In the operating room, as the nurse announced the time, not to mention Zhang Fan and the others were nervous about the operation, even the instrument nurse was nervous, and the speed of passing the instruments was a little faster.
"Hold on!" Zhang Fan was afraid of an accident, so he had to say this while performing the operation.
The busier you are, the more things will go wrong, but what can go wrong with this kind of surgery? Even if there is no mistake, there is not much hope. If there is another mistake now, there will be no chance for the wounded to survive.
Doctors are a strange profession. Many people think that if they don't give some red envelopes to the hospital doctors, they probably won't be careful or will do the surgery on purpose.
Actually, it’s not necessary. As long as a person is facing the patient on the operating table, there is no saying that he is careless. When the blood spurts out, there will definitely be no evil intentions other than the level of skill. Of course, there is no extra charge during the operation. Just not human.
Everyone thinks that doctors’ income should be extremely high. Apart from anything else, the income of a hospital dog is probably not as high as the salary of a hospital cleaning lady. Doctors in regular hospitals in the industry actually only earn that much.
The really rich doctors are actually some kind of health care doctors who work among high-ranking families and celebrities. I don’t know whether they are high-level or not.
But the eloquence and emotional intelligence are definitely high, and the income is also very high. This kind of doctor, such as Zhang Fan and other technical dogs, will definitely not be able to do it, and may even conflict with clients.
"Wet gauze, suction device!" Opening the abdominal cavity, it was pretty much what Zhang Fan expected. The abdominal cavity was a mess. The food for the field troops was much better than in the early years.
But if there is an emergency, the same compressed dry food and dehydrated vegetables will remain unchanged for many years. It’s too much to make a fire and eat a hot meal. A puff of green smoke rises above the wilderness and can be seen from several kilometers away.
This stuff tastes pretty good when eaten once in a while. It's salty and sweet and has a lot of fat. You'll feel full after just a few bites, but if you eat it regularly, it becomes a torment.
So when these soldiers usually eat, they just wash it down with water. Dehydrated vegetables are like drinking medicine. They just throw their heads up and go down.
"This is spinach and diced carrots!" The white dry army food is ground in the stomach and enters the small intestine where it is mixed with blood and digestive juices. And because of the loss of blood, the body temperature drops.
The pasty food immediately turned into a semi-solidified substance and solidified in the lower part of the abdominal cavity.
This is like a creamy wafer placed in the abdominal cavity, with large pieces of unchewed vegetable leaves and diced carrots interspersed in it. It is really like a foreign dark cuisine, some kind of vegetable cream cheese soup!
Zhang Fan took the wet gauze passed by the nurse and took it out one by one. The digestive juice leaked out of the abdominal cavity and the blood did not coagulate. The dripping blood dripped down the gauze and Zhang Fan's palm.
"Add a set of antibiotics to the intravenous channel." Zhang Fan said to the support team while quickly holding out the semi-solidified digestion with both hands.
When digestive juices are in the intestines, they are liquids that help digestion and dissolution. But once this stuff leaves the small intestine, it becomes an industrial alkali.
Reflux into the stomach and esophagus. If reflux occurs frequently, the esophagus and stomach will be burned directly. Long-term reflux will lead to cancer, which cannot be eliminated.
Once it leaks out, it will cause severe pain. This is why patients with intestinal perforation can go into shock due to pain. A belly full of alkali and digestive enzymes will break down whatever they see. How can it not hurt?
turn! turn! turn! Zhang Fan inserted his hands between the intestines. "Bending plate!" Suddenly, Zhang Fan's voice was filled with a hint of happiness, and the equipment nurse quickly passed it over.
"Clang!" A piece of black iron was placed into the bending plate.
"Thankfully, the kinetic energy has been exhausted. It did not enter other organs, but just stayed in the abdominal cavity. There is still a piece of it, which probably did not enter other organs."
Zhang Fan was excited, so excited that he originally thought he would have to cut off his kidney or spleen if he could not do it properly. As a result, I hit the jackpot and the shrapnel did not damage other organs.
I've heard it thousands of times, but I haven't been as shocked as seeing it once. Lu Ning also underwent many surgeries when he was a graduate student and before he graduated with a Ph.D., but this was the first time he had seen this kind of bomb injury.
"The damage is too great." He looked at his abdominal cavity and was really shocked.
Just like this, Zhang Fan couldn't be happier. If the shrapnel were to protrude a few centimeters more, it would be either a kidney or a pancreas. These organs are not easy to deal with. Once broken, it would really be impossible for heaven and earth to respond.
"Salt water! Salt water! Lots of salt water." Zhang Fan became energetic, as excited as if he suddenly drank Red Bull. Before seeing the shrapnel, it was like a bomb that was about to explode at any time. No one knew when it would explode.
Now that it is clear that other organs have not been damaged, there is no need to worry too much. "ten minutes!"
"Haha, there's no need to tell the time! There's no need to tell the time." Director Zhao, from the general surgery department, was as happy as a child and said to the traveling nurse.
"Yes, there's no need to tell the time. Director Ren, raise your blood pressure and give a cardiotonic drug. Don't be afraid. Now I want to find blood spots and raise the blood pressure." If it weren't for the mask, you could definitely see the cracked corners of Zhang Fan's mouth.
Lu Ning's eyes were wet. When the wounded were in the most danger, everyone was tense and didn't dare to relax for a moment. They were deeply afraid that the wounded would lose their lives, so there was no time to express emotions.
But suddenly hearing that he was saved, it felt sour as if the relaxed nerves had stimulated the tear glands. The operating room also seemed to have suddenly entered the dog days of summer from the cold days of March, and the atmosphere was warm.
