced of cardiac surgeons.
"They all repair engines. Why do you earn more than me?"
"Because the engine I repaired was repaired at work!"
Without mentioning anything else, the first thing is to explain a problem. The heart can't stop beating. Even if it stops beating, the effect is not very good after thoracotomy, and the decision of thoracotomy is generally not good.
When you open your chest, it's easy to say when you live, but when you die? And there is another problem, cardiac surgery and brain surgery, which are not well developed in the northwest.
Because the requirements for doctors in these two departments are too high, doctors who have a little future in these two departments cannot be retained by the general Northwest Hospital.
This has become a joke. The promotion of cardiac intervention all over the world, and even some county-level hospitals have been carried out. But the premise of cardiac intervention is that the hospital must have a strong backing of cardiothoracic surgery.
In other words, cardiac intervention at the county level and even at the municipal level is a very dangerous thing. In case of massive bleeding, there is no doctor who can open the chest, so you can only wait to die!
What about the cardiothoracic surgery of the municipal hospital? It's not good, but director Li of cardiothoracic surgery is still a little standard in this aspect.
Director Li has been rooted in cardiothoracic surgery for decades. In his early years, he worked hard and studied everywhere. Now he can be regarded as a leader in cardiothoracic surgery at the level of the city, but the problem is that he is dead.
This department is very wonderful. There is only one attending director, and the rest are hospitalized! Because cardiothoracic surgery is too difficult, and almost all the doctors in the early years of the municipal hospital were undergraduates, no one was willing to do cardiothoracic surgery.
The graduate students of cardiothoracic surgery do not come to the municipal level hospital at all, so the department depends on director Li alone.
At the beginning, Lao Huang also felt that he could not develop. Cardiothoracic surgery had been hung in the emergency department all the time. One day, he had a rib fracture. Later, he went to the third class hospital, so he had to release cardiothoracic surgery.
After Ouyang came to power, he specially recruited two graduate students and several doctors interested in cardiothoracic surgery in major colleges and universities, but they all just left school for a few days. They are regarded as young children. The Department still depends on director Li.
Zhang Fan's system doesn't open cardiothoracic surgery, so Zhang Fan rarely performs this operation. Practice makes perfect. Its comprehensive basic requirements for a doctor are really super abnormal.
However, Zhang Fan's liver in the past two years is not in vain. Although the system has not been opened, now let Zhang Fan open his chest for heart surgery and stop bleeding in the main artery. It is estimated that Zhang fan can't do it.
But, let Zhang Fan open chest heart massage, still can do. On human anatomy, there are few doctors who can surpass Zhang Fan at present. This is the foundation, this is the reserve, and this is the fruit of the liver in the past two years.
"Zhang Yuan, it's estimated that it's too late. Look at the heart rate..." director Li's eyebrows wrinkled into steps. He thinks that it's dead to open the chest now, and it's also dead not to open the chest. It's kind to let the child walk quietly.
But Zhang Fan doesn't give up. It's not a lie that people are few and angry, and people are old and aspiring. Who is right? It's right that people have saved Zhang Fan, but it's wrong that people can't save director Li.
Are they wrong? No! This is the difference in medical means. Nothing else!
"It's time to start!" Zhang Fan clenched his teeth and said firmly that the patient transferred from the emergency room to the operating room of the trauma center. Brushing his hands, Zhang Fan silently passed the structure near the heart over the brain again.
"Zhang Yuan, it is impossible to enter the heart in five minutes. And the child lost so much blood that the trauma of the operation is just like making it worse. Think again. "
Director Li is also brushing his hands quickly, but he still dissuades Zhang Fan. He has no selfishness and is not afraid of responsibility. He just gives advice to Zhang fan according to a pure senior cardiac surgeon.
Because he knew that he couldn't enter the chest in ten minutes, and Zhang Fan had never set up any benchmark in cardiothoracic surgery, he was a little worried that Zhang Fan didn't think about it.
"Director Li, believe me, I can enter!" Zhang Fan looked at director Li and said definitely.
"Er!" Director Li looked at Zhang Fan's firm eyes. He knew that Zhang Fan was determined to open his chest, "OK, I will be your assistant. Don't worry!"
"Thank you!"
