In medicine, there is a famous saying: We doctors will also create evil, but also accumulate virtue, and we will encounter setbacks, but we will also achieve success. The sins we create are often unavoidable in our work, and of course they cannot be remedied.

In fact, medicine is not yet a sophisticated discipline, and we work with living, breathless, intricate people, not a jar of chemical mixtures.

This sentence was said by an emergency department boss in the United States.

Ordinary diseases, routine diseases, often make doctors think about it again.

And this kind of sudden accidental injury is even more difficult, and the treatment at this time is not like doing multiple-choice questions, and I can throw away the bad answers.

The organs of the human body are not leeks, and it is quite difficult to choose. Sometimes, it's really hard to be a doctor.

If you want to save your life, you may have to give up a kidney, or part of your liver, and it is often an empty dream to save your life and save some organs.

Really, after years of this kind of medical work, the hearts of many doctors are as hard as cold stones.

It's not innate, it's the whole industry, he has to be tough, he has to make a choice.

In the operating room, one, two, three, four, five, bang, bang, like stuffed steamed buns, the children were sent to the operating room.

From the emergency center to the operating room, Zhang Fan's compressions are almost out of force, this kind of rescue, especially cardiopulmonary resuscitation, is best done by a professional person from beginning to end.

The doctor is tired and has nothing to do, and it is a big deal to rest more after the work, but for the patient, a slight pause may cause irreparable damage to the brain.

Therefore, everyone often sees such a scene, countless doctors gather together, watching a doctor in the rescue, and the truth is here.

The general, the hearty, and their respective patient numbers were diverted at the door of the operating room, and everyone invariably left the most serious patient number to Zhang Fan.

In the operating room, the relatively young child also slowly woke up at this time.

Look around at the people wearing blue hats, blue masks, and green clothes, and then look at the people with knives, scissors, and sharp needles that are shining cold.

The fright, the blood, the pain, the strange and terrifying environment, make the children who have not yet experienced anything huddle together.

The little heart was swaying and beating fast, and with the wounds on his body, he didn't even dare to cry, like a young beast out of the herd, looking at this group of strange people pitifully.

The nurses on tour were usually a little older, and looking at the pitiful appearance of the child, she wanted to come forward to comfort her.

As a result, before he took two steps, the director of the general department stopped with a sound. "Don't care, these bunnies should be scared and scared, otherwise something big will happen in the future. ”

The words are coarse, but the heart is kind.

On the operating table of the cardiothoracic surgery department, the director looked at the wound and couldn't say anything.

The kid here was a little older, and when he exploded, he was standing a little farther away, but the damage was not small.

The blast of energy tore his clothes apart like big hands, and then the shattered glass ballast pierced his chest like a rainstorm pear blossom needle.

On the small breasts, there are countless dotted or flaky bloody wounds, like a set of red lipstick lips on the chest, and as the child breathes quite weakly, these lips are still spitting red spitting red spit dots.

The child's chest bulged like a toad about to chirp.

The chest, which was originally frozen purple, became purple and purple at this time due to ischemia.

The other two children were much lighter, but they had sharp glass on their faces and necks.

And the child on Zhang Fan's side was the most serious, and his stomach directly hit the first wave of the explosion head-on.

The wound is like an inverted flower, and the flesh on the wound is directly the meat strip that comes out of the meat grinder, sticking to the stomach like rag strips, along with the blood in the stomach, falling together.

Coupled with the broken intestines, the undigested food that flows out.

The green leaves, chyle-like food scraps, and the digested yellow stool are obediently stained on the floating meat strips.

Green, yellow, and gray, it's really like shabu-shabu lamb dipped in sesame sauce and coriander in a shabu-shabu.

The smell of blood and poop is really like a disembowelment pig in a slaughterhouse.

The child's water and electrolytes are out of order, and he has already gone into shock.

There is no time to test the extent of his body fluid deficiency, and all the medication is based on estimation and all on the doctor's experience.

Ren Li is the host of the rescue, "3% hypertonic saline input, ready to click, if there is atrioventricular fibrillation, the first electric shock cardioversion."

ECG debriefing!"

"Arrhythmia, QT shortening, ST-T wave curvature......" The deputy director of the cardiology department reported the results of the electrocardiogram for the first time.

