Regardless of the situation, whether it was serious or not, Ouyang had to give an explanation to the leader of the injured person. Although only the city hospital is considered the top hospital in this place now, the necessary procedures still have to be in place.
"Let me make a long story short now. The situation is not optimistic. I have asked all the most important experts and doctors to go all out." Ouyang quickly gave a brief explanation of the situation to the leaders of the army, armed police, and police.
"Do you need doctors from the main hospital or other large hospitals in Bird City to assist in the treatment? I can now..." The soldier's face turned blue.
"It's too late. You solve the problem of the blood source first. There is not enough blood in the blood bank right now!" Ouyang directly interrupted the other party's proposal. Experts from Bird City don't have enough time even if they take a rocket.
"Don't worry about the lack of blood. I'll pull a group to see if it's enough! But you must save my soldiers and go all out." The military leader squeezed the hat in his hand into a rag.
"Yes! We will go all out." After saying that, Ouyang turned around and entered the operating room without any ink to organize a large-scale consultation before the operation.
The police leaders have already started making phone calls. The families of the injured police officers are in Chasu City. "Xiao Li, take the people from the office and send a few more people to invite Wang Jun's family members to the hospital. The situation is not optimistic."
Then I called the government leaders and reported again.
"Lead the team into the city. Our soldiers need blood for surgery now. Explain the situation clearly to the soldiers. Regiment leaders and officers at all levels take the lead in donating blood."
"yes!"
The soldier arranged the work, hung up the phone, and called directly to the headquarters of Lanzhou Military Region in Bird City.
"Chief, my soldiers just exchanged fire with a certain militant who has sneaked into our country to cause destruction. Eight people were killed and no one was left alive. They had radio stations they carried with them, various foreign standard weapons, and leaflets and various propaganda that were ready to be distributed. manual.
My soldier was injured while trying to save a policeman at the station. The situation was very serious. The director of Chasu City Hospital personally told me that the situation was not optimistic and that I now needed experts from the Army Hospital. "The soldier didn't listen to Ouyang at all. He couldn't leave it to fate, and he didn't trust Chasu City Hospital.
"Okay, I understand. The experts from the Military Region General Hospital will work as quickly as possible to save the lives of our soldiers. We must work hard as long as there is a glimmer of hope. Also, please do a good job of comforting the family members. "
"yes!"
Ouyang entered the operating room and began to organize a large-scale preoperative consultation.
What is a large-scale preoperative consultation? In fact, it is to organize the most cutting-edge doctors in the hospital to jointly discuss the problems faced by patients during surgery, or to find special intervention methods so that patients can receive better treatment.
"The PLA soldiers and police comrades not only suffered severe shrapnel trauma to their abdominal cavities, but also suffered certain impact injuries. It can be said that they are in danger.
We must come up with a planned plan before, during and after the operation, as well as a plan for emergency measures. "Right in front of the operating door where the wounded were undergoing surgery, Ouyang said to the experts gathered around him.
If the soldier suffered a single abdominal injury, there is no need for such a large-scale consultation now. It would be enough to have a cardiology and respiratory expert to assist the general surgeon, but the soldier still has impact injuries.
The American military grenade is not heavy, only more than 1,300 grams, but this thing can not only produce more than 700 fragments of 5mm size, with a killing range of about 18 meters, but also a special defensive grenade, which is a shock wave directional grenade.
What does this impact injury mean? In fact, the explosion produces huge energy, which spreads rapidly through air, water, and soil. It is also a high-pressure and high-speed wave.
This kind of overpressure injury mainly causes bleeding and rupture of the eyes, ear canals, lungs, and gastrointestinal tract, and also causes the greatest damage to substantial organs such as the liver, spleen, and kidneys.
Modern weapons and range attacks rely on this thing to kill people. Only a few people can be killed with one shot and one bullet. Maruzi Country was attacked by nuclear weapons, and the number of people killed by the explosion was not as high as the shock wave.
This kind of damage does not look at the facial features, but only at the surface of the body. There is no trauma, and even the skin will not be broken at all, but the organs in the fixed cavity cannot be seen.
The brain can be shaken into tofu curd directly. It is still mixed with spicy oil and stirred with chopsticks for a long time. Substantial organs such as the liver, kidneys, and spleen have become brown popcorn, and their original appearance cannot be seen at all.
Although the impact injury from the grenade was not serious, the explosion at close range directly caused pulmonary edema and bleeding in the soldier's liver, kidneys, and spleen. Then there are abnormalities in multiple organ functions.
To put it simply, a knife cuts the back of the hand. Although the blood will smear, if the cut is deep, you can still see the white bones. In fact, to the doctor, this is nothing. They will sew it up and it will be over.
But if you hit the back of your hand with a hammer, as long as the force is strong enough, it will be troublesome. This kind of damage can directly cause the cells to rupture, and then a large number of intracellular ions will overflow.
As long as the range is large enough, it is directly fatal. Potassium ions in cells entering the blood and entering the heart are directly fatal. And it’s not easy to treat!
Although the policeman was not shot in a fatal place, the standard weapon of the US military was too vicious, and the bullet exploded inside his body like a small bomb.
