His stomach was full of glass particles. To be honest, Zhang Fan was terrified during this operation.
One eye is staring at the opened intestines, and the other is staring at the important parts of the belly.
In his mind, a scene kept appearing, sewing and sewing. Suddenly, the anesthesiologist shouted: The blood pressure is gone! Then, the abdominal aorta acts like a fountain.
Perhaps Zhang Fan is a pessimist. The hemostatic cotton has been opened and piled in the hands of the surgical nurse. This is Zhang Fan's request.
Bet, although Zhang Fan said it very firmly, in fact, it was just to cheer up his assistants, and he was already feeling uneasy in his heart.
After all, no one is sure about this thing.
When Zhang Fan mentioned a damaged intestine, it was like lifting a large blood vessel that was about to burst. His eyes first stared not at the damaged intestine, but at whether there was bleeding underneath the intestine.
Really, it's like being a thief, being cautious and cautious. Moreover, although he himself was worried, he could not show it.
You can’t show it but don’t say it, you have to encourage other surgeons, and then take the time to appease the physicians.
Because Ren Li and the others have already used all their tricks, if problems arise again, they will really be at the point of no cure.
"It's okay, it's okay. No, no, God will definitely forgive this child."
Naduo, who was standing next to Ren Li, muttered softly. To be honest, the girl has a good background and has not been slapped by society. Look at other people and other doctors, they never say this.
If young people make mistakes, God will forgive them!
I don’t know who said this. In this day and age, the only people who can be forgiven are probably those who are evil to the core. For example, at a young age, they claim that killing people is not illegal.
For a normal person, as long as he still wants to live a normal life, the cost of making mistakes is really beyond the reach of ordinary people.
In the work unit, a young man rashly said something about the leader's fault, which was reported to the leader within minutes. If this leader is small-minded, can I forgive you? I can't kill you.
Then, there are small shoes every day, why are you not wearing a shirt today? On the second day, why didn’t you wear a tie? On the third day, who asked you to wear a white shirt and a red tie?
As soon as you argue, your little shoes will turn into a hat, and a hat of disobeying the leadership will be placed directly on your head.
There are only so many resources, and not everyone has luxurious parents. If you lose an opportunity, you may be wasting half your life.
Because you are not competing with greasy workplace veterans, nor your leaders. What you are competing with are your classmates who graduated with you, and young people who are about the same age as you.
One step is slow, one step is slow. After ten years, when you look up, those who have made many mistakes can only look up. forgive? It's too late to regret.
Really, it’s best for young people to make mistakes quickly in school. After all, schools are relatively gentle and are a short-distance train in a person’s life.
But in society, if you have figured it out, if nothing else, you can at least live a little more comfortably.
After all, not everyone can take the curve in life and overtake, such as a cheat falling from the sky, or a good-looking person who can make everyone of the opposite sex or the same sex tremble at you.
In abdominal trauma, there is a principle: if there is shock, correct the shock first. But this sentence also has a premise, that is, when there is substantial organ damage or large blood vessel damage, surgery must be performed to stop the bleeding while correcting the shock.
When a glass piece with a small mass and a smooth surface enters the abdominal cavity, it is like a fish entering the sea. It moves left and right, and there is no regular path for doctors to grasp.
At this time, Zhang Fan and the surgeons first looked for bleeding points, especially blood vessels that were bleeding out.
In special times, those who can be ligated will never be sutured and connected. Only those blood vessels that are large and irreplaceable will be sutured and connected by Zhang Fan and others.
The human body is really very powerful, especially the body in childhood, which is surprisingly powerful.
A lifelong professor at the Royal College of Medicine in the UK once said a particularly famous saying: If you perform an operation on a child, if it is done well, he will definitely live longer than you.
I don’t know if it’s a translation problem or if the original Mishima people’s humor is this kind of cold humor.
However, he just wanted to illustrate one thing: the body of young children has powerful functions of error correction, catching up and compensation.
For example, if a congenital left leg contracture is treated promptly, the child will be seen walking with a limp.
Within a few years, the contracted leg will catch up, and the normal leg, as if waiting for its brother, will slow down in growth. It's just so magical.
And as long as a child is talented, he is definitely qualified to participate in the 100-meter dash in the Olympics.
Therefore, Zhang Fan and the others were able to perform this operation thanks to a young child, if he were an adult.