"Ka!" The shadowless light came on and the child lay on the operating bed like a poor dog. The thin limbs opened channels and kept inputting liquid. The cuts all over the body have been wrapped with suture accessories.
The horizontal and vertical white accessories are like broken inflatable dolls glued with white ointment. There was still blood left on the pale skin.
"Start!" Zhang Fan said with his teeth clenched. The most suitable place for thoracotomy is the fourth or fifth costal space outside the chest. If time permits, this kind of operation is very particular. The knife edge should be cut about 15 °.
However, it's too late. We can only use the fastest speed. The child is a girl. In order not to damage her breast (a) gland, Zhang Fan cut the left edge of the child's sternum directly under her armpit.
Pectoralis major, pectoralis minor, serratus anterior and intercostal muscles are the protective and respiratory muscles of the chest. Pectoralis major is the most famous because it seems to have become a sexy representative.
Open and enter, Zhang Fan is too skilled in human anatomy, the shape of muscles and the passage of blood vessels, the avoidance that should be avoided, and the loss of time is a little bit.
The child's heart rate is getting weaker and weaker. Ren Li nervously looks at Zhang Fan's operation. The effect of cardiotonic is getting worse and worse. If she doesn't enter the chest before cardiac arrest
The older a person's grade is, the less he dare to have cardiac arrest. The simplest problem is that after cardiac arrest, clotting cells such as platelets in the blood will form thrombosis.
Once there is a thrombus, the consequences are super terrible. The heart is saved, but the thrombus enters the brain and lungs, which is a fatal thing, so it must enter before the heartbeat stops.
"Come on! Come on! Come on! " Ren Li watched the ECG monitoring and Zhang Fan's operation.
Director Li's sweat outside the chest has come down. It's false not to be nervous. It's impossible to be too cautious in thoracotomy. Now, Zhang Fan is driving a flying car directly, and the speed is getting faster and faster. Lao Li is afraid. This carelessness is that the car overturns and people die.
Zhang Fan's brain is clear and unambiguous. With the cooperation of hands and brain, he directly gives full play to his accuracy. In case of muscle bleeding, it's too late to stop bleeding. Directly put on the hemostatic forceps and clamp, enter, enter, and accelerate the entry.
Finally, when the child was about to have cardiac arrest, Zhang Fan entered the chest. It was too difficult to enter the chest. When Zhang Fan entered the chest before the child's heartbeat stopped, Ren Li choked a little.
It's not easy. How many people, how many doctors, have spared no effort to rescue for such a long time. It is impossible to expect nothing. In fact, most people still yearn for beauty.
Open your chest and open your left lung. The heart is coming out. How big is the human heart? Raise your fist. Your heart is about the size of your fist.
Pink lungs, after Zhang Fan opened them. Exposed the child's heart.
Please report us if you find any errors so we can fix it asap!
The treatment outside the chest has been ineffective. Now it depends on the ability of Zhang Fan and the director outside the chest. There was a saying that auto repairmen were not convinced of cardiac surgeons.
"They all repair engines. Why do you earn more than me?"
"Because the engine I repaired was repaired at work!"
Without mentioning anything else, the first thing is to explain a problem. The heart can't stop beating. Even if it stops beating, the effect is not very good after thoracotomy, and the decision of thoracotomy is generally not good.
When you open your chest, it's easy to say when you live, but when you die? And there is another problem, cardiac surgery and brain surgery, which are not well developed in the northwest.
Because the requirements for doctors in these two departments are too high, doctors who have a little future in these two departments cannot be retained by the general Northwest Hospital.
This has become a joke. The promotion of cardiac intervention all over the world, and even some county-level hospitals have been carried out. But the premise of cardiac intervention is that the hospital must have a strong backing of cardiothoracic surgery.
In other words, cardiac intervention at the county level and even at the municipal level is a very dangerous thing. In case of massive bleeding, there is no doctor who can open the chest, so you can only wait to die!
What about the cardiothoracic surgery of the municipal hospital? It's not good, but director Li of cardiothoracic surgery is still a little standard in this aspect.
Director Li has been rooted in cardiothoracic surgery for decades. In his early years, he worked hard and studied everywhere. Now he can be regarded as a leader in cardiothoracic surgery at the level of the city, but the problem is that he is dead.
