"Don't cry! There is a father in everything. Look, your eyes are swollen. Are you not injured?" Lao Lu held his daughter in his arms pitifully. After many years, Jiajia has not relied on him so much since high school. My independent daughter was really scared today! Lao Lu's distressed people were all pulled together.
"I came out of the bathroom to wash my hands, and a gangster came to pester me. After Zhu Bing knocked him down, he quickly let me into the box. When I came out, he was already lying in a pool of blood. Woo~woo~woo! "Lu Renjia finally expressed the sadness in her heart, but who can she tell her inner guilt and regret to!
In the operating room, the director of thoracic surgery said to Zhang Fan: "Dr. Zhang, you or me?"
"Director, let me go. This person is my friend. I was also present at what happened today. If I don't do something for him, I will feel very uncomfortable." Zhang Fan said to the director outside his chest seriously.
"Okay, then you come on. I'll be your assistant." The director outside the chest nodded. There was no other way. During the thoracic surgery, other doctors in the hospital did not need to ask. He performed the surgery directly. But Zhang Fan couldn't do it. Zhang Fan's skill was no worse than him, and his technique was more stable because Zhang Fan was younger.
At the beginning of the operation, this kind of operation usually involves removing the fifth rib and inserting it into the chest. Especially for such critically ill patients, the chest wall bleeding is ignored and the chest is opened directly. Fortunately, Zhu Bing is a mirror image. A mirror image person means that "the heart is on the right side and the liver is on the left side" and the internal organs are completely reversed, just like the imaging principle of a plane mirror. It is common knowledge that the main internal organs of the human body are "the heart, spleen, and stomach are on the left, and the liver and gallbladder are on the right." This situation is extremely rare, and the chance of all organs being reversed is only one in a few million.
That is to say, Zhu Bing is a descendant of martyrs. Otherwise, it would be almost impossible for him to join the police force, and he would be rejected in the first round of physical examination.
After the thoracotomy, Zhang Fan removed the blood clot and then found the bleeding point. Although it was not a large blood vessel, it was still a large blood vessel. Zhang Fan quickly pressed it with his fingers and said to the anesthesia and circulating nurse. : "Speed up the infusion speed and put the dexamethasone directly into the pot for intravenous injection."
Then we start to deal with the bleeding point. There are many compensatory blood vessels in this artery. There is no need to connect it, and there is no time to connect it, because the intercostal artery and internal thoracic artery are also bleeding. After suturing the bleeding point in the chest, Zhang Fan asked, "How are the vital signs?"
The anesthesiologist hurriedly said: "It couldn't be measured just now, but now it can be measured, 80/50mmhg. It will probably improve after this little amount of fluid is injected."
"Okay!" Zhang Fan didn't waste any time and started to sew the intercostal arteries and internal thoracic arteries directly. The human body has evolved too advanced. When one blood vessel is ligated, blood vessels in all directions will compensate to improve circulation. The bleeding in the lung tissue was severe. Zhang Fan could not stop the bleeding on his own after suturing, because it was a large interpulmonary blood vessel. Although the bleeding was much smaller than before the suturing, the bleeding was still continuing.
Zhang Fan hesitated. He didn't want to cut off the lung lobe. Zhu Bing was too young and he was still a criminal policeman. With the lung lobe surgery, as long as Zhu Bing recovered, he would be no different from a normal person, and there would be only one more postoperative scar. If one lung lobe is cut off, Zhu Bing will probably leave the criminal police force in the future!
Seeing Zhang Fan stop the operation, the assistant, the director of thoracic surgery, asked: "What's wrong, Doctor Zhang? Is there something wrong?" After saying this, the anesthesiologist quickly looked at the monitor and said: "Dr. Zhang, my blood pressure has risen to 100/60mmhg, and my breathing and heart rate have stabilized."
"No. Director Liu, I'm wondering whether to remove this lung lobe or not." Zhang Fan said to the director of the Department of Thoracic Surgery.
"Although the stitches are tied, you can see that it is still bleeding. This cannot be saved."
"As long as everything is done, this person will have no chance to work as a criminal policeman again." Zhang Fan said with a little pity.
"Dr. Zhang, you are really lucky this time. Are you still thinking about these things? Let's do it!" the director of thoracic surgery said without any hesitation.
"Then cut it!" Zhang Fan said sadly. At this moment, the head nurse of the operating room came in. She looked at the circulating nurse. The circulating nurse nodded to the head nurse. The meaning was very clear, that is, the operation went well and the patient was saved!
Then the head nurse stood behind Zhang Fan, gently pressed against Zhang Fan's back, and stretched her head to take a look at the progress of the operation. The young woman's smell was very obvious, and when entering the operating room, she had to wear a surgical gown, which was very thin!
After reading it, he said into Zhang Fan's ear: "Doctor Zhang, how are you? The dean and leaders outside are waiting for news. The professor from Di University has also been contacted. Is it necessary for the professor from Di University to fly over? , but I guess it won’t be a big problem for you and Director Liu to take action.”
