"Zhang Yuan, the blood pressure has dropped and the heart rate has increased!" Just as Zhang Fan and the young men from the armed police were working together to cut, the life monitor made a harsh beep.
In hospitals, especially in general wards, nurses usually turn off the sound of patient monitors. Because this thing will alarm, the alarm sound is a long and sharp beep beep. In ordinary wards, it doesn't matter whether it is turned off or not. Anyway, most of this kind of monitoring is for prevention. Or if the medical insurance exceeds the standard and you can’t take medicine, just use some equipment.
But in the operating room, this thing cannot be turned off. There are two types of bleeding in all surgeries, overt bleeding and invisible bleeding.
"Full blood 500cc, dexamethasone in the pot, chest expander, bleeding was not found, the cutting caused the iron to move and the compression bleeding broke out. Hurry!" Zhang Fan's scalp started to feel numb at this time.
What are you afraid of? The patient is already suffering from massive hemorrhage and shock, and his breathing has not been fully established. Now there is a new massive hemorrhage, that is, the patient is young. If he were older, this kind of bleeding would have long ago led to heart failure.
Gauze, a lot of gauze, just like stuffing cotton into a doll's belly, stuffing it constantly, and it still requires pressure.
This kind of packing is also called compression and hemostasis. A large amount of gauze is stuffed in to create pressure, which can suppress invisible bleeding and stop bleeding.
Injuries to the human body actually have a red line. It is roughly when any organ has not reached its lowest level, and all damage is controllable.
Once any organ fails, so many bone effects will appear. The further back, the faster the damage occurs and the greater the harm caused by the damage.
If doctors cannot stop or interrupt the chain in time at this stage, they will have to face more problems in the later stages.
The expander is like a metal chicken skeleton, which is placed directly into the patient's chest, and then spreads the ribs, exposing all the organs in the chest.
"Hurry, hurry." As the patient's condition became more and more serious, all the top doctors in the hospital were replaced.
The chief surgeon is Zhang Fan, the first assistant is Dr. Zhang Yanfang, the second assistant is Dr. Li Guanghai, and the third assistant is Dr. Xu Yan. On-call doctors: All doctors above the deputy director level of thoracic surgery are on call in the operating room. The anesthesiologists are the two directors of the anesthesiology department.
The instrument nurse is the head nurse of Qiansu operating room, and the circulating nurse is two veteran nurses who have been in the operating room for more than 20 years. Even young nurses cannot enter this operating room.
It can be said that this operation is almost the most powerful medical team in the entire Chasu region and even the entire border.
"Zhang Yuan, while stopping the bleeding, it's best to use the C-arm to determine its depth." Zhao Yanfang assisted Zhang Fan.
Zhang Fan hesitated slightly for a second or two, then nodded, "Time is running out, everyone can only sacrifice a little!"
Everyone understood what Zhang Fan said, even the anesthesiologist didn't refute it.
The head nurse in the operating room spoke, "Yuan Zhang, please take care of me. We are all old women and we don't have children anymore. It's just you young people who are a bit..."
As soon as he said this, Zhang Fan felt inexplicably sad.
With the development of modern technology, many inspection equipment have been miniaturized. Such as X-ray and CT machines. A few years ago, this kind of equipment could not fit in any large room.
But now, one person can push X-rays, and CT machines have shrunk to the point where they can be used on the operating table.
However, these things are radioactive.
It doesn't matter if you take rays once or twice, but if it lasts for a long time, it will become a problem. This thing, rays of this intensity are particularly damaging to the glands of the human body.
For example, if women's breasts and men's testicles are irradiated too many times, what will be the result? The first is cancer, and the other is that after the male Kyoko is irradiated, she may become polyploid, and then give birth to a superman with a beard as soon as he lands!
Therefore, radiologists will retire a few years earlier than the average doctor. Normally, with this kind of radiation, doctors and nurses would hide in the lead room early.
Even if someone needs to support the patient, they will wear protective clothing.
But I can’t do it today, I don’t have time.
When everyone takes off their surgical gowns, puts on protective clothing, and then brushes their hands after irradiation and puts on surgical gowns again, the patient will probably feel cold.
Therefore, now we can only act urgently, but this is unfair to doctors and nurses.
Card, card, card. After three radiations, the C-arm was removed. Everyone looked at the iron on the monitor.
"Zhang Yuan, we can't cut anymore!" Zhao Yanfang and Xu Yan looked at the iron instrument inserted into the organ on the monitor and said dryly.
"Yes!" Zhang Fan didn't expect the iron tool to be inserted so deeply.
As if she was afraid that Zhang Fan would lose confidence, Zhao Yanfang said, "The failure to detect and treat life-threatening injuries in time is a tragedy for trauma surgery."
In fact, Zhao Yanfang doesn't know how to comfort people. If she could comfort people, she wouldn't study under a famous teacher. She is a very powerful doctor, but she can't survive in major hospitals. This woman is too straightforward and rational.
