Among all traumatic surgeries, craniocerebral trauma surgeries have the highest mortality rate, while thoracic surgery ranks second. This is one of the reasons why almost all hospitals below tertiary level A cannot develop these two departments.
It’s not a bad thing to say. If you have such an injury, don’t waste time when choosing a hospital. Go to a tertiary hospital as quickly as possible. Sometimes life or death is actually determined when you choose a hospital.
When the old man was sent to the operating room, all the doctors and nurses in the operating room were like bees seeing the stamens of a flower. They didn't need to direct what they should do, and they started almost at the same time.
The nurse opens intravenous channels, one channel belongs to the anesthesiologist, one channel is for blood transfusion, and the remaining two belong to the surgeon and one to the reserved physician.
An organ as thin as a sheep intestine can be intubated and quickly inserted into the patient's organ. The lungs will start to rise and fall instantly. In the end, the most ideal place to control heart damage is the operating room. No emergency room or treatment room can perform this kind of surgery.
During thoracotomy, the patient's fourth and fifth intercostal spaces, which are the lower edge of the male penis, are quickly incised, the skin is opened, and the fat is separated. A small rake-like retractor quickly pulls away the fat and skin, exposing the intercostal muscles.
This speed must be extremely fast, and the heart and brain are not separated. Moreover, once there is a problem with the heart, it will not only affect the brain, but may even spread throughout the body.
To put it simply, when many people get older and cannot satisfy the demands of their families or outside their homes, they start to take Liuwei Dihuang Pills, concentrated pills, and beeswax kidney-strengthening and essence-solidifying pills, just like children taking sugar pills. The urine is already golden, but it shouldn’t work, and it still doesn’t work.
At this time, it was actually a heart problem.
This is why the medicine used to treat the heart has become a savior medicine for old men. The problem of getting to the bottom of the problem still has to fall on the heart.
"Scissors!" Zhang Fan's chest opening speed was extremely fast. Only then did Lin Qing'an realize the gap between him and Zhang Fan.
In normal times, although an orthopedic surgeon was also performing thoracic surgery, Lin Qingan felt that Zhang Fan's level was probably about the same as his own, or maybe a little worse.
But today, this kind of emergency surgery immediately made Lin Qingan see the difference. While helping Zhang Fan, Old Lin murmured in his heart: "Maybe it will slow down later. After all, although the ribs are outside the chest, they are also bones. "
As a result, when Zhang Fan took the scissors and cut the intercostal muscles along the ribs, his speed still did not slow down.
In cardiac surgery, after opening the chest, there are only five steps left to put it bluntly: move the left lung, contact the cardiac tamponade, open the heart for compression, control the hilum, and tighten the descending aorta.
The muscle is incised and the rib retractor is used. The thick rib retractor directly opens the intercostal space like a meat seam, and slowly opens it until it is as big as crotchless pants.
When performing heart compression, Lao Lin thought that Zhang Fan might not be very skilled at this. After all, Zhang Fan was an orthopedic surgeon. Unexpectedly, after pushing away the left lung, Zhang Fan started directly without saying a word.
Lao Lin was vomiting and couldn't swallow anymore. He shouted in his heart: "Brother, this is the heart, not a white steamed bun. Not everyone can put their hands on it."
In fact, Lao Lin didn't know that Zhang Fan had performed heart compressions on children as young as two years old, let alone adults now.
Heart compressions, especially open chest compressions, are very particular.
This thing is not something you can press randomly. If you can't squeeze it well, if a room trembles out, you will die.
This kind of pressing is almost the same as holding a cow to milk it.
Cross your hands and hold the heart in your palms, just like exposing the beans when milking a cow. At this time, the apex of the left heart should be exposed, and you should not squeeze it hard with your fingers.
This kind of action is dangerous. Not only is it dangerous to press on the heart, but it is also dangerous to milk the cow. Your fingers will hurt the cow and people will kick you.
The thenar and hypothenar surfaces of the palm of the hand must be used to form a flat surface to release stable pressure.
Really, many medical actions, if placed in a beauty salon, can definitely make people feel comfortable regardless of gender. Many medical operations are designed to avoid injuries to the maximum extent.
Zhang Fan pinched his heart with both hands, once, twice, and Lao Lin finally understood why Zhang Fan was so good. Although the patient's heart has not started to beat automatically yet, from the beginning to now, the operation has not made any unnecessary movements, and the speed can be said to be almost It has reached the limit of human beings, and this subject is not his natural subject.
This is how people are, once they discover the gap, the little pride and arrogance that they had in their hearts will slowly disappear, and they will start to become extra humble.
In the operating room, it was so quiet that you could even hear the breathing of the doctors and nurses. Everyone was staring at Zhang Fan's hands. Suddenly, the fist-sized heart started to fluctuate from the tip of the heart, like a fish.
The purple-red heart, like a bud rising up, suddenly began to beat in Zhang Fan's hand.
"Huh!" Zhang Fan took a long breath.
This kind of surgery depends not only on what level of doctor you are, how perfect the thoracotomy is, and how fast the opening is. The final outcome is that the heart starts beating automatically. Once it cannot beat on its own, all the early efforts will be in vain.
Even once a patient dies on the operating table, all kinds of troubles ensue.
