The flower hen flew from a distance. It didn't look like it was very fast, and it had a big belly. In fact, the speed is quite good, and the signal lights are not very obvious in the daytime. It is not like the purple headlights of the 120 that flash like those of a beauty salon. They are not only bright but also sound.
Zhang Fan put down the phone and ran towards the elevator. Wang Hong took a look, put down the things in her hands, grabbed the phone and ran along.
"Call the logistics department to free up the surgical elevator and let them coordinate other surgeries on their own."
"Okay!" Wang Hong ran and called the logistics staff, panting. If she didn't know she was in the unit, she would have thought she was doing something.
Regarding the elevators in the hospital, in order to save money, some people originally wanted to build a large elevator and make other elevators into small elevators.
In fact, large elevators are not much more expensive than small elevators.
Ouyang didn't agree at that time. All the elevators in the hospital were made the same as the freight elevators in the shopping mall. The advantage came out at this time. After the surgical elevator was controlled, other elevators could still enter and exit the surgical flat car. The hospital was a big waste of money.
In many places, what seems frugal is actually short-sighted in seeking wealth and harming lives. For example, when a non-medical professional director came to a county-level hospital, he even emphasized the need to save. Can needles be reused for sterilization? It's not easy, and he said that he came here like this back then, and he didn't see any diseases.
Then there was an outbreak of hepatitis C in the pediatric department of the hospital. I don’t know who told the parents of the children. The director was beaten so hard by a group of parents of the children that he almost flew up.
WHO has a special note on hepatitis C transmission: reusing or not thoroughly sterilizing medical equipment (especially syringes and needles) in health care facilities; transfusing unscreened blood and blood products; sharing injection equipment Injectable drugs.
There is no danger of repeated use of the injectable ones. You can imagine how stupid this dean is.
Is this how cost control is controlled? Sometimes, things in the medical industry really cannot be discussed.
After the clattering flower hen landed firmly on the apron, Zhang Fan waited for a moment and waited for the propeller speed to slow down before running over with the nurse and doctor pushing the flat cart.
The cabin door suddenly opened.
Before anyone came out, the smell that hit my face was not the smell of blood, but the smell of fireworks after the fireworks were set off.
Then jumped down a few soldiers carrying submachine guns or automatic rifles. "How is it, how is it? How many were injured?"
As soon as Zhang Fan finished asking, he saw that the cabin was covered with white cloth. He was calmed down immediately. In fact, many things happened in the border area. Even at Zhang Fan's level, it would take many years to see the news to find out what happened.
However, no matter what, Zhang Fan didn't want to see any problems with his soldiers. They all had young faces and took off their green military uniforms, but they were actually a group of honest children.
Just when Zhang Fan was in a daze, Xue Fei jumped down.
"Zhang Yuan, Zhang Yuan, a soldier is injured, I have taken care of it. But he still needs surgery."
Zhang Fan was stunned for a moment, "Is he just injured?"
"Well, the injury from the stone is quite serious. Come and have a look."
Zhang Fan went over and took a look, and saw that the young man's head, face and upper body were bandaged like a mummy, with only his eyes and nose exposed.
"The skull and shoulder blades were hit. There was a history of vomiting and syncope. The intracranial pressure increased significantly. He vomited blood, but the amount was not large."
As Xue Fei introduced, he, Zhang Fan and the doctors from the emergency department gently lifted the young soldier off the flower hen.
After putting the flat car on, Zhang Fan immediately said to Wang Hong: "Notify the brain surgery team and be on standby in the operating room!"
"Already in place."
Then Zhang Fan looked at the cabin again, wondering what was going on inside.
Xue Fei pulled Zhang Fan out and said, "This is not our person. I was shocked when I first arrived." As he said this, he pulled Zhang Fan downstairs.
No one informed Zhang Fan about this matter. Zhang Fan felt like a cat was scratching his head, but he couldn't ask.
Until later, one year, Yangma suddenly released a documentary. In a desert, the country's digital army was chasing a group of militants.
On the plateau, even in summer, the temperature is still freezing.
The militants not only have guns, but the rocks on the mountain are pushed down like cannonballs.
Peng! A young warrior was smashed.
In an instant, it was like a dead tree. It was smashed to the ground without even a shout.
The battalion commander was like crazy, commanding the troops to rush forward, while the instructor and two other soldiers carried the wounded and ran down the mountain.
In the end, the militants were blocked in a cave...
Sometimes, talking about this kind of thing is like bragging. Not to mention ordinary people in the mainland, even people in the border areas are actually the same.
How could such a thing happen in the clear sky?
In fact, it is the children stationed on the frontier of the motherland who are working hard and dangerously. Sometimes, some people don’t quite understand the border and feel that it is too strict here.
To be honest, it is indeed very strict, but what if this group of armed devils enters the city?
The clear and clear sky was created by these children with their blood and sweat.
When Zhang Fan heard this, he stopped worrying, as long as he was not one of his own, then he picked up his white coat and started running down.
"Hurry up and do a CT scan. It's this time and you're still wearing a shitty lead suit." The director outside his head scolded him like crazy.
