Entering the operating room, Ma Yichen was already performing chest compressions.
"What's going on?" Zhang Fan asked, suppressing his anger. On the operating table, a director and a deputy director, two doctors who were quite talented in general surgery, actually performed chest compressions for removing a spleen. Damn it, are all the professional titles so-called, are the talents blocked by the fat eaten during the New Year!
Can Zhang Fan not be angry?
"After admission, the patient was not found to have a closed pneumothorax. After general anesthesia, intubation and positive pressure ventilation, the closed pneumothorax turned into a tension pneumothorax." The anesthesiologist quickly explained the situation.
Zhang Fan bit his teeth.
The patient's condition was very special and he was already in shock when he entered the hospital, but this is not an excuse for the doctor not to discover other injuries.
This is the particularity of emergency surgery. A foreign doctor who has made great achievements in trauma once said: The goal of trauma surgical intervention is to cut off the natural course of physiological deterioration caused by anatomical tissue destruction and reduce the risk of trauma surgical complications. The key is to minimize delays in intervention.
It can be said that every emergency surgery is actually an encounter, and this type of surgery is often the most likely to cause trouble. Moreover, there are often very few doctors to choose from for this kind of surgery. The most important point is that as doctors become more and more specialized, there are more and more such surgical accidents.
Crossing professions is like crossing a mountain. Modern medicine has made itself like this. Don’t be like crossing a mountain after surgery. Surgery is often like crossing a mountain, and doctors with different research directions in a department cannot communicate academically. Explore.
This is a problem with medical education and the medical system. Just like in the past, when there was a shortage of doctors, eyebrows and beards were all raised, but now it feels like there is a lack of high-tech, and all doctors must do papers and do scientific research.
A hospital is a hospital, not a research institute. Why not leave a way for comprehensive doctors? Zhang Fan quickly changed into surgical clothes and immediately accepted the position of surgeon.
"Big syringe, quick!"
The instrument nurse quickly placed a syringe as thick as a child's arm into Zhang Fan's hand. At this time, the patient's blood oxygen level is too low to open the chest even in time.
There is no time to think about it now, all we can do is try to find ways to deal with them.
Zhang Fan took the syringe and inserted it quickly along the gap between the ribs. He only heard a pop, and blood spurted out from the needle like fireworks set off during the New Year.
When the patient's chest skin is pinched, crepitus can be clearly felt, which is an obvious sign of pneumothorax. "Keep syringing, quick."
The circulating nurse and the instrument nurse, like tearing off the outer packaging of the condoms, delivered the syringes to Zhang Fan one after another.
Zhang Fan pressed the button and inserted a syringe when he heard a distinct drum sound.
Originally, one insertion was enough for this kind of drainage, but now it's too late in this situation.
The lungs must be opened as quickly as possible. Of course, the sequelae of this operation are not small, and it is extremely easy to cause secondary pneumothorax after surgery.
This thing is like a balloon. One patch is fine, but if the patches are full of balloons, something could easily happen. "The heart rate is up, the heart rate is up!"
Various alarms in the operating room went off one after another, and the anesthesiologist finally tremblingly reported the good news.
The patient is really going to die. The surgeon on the operating table is the first responsible person, and the anesthetist is the second responsible person. After all, the intubation can't escape without careful physical examination.
When the patient's blood oxygen, blood pressure, and heart rate slowly rose, several doctors in the operating room had a feeling of narrow escape from death on their faces, which was not an exaggeration at all. "Continue the operation!" Now that Zhang Fan was on the stage, he directly took over as the surgeon and began to remove the spleen.
Many people may know the general policies and directions, or know how many times their neighbor's father and mother had a fight yesterday, but they are not very clear about their own bodies. For example, a chronically constipated person might come up with the idea of stuffing an eel into his bowels to relieve his bowels. If he knew a little bit about the intestinal tract, he would not do such a tragic thing.
Among human organs, the abdominal organs that are most susceptible to rupture in the event of trauma are solid organs. Solid organs include liver, kidneys, pancreas, spleen, ovaries, brain, lungs, prostate, and thyroid.
Among these abdominal organs, the spleen is the most susceptible to rupture. Because the others are either protected or so small that they are wrapped in fat.
For example, the brain and liver are protected by a skull, the hardest helmet in the body. Many people have heard of concussions. In fact, concussions in human terms are just holding a raw egg and moving it up and down quickly a few times.
The diagnostic criteria for a concussion is that the patient has temporary amnesia. Everyone who understands this sentence knows that if you are attacked by an unreasonable person, you will think hard and give the memory of the period before you were hit. Concealed and forgotten.
In this case, when the academician comes, he can only choose a diagnosis of concussion for you.
As for the liver, although there is no hard helmet, most of it is under the ribs. It can be said that people have chain mail. Kidneys, don't look at the two big kidneys hanging in the distance. But I have cotton-padded clothes.
Men like to eat big kidneys when eating barbecue. There is a thick ring of fat around the big kidneys. This kind of protection, if you don't encounter sharp objects, just rely on throwing them, and the bones will break into glass slag, and your kidneys may not be in trouble.
But the spleen is different.
Like all organs, this thing is fragile, and an adult's spleen is just a packet of blood.
Although the spleen is located in the abdominal cavity, it is classified into the lymphatic system. It is the largest lymphoid organ in the human body. For example, after red blood cells age, they are eventually swallowed up by the spleen.
In childhood, this thing is hematopoietic. In adulthood, its main job is immune response. For example, if parasites or viruses or bacteria enter the body, this thing will try to eat up these foreign objects, and even some parasites can be stuffed into it. Use your mouth as jelly beans.
In principle, after the spleen is damaged, it must be repaired, but most hospitals or doctors will choose to remove it!