Not only was the damage extensive, the surrounding tissue could not even be repaired, and because the bullet fragments were too many and too small, it was impossible to completely remove them. Unless a large area was removed, infection would ensue. The real thing is one link after another, never ending.
It can be said that the death of the two of them has been overthrown. As time goes by, the injuries will only become more and more serious. When the quantitative change reaches a qualitative change, there is no way to correct it even if you want to.
In the operating room, Zhang Fan was preparing for the operation. Four intravenous channels were opened on the soldiers. When the soldiers were given acupuncture, they were all operated by head nurses. Inexperienced nurses could not find the blood vessels directly. .
"Use a large amount of diuretics to reduce pulmonary edema, and selectively use cardiotonic drugs, but do not use excessive doses. Although the soldier is now in a state of heart failure.
However, once the cardiac function output is increased, it will lead to increased bleeding, so now we can only increase the input volume and maintain a delicate state.
It depends on whether the surgeon can stop the bleeding before this state is broken. " Ren Li, the director of the Department of Cardiology, almost had her brows pinched.
It's so difficult that I can't even take medication. Now I'm just dancing on a tightrope. A strong heart will accelerate bleeding and worsen the shock. If you don't strengthen your heart, you have a weak heart. Both of these are fatal things, there is no choice at all.
A set of treatment plans was formed within a few minutes based on the opinions of the heads and experts of each department.
"Director Ren, Director Jumabike, you take the digestive and renal directors into the warrior operating room and assist Dr. Zhang in performing surgical treatment." The plan was formed, and Ouyang began to give orders.
"Yes!" The director and deputy senior officer wearing surgical hats and masks entered the operating room where Zhang Fan was.
The deputy director of the cardiology department and the deputy director of the respiratory department entered the police operating room.
Normally, there is only one anesthesiologist for an operation, and a student who is an anesthesiologist will just do odd jobs. But today is different, three anesthesiologists came.
Anesthesia for pulmonary shock is very troublesome. If you are not careful, air embolism will form due to the ventilator. The gas emboli caused by the ventilator are not small bubbles entered by infusion.
The principle of the ventilator is actually simple, it is just a pump. Use a certain pressure to push oxygen into the lungs and allow the alveoli to exchange. There is pressure, so as long as a blood clot forms, there is no need for surgery, and the person can be killed directly.
"Use a small dose of thiopentona for induction, and then use 50% nitrous oxide for maintenance. If there is no other way, the wounded person will go into shock, and spinal anesthesia cannot be used. Come on!" The anesthesiologist is also negotiating.
"Dr. Zhang, we can only maintain the patient's current state for twenty minutes, half an hour at most. This is our estimated time. If an accident occurs, the time will be less, or he will die from shock or heart failure." Director Ren Li said seriously to Zhang Fan.
The director of the respiratory department, Jumabike, was still leading the doctors to use drugs to maintain the soldier's poor balance. It is no exaggeration to say that soldiers are now like dead leaves on the water, they will sink to the bottom if there is a slight breeze.
The average doctor couldn't even enter the abdominal cavity for half an hour. What's more, it's a situation where you don't even know how serious the damage to your organs is.
Zhang Fan, the director of general surgery, and Lu Ning quickly prepared the electric knife and suction device, while the nurse counted the instruments.
Although there were the director of general surgery and Lu Ning on the operating table, the director in her heart still regarded Zhang Fan as the chief surgeon, so she reported the situation to Zhang Fan.
Zhang Fan listened to Ren Li's words without stopping. The director of general surgery was stunned. He looked at the movements of Zhang Fan's men and continued to prepare. He almost said not to do the operation. The wounded died in the ward and died on the operating table. It's different.
Zhang Fan gritted his teeth and said nothing, do it or not!
Do it, you must do it, as long as there is a glimmer of hope, he will do it. Even if the soldier dies on the operating table, he will still take a gamble.
Regardless of whether others don't understand it, or whether it will lead to complaints in the future, he has decided on this surgery.
For no other reason than to fight bloody battles for the soldiers, he fought hard. After so many surgeries in the system, he still wouldn't dare to do this surgery.
There’s nothing left to do, just open the window and jump off the building! Not to mention other things, not to mention skills, if you don’t even have this bit of courage, you are not worthy of becoming a doctor.
It sounds fake, but in fact many critical surgeries are just gambling! It can be said to be a huge gamble with life.
While Lu Ning was busy preparing for the surgery, he was thinking about whether there were any such surgery cases or similar surgeries. He was thinking!
Finally, Lu Ning's eyes lit up and he said, "Zhang Fan, master and senior brother Zeng Jin also performed a similar operation on an injured person who was crushed by a truck. The operation was finally successful."
Before he could finish speaking, after the operation that year, the elder brother was invited to Shanghai to become the director of the foreign-related hospital. Which operation was the one for which his senior brother became famous.
"But, there are still two pieces of shrapnel in his abdomen!" The director of the General Surgery Department was not arguing, but wanted to make Zhang Fan think more clearly.
"I know, I mean you can give it a try."
Zhang Fan didn't say much, he simply raised his head and said something to the traveling nurse.