"Ouch, I have to sit for a while, I can't stand anymore. My calves are shaking a little." Jumabek also laughed, rubbed his calves, and said with a smile, I was so nervous, and the drop in adrenaline brought endless excitement. of fatigue.
"Hemostatic forceps!" As the nurse passed the instrument, Zhang Fan started to clamp along the intestinal bleeding point with "click! click! click!" "Is your blood pressure up? How is your heart rate?" Zhang Fan asked after no obvious bleeding was seen in the surgical field as Zhang Fan was clamped.
"Get up! Get up! The blood pressure is up and the heart rate is starting to drop!" Ren Li said excitedly.
With her hands folded across her chest, she continued: "The sound of Dr. Zhang's instrument clamping the blood vessels is the best sound I have heard in recent decades. It is so clear and crisp that it can even be heard!"
No wonder male doctors are willing to do surgery, it’s such a sense of accomplishment. Taking your life from the hands of death is really exciting. "As she spoke, Ren Li, who had rescued countless people, was a little speechless.
"Haha!" Zhang Fan was also happy. Isn't the purpose of surgery to save people? Now that people are alive, this can make these people happy than any praise.
"After clamping the blood vessels, the blood pressure rises and the heart rate drops. The remaining shrapnel is like catching a turtle in a jar. There is no need to worry about where it will go." Lao Zhao said with great confidence.
"Have you found it?" Lu Ning asked anxiously, unable to see the situation inside the abdominal cavity.
"Hey! I can't find it." Lao Zhao said strangely. He was a little embarrassed because what he just said was a bit too full.
Although the abdominal cavity has limited space, the various organs and intestinal fat fixed in it are really hard to find if a small shrapnel is caught in the fat somewhere.
"Go and push the orthopedic C-arm! Direct abdominal fluoroscopy." Zhang Fan clamped the blood vessels of intestinal bleeding, wrapped the ulcerated intestine with wet gauze, and said to the circulating nurse.
"Don't mess around like this without any purpose anymore." Zhang Fan said to Lao Zhao and Lu Ning.
"Well, okay!" The intestines can sometimes be very delicate. After turning it over a few times, when the abdomen is closed, it might become arrogant and stop moving.
The circulating nurse pushed the C-arm in. This thing is most commonly used in orthopedics, so it is usually placed in the orthopedic operating room.
"Go in and hide!" Old Zhao said to Zhang Fan.
"Director Zhao, you go in and I'll come." Zhang Fan did not agree.
"How about I..." Lu Ning felt embarrassed and said something.
"It's okay, you all go in and hide, just leave it to me." Zhang Fan refused directly, and everyone hid behind the lead wall.
What are they grabbing? I'm trying to get the C-arm positioning right. The abdominal cavity is not a bone. As long as the bones are not reset manually, the steel plate will be on the bones and there is no need to worry about them running away.
But the abdomen is different. This thing can be said to be a three-dimensional thing with several layers. Therefore, when doing fluoroscopy, you must first position yourself. When doing surgery, there is a rule: whoever has the patient's name is responsible.
But Zhang Fan couldn't do it if his martial brother who came to assist him was given a ray, and if Zhao, who was already quite old, was given a ray, he couldn't do it either. Zhang Fan had to do it himself.
"Go down a little." Zhang Fan took the Kirschner needle and followed the C-arm to position it while moving it. With the sound of the remote control switch hidden behind the lead plate, Zhang Fan was exposed to the X-ray and looked at the monitor carefully.
"Keep going, stop! Found it." Fortunately, the location was relatively good, otherwise, Zhang Fan would have had to take a lot of rays.
A polygonal black high-density object appeared on the monitor. Zhang Fan used a Kirschner needle to determine the position, and everyone walked out from behind the lead wall.
"How about I do it? You take a rest." Lu Ning said to Zhang Fan.
"It's okay, senior brother!" Zhang Fan rejected Lu Ning.
"Surgery? Impossible. Our Dr. Zhang can grant anything, but not surgery." The anesthesiologist said to Lu Ning with a smile.
"Haha, I have the same temper as the teacher. I won't let you have surgery. No wonder the teacher said that I don't have the momentum to do clinical work. I didn't understand it before.
Only now do I know that in this clinical operation, you need to have the momentum to do your part. "Lao Lu didn't care either. He had seen too many such overbearing doctors.
"Haha!" Zhang Fan laughed and didn't say much. He glanced at the monitor a few times and started looking for shrapnel. Foreign bodies in the abdominal cavity are very difficult to find.
Because there is a large amount of intestinal fat, just like lubricating fluid, it is still here for a few seconds, but with the peristalsis of the intestines, maybe the next second it will move like a snow hare, moving along the fat like skiing. elsewhere.
And you can't just throw out the clothes one by one like searching through the closet. If you can't find it, you can't throw out the intestines.
Zhang Fan kept inserting his hand gently and gently into the intestines without daring to move too much. As the blood pressure increased and the blood vessels were clamped, the temperature of the intestines gradually increased.
As the temperature rises, the spaces between the intestines become more lubricated. If you don't find it quickly, it will probably become harder to find as time goes by. No matter how good your knowledge of anatomy is, or how well you can construct the structure of the abdominal cavity in your mind, you won't be able to use it at this time, because this damn movement is uncertain.
Zhang Fan raised his head slightly, half-closed his eyes, and put his hand between the intestines in his abdominal cavity, as if he were playing a lottery. The people around him were waiting for news about him quietly.