This is the treatment of a big nurse. The head nurse has a high emotional intelligence and can use her greatest capital without suffering any losses! This slight temptation is not explicit but can cause a slight ripple in people. If you really take it seriously, it would be low-end. A young woman with a high emotional intelligence like her likes to play with secret ambiguity and seduce you, but she will never take you seriously! Only people who are middle-aged will understand and control this kind of thing. If Zhang Fan were an old man, he would have smiled knowingly and said with a frivolous smile: "The head nurse is fat again!" Then it was over. .
But now Zhang Fan is Xiao, and he is not nervous during the operation. Instead, the head nurse touches her gently, which makes him sweat all over his head. The head nurse asked, but Zhang Fan didn't say anything for a long time. The director of the Department of Thoracic Surgery said, "Dr. Zhang needs to keep improving, but the patient has no major problems. No need for Professor Di to come over. What do you think, Dr. Zhang?"
"Okay, no need to come." Zhang Fan said in a low voice.
"Haha, I knew my brother was very powerful." The head nurse patted Zhang Fan's back gently and turned around and left the operating room.
"Really, Doctor Zhang, there's no need to worry. This lung lobe must be removed. The human body's compensatory function is very powerful. It won't be a big problem if you don't do extreme sports in the future." Director Liu, who was outside the chest, thought Zhang Fan was struggling.
"Okay, let's cut it!" Zhang Fan said uncomfortably.
The oblique fissure is opened, the lower lobe is retracted posteriorly, and the upper lobe is retracted forward to expose the lower lobe pulmonary artery. Because the upper (dorsal) segment artery and the lingual segment artery often originate from the left pulmonary trunk at the same level, the upper segment artery is ligated and cut off first. The basal segment artery was freed from below the inferior lingual segment artery, ligated and sutured, and then cut off. The lower lobe is retracted forward, and the inferior pulmonary ligament is ligated and cut. The mediastinal pleura is pushed open, and the inferior pulmonary vein is freed, ligated with sutures, and then cut off. The lower lobe bronchus is freed, the dorsal bronchus is cut off and sutured first, and then the basal bronchus is processed.
This kind of surgery is not difficult for Zhang Fan. As long as the shock is dealt with, everything else is not a problem, so there is no need to worry. When you are in shock, you have to be fast. Slow movements are not enough. The bleeding is so fierce that the rescue speed cannot keep up. Shock turns into multiple organ failure, even if the gods come down, it will be exhausted.
But once the shock improves, you must be cautious. Some people do not understand medical treatment and always think that they are experts if they perform the surgery quickly. This can be said: not necessarily.
The simplest operation, an appendix operation, once was completed by a country doctor in ten minutes! And a doctor from a tertiary hospital worked for more than half an hour. Whose level is higher?
The purpose of surgery is to treat diseases, not to drive a car. When life is not at stake, you still have to be cautious and cautious. After completing the appendix in about ten minutes, he definitely did not enter according to the anatomical level, nor did he suture according to the anatomical level. Although it felt It was super fast, but in the later stage it was very unfriendly to patients and the organizational structure was disordered. If something happened in the future, no one would dare to touch this place!
Surgery is not about mowing the grass. Once the tissue is cut, it will not grow back. It can be said that the error tolerance rate is very low. If you mow the grass wrong, you can say: Oops! I didn’t pay attention, but can I say that about surgery?
Zhang Fan handled it bit by bit, and the development of science and technology has also made some surgeries much simpler and more perfect. In the past, if the lobectomy was done, after cutting off the lung lobes, you would have to sew them carefully stitch by stitch. In layman's terms, it is suturing the balloon. If the suturing is not careful and air leakage occurs after the operation, the operation will fail and the thoracotomy will need to be re-opened and sutured! If that really happens, not to mention the hospital, the patient’s family will eat you up!
But now it's much simpler. The stapler, which directly anastomoses the severed lung tissue, is a bit expensive, costing 3,000 yuan! The domestic ones are more than a thousand dollars cheaper, but the domestic ones have a drawback. As long as the anastomotic tissue is less, they may fall off. Although the imported ones are expensive, as long as the anastomotic tissue is closed, it will not fall off, unless the lung tissue falls off. It makes sense to be expensive. Zhang Fan clicked eight times in one lung.
Outside the operating room, after the head nurse went out, she took off her mask and said to Ouyang with a smile: "Report to the director, Dr. Zhang and Director Liu said that there is no need to trouble the experts from Di University. The patient has passed the dangerous period. This kind of surgery is good for It’s not difficult for our hospital!”
Although there were a lot of senior leaders outside the operating room, she just stared at Ouyang's report without even taking a glance! This is why her technical level is average, but she has always been the head nurse in the operating room. Every peck and every drink has a certain number. People are in society, and society is built by people. The truth behind this is sometimes even more difficult than science and technology. There are too many lovable people. Technical dogs with low emotional intelligence have no choice but to get angry, otherwise they really won’t be able to survive! I must say something ridiculous here!
Ouyang was also shocked. The dagger stabbed his heart, and he was rescued! This directly overturned half of her lifetime medical knowledge. "Really!" she asked hesitantly! Then he asked: "Who will do the surgery?"