Their practice of ligating blood vessels all over the body does not matter whether they can save the patient or not. When the patient comes off the operating table, intestinal necrosis cannot be escaped, because adults have been established, and the compensation is definitely not as effective as that of children.
Once the bleeding is stopped, it’s time to look for rupture. The intestines are like policemen, each with its own section.
"Saline water!" Zhang Fan lowered his head and shouted to the circulating nurse while handling the operation.
The nurse quickly opened the warm salt water and poured it into the patient's abdominal cavity. Zhang Fan pressed the child's small stomach into the salt water.
Several doctors' eyes widened, "Are there any air bubbles?"
Zhang Fan asked because he didn't see any bubbling.
"Didn't see it."
"Zhang Yuan, I didn't see it."
"Okay, my stomach is not broken after all!" This is good news.
In the abdomen, if you see food residue, don't even think about it, it must be a rupture of the upper gastrointestinal tract.
If you see purple-blue bile, your gallbladder or duodenum must be damaged.
If you see feces, don't worry, there is damage below the terminal ileum.
If the poured salt water turns yellow soon, then there must be a problem with the urinary tract.
This is the principle, this is the principle of rescue. It seems very simple, but in fact these words are just concise.
After Zhang Fan stopped bleeding, the physicians first breathed a sigh of relief. Their blood pressure stabilized, their breathing became calm, and their heartbeat slowed down.
However, the surgeon still couldn't even breathe out.
Inside the belly, there are yellow, red, green, all kinds of colors. When the salt water enters the abdominal cavity, it is like a colorful cocktail. You can't distinguish between yellow, purple, blue and green.
"You bastard, why are you eating leeks so early in the morning?" The doctor on the operating table almost cried.
Children's gastrointestinal function is relatively weak, and if they eat certain foods, they will literally poop what they eat.
The green chives, I guess this little kid didn't chew them very much and swallowed them in three bites.
Now the doctor has made the operation much more difficult.
"Zhang Yuan, the upper digestive tract is also broken. Look at these green leek leaves."
Zhang Fan looked at his stomach and upper abdomen, then picked up the leek leaves and looked at them carefully. Just put it in your mouth and taste it.
"No, leeks turn yellow and black. This is the result of corrosion by stomach acid and intestinal juice, not from the upper digestive tract."
Looking, touching, knocking, and listening, really, if Zhang Fan hadn't mastered these skills in the system, he wouldn't even be able to determine where the leeks leaked from at this time.
But it's a good thing he's a child. If he were an adult, it would be even more troublesome.
A child's intestines are pink and tender, and there is not much fat hanging on the intestinal wall. They are like pieces of peeled rubber or shaved bamboo shoots, white and tender with a little pink. .
If an adult encounters this kind of injury, it will be really nauseating. There is already a lot of fat in the intestines, and then the abdominal cavity temperature drops and the fat becomes hard.
Feces, food residue, and semi-coagulated blood are all solidified on it. Really, it's just like the swill bucket in the canteen, it's so oily.
And the doctors had to stare at the swill bucket carefully for a long time. Think about it, how disgusting it is.
Zhang Fan took the child's intestines and examined them section by section, just like repairing a bicycle inner tube when he was a child.
Stroke it for a while and let some water pour in. Stroke it for a while and let some water pour in. The waste gas in the intestines was pushed out bit by bit.
Originally, the child's body temperature had dropped due to blood loss, so the air conditioner in the operating room was turned on very high.
At this time, as Zhang Fan and the others squeezed the intestines and squeezed out the fermented gas in the intestines, Guaiguai, the temperature was so high that the smell was not to mention pungent.
Even my eyes were so irritated that I wanted to cry. The doctors and nurses under the operating table were a little better, but they couldn't bear it anymore and asked for some salt water to wash.
The surgeons on the operating table were having a hard time. I kept blinking my eyes, as the saying goes, I was spitting out tears and it was hard to hold back.
"Zhang Yuan, there is fluid leakage here!" the assistant reminded Zhang Fan, "Yes, I saw it too." Several people's eyes were red, as if they were crying while undergoing surgery.
It's exactly like when I was a child, I couldn't do my homework well, and after being slapped by my mother, I cried while doing my homework.
The nurses walked around the operating rooms, reaching out to help anyone who needed help, and then passing on the news in the operating room to Ouyang.
"The four children have passed the critical period. The most serious one is still being rescued." Ouyang said to the county leaders without emotion.
