In most parts of the world, chest trauma is the business of cardiothoracic surgeons, head trauma is the business of neurosurgery, and bone and joints are the business of orthopedic surgeons.

Gone are the days when a doctor had the ability to drive from head to toe. This may be the result of the development of medical technology.

Or maybe modern people can't bear loneliness, loneliness, a life without money, and are unwilling to deposit.

Back then, if Zhang Fan didn't have a cloth patch in his pocket, there was no way back, and it was estimated that even if he had a system, he would be slower than now, and he would not have achieved the same results as he does now.

People are this thing, sometimes a fragile batch, a bite of steamed buns may be able to choke a person to death, and even a word from others can make a person lose confidence in life and go to the extreme.

But sometimes it's quite resilient. ups and downs, just don't admit defeat.

I don't believe in this fate, it's hard to say whether it succeeds or not, but once you seize an opportunity, this kind of tenacious person who is as strong as a small one must not be underestimated.

Zhang Fan looks quite awesome in regional hospitals, and even in some provincial hospitals, because there are too few doctors from head to toe, and one is counted as one, either he has become the president or has retired.

And in the field hospital, there are too many such doctors, too many, is this because they are more talented? No, they are forced, often at some point, they are just alone, and there is no way back.

When there is no team and no rear, you can't specialize in multiple skills, so you can only watch the wounded die.

In the operating room, Wu Lao Yizhu, the second assistant to the director of the field hospital, and the third assistant to the director of XXX Hospital.

Among them, the one who is really engaged in liver and gallbladder is only one Wu Lao. In addition, Zhang Fan is registered in the Department of Orthopedics, the director of the field hospital, and the director of XXX Hospital is the head of the gastrointestinal tract, and he can be regarded as a little bit of a side.

Four people, four specialties, work together to do a liver operation, and this situation can only be seen in field hospitals.

"Damage control! Doctor Zhang is too bold!" After the director of the field hospital came to the stage, he saw that the wounded's liver was covered with gauze, and he was directly incredulous, and said a word to Zhang Fan in surprise.

Liver, a long time ago, a doctor used the tamponade stop loss method for liver damage.

What does it mean, to put it simply, the liver was damaged by a big stab, and the blood rose like fireworks.

He did not choose liver removal, he did not choose intermittent repair. Instead, it is stuffed with gauze and then waited for the liver to repair itself.

His record was not recognized at the time, four surgeries, three died, and one survived, but the liver that survived was intact.

His manoeuvre was considered a cowardly operation at the time. Because the odds of failure are too high.

A hundred years later, the U.S. military once again proposed this surgical method. However, the risk is still quite huge, and there are only a handful of doctors who can perform this kind of surgery in the US military.

The director of the field hospital is a person who has seen the world, and when he saw this way, it is impossible not to be surprised, this operation, to be honest, in their hospital, no one dares to start it now.

"Hmm!" Zhang Fan nodded, his eyes carefully observing the situation of the gauze.

In surgery, when measuring bleeding, there is a standard, and how much blood is in the suction device is clear, because the drainage bottle has a measurement number.

And how to calculate other bleeding, is to count gauze, count the gauze soaked with blood, 200ml of gauze.

"Has Dr. Zhang ever operated on this type of surgery?" Although the field doctor asked Zhang Fan again, his eyes were looking at Wu Lao.

Zhang Fan was busy carefully observing the gauze, and he didn't say it for the first time, he wanted to determine whether the patient's bleeding had been stopped, or how much the bleeding was now.

And Wu Lao didn't speak, but shook his head.

"I haven't done it before, but it's the only way he can save his liver. ”

"Are you sure?"

"Yes!"

"Brother comrade, this is not child's play, I understand your feelings, but we have to put survival first, right?"

The director of the field hospital said to Zhang Fan with a little regret. He admired Zhang Fan's courage to do stop-loss surgery, but he didn't agree with a doctor who had no experience in this kind of surgery rashly doing stop-loss surgery.

Of course, this disagreement is not only verbal, but also reflected in the following medical records and reports.

This is not a villain's act, this is a doctor, the most basic professional ethics, do not cover up, one is one, two is two, everything is based on the facts seen with their own eyes.

This kind of stop-loss surgery that is used only as a last resort, Wu Lao is not familiar with it, and there are too many variable conditions for this kind of operation, so it is impossible to use data to form a rule.

"I need eye surgery instruments right now, a doctor who can prescribe a TEG, and a nurse who reminds me every fifteen minutes. Be quick. ”

Zhang Fan did not explain, nor did he argue with the dean. He was not trying to convince others, but to save his liver.

"Hey, okay, I'll get the hematology doctor at the hospital right now. Head Nurse Chen, your task now is to remind Dr. Zhang every fifteen minutes. ”

"Yes!" the head nurse of the circuit saluted as he began the timer.

