Ten minutes, ten minutes of torment, ten minutes of anger, ten minutes of Xun's doctors and nurses crying, it's really a long time.
The doctors stood beside the patients like terracotta warriors and horses, and the nurses carried out the medical orders that the doctors had given.
The doctors are waiting. Although they don't know what this man does, look at the big man as strong as an ox outside and look at the dean's sweaty head.
No matter how long the reflex arc is or how slow the reaction is, people will know that this person who urinates and defecates casually is not simple.
The trainee students had been taken away to clear the place, which was said to be an eyesore.
In the emergency room, apart from the sound of equipment, there was almost only the sound of muffled breathing.
You have to speak responsibly, and most people probably have quite a deep feeling about this.
"I will never drink again!" As a result, my wife caught me drinking secretly, and then my ears crackled and my ears looked like pig ears the next day.
As a doctor, especially if you say something at a critical moment, there will be consequences for this.
Therefore, doctors have been cautious about what they say these years.
Don’t ask about your condition. Once you ask, I’ll tell you something like a paper that’s going to be published in the Lancet. It’s rigorous and scientific and watertight, but you just don’t understand.
However, there are still people who dare to take responsibility, and there are still people who dare to speak in a way that others can understand!
"Zhang Yuan, Zhang Yuan, please come out." The director of the affiliated hospital was sweating. Really, he was dripping with sweat.
There was no need for an assistant, he came to call Zhang Fan himself.
Zhang Fan glanced at the patient and then at the patient lying on the rescue bed. Then he gently left the emergency room.
Lao Zhao and Zhao Jingjin hesitated a little, but still followed out, and Lao Xu followed soon after.
This following is not simply about entering and exiting the door, it means sharing the responsibility and overcoming the difficulties together.
So it makes sense that they didn't compete to be the dean.
"Who is mainly responsible for the rescue here now?" A man wearing a navy blue jacket asked calmly.
The dean hesitated for a moment, but still didn't come forward. This can't be blamed on him. After all, he has a background in internal medicine.
"Me!" Zhang Fan took a step forward without hesitation and looked at the other party.
"He is Zhang Fan, the executive vice president of Cha Su Shi Municipal People's Hospital. Dr. Zhang is a surgeon."
The dean stood aside and gave a quick introduction.
"Cha Su Zhang Fan!" The man thought for a moment, as if reminiscing, and then said: "I know you! Mr. Lu's proud disciple, right?"
It seems that Zhang Fan has been noticed.
Although he said it easily, the expression on his face remained unchanged.
"Yes!" Zhang Fan nodded without saying much.
"How sure are you?"
"I'm not sure. If I delay it any longer, let alone sure, I'll lose the chance of treatment! The only way at the moment is to open the abdomen."
Zhang Fan quickly introduced the specific situation to the other party.
At this time, Zhao Jingjin also said: "Leader, make a decision, whether to do it or not, there is no time."
"Professor Zhao also supports Dean Zhang's decision?"
This person looked at Zhao Jingjin. Lao Zhao's technology pacesetter was awarded to him personally.
"Um."
The leader looked at Xu Guangwei, who also had the name of Lao Xu, "Leader, I also support Dean Zhang's decision, and I am responsible for what I say!"
He gritted his teeth and said to the person in front of him.
The man in the navy jacket thought for a moment, then looked at Zhang Fan: "Dean Zhang Fan, what do you need us to do?"
"It's hard to say right now. We won't know until the surgery."
"Okay, I trust our doctors, please. Please work hard and do your best, but don't put too much pressure on us.
Don’t worry, the government is your biggest backing, I have everything under your control! Let the surgery begin! "
"Okay!" Zhang Fan looked at the other party deeply. Then he said to the dean of attached one: "Dean, I need command authority for surgery and surgery."
"Okay, okay, okay, all the staff in the hospital are on standby at any time. Please give the order, Zhang Yuan."
Zhang Fan was directing the operation for convenience, but the director turned around and became Zhang Fan's biggest supporter.
"Start preoperative preparations." Zhang Fan nodded to the navy blue man, then turned around and shouted.
In the emergency room, patients began to be transferred urgently but not chaotically.
"Director Zhao, Director Xu, I need your help."
"No excuses."
"We still need a doctor, who can come?" Zhang Fan said as he sprinted towards the emergency room.
Lao Zhao looked at Lao Xu, as if to say: You have the final say on your chassis.
"Let Lao Chen from Pu Yi come on."
Director Xu did not hesitate and spoke quickly.
"Okay, let's get in, Director Chen." After saying this, Zhang Fan and the others immediately entered the elevator.
In the operating room, disinfection has begun.
The chief director of the provincial general surgery department serves as an assistant, and the senior general surgery department specializes in disinfection. The salary is really high.