"Use furosemide, fast, furosemide intravenous push!

A series of treatments, all of which are to preserve the child's heart, or all of them are to preserve the child's circulatory system.

However, there will always be more loss than input.

"Yes, or can't?" Zhang Fan was not sure at all, really, medical matters are often not absolute.

Heart failure that does not have electric shock cardioversion, which cannot run away, and electric shock cardioversion, which aggravates bleeding, is still a heart failure.

Gritting his teeth, Zhang Fan gritted his teeth, holding gauze in both hands and desperately plugging it towards the abdominal cavity, constantly plugging. White gauze was stuffed into the child's belly piece by piece.

The itinerant nurses and equipment guards kept passing gauze.

"Electric shock! There is only one chance, which of you will get on?" Zhang Fan was already wearing sterile gloves and a sterile surgical gown.

"I'm coming!" Ren Li still had to stand aside to grasp the overall situation, and at this time, Na Duo stood up.

"Remember, it's just one chance, there is absolutely no second time!" Zhang Fan said as he stared at that flower.

The one pursed her lips tightly, looked at Zhang Fan, nodded, and took a deep breath. Hold the stunner in both hands and place it on top of your child.

Bang! There was a lot of gauze in my stomach, and the one at this time was so nervous that I couldn't breathe.

Her ears were about to stand up, just like Ah Hu. She was afraid to look at the ECG monitor, she was worried that one electric shock would cause more bleeding and then directly lead to the death of the child.

"Effective! cardioversion!" The anesthesiologist exclaimed softly, this sentence, just this sentence, the excitement of the face full of redness, really adrenaline hormones have reached their peak, if she is allowed to scream, she will definitely be able to roar through the sky.

When Zhang Fan heard it, it was effective. Then I quickly took the doctors from the general area to get started.

Fill in the white gauze, quickly take it out, white, white, then half white and half red, then red, green and yellow.

Take it out one by one.

"Continue to correct acid-base poisoning, cut the organs, put on a ventilator.

Epinephrine, digoxin, dobutamine injections, and preparation for vasodilation......"

The medical and surgical procedures are carried out simultaneously, balanced, and now the physicians are working hard to create a weak and brief environment of balance.

Now it's time to look at Zhang Fan and them. If the damage cannot be dealt with in a short period of time, then the environment will not last long, and when this balance is lost, death will follow, and there will be no alternative path.

For a generally healthy person, if you don't have to think about it once you have abdominal pain for more than six hours, this is an acute abdomen, and you should be sent to the hospital immediately.

And for surgeons, there is nothing more terrible than a leaky anastomosis in the digestive tract, except for postoperative hemorrhage.

Think about it, a leak anastomosis can make surgeons tremble, let alone this child with a blooming belly.

This kind of digestive tract has a large area of rupture, not to mention any blood, not to talk about the loss of intestinal fluid, just the infection and poisoning caused by the bacteria in the stool permeating the abdominal cavity will make the surgeon's head explode.

This thing is not a one-point thing now, it is the collapse of the functions of the whole body, just in the middle of the line.

"Quick, find out the broken and find the broken glass fragments involved!" Zhang Fan took the doctor outside the general area, lowered his head, and looked for the broken and broken pieces with great difficulty.

I don't dare to think about it, this kind of trauma, especially the injury of a large area of foreign body into the abdominal cavity, is really quite domineering.

You have to find the breach quickly, don't you, but do you dare to be fast?

A belly full of intestines, maybe there is a piece of glass ballast hidden under the twelve intestines, you are a little fast, a little careless, the old mouth is not found, and the new mouth comes out again.

"Warm salt water!" Zhang Fan doesn't rely on his eyes now, he relies on a pair of hands, like rubbing mahjong, into the child's abdominal cavity, slowly groping, moving little by little.

With the long-term exposure of the abdominal cavity, the child's body temperature is slowly decreasing, and even the fat on the mesentery in the abdominal cavity begins to slowly become like eating leftover braised pork!

I don't dare to pour more warm salt water, because I am afraid that more salt water will spread the infection, so I can only touch where I pour it, and I have to suck it out as soon as possible. Really, Zhang Fan is super embarrassed to do this operation

Just like a boxer, he can obviously beat the opponent, but his hands are tied together with ropes, and then he keeps letting the opponent crackle, crackling left hook and right hook on his face.