"Why, hasn't the bleeding stopped?" As soon as Wu Lao heard this, he knew that the bleeding of the wounded was not optimistic.

"There is still a part of the bleeding, uncle, and we still need to wait for two hours. ”

After Zhang Fan finished checking the gauze, he looked up at Wu Lao.

Wu Lao's heart was also entangled, on the one hand, he completely preserved the liver of this wounded, and on the other hand, he sacrificed.

Really, at this time, the doctors are like standing in front of death, patting their thighs and scolding the street to provoke death, come, come, you have the ability.

And the Grim Reaper, like a Tibetan mastiff, bared his teeth and roared.

Sometimes, even if the patient has a cough, the chain that holds the Grim Reaper will break, and then the consequences will be devastating.

Difficult, often in medical care, many, many times, will face this dilemma.

"I disagree. He is still very young, Wu Lao, we are gambling with his life, and now we will have an excision, even if the liver is cut in half, his life can go on. ”

The director of the field hospital was also anxious, he and Zhang Fan had never met, he was definitely not targeting Zhang Fan, he was also for the wounded.

This is the difference in philosophy, the difference in age. Older people tend to be a little more conservative, while younger people are more aggressive.

It's hard to say who is right and who is wrong.

Wu Lao looked at Zhang Fan, Zhang Fan straightened his body, looked at Wu Lao, resolute eyes, didn't need to speak, the tacit understanding cultivated by the two masters, at this glance, Wu Lao knew that Zhang Fan was sure.

"There is still time, first ask someone to make a picture, we are all doctors, we are all doctors responsible for the wounded, I support Zhang Fan, Director Li, what about you?"

At this time, Wu Lao's choice of Zhang Fan was a real recognition of Zhang Fan's skills and character, and he didn't think that Zhang Fan would be willful in this matter.

"I'm against it!" said the director of the field hospital.

Three people, six pairs of eyes looked at the director of the XXX Naval Hospital. The director closed his eyes at this time.

He is not running away, at this time, his mind is full of clips of Zhang Fan doing surgery at sea, just like a movie.

Stroke by piece, precisely, quickly, and decisively! At the age of forty, he kept recalling Zhang Fan's operation.

Slowly opened his eyes, but there was a flash in his eyes, "I support Dr. Zhang!"

Saying this, it is not something that can be done by touching the lower lip with one and one close, at this time, every word, every punctuation mark is recorded by the nurse. Then it will be archived, and it will not be destroyed for twenty years!

At this time, you are responsible for speaking!

He didn't choose the more robust half-liver surgery, and he didn't think about whether he would be responsible for today's sentence in the future.

However, he chose to support Zhang Fan today, just to make the quality of life of the wounded more comfortable in the future. I just want to let him live in this world like a normal person, without the pity of others, without the ...... of others

"Hey, they're young, Wu Lao, you, hey, I'll contact the support staff now. Although no one supported him, the director of the field hospital also began to actively prepare.

This is the disciplined forces.

This is the last medical force that our Chinese medical care supports.

Time passed little by little, and the TEG diagram began to be described, and in the sound of reminders again and again, 2 hours passed.

"Let's go!" After reading TEG, Zhang Fan spoke.

In the operating room, only the sound of the waves can be heard.

So clear!

Gauze, the gauze stuffed in the liver, Zhang Fan pressed it lightly with both hands, and Zhang Fan could clearly understand the feeling coming from the gauze, how much gauze is dry and how much gauze is wet.

That's what he's capable of, and that's the super sensitive perception he's trained in the system.

There are no three-thirds, dare to go to Daliang Mountain?

Joke!

Like shaking the dice to open the treasure, gently, a piece of gauze was taken out, and there was no bleeding.

Although Zhang Fan could sense how much bleeding there was, he didn't know where the bleeding was, just like buying a lottery ticket, knowing that there would definitely be one of them that would win, but he didn't know which one would win.

So every piece of gauze, he faced it as bleeding gauze, slowly, gently, and with all muscle tension.

"Salt water, ice salt water!" When the gauze covering the most surface was removed, the gauze with blood stains was finally seen.

Almost all of the people who have been injured have had the experience of changing dressings. The larger the wound, the more painful the dressing change.

If you meet a doctor who is in a hurry, changing the medicine can turn into killing pigs.

The gauze covering the surface of the wound soaked in blood, dried over time, and stuck to the tender granules that had just grown.

When changing the dressing, the anxious doctor tore and pulled the gauze open, really, which pain is impossible to describe.

It's like the meat that has been wrapped in the skin, one day it was suddenly slammed, pulled out, and then scratched up and down the denim, it hurts, the pain is unforgettable, the pain is over, and the continuous stinging pain of the fire burning, really, people who can hurt can't wait to put this meat in their mouths.