Although the chief disinfectant was wearing a mask, it could be seen from the tense muscles on his face that he was gritting his teeth and persisting.
A large piece of iodine was wiped between the patient's legs again and again. The yellow paste was finally wiped clean by the dark red iodine.
"Zhang Yuan, disinfection is complete!"
"Okay, let's start the operation." Zhang Fan took the lead and went directly to the operating table.
Lao Zhao and Lao Xu had sparks in their eyes, but Lao Xu still gave up Isuke's position.
This is the rule, whoever has a lower professional title should be humble, and whoever has the same professional title will get more than what he has in his hand.
Lao Zhao is known as a river scholar more than Lao Xu, so Lao Xu has no choice but to give in.
"Knife!" Zhang Fan said softly.
Snap, the nurse steadily placed the operation in the hands of this strange and young surgeon.
For abdominal surgery, for example, if there is a main purpose before the operation, the opening is still particular, such as liver and gallbladder surgery, usually an oblique incision along the ribs is made under the right rib.
As for exploratory surgery, it is usually performed from the midline, directly between the forks of the ribs, and then, avoiding the navel, it is drawn all the way to the lower abdomen.
It's just like cutting a person's stomach open in the middle.
That is to say, if it is lying down, if it is hung up, it will really look like a dead one in the vegetable market...
The strong-smelling disinfectant still couldn't suppress the rotten smell that came out after the stomach was opened.
Wounds, or infected wounds, are what most people see on the surface of the body.
For example, if you cut your finger with a kitchen knife and didn't disinfect it properly, after two or three days, the wound will look like mold.
The milky white pus was mixed with dark black blood, just like sticking your finger into ice cream that was half chocolate and half cream.
Although it looks disgusting, it doesn't seem to have any taste.
This is because the bacteria are different. Superficial wounds are exposed to air, and the air inhibits the survival of anaerobic bacteria, so people only see nausea but do not smell it.
However, it is different in the abdominal cavity. First of all, the temperature in the abdominal cavity is extremely suitable for the growth of bacteria. Not to mention bacteria, if you throw in a few mushroom spores, they will probably grow.
Therefore, Clostridium grows in large quantities. This thing is an anaerobic bacteria, which is just suitable for the situation in the abdomen.
This thing is also a gas-producing bacterium. How can you describe the wounds caused by this bacterium?
To put it roughly, for example, after a deep thigh injury in the human body, the injury was not thoroughly debrided and disinfected, resulting in infection.
Then the thighs began to swell, and they became so fat that the skin was so shiny that it looked like the uncolored elbow meat from the Chinese New Year, shiny and smooth.
And this kind of wound has one of the most obvious characteristics. If you press it with your hand, the swollen thigh will look like a fat bug in the wheat field in autumn.
As soon as you press it, this thing not only secretes yellow-green water, but also spits out thick white phlegm from its mouth.
And after this kind of swelling, the thigh looks exactly like fermented bread, with holes formed by gas inside, which is quite scary.
When this bacteria causes an infection in the abdominal cavity, it can be more serious than deep in the thigh.
First, the temperature in the abdominal cavity is higher, there is less oxygen, there is a lot of food, and the bacteria live and mate happily.
This kind of bacteria was originally a native of the body. It eats and drinks in the feces. Various bacteria compete with each other and cooperate with each other. This kind of bacteria cannot actually develop.
One hundred thousand of them are born, and then they fight with other bacteria, and one hundred thousand of them die. The number cannot be increased.
However, when an unexpected situation occurs in the abdominal cavity and bacteria leak out, the bacteria that originally ate feces began to devour the body's organs and tissues.
Eat well and excrete more, and the abdominal cavity of the human body is like their happy place.
A large amount of insoluble gases are produced by them, such as hydrogen sulfide, nitrogen, etc.
The wounds caused by this bacteria are described in textbooks as follows: gas collects between tissues and emits a foul odor.
It can be described as a foul smell in textbooks. It is conceivable that this thing can be called a biochemical weapon.
When Zhang Fan and others cut open the abdominal cavity, they saw that the inside of the abdominal cavity looked like a moldy sewage ditch.
The moldy plaque moved slowly in the stinky liquid in the abdominal cavity like a boat. The yellow-brown odorous liquid was like a cesspool in summer, bubbling and bubbling.
The moment the abdominal cavity was opened, light hydrogen sulfide was stuffed into Zhang Fan's nasal cavity like countless rotten eggs. After the light gas was emitted, the heavy gas followed closely.
The stench also contained a smell that was like fried chili peppers. The slightest smell that stuck in the nostrils made Zhang Fan and the others feel a burning sensation in their nostrils.
"Zhang Yuan, why is it so serious?"
"This disease doesn't last for a day or two."