This department is very wonderful. There is only one attending director, and the rest are hospitalized! Because cardiothoracic surgery is too difficult, and almost all the doctors in the early years of the municipal hospital were undergraduates, no one was willing to do cardiothoracic surgery.
The graduate students of cardiothoracic surgery do not come to the municipal level hospital at all, so the department depends on director Li alone.
At the beginning, Lao Huang also felt that he could not develop. Cardiothoracic surgery had been hung in the emergency department all the time. One day, he had a rib fracture. Later, he went to the third class hospital, so he had to release cardiothoracic surgery.
After Ouyang came to power, he specially recruited two graduate students and several doctors interested in cardiothoracic surgery in major colleges and universities, but they all just left school for a few days. They are regarded as young children. The Department still depends on director Li.
Zhang Fan's system doesn't open cardiothoracic surgery, so Zhang Fan rarely performs this operation. Practice makes perfect. Its comprehensive basic requirements for a doctor are really super abnormal.
However, Zhang Fan's liver in the past two years is not in vain. Although the system has not been opened, now let Zhang Fan open his chest for heart surgery and stop bleeding in the main artery. It is estimated that Zhang fan can't do it.
But, let Zhang Fan open chest heart massage, still can do. On human anatomy, there are few doctors who can surpass Zhang Fan at present. This is the foundation, this is the reserve, and this is the fruit of the liver in the past two years.
"Zhang Yuan, it's estimated that it's too late. Look at the heart rate..." director Li's eyebrows wrinkled into steps. He thinks that it's dead to open the chest now, and it's also dead not to open the chest. It's kind to let the child walk quietly.
But Zhang Fan doesn't give up. It's not a lie that people are few and angry, and people are old and aspiring. Who is right? It's right that people have saved Zhang Fan, but it's wrong that people can't save director Li.
Are they wrong? No! This is the difference in medical means. Nothing else!
"It's time to start!" Zhang Fan clenched his teeth and said firmly that the patient transferred from the emergency room to the operating room of the trauma center. Brushing his hands, Zhang Fan silently passed the structure near the heart over the brain again.
"Zhang Yuan, it is impossible to enter the heart in five minutes. And the child lost so much blood that the trauma of the operation is just like making it worse. Think again. "
Director Li is also brushing his hands quickly, but he still dissuades Zhang Fan. He has no selfishness and is not afraid of responsibility. He just gives advice to Zhang fan according to a pure senior cardiac surgeon.
Because he knew that he couldn't enter the chest in ten minutes, and Zhang Fan had never set up any benchmark in cardiothoracic surgery, he was a little worried that Zhang Fan didn't think about it.
"Director Li, believe me, I can enter!" Zhang Fan looked at director Li and said definitely.
"Er!" Director Li looked at Zhang Fan's firm eyes. He knew that Zhang Fan was determined to open his chest, "OK, I will be your assistant. Don't worry!"
"Thank you!"
"Ka!" The shadowless light came on and the child lay on the operating bed like a poor dog. The thin limbs opened channels and kept inputting liquid. The cuts all over the body have been wrapped with suture accessories.
The horizontal and vertical white accessories are like broken inflatable dolls glued with white ointment. There was still blood left on the pale skin.
"Start!" Zhang Fan said with his teeth clenched. The most suitable place for thoracotomy is the fourth or fifth costal space outside the chest. If time permits, this kind of operation is very particular. The knife edge should be cut about 15 °.
However, it's too late. We can only use the fastest speed. The child is a girl. In order not to damage her breast (a) gland, Zhang Fan cut the left edge of the child's sternum directly under her armpit.
Pectoralis major, pectoralis minor, serratus anterior and intercostal muscles are the protective and respiratory muscles of the chest. Pectoralis major is the most famous because it seems to have become a sexy representative.
Open and enter, Zhang Fan is too skilled in human anatomy, the shape of muscles and the passage of blood vessels, the avoidance that should be avoided, and the loss of time is a little bit.
The child's heart rate is getting weaker and weaker. Ren Li nervously looks at Zhang Fan's operation. The effect of cardiotonic is getting worse and worse. If she doesn't enter the chest before cardiac arrest
The older a person's grade is, the less he dare to have cardiac arrest. The simplest problem is that after cardiac arrest, clotting cells such as platelets in the blood will form thrombosis.
