In the past, when Zhang Fan was in Fangdong Hospital, during ward rounds, he sometimes listened to the braggings of the hospitalized sailors.

"Bohai is a bathhouse!" At the beginning, Zhang Fan felt that these people were really bragging, your bathhouse is so big?

But this time, he realized that what the other party said was too right, the ocean and the sea are really different, Huaguo never said anything when he was tossing in the Bohai Sea before.

The navy is the navy, but when it rushed out of the Bohai Sea, it began to talk about the deep blue troops, and the large ships were like dumplings, one by one, when Hua Guo began to say the deep blue.

And it's quite particular, our deep blue is not attacking, just to see the sea of stars!

Tie people up, there is a special thing. Especially some people who are not engaged in medical treatment, have traumatic injuries, are far away from the hospital, are anxious, and then take a thin rope and start strangling.

Bleeding, arteriole venous bleeding, if there is no first aid item, the first time to find a towel or something wide, really can't find it, the sleeve of the clothes is also a perfect tourniquet.

Don't take a thin rope, tie your limbs, you don't know if you will bleed to death, this kind of thin rope is ligated for a long time, and the hospital doesn't need to stop the bleeding, and the limb is amputated directly.

The organ of the human body is not a pig's trotter with sauce, this thing needs blood and oxygen, it needs to breathe.

Especially some people with special hobbies, play with a jack pendant, brother, which thing is full of sponge-like blood vessels, once broken, you can't cry at it.

After the wide belly belt was tied to Zhang Fan and his assistants, Zhang Fan firmly felt the loveliness of Mother Earth.

Injuries, with the increasing number of cars in society nowadays, there are more and more traffic accidents, and sometimes, you must not be careless.

Zhang Fan encountered a case in the hospital, a car hit an old man, the driver got out of the car, quickly checked, looked, hey, the other party is fine, not even the skin is broken.

The uncle was also reasonable, saying that it was okay, and he got up and jumped on the spot, and the driver did not want to give the uncle 100 yuan, saying that it was compensation.

Then the driver drove away. As a result, the old man came home and just entered the door, and before he could speak, he fell directly to the ground and went into shock.

The family members were also very good, and they were sent to the hospital as soon as possible and then called the police, but when they saw that the spleen was ruptured, the old man was dead, so Xue Fei was saved, and after waking up, the traffic police confirmed that the driver was released, otherwise it would be a hit-and-run.

The two wounded, the young fisherman looked quite serious, and his stomach was full of blood donations, and he kept dripping down.

The man was also as weak as a fish jumping on the shore, and his mouth was open for a desperate breath, and he looked quite serious. Looking at the other one, there were no other symptoms except for the face like gold leaf.

Inexperienced, looking at this situation, it is estimated that the choice difficulty in the heart is committed, which one to save!

Preoperative considerations are very important in such emergencies, and sometimes they are more important than surgical techniques.

Injuries caused by foreign mechanical energy (not to mention scalds) can be broadly divided into two categories: blunt injuries and penetrating injuries.

The penetrating injury mechanism is relatively simple, during the operation, to ensure a traumatic life chain, those who can not die will never die, and if they really want to die, it is estimated that they will not be sent to the hospital, such as directly hitting the aorta.

The mechanism of blunt injury is more complex than that of penetrating injury, and the shear moment generated by a pressure is not easily diagnosed by ordinary doctors.

This thing is like a missed cannonball, no one knows where to shoot or where to hit.

Blunt injury is often caused by systemic damage to organs connected to organs. If there was a shear force, the left abdomen was originally injured, and as a result, the right kidney, which was thousands of miles away, was also opened, and it bled like a doll who had been wronged.

"You took the hygienist to deal with the abdominal trauma quickly, and the shock was handed over to me. ”

"Okay!" Zhang Fan's assistant to the director was also unambiguous.

The warrior with a face like gold leaf was carried to the chief of surgery. The nurse undressed him as she opened the other unopened passages, and the dark red blood transfusion bag was already hanging.

Even the blood transfusion bags and infusion bottles are fixed on top of them by gauze one by one as if they were wounded and bandaged.

When Zhang Fan was working as a nurse, he was disinfecting and thinking at the same time. In the hospital, everyone seems to think that the patient enters the hospital, and then carries it to the operating table, and asks the doctor to pull open the stomach and cut off the broken organs.

In fact, when a patient is admitted to the hospital, the first thing to do is to make a clear diagnosis. Then, at the morning meeting of the department the day before the operation, everyone began to discuss the surgical plan.

Whether it is cut horizontally or vertically, it is almost always booked in advance. Even some contingencies will be taken into account.

This is also the case that patients who have undergone surgery often have a lot of strokes drawn by the doctor where they need to go under the knife, and this is the predetermined incision, but don't wipe it off with your hands.

But in this sudden and poorly equipped situation, Zhang Fan is now thinking about two things: first, after the stomach is opened, whether the wounded's physique is strong enough to be fully explored.

Second, if the wounded man's condition does not allow surgery under such conditions after opening the stomach, will he be able to persist in fighting again until the next day!

For a few minutes, not even more than ten minutes, Zhang Fan had to stop thinking, because everything was ready, just waiting for him to operate.

"Let's go!" Zhang Fan nodded and took a deep breath, "Knife!"