When the long, when the long, when the long, one by one like pearls and diamonds like glass ballast was touched by Zhang Fan and them from the child's abdominal cavity.

Really, glass can only be touched by hand. If it is an iron tool and irradiates it directly on the C-arm, Zhang Fan can quickly find out the iron tool even if he fights to eat the ray, but the glass is under the C-arm, and it is not visible, so he can only rely on his hands, and he can only rely on the feeling of his hands.

Really, Zhang Fan's body was covered in cold sweat, and even the slippers under his feet were wet.

On the spot, Ren Li was still urging anxiously, "Zhang Yuan, the blood potassium is obviously abnormal, and I have already transfused 1000cc." ”

Zhang Fan really wanted to shut Ren Li's mouth, but he still had to listen to people inform him of the patient's signs at any time.

Difficult!~

Touch, touch, touch. It's really like washing a pig's intestine at home, Zhang Fan doesn't dare to be careless anywhere from beginning to end, from top to bottom.

If you touch it again, you often have to go back and touch it again. Don't talk about the intestines, which are full of oil and mucus.

Even if a needle accidentally penetrates the fat layer of the human body, then don't even think about it, and quickly pull it to the radiology department. It's definitely not going to stay in one place and wait for you to find it.

Therefore, the peristalsis of the intestines, coupled with the lubrication, the glass ballast is like a naughty child, constantly playing hide and seek with the doctors.

"Zhang Yuan, it's not going to work, I can't maintain it!" Ren Li's voice changed to emphasize.

Really, sometimes, when rescuing, I see a life that is about to be rescued.

In the end, all of a sudden, as if the king of Hades was angry and unhappy, the defense that the doctor had built up with great difficulty was overturned and trampled down in an instant.

Outside the operating room, the owner of the chemical plant looked at the fluorescent lamp in the aisle with blank eyes.

Parents whose children enter the operating room, such as sitting on pins and needles, not sitting, not standing, whenever a nurse comes out, a doctor comes out, their anxious eyes are really pitiful.

In the morgue, parents who lost their children cried heartbreakingly with their children in their arms.

By the time the most serious children were brought to the hospital, they had lost their lives.

At this time, parents are really, like using a blunt knife to cut the tip of their hearts, one at a time, one at a time.

There are even mothers of children, crying and crying, and suddenly, they want to hit the wall.

The women gathered around shed tears of sympathy while rejoicing that their children were okay.

Desperately clutching this mother who wants to see her for a short time.

"He hasn't been rescued, my soldiers haven't been rescued, even if they can't be rescued, I'm a little better."

Oh my God, you're blind, my army. ”

The people around me can't even persuade them, they can say anything, they can say anything, it's useless to say anything now, it's too late to say anything.

The leader in charge of security in the county, his face was pale, standing in Ouyang's office, unable to say a word, staring at the phone on Ouyang's desk, staring at Ouyang's phone.

Before he came to the hospital, he had been scolded by his superiors, let him deal with the follow-up in the hospital first, and then talk about it when it was over, really, he was really exhausted.

He was also wronged, he was too wronged. Originally, in their county, there was not even a flour mill for grinding flour, where was there industry. In the past, he managed a few blacksmiths who made iron and knives.

As a result, it seemed that overnight, the factories in the county were set up, and he felt that it was not a good thing at that time, and as a result, the good ones did not come, and the bad ones came.

"Zhang Yuan......" Ren Li's voice had already begun to show a kind of helplessness.

Zhang Fan gritted his teeth, "Let's start, start the operation, quickly!"

"Zhang Yuan, I don't dare to guarantee the glass ...... in my body now"

"Something happened, I'm responsible, quick, surgery!"

Zhang Fan rudely interrupted the surgical assistant's speech.

There is no way, there is really no way, I can only gamble, bet that all the glass in the child's stomach is cleaned.

Fight, what else can I do, if I delay it any longer, I won't even have a chance of surgery.

Now doing surgery, it is better to have an accident than not having a chance to have surgery, human life is at stake, Zhang Fan gritted his teeth, even if something happened, he would rather take responsibility than let the child lose his life.