Once there is a thrombus, the consequences are super terrible. The heart is saved, but the thrombus enters the brain and lungs, which is a fatal thing, so it must enter before the heartbeat stops.
"Come on! Come on! Come on! " Ren Li watched the ECG monitoring and Zhang Fan's operation.
Director Li's sweat outside the chest has come down. It's false not to be nervous. It's impossible to be too cautious in thoracotomy. Now, Zhang Fan is driving a flying car directly, and the speed is getting faster and faster. Lao Li is afraid. This carelessness is that the car overturns and people die.
Zhang Fan's brain is clear and unambiguous. With the cooperation of hands and brain, he directly gives full play to his accuracy. In case of muscle bleeding, it's too late to stop bleeding. Directly put on the hemostatic forceps and clamp, enter, enter, and accelerate the entry.
Finally, when the child was about to have cardiac arrest, Zhang Fan entered the chest. It was too difficult to enter the chest. When Zhang Fan entered the chest before the child's heartbeat stopped, Ren Li choked a little.
It's not easy. How many people, how many doctors, have spared no effort to rescue for such a long time. It is impossible to expect nothing. In fact, most people still yearn for beauty.
Open your chest and open your left lung. The heart is coming out. How big is the human heart? Raise your fist. Your heart is about the size of your fist.
Pink lungs, after Zhang Fan opened them. Exposed the child's heart.
The treatment outside the chest has been ineffective. Now it depends on the ability of Zhang Fan and the director outside the chest. There was a saying that auto repairmen were not convinced of cardiac surgeons."They all repair engines. Why do you earn more than me?""Because the engine I repaired was repaired at work!"Without mentioning anything else, the first thing is to explain a problem. The heart can't stop beating. Even if it stops beating, the effect is not very good after thoracotomy, and the decision of thoracotomy is generally not good.When you open your chest, it's easy to say when you live, but when you die? And there is another problem, cardiac surgery and brain surgery, which are not well developed in the northwest.Because the requirements for doctors in these two departments are too high, doctors who have a little future in these two departments cannot be retained by the general Northwest Hospital.This has become a joke. The promotion of cardiac intervention all over the world, and even some county-level hospitals have been carried out. But the premise of cardiac intervention is that the hospital must have a strong backing of cardiothoracic surgery.In other words, cardiac intervention at the county level and even at the municipal level is a very dangerous thing. In case of massive bleeding, there is no doctor who can open the chest, so you can only wait to die!What about the cardiothoracic surgery of the municipal hospital? It's not good, but director Li of cardiothoracic surgery is still a little standard in this aspect.Director Li has been rooted in cardiothoracic surgery for decades. In his early years, he worked hard and studied everywhere. Now he can be regarded as a leader in cardiothoracic surgery at the level of the city, but the problem is that he is dead.This department is very wonderful. There is only one attending director, and the rest are hospitalized! Because cardiothoracic surgery is too difficult, and almost all the doctors in the early years of the municipal hospital were undergraduates, no one was willing to do cardiothoracic surgery.The graduate students of cardiothoracic surgery do not come to the municipal level hospital at all, so the department depends on director Li alone.At the beginning, Lao Huang also felt that he could not develop. Cardiothoracic surgery had been hung in the emergency department all the time. One day, he had a rib fracture. Later, he went to the third class hospital, so he had to release cardiothoracic surgery.After Ouyang came to power, he specially recruited two graduate students and several doctors interested in cardiothoracic surgery in major colleges and universities, but they all just left school for a few days. They are regarded as young children. The Department still depends on director Li.Zhang Fan's system doesn't open cardiothoracic surgery, so Zhang Fan rarely performs this operation. Practice makes perfect. Its comprehensive basic requirements for a doctor are really super abnormal.However, Zhang Fan's liver in the past two years is not in vain. Although the system has not been opened, now let Zhang Fan open his chest for heart surgery and stop bleeding in the main artery. It is estimated that Zhang fan can't do it.But, let Zhang Fan open chest heart massage, still can do. On human anatomy, there are few doctors who can surpass Zhang Fan at