"Oh, I can take a breath now. I will report to the leaders at home immediately."
After making the call, he looked at Ouyang eagerly, "Ouyang Hospital, please give the doctors instructions. Four people have died. You must be careful about this one! Don't take it lightly!"
Ouyang glanced at the frightened leader and looked down on him from the bottom of his heart. If something happened, it would be like this. It would be better to retire early. "No, my doctor will do his best."
"It's better to make a call!" The leader heard that the four children had passed the critical period, and now he unconsciously took on the commanding tone of the past.
Who is Ouyang? Even the city's medical leader gave her a thumbs up, and now the county leader actually spoke to her in a commanding tone.
Ouyang, who originally looked down on this guy, got angry.
"You think my doctor is the same as you? You think my doctor won't actively rescue me without an order.
Don't use your little thoughts on my doctor. Let me tell you, rescue is our duty, but this is not an excuse for you to shirk responsibility.
How can I give orders when someone is undergoing surgery? I still have some skills, you can do whatever you want! "
After saying that, Ouyang left without turning his head. With a few words, the leader who had just regained his breath almost suffocated to death in the office.
"It's unreasonable, it's unreasonable!" He pointed at Ouyang's retreating back as if he was suffering from Parkinson's disease.
Zhang Fan had to repair the opening in the intestines layer by layer. It was really like using a steel brush to pierce pig skin. While sewing the small openings in the intestines, he had to pull out the larger ones from the inside of the intestines. Remove any glass particles that can be touched.
As for the things that cannot be touched or taken out, the only option is to give the little kid some intestinal moisturizing medicine after the surgery and let him have a bowel movement. It is estimated that the anus will open, which will make the little kid uncomfortable for a few days.
It's very difficult, it's really difficult. The doctors who performed the surgery were extremely distressed.
Little by little, section by section, in the end, I looked at my intestines that were as full as a pair of torn pants full of patches.
Zhang Fan took a long breath. Even though the air was filled with stench, Zhang Fan didn't feel anything at all at this time.
"I'm so lucky. There are no glass fragments left in the abdominal cavity." Zhang Fan said, feeling like he was reborn after a disaster.
"Yes!" Ren Li replied from behind, holding her nose.
"Oh, look at how tired Zhang Yuan is. You don't even wipe the white sweat on his head. Quickly, dip the gauze in Xinjiermidine and I will wipe it for Zhang Yuan. It can disinfect, wipe away sweat, and cool down the body. .”
The head nurse in the operating room was like eavesdropping at the door. Really, this woman's senses are super sensitive.
When Zhang Fan's operation had just entered the final stage, she walked in with a scent of fragrance.
She knew Zhang Fan's temper very well. If the operation did not go well, she would not come in and make herself uncomfortable. As long as the operation went well, she would definitely show her presence.
After taking the gauze from the traveling nurse, she stood on tiptoes and carefully wiped the sweat from Zhang Fan's head.
While wiping, he said to Zhang Fan: "Zhang Yuan, the situation of the other four children is relatively optimistic. After all, the injuries are less serious. Just like this, the directors are so tired that they can't straighten their waists.
I specially found a few surgical high chairs for them to let them rest for a while. This time it was all the apprentices who were finishing up. "
"That's good, that's good. There's nothing wrong with the kid in the chest department."
Zhang Fan didn't answer her words, and the head nurse flattered her openly and secretly, but he pretended he didn't understand.
"It's okay, it's okay. It looks serious, but it's not particularly dangerous."
After saying that, he quietly looked at the others, and then said to Zhang Fan even more quietly: "Dean Ouyang had a quarrel with the leaders from the county."
"Oh?" Zhang Fan was stunned for a moment, but he was stunned for a moment, and then he didn't think much about it.
The head nurse wants to say something else. Zhang Fan quickly interrupted her: "Who wins!"
"Uh!" The head nurse couldn't take it any further, and then she gave Zhang Fan a gentle squeeze on his lower back.
"I hate it, you look at your sister, I'm such a bully!" After saying that, she glanced at Zhang Fan with phoenix eyes, then turned to Ren Li with a smile and said: "Secretary, why don't you go to my office and take a rest.
These surgeons are very rough, and only you, a female doctor, can resist the smell. "
"It's okay, it's okay, the operation will be over soon. Just hold on for a while."
Ren Li smiled and didn't say much.
The head nurse didn't say much and just stood next to Ren Li waiting for the operation to end.