Moreover, it is estimated that due to the injury caused by her boyfriend in her early years, her language and thinking are very sharp. Her boyfriend does not know what kind of reincarnation he was, but he was able to sleep with her for almost ten years.
Although what she said sounded ugly, it was indeed the truth.
In medicine, a golden time is highly recommended, which is when the patient is traumatized. In the shortest possible time, most injuries with major problems should be diagnosed and at least temporarily treated.
But in reality?
In fact, for most patients in the world, no matter what level of hospital they are in, patients with severe injuries like this will make most doctors think about what caused this guy's death.
Textbooks are textbooks because reality is complex.
Different doctors, different environments, and different patients all make it impossible to reflect the most classic knowledge in textbooks. If you can even reach more than 70% of the knowledge in textbooks, you are already an extraordinary figure.
"What should I do?" Zhao Yanfang looked at the monitor and then glanced at Zhang Fan. Her inner thought was to give up.
This is the difference between doctors who are more scientific than doctors who are more clinical. Because her mind is almost all digital. There is a high probability that continuing the operation will accelerate the patient's death. When this happens, we usually give her the last care, so that she can die more painlessly and calmly.
Looking at Zhang Fan in a daze, Zhao Yanfang bit her lip. She never expected that this man could still be in a daze at this moment. Who was he?
In fact, Zhang Fan kept repeating the patient's surgery in the system.
Beads of sweat slowly appeared on the temples.
His breathing became more rapid.
In just a few minutes, the doctors and nurses in the operating room were almost suffocated by the pressure.
The patient's life slowly drains away over time.
The alarm on the monitor kept flashing, always reminding: Hurry up, your uncle, she is going to die.
what to do?
Almost everyone except Zhang Fan was thinking about what to do.
"There's a way!" Just when everyone's hearts were about to explode, Zhang Fan spoke.
His eyes were red, because his brain used a lot of oxygen, causing temporary hypoxia in the organs around him.
In these few minutes, Zhang Fan finally found a way in the system.
Zhang Fan in the system kept copying the patient's situation and looking for various solutions.
"What?" Zhao Yanfang didn't believe it. Her blood pressure was almost gone. If her heart continued to beat for a while, it would definitely be a disorder and failure. What else could she do now?
"Comrades! I need your help. In the next five minutes, I need you to ensure that the iron tool does not move at all. And when I say it rises, you must make sure that the iron tool breaks away quickly. Can you do it?"
Zhang Fan looked at several armed police soldiers.
The soldiers wore winter training uniforms during rescue operations. The winter training uniforms of the border areas are not comparable to those of the armed police in the mainland.
It is estimated that not many people have seen the legendary long-staple cotton, and even fewer people have used it. In the early years, folklore said that all this cotton was used to make cotton trousers for the big guys.
In fact, all this cotton is used by troops on various plateaus in the north and northwest.
In the wild, this long-staple cotton is warm and comfortable, but in the operating room, this is criminal law.
A group of young men were as cold as chickens outside, but now three kilograms of water could be squeezed out of their hot underwear.
"Okay! Zhang Yuan gives the order. We can do it even if we work hard." The instructor immediately looked at Zhang Fan and answered Zhang Fan's request.
"Okay, please!" Zhang Fan had an inexplicable trust in these men.
"Start!" With that, Zhang Fan picked up the electric knife and said to several men with a plastic filler in one hand.
After saying that, several men wearing masks looked like Guan Gong. It can be said that all the effort in feeding was exhausted. Without them, the operation today would not have been possible.
Zhang Fan circled around and started to connect the current blood vessels around the lungs, bit by bit, and time flew by.
Five minutes, five minutes of cutting off the end. Zhang Fan could say that he had never had an operation so quickly in his life.
Eyes are at hand, hands are at knife.
The blood is still coming out.
The white gauze goes in and the red one comes out. The used gauze is placed on the nurse's instrument table, like a hill, a red hill.
"Okay, get ready, get up!"
Zhang Fan chuckled softly.
Just like the shout of a gambler before opening a fortune.
Several young children, using all their strength, wanted to be fast, fast, fast, just like pulling out a carrot, there was a pop, the sound of a sharp sword entering the flesh, and they were pulling out the sword.
The negative pressure of the tissue and muscles is pressed against the iron, and the pink lung tissue is like the tongue being sucked out by the man when lovers kiss, or like...
The pink lung tissue followed the iron tool and turned inside out.
At this moment, blood bloomed for a moment.
Zhang Fan's electric knife entered with a stabbing sound, and then the filler was quickly inserted into the gap.
"Inflate!"
Under the operating table, several middle-aged doctors held spherical inflatable balls and began to squeeze them. Puff, puff, the filler quickly grew in size in the sinus tract.
"Beep! Beep! Beep!" The rapid instrument was like an explosion, slowly getting smaller from the sharpest, and then disappeared!
Sweat, Zhang Fan's slippers were full of sweat.
"Is it done?"
The armed police instructor and several children were still carrying iron tools and looked at Zhang Fan eagerly.