And the liver is the same, there is anesthesia if it hurts or not, and the most difficult thing is secondary bleeding.

After the protein in the blood coagulates, it touches the blood vessels, but it also sticks to the gauze.

At this time, the gauze is not a small area of contact when you change the dressing, but the adhesion of the whole piece.

Once one is not careful, all the previous efforts are wasted.

The salt water is ticking, the ticking is low, with the gauze of blood clotting, and it doesn't absorb much water.

This is also one of the difficulties that this kind of surgery is difficult to solve. It is too difficult not only to prevent unclosed bleeding, but also to prevent secondary bleeding after adhesion.

"Doctor Zhang, fifteen minutes have passed!"

"Hmm!" Zhang Fan nodded, the wound was exposed for longer and longer, and the chance of infection was getting bigger and bigger.

"Tweezers!" Zhang Fan took the tweezers, and everyone in the operating room held their breath.

Tick, tick.

Gently, at this time, others can't help Zhang Fan a little, and even if they can, they can only pray in their hearts.

It's too hard.

The hand must not tremble at all, and after holding the gauze with tweezers, once it trembles, no one dares to guarantee that the adhesion that cannot be seen may be an artery.

Slowly, my heart hung up, and when I opened my mouth, my throat was a beating heart.

People with bad mental quality can be scared to death here.

Suddenly, suddenly, a piece of gauze was completely taken out by Zhang Fan.

Just like a crumpled pink letterhead, Zhang Fan made a clattering sound when he threw it into the curved plate.

You can think about it, the gauze is so hard, Zhang Fan can completely take out the gauze and not let the liver bleed in all directions, at this level, how high the technology must be.

After the gauze was taken out by Zhang Fan, the director of the field hospital became more and more confident in Zhang Fan.

Just when everyone could catch a breath a little, there was bleeding, and Zhang Fan, who was almost leaning on his liver, was sprayed with blood.

"Quick, I can't see!" Nearly three points, blood entered Zhang Fan's eyes. It's really worse than a problem.

The warm blood, just like the tongue of a beauty, has temperature and viscosity, Zhang Fan desperately wanted to open his eyes, but his eyelids couldn't be opened by the sticky ones.

This wound can only be seen by the main knife, because the area is too small, and others cannot see the specific wound inside.

And Zhang Fan's eyes were covered with blood again. The head nurse of the tour, like a leopard, pouted, two or three meters away, in the blink of an eye.

One held the back of Zhang Fan's head, puffed up his chest violently, and fixed Zhang Fan's head on her chest with one hand.

Then the other hand held the gauze of Xinjieer, which was directly stained on Zhang Fan's eyes.

As for Zhang Fan, after shouting his voice, he was like a big rooster that had been chopped off.

He didn't feel his head against his chest, and he didn't feel it when his eyes were stained with Jie'er. The head is directly as if it is not his own, without the slightest resistance.

But the body and hands did not stop, and at the moment when the blood came out, Zhang Fan's eyes had not had time to react, but his hands had already made a move.

The pincers shoot like the most accurate missiles at the blood-spurting veins.

In just a few breaths, Zhang Fan immediately asked, "Uncle Shi, look, look, is there any bleeding?"

His heart hung in the air, he couldn't see it, he didn't know if he had pinched the bleeding in the first place. Panicked, panicked like thousands of wild dogs chasing him bare-bottomed and throwing off an elephant.

"Stop, stop, don't move, don't move!" Shi Bo's voice began to tremble.

Blood vessels, blood vessels that can drain blood, can't run away, they are definitely arteries, and the arteries are like earthworms spitting out in a cave, a little loose, he can definitely take them back.

Once it is withdrawn, the liver can only be removed.

The hand, the hand holding the vascular forceps, rests on the wound of the liver.

The eye finally saw, "How's that, do you see?"

"Yes!"

Then, Zhang Fan didn't dare to move, he didn't know what his position was now.

Gently, the head nurse gently pushed Zhang Fan's head away with his hand and pushed it to a normal position.

Zhang Fan blinked, "Hemostat!"

One piece, one piece, there was no danger, it was really dangerous, and slowly, all the gauze was taken out.

The wound of the liver, like a bowl that has been licked by Erha, is clean.

"Shhhhh

"Awesome!"

"Place the drain and close the abdomen!"

......

It's so cool, Zhang Fan looked at the young wounded, breathing smoothly, and slowly recovering his bloody face.

Although it was dangerous and dangerous all the way, he felt too cool. In particular, the refreshing feeling of losing strength is like the pores of the whole body are opened, and the muscles of the whole body are trembling slightly.

It's so cool that it can make Zhang Fan shout, and it's so cool that Zhang Fan is reluctant to leave this feeling.