"Yes, Director, when I went in, the casualty's blood pressure had reached 120/70, and his vital signs were stable. The surgeon was Dr. Zhang, and the first assistant was Director Liu. And Dr. Zhang and Director Liu confirmed it personally."
"Okay! You have worked hard! I would like to thank you on behalf of the Municipal Party Committee and Government. The comrades on the medical front are great, and Director Ouyang is very capable! I am not proud at all. Such difficult and dangerous patients can be rescued in time. I want to You celebrate, but I also want to criticize Dr. Ouyang, he is too modest! Really, when you said it was life-threatening, my heart was hanging for a long time, but this is good, it can better show that our doctors and our hospital are not Arrogant but not impetuous." Lao Lu was very happy, not for anything else, but just for his daughter. Otherwise, if he couldn't be rescued, it is estimated that his daughter's temperament would never get out of this shadow in her life.
"Thank you, leader! We haven't done enough, and we will definitely keep up our efforts." Ouyang's face turned red. He had been practicing cardiology all his life, but today he made such a big mistake.
Although Lu Renjia was born well and was arrogant, she was not a girl who did not understand the world. This moment was not the time for her to lie in her father's arms for comfort, nor was it the time for her to stand out. When she heard the head nurse confirm again , when Zhu Bing was rescued, her eyes were blurred with tears and her body was weak. This was the symptom after the peak of adrenaline subsided.
At this moment, Shao Hua gently hugged her, stroked her head, and cried with Lu Renjia, and said slowly: "It's okay, you can rest assured, Zhu Bing is okay!"
"Shao Hua!" There were too many people. Lu Renjia put her head into Shao Hua's arms and cried quietly, feeling extremely sad and happy! There is no better outcome to life's accidents than this.
Knowing the result, the leaders no longer had to guard this place. After leaving a few policemen behind, Lao Lu no longer cared about his daughter. He patted her on the back and went directly with a group of people. Hospital conference room.
First, he had to report to the secretary. The secretary was also very concerned about this matter, and it alerted the local military region. "Secretary, our excellent police comrades survived under the rescue of doctors and have passed the critical period. Yes! It's confirmed."
"Okay! Great! This is great news. You don't have to come here anymore. You will supervise the next hunt in the hospital. They must not be allowed to escape."
"Yes!" After hanging up the phone, Lao Lu's face changed, and a frightening chill filled his face. "Now, Director Chen, let's report on the pursuit. The secretary attaches great importance to it. It's up to you whether we can give a qualified explanation to the people."
"Reporting to the leader, two people have arrived at the scene, and three others are still being pursued. They have entered the area under the jurisdiction of the border police. I have coordinated with the border police. I have also informed the leader of the instructions and will shoot and kill them when necessary."
"I work here now. If they escape today, I feel that I will have no shame in going to the municipal committee again, and so will you."
The office of the pursuit leadership team was set up in the hospital conference room, and the phone kept ringing.
After answering the call, the police chief reported to Lao Lu: "Through the emergency interrogation of the two suspects who arrived at the case, we learned about their criminal past. This group of people is not only suspected of smuggling, but also has a murder case in their hands."
"Notify them and kill them directly! No need to tolerate them. We can't let our masses and front-line police get hurt for a few scum." Lao Lu said with a livid face while sitting in the main seat.
This hunting team has nothing to do with Ouyang. She is now very curious and confused. When did the hospital's surgery become so powerful? Few people in the country can guarantee that such a difficult operation will be foolproof. After changing into washing clothes, putting on her hat and mask, she entered the operating room.
Zhang Fan and the director of the Department of Thoracic Surgery are still performing the operation. The operation is quick to talk about and can be explained clearly in a few sentences, but it is very slow to do, and any bleeding must be dealt with in time. Not to mention such a major surgery.
Ouyang entered the operating room without saying a word and went in quietly. As an internal medicine expert, although she rarely came to the operating room, she still knew the rules of the operating room.
In the operating room, the anesthesiologist and the director of thoracic surgery were chatting again. Zhang Fan said nothing, "Old Chen, I heard recently that you bought a car? At your age, do you know how to drive?"
"Hey! I regret buying it. There is no problem in driving it, but parking is too difficult. If I go home late at night, there will be no place to park. Sometimes I just want to carry the car home."
"You are being hypocritical. There is no place to park. Give it to me and let me drive every day. There are many parking places at my house. I will pick you up at work in the morning and take you back after get off work."
"Just pick it~~" Before he finished speaking, he saw Ouyang, "Yuan~~"
Before he finished speaking, Ouyang raised his hand to stop him. When Ouyang saw that the atmosphere in the operating room was not tense at all, he was completely relieved. When he turned around and looked at the monitor, he felt even more relieved.
"What's going on?" She asked after turning to the opposite side of Zhang Fan and making sure that Zhang Fan saw her. Although the old lady is not a surgeon, she knows everything about everything.
"This Officer Zhu is a mirror image person. His heart is on the right side, otherwise he would be in danger today!" Zhang Fan said as he was doing it. By this time, the operation was almost over and a closed drainage had been placed.