Orthopedic surgery requires a strong and impetuous person, while outside the mind, it requires careful prediction, and outside the mind, sometimes it is just luck.
When your heart is not beating, you kneel down and kowtow to it. If it is not beating, it will not move at all.
Sometimes, just when the chest is opened and the left lung is pushed away, before the hands are stretched out, people start to start again.
But today is finally a good result.
As for the two old ladies in the emergency room, they also passed the critical period.
Sometimes, ordinary people's catastrophes are often caused by trivial things, and then they become so angry that they cannot restrain themselves, and the consequences are regrettable.
For example, what are you looking at? Then the two of them fisted and kicked each other, and one of them beat the other to death.
Zhang Fan has never had any surprises in scientific research, but the laboratory still gave Zhang Fan unexpected gains.
It was originally planned that the HPV vaccine would be available in two or three years, but at the end of May and the beginning of June, Zhao Yanfang, a pregnant woman, led a group of people and succeeded more than a year in advance.
Although it is a replicative test, this is also quite difficult. Not to mention other things, there is only one tuberculosis vaccine. The whole world now knows that Chasu Hospital has developed it, and it can still suppress refractory tuberculosis. It is satisfactory. There is no country in the world that can copy it in half a year.
Biological medicine, biochemical medicine, and sometimes it is really mythical medicine.
"Hey, why are you working so hard? If there is a shortcoming, you said that my junior brother can't fight with me."
Zhang Fan looked at Zhao Yanfang, who was wearing an exaggerated maternity dress and flat cloth shoes, and didn't know what to say. He gave her a special one-year holiday. As a result, after the discomfort in the first three months disappeared, she came to work again. .
"It's okay. I'm a doctor myself after all, and I know what's appropriate. Why do you look at you like you're not happy at all?"
After getting pregnant, Zhao Yanfang's temper was much better than before. She was no longer so sarcastic, and her speech was much more tolerant and generous. If it had been in the past, she would definitely say that Zhang Fan didn't have any scientific literacy in terms of nose, nose, and eyes.
In fact, Zhang Fan is not very interested in this kind of replicative experiment, and he is not that excited about doing it. To put it bluntly, this thing is actually like a golden retriever taking a bite of bread, chewing it, mixing it with saliva and various digestive enzymes, then opening your mouth and feeding it to your mouth, saying "eat it," this thing is sweet. of.
"You guys are a bit too fast!" Zhang Fan looked at the experimental data with a look of helplessness on his face.
"Why, isn't it quick?"
What do you mean by this thing? Boss Shining gave 10 billion. Currently, Chasu Hospital has not even spent 1 billion before it has achieved results. The remaining 9 billion is just a matter of nonsense.
It's like paying more than 100 yuan to hire a locksmith and opening the door in 20 seconds. This makes the person who paid the money really unwilling to do so!
In the conference room, Ouyang, Ren Li, Li Cunhou and even Zhao Yanfang and Lu Ning were all called over by Zhang Fan.
What Zhang Fan was discussing was not the sale of this thing, because this test was actually a customized model, a customized model invested by Shining Shining's boss and Niaoshi Winery.
Although the hospital can also get some points, most of them belong to the owner of Shining Shining and Bird Market.
Therefore, Zhang Fan is currently holding a meeting to discuss how to digest the remaining nine billion.
"Your junior brother is really shameless. You want to give away so much money!" Zhao Yanfang slowly stroked her big belly as if stroking her beard. It was probably the child swimming in it.
"It's not easy for him either. If he hadn't been so fussy about it, would you have been able to use whatever was useful when doing experiments? You used to follow your tutor and never led experimental groups on your own in other schools or hospitals.
When I was at Jade Bird, the leaders in charge of funding were so stingy that the price and quantity of a test tube were fixed. You don’t know how cautious we were at the beginning, fearing that if we failed too many times, we would have to advance money.
Look at your laboratory, it makes me feel bad how wasteful it is. "Lu Ning helped Zhang Fan speak while emphasizing the relaxed experimental environment.
"Don't worry, I won't look down on you. Even if your experiment fails, you are still the father of the child. I won't laugh at you. My talent is in the laboratory. Don't feel inferior about this."
Who is Zhao Yanfang? As soon as he heard about it, he knew that Lu Ning was a little jealous of his experimental results. The team led by Zhao Yanfang at Chasu Hospital has already produced two major scientific research results. The first is antiemetics, the second is HPV vaccine, and Lu Ning is still far away from hepatitis B.
Therefore, in this comparison, Lu Ning felt that his status in the family was becoming increasingly invisible.
Zhang Fan coughed as he looked at the couple flirting, then glanced at Lu Ning again when he saw Zhao Yanfang's big belly, "I won't do anything serious for a day!"
"Let's all discuss and discuss. One person is trying to gain the shortcomings. How can we tell Boss Shining and how can we make Boss Shining willingly put down the remaining scientific research funds? Don't get hung up on things that have nothing to do with yourself. I have planned all this money in advance. , if Boss Shining takes away the money, many of your plans will probably have financial problems."
Zhang Fan is very aware of this group of people in the hospital. For example, Ren Shushu, as long as she has nothing to do with the cardiology department, she will stare wide-eyed, as if watching people coming, but in fact, she probably doesn't even open her ears.