present. This is the foundation, this is the reserve, and this is the fruit of the liver in the past two years."Zhang Yuan, it's estimated that it's too late. Look at the heart rate..." director Li's eyebrows wrinkled into steps. He thinks that it's dead to open the chest now, and it's also dead not to open the chest. It's kind to let the child walk quietly.But Zhang Fan doesn't give up. It's not a lie that people are few and angry, and people are old and aspiring. Who is right? It's right that people have saved Zhang Fan, but it's wrong that people can't save director Li.Are they wrong? No! This is the difference in medical means. Nothing else!"It's time to start!" Zhang Fan clenched his teeth and said firmly that the patient transferred from the emergency room to the operating room of the trauma center. Brushing his hands, Zhang Fan silently passed the structure near the heart over the brain again."Zhang Yuan, it is impossible to enter the heart in five minutes. And the child lost so much blood that the trauma of the operation is just like making it worse. Think again. "Director Li is also brushing his hands quickly, but he still dissuades Zhang Fan. He has no selfishness and is not afraid of responsibility. He just gives advice to Zhang fan according to a pure senior cardiac surgeon.Because he knew that he couldn't enter the chest in ten minutes, and Zhang Fan had never set up any benchmark in cardiothoracic surgery, he was a little worried that Zhang Fan didn't think about it."Director Li, believe me, I can enter!" Zhang Fan looked at director Li and said definitely."Er!" Director Li looked at Zhang Fan's firm eyes. He knew that Zhang Fan was determined to open his chest, "OK, I will be your assistant. Don't worry!""Thank you!""Ka!" The shadowless light came on and the child lay on the operating bed like a poor dog. The thin limbs opened channels and kept inputting liquid. The cuts all over the body have been wrapped with suture accessories.The horizontal and vertical white accessories are like broken inflatable dolls glued with white ointment. There was still blood left on the pale skin."Start!" Zhang Fan said with his teeth clenched. The most suitable place for thoracotomy is the fourth or fifth costal space outside the chest. If time permits, this kind of operation is very particular. The knife edge should be cut about 15 .However, it's too late. We can only use the fastest speed. The child is a girl. In order not to damage her breast a gland, Zhang Fan cut the left edge of the child's sternum directly under her armpit.Pectoralis major, pectoralis minor, serratus anterior and intercostal muscles are the protective and respiratory muscles of the chest. Pectoralis major is the most famous because it seems to have become a sexy representative.Open and enter, Zhang Fan is too skilled in human anatomy, the shape of muscles and the passage of blood vessels, the avoidance that should be avoided, and the loss of time is a little bit.The child's heart rate is getting weaker and weaker. Ren Li nervously looks at Zhang Fan's operation. The effect of cardiotonic is getting worse and worse. If she doesn't enter the chest before cardiac arrestThe older a person's grade is, the less he dare to have cardiac arrest. The simplest problem is that after cardiac arrest, clotting cells such as platelets in the blood will form thrombosis.Once there is a thrombus, the consequences are super terrible. The heart is saved, but the thrombus enters the brain and lungs, which is a fatal thing, so it must enter before the heartbeat stops."Come on! Come on! Come on! " Ren Li watched the ECG monitoring and Zhang Fan's operation.Director Li's sweat outside the chest has come down. It's false not to be nervous. It's impossible to be too cautious in thoracotomy. Now, Zhang Fan is driving a flying car directly, and the speed is getting faster and faster. Lao Li is afraid. This carelessness is that the car overturns and people die.Zhang Fan's brain is clear and unambiguous. With the cooperation of hands and brain, he directly gives full play to his accuracy. In case of muscle bleeding, it's too late to stop bleeding. Directly put on the hemostatic forceps and clamp, enter, enter, and accelerate the entry.Finally, when the child was about to have cardiac arrest, Zhang Fan entered the chest. It was too difficult to enter the chest. When Zhang Fan entered the chest before the child's heartbeat stopped, Ren Li choked a little.It's not easy. How many people, how many doctors, have spared no effort to rescue for such a long time. It is impossible to expect nothing. In fact, most people still yearn for beauty.Open your chest and open your left lung. The heart is coming out. How big is the human heart? Raise your fist. Your heart is about the size of your fist.Pink lungs, after Zhang Fan opened them. Exposed the child's heart.