Zhang Fan blinked his eyes hard, trying to get the tears out of his eyes to wash them away. It was too uncomfortable.
On the other hand, gently pinch the patient's abdominal wall with your index finger and thumb and slowly knead it.
Zhang Fan is feeling it!
The inner wall of the human abdominal cavity is different from the outer wall of the abdomen.
Whether it's a beautiful girl full of collagen or a wretched middle-aged man with a belly full of fat.
Just like closing your eyes and touching it with your hands, you will only feel a soft state like touching cotton.
Sometimes, the touch of a wretched middle-aged man is more comfortable than that of a beautiful girl.
This also shows from another aspect that fat not only makes humans like to eat it, but also makes people like to knead and play with it.
The inner wall of the abdominal cavity, the normal inner wall of the abdominal cavity, is like smooth marble, which cannot be pinched.
Because there is a lot of peristalsis of the intestines in the abdominal cavity, if it is not smooth, the meat will stick to the meat, and the meat will grind the meat, either the intestines will be worn out or the belly will be rotten.
But now, Zhang Fan pinched the patient's abdominal wall with a gentle squeeze, and with a little force with his two fingers, it was like pinching hair.
It's obviously meat, but when you hold it in your hand, it feels like you're holding a small amount of hair.
"The curling feeling is obvious!" He said without any delay in moving his hands.
If you really don’t understand what the twirling feeling is, you can feel it by pinching the air-filled plastic from the package delivery in your hands.
"Find the source of the disease quickly!"
The inside of the abdominal cavity was, indeed, a rotten mess, with holes in the liver and corrosion in the gallbladder.
Each intestine was like a pear blossom needle pricked by a heavy rain, with bubbling and prickly pricks of excrement coming out.
If the doctors were not careful, the feces would splash.
Really, the operation was as if the doctors were stirring a summer cesspool with their hands.
Super disgusting.
What happened? In fact, it was simple. This person was on a plateau, had a relatively high status, was young and playful, and something happened.
People living on plateaus generally eat highland barley and dairy products.
But he is also the future chief, so of course he won’t eat the highland barley.
Being located on a plateau, it is of course inconvenient to cook and eat meat. Let alone meat, your next noodles will not be cooked even without a pressure cooker.
Year-round habits have made these people with relatively high status accustomed to barbecue.
And their eating habits are very similar to those in the West. When grilling meat, they like to pay attention to tender and bloody meat.
The meat comes and is grilled, and the pasta is turned into dough and grilled.
Moreover, in their territory, eating beef and mutton does not count as status. Roasting camels only shows identity and status.
If it were a wild camel, which status would be higher?
The young chief got a wild camel, but who would have thought that the wild camel was already sick.
But the young chief didn't know that skinning and scraping meat, especially the hump of a wild camel, Guaguai, was the most beautiful part, just like human beings...
Cut it off with a knife, put it on the fire, add complex spices, and then, half-cooked, cut it with a knife and fork and eat it with a knife and fork.
People like to eat fat, and parasites also like to eat it. In this half-cooked roast, the adult insects are roasted to death and eaten into their mouths like special protein.
But parasite eggs can't. The eggs hidden deep in fat enter the human body, and the human intestines become a paradise for others.
Zhang Fan was sweating, not because of the smell, but because he was shocked by the symptoms in front of him.
Really, after upgrading his general surgery and gaining insights, Zhang Fan rarely felt like he had no way to deal with his illness.
Zhang Fan found it difficult to handle, while Lao Zhao and Lao Xu were already as dark as death.
"Zhang Yuan, it's too serious. If it doesn't work, just suture it!"
Lao Xu looked at the young Zhang Fan in front of him and said softly.
Really, saying this made Lao Xu feel as uncomfortable as a cat's paw.
Not to mention special cases, even for ordinary cases, it was well said before the operation that if there is no chance of surgery for laparotomy, we can only go back the same way.
The family promised well, but when they went to the operating table and took an incision, they found that the tumor in his stomach had metastasized. The doctor had no choice but to return the same way.
After the operation, family members cried and cursed, pointing at the doctor's nose and yelling. There were many such things.
This is because people don’t understand and don’t understand.
As for this special disease, to be honest, there is a big difference for doctors between dying without opening the abdomen and dying after opening the abdomen.
This is also the reason why many, many people, especially some special people, do not undergo surgery in their own country. It is not that they don’t want to, but that no doctor dares to do it for them.
Lao Zhao hesitated to speak. He knew Zhang Fan better than Lao Xu, so Lao Zhao kept waiting for Zhang Fan.
"If you sew, you will die. If you don't sew, you will die." Zhang Fan muttered softly, then raised his head and said to Lao Zhao and Lao Xu, "Do you dare to take a gamble with me?"