The extra-brain department of Tea Su is almost like a brain surgery room built with mediocre doctors. On weekdays, I don’t know whether this group of people are just pretending, or whether they are of high quality.
He speaks kindly to everyone, even the nurses and patients at Chasu Hospital give him a thumbs up, saying that he is a great expert from the capital, not only with good skills, but also with a good temper. Unlike Zhang Heizi, whose face was darkened before he could speak.
But at this time, the director outside the brain was shouting curses in the operating room.
General radiological examinations in the operating room, such as C-arm and bedside CT, require doctors to wear lead suits or hide behind lead sheets.
A doctor who came for further training followed the routine and was about to put on a lead suit when he was pushed aside by the anxious department director.
Then get started on your own.
The trainee doctor was so aggrieved that he almost cried. If he had to do a radiological examination quickly on weekdays, the director would not be happy. But today...
Yes, you have to be careful on weekdays, but today is different.
Will doctors be exposed to radiation to treat patients?
meeting! But there may be fewer and fewer such doctors!
As soon as Zhang Fan entered the operating room, the director outside his head did not pause. Zhang Fan did not retreat, but gently asked the training doctors and nurses to retreat.
If you have enough people, you should avoid it if you can. Especially for women, the breasts are too susceptible to radiation factors and can cause disease.
"The cortical break of the skull produces a depressed fracture, which does not rule out the possibility of venous sinus damage. The broken end of the fracture is bumpy. Cranial nerve vIII is considered to be damaged..."
The director outside the brain began to report the damage loudly to the monitor.
Zhang Fan and the others didn't need to watch the movie anymore. From the sentence-by-sentence report, Zhang Fan had already constructed the injury situation of the little soldier.
As if it was engraved in his mind, Zhang Fan took out the gentian violet while listening and began to draw surgical entry marks on the little warrior's head.
Under normal circumstances, Zhang Fan seldom draws preoperative marks because the human body structure is almost engraved in Zhang Fan's brain.
But not outside the head.
The simplest thing is, for example, if a person falls or has a car accident, then what flows in the nose is not blood, but streams of clear liquid.
At this time, don’t be careless and don’t think it’s just nasal discharge.
This is cerebral crest fluid, which is even more dangerous than bleeding at this time, so if you encounter this situation, do not move without permission.
And the same goes for surgery.
Not only did a large amount of blood flow out of the little warrior's mouth, but blood mixed with cerebral crest fluid also flowed out of the nasal cavity.
Moreover, the most troublesome thing is that the fracture is embedded in the skull.
How to describe it, it's probably like a bone dregs inserted into the tofu.
If it were in other parts of the body, it would be impossible to pull out the bone residue and sew two stitches on the wound without even using anesthesia. Anyway, it only takes two stitches on the left and right sides.
But, the brain can’t.
Physicians must weigh the risks of elevating the bone fragment, because an inadvertent step can cause iatrogenic epilepsy.
This has a very serious psychological impact on patients and their families.
"Start the exposure!" As soon as the director outside the brain finished reporting the film, Zhang Fan gave the order to start the operation.
When the director of the brain surgery saw it, he immediately shouted to the circulating nurse: "Acetazolamide and mannitol 1g/KG are administered by intermittent intravenous infusion to ensure the stability of the intracranial pressure.
Quickly, intravenous injection of barbiturates inhibits the formation of brain waves.
1g of methylprednisolone intravenously and 2000 units of heparin intravenously..."
The director outside the brain didn't need Zhang Fan to worry about these things. When Zhang Fan's surgery was performed, he had already started taking corresponding protective measures.
None of these measures can be omitted. They may seem simple, but they are actually quite important.
For example, with barbiturates, the human brain is just like the heart. This thing will move. If during surgery, the brain will move violently due to pain or drug stimulation.
Compared with other organs, the brain squirms like brains in a hot pot. But in surgery, especially trauma surgery, this is a pretty dangerous thing.
Teasu's brain function is now very powerful.
However, no one was dissatisfied with Zhang Fan's position as the surgeon.
Because everyone knows that although Zhang Fan rarely speaks or shows off outside his head.
In fact, Zhang Fan must be one of the best in brain surgery in China.
Open the bone flap, use counter-pressure with both hands, and immediately use ophthalmic tweezers to clamp the bleeding blood vessel.
"Quickly, let the orthopedic surgeon come over and give me a section of the radial artery!"
After opening his skull, Zhang Fan started to sweat.
The rocks were thrown from an unknown height. There were no protective pillars on the helmet, and the side of his temples was smashed as if it was a brain filled with fermented bean curd.
The red and white ones were joined together, and the superficial temporal artery was pricked by bone fragments like a leaking condom.
If it is placed in the limbs or internal organs, the superficial temporal artery, which is not a very thick blood vessel, will be ligated directly. Don’t even think about it, fix?
Without using it, the body can directly generate collateral circulation.
But not in the brain.
Because the brain is a foodie, this part of the brain is starved to death before collateral circulation is formed.
"Zhang Yuan, Wang Yanan and Xu Xian are here."
"Three centimeters of radial artery, take it out immediately."
Zhang Fan didn't even raise his head before he started giving orders.