On the operating table, the patient's spleen lies in the abdominal cavity like a congested tongue. This operation is actually not very difficult. The stomach pouch is opened, the gastrosplenic ligament is cut, and the blood vessels between the stomach and spleen are ligated. Then the tissue scissors are picked up and clicked, just like cutting off the tongue, and the spleen is completely removed.
Sometimes, surgery can be really cruel.
For example, in breast incision surgery or kidney removal surgery, when the scissors are cut, the operator will feel as if something is about to fall out of his body. Therefore, many urologists, especially those who specialize in kidney surgery, almost do not perform surgery. Eat kidneys.
Zhang Fan came out of the general surgery operating room a little exhausted. This kind of surgery can be described as exciting in one word. Life and death are only a matter of minutes. In the corridor, Wang Yanan can be heard in the orthopedic operating room, like a blacksmith, clanging. In the past, Zhang Fan would feel upset, but now he actually feels happy.
"Zhang Yuan, the leader hasn't left yet." Standing in front of Zhang Fan, he didn't know whether he felt he was short or for some other reason, but he puffed up his chest.
Wearing a green surgical gown, Bayin looks like he has three heads, which is not an exaggeration at all.
Zhang Fan rushed, changed his clothes, and then left the operating room. It would also be beneficial to let leaders worry and be afraid for a little longer, so that they may be more cautious and awe-stricken in the future. "Although today's surgery was full of twists and turns, the patient has passed the critical period. Of the seven or eight surgeries, not one failed."
Chasu Laoer held Zhang Fan's hand and nodded his thanks.
Yes, the development momentum of Chasu is so strong now. If at this time, to add to his excellent resume, a major stampede occurs during his tenure, perhaps the superior leaders will not say anything, but his competitors will be able to take advantage of it. This matter tormented him to death.
The Spring Festival is now over, and we go to work on July 1st of the Lunar New Year, and various departments of the Department of Surgery are notified of a meeting.
Then in the conference room, two young doctors, a director and a deputy director of general surgery, sat on the podium with serious faces. "What's going on? Are all the general surgery department leaders now? They're all sitting on the rostrum. Why don't we, the urology department, get such attention?"
A group of young people whispered privately
Muttering.
"Okay, the time has come. Today, I would like to ask the comrades from the general surgery group to tell us about their experience in an operation during the Chinese New Year." Lao Chen presided over the meeting, and all the hospital leaders who were in charge of the surgical department participated.
Many hospitals, especially large hospitals, only hold discussions after a death. In the past, this kind of discussion was about looking for problems, discovering problems, and solving problems. But now for some reason, the larger the hospital, the more cliquey people feel when discussing death.
Today, several doctors from the general surgery group collectively discussed why there were such major oversights in the surgical path. Even this year, all elective surgeries in the operating room were stopped this morning, and meetings were held here.
It's not Zhang Fan's style to hold meetings to criticize people. Today's meeting is not a criticism meeting, but a discussion about our experiences, the situation at that time, and the summary after the operation. Zhang Fan was not afraid that they would make mistakes, but that they would not correct them.
As long as this style can be persisted in, young doctors can even avoid countless years of detours. ....
"Zhang Yuan, the diplomatic department just informed the General Office that the Golden Retriever expert team will be here next Monday." The liaison officer from Nanhai passed the information to Zhang Fan immediately.
It is estimated that the leaders of Bird City don’t know yet.
After the negotiations with the Golden Retriever were blocked by the national team, the Golden Retriever sent a team of experts to evaluate the drug for the last time.
"That's a good thing. Do you know what experts there are?"
"It's mainly about pharmacy. There don't seem to be many clinical experts, and they are all older experts. I guess they are experts like the chairman of their physician association just to be cautious."
After Zhang Fan heard this, he kept cursing in his heart.
Damn, why are all the old guys here? Who are you guarding against!
Zhang Fan seemed to have lost a large amount of money, and his good mood was completely wiped out by this news.
When I got home from get off work, Zhang Fan didn't want to go back to the house for the past two days. He ate leftovers every day. He even slipped out the meat buns four or five times and still hasn't finished them. At this point, Zhang Fan and Shao Hua still have to prepare ingredients to entertain people every day.
Zhang Fan made it clear in the hospital that New Year greetings were not allowed.
Okay, now it’s true that no one comes to pay individual New Year greetings, but now it’s become a group New Year greeting.
Dozens of people from one department stormed into Zhang Fan's villa. You couldn't just say with a stern face, "Go back." With the first one, other departments followed.
For example, a group of people from the Department of Orthopedics came first, and Zhang Fan stewed a lamb without any preparation at all. A group of people who rummage through boxes and cabinets, refuse to drink wine if it’s not good, or drink tea if it doesn’t taste good. It feels like this group of people just collected a hundred yuan each, and then came to the house to eat at the buffet.
But Lao Chen had been here long ago. Before the New Year, Lao Chen came here with a bag of worthless fruits. After eating and drinking, he also took Zhang Fan away with two bottles of good wine. That's all, Zhang Fan and Shao Hua still have to entertain them well.
Zhang Fan's family, who was over a year old, seemed to have suffered a military disaster. However, in this wave of New Year greetings, Zhang Zhibo is no longer afraid of strangers. The more people there are, the happier he is. He even insists on touching everyone with a milk bottle, making it seem as if Zhang Fan, an old father, has given up his position as a parent to Baby Boy. Same.
"No one is coming tonight, right?"
"No one should be here. All that is supposed to come is here. Why don't you go on a trip next year?"
Zhang Fan was really not talking nonsense. A group of people came in large numbers. Not to mention eating, when the orthopedic surgeon first came, there were not enough bowls and chopsticks at home.
Before he could finish his words, Jia Su came over!