Like a videographer with Parkinson's on a television, Nurse Zhang Fan and the patient lying on the operating table swayed at the same frequency.

Zhang Fan took the knife and opened it on the stomach of the wounded, which can be called laparotomy in a broad sense.

The wound goes directly from the xiphoid process to the pubic bone, and that's it, maybe after the exploration, another transverse cut will be required to the left or right.

How big this wound is, ordinary people can't feel it, and the feeling of this incision is definitely different from that of not being incised.

When the pig is killed during the Chinese New Year, when the pig is hung up to dig out the internal organs, this incision is very similar to this laparotomy exploration.

In addition, the retractors around him are pulled so hard, obediently, in this way, this abdominal incision, not to mention stuffing a person's head in, there is no problem at all to put a half-old child in.

It's like if you're wearing clothes and your girlfriend can't get in, you unbutton your clothes, let alone one, even two can be wrapped in it, it's so wide.

When the stomach is opened, the blood is mixed with semi-coagulated blood clots, just like the duck blood that is going to be poured into the hot pot, and the soup overflows.

Turning the peritoneum, the right side of the liver is like a laughing child's mouth, laughing with his front teeth open.

"Sterile glass bottles!" Zhang Fan said in one sentence, if it were in an ordinary hospital, doctors and nurses might not know what it meant.

In hospitals, as long as it is a regular hospital, it is rare for doctors to encounter this situation.

However, military hospitals are different, in the event of a critical moment, when there is no rear, no support, and when the weather is not working, and the ground is not right, this kind of uncontaminated blood is the last guarantee for the patient.

The assistant held a glass bottle to collect the bruises, and although it was not yet possible to tell if the blood was contaminated, it was better to collect than not to collect it.

Zhang Fan held a piece of wet salt gauze in his left hand and covered it on the crack of his liver, and then probed his right hand into the abdominal cavity, directly like making a famous dish in the capital.

Keep reaching in and out of your intestines with your right hand. Now Zhang Fan first determines whether there is any other organ damage and bleeding, and the second is to determine whether the blood is contaminated.

There is an iron law of self-transfusion of blood, whether it is the chest cavity or the abdominal cavity, once the hollow organ is broken, the blood cannot be recovered.

What are hollow organs, the largest hollow organs are the intestines and stomach. Zhang Fan kept churning in his intestines.

There are rules for this tossing. If the intestine is broken, the best examination is abdominal CT and X-ray, and you can know the free gas in the stomach at a glance. But now I don't have that condition.

Zhang Fan's eyes were as wide as a cow, carefully staring at the bruises in his abdomen, and his ears were erected like police dogs.

Then the right hand is like a butcher washing a pig's intestines. Starting from the pylorus of the stomach, Zhang Fan's right hand pushed down little by little.

What is this doing, simply put, is to see if there are any bubbles, to listen to whether the wounded will fart or not.

Older boys probably had the experience of repairing bicycle tires when they were young.

A basin of water, then turn the bicycle tires a little bit through the basin, and as soon as you see the bubbles, you can determine where they are broken.

In layman's terms, Zhang Fan will do this thing now. I pinched the smooth small intestine, pinched the large intestine of one bag after another, and I didn't see air bubbles, and there was an exhaust sound in my ears.

"It can be used, ready to filter. Zhang Fan breathed a sigh of relief, this kind of bleeding, in this environment, it is really a great luck to be able to transfuse blood automatically.

Being able to return blood on its own can increase the chances of survival of the patient by several levels.

"Yes!" the itinerant nurse took the recovered blood and began to filter it, and the six layers of gauze began to filter the blood little by little.

This filtration process is quite slow.

When Zhang Fan first came into contact with chemistry in the third year of junior high school, there was an experimental class to learn filtration, and the teacher took a sundries liquid mixed with salt and asked Zhang Fan to do filtration and precipitation.

Zhang Fan looked at the turbid salt water in the flask drop by drop, and he didn't know what the prostate was at any time.

It may be estimated that men are naturally very averse to this kind of tick-tock thing. Then, Zhang Fan didn't say a word, and his little thumb directly poked the filter paper.

Men naturally don't like tick-tock-tock-to

What window paper, what plastic foam, everyone doesn't believe it, look at it, for girls, girls can be transformed into very cute things.

And boys are definitely using their fingers to insert holes everywhere, it's not that boys like to destroy, this thing is innate, it's in the genes, and it's always been practicing in preparation for the future.

When Zhang Fan inserted his finger into the filter paper, he was deeply remembered by the teacher. A chemistry teacher as strong as Wu Song, a slap and an old foot.

While fighting, I asked, "Do you like stabbing so much?" Ah, do you like stabbing so much. Can this be stabbed? I'll let you poke! I'll let you poke!

Zhang Fan was beaten from the beginning of the classroom to the end of the classroom. Now the chemistry teacher estimates that when he meets a student like Zhang Fan, he will no longer beat anyone, because he is now at the age of prostate rebellion.

The itinerant nurse collects the blood and drops anticoagulants into it, and there is no need to shake it on the boat, the glass bottle has its own rhythm!

Zhang Fan, who turned over the intestines, still pressed his left hand against the crack in the liver, and he also lost Zhang Fan's kung fu to his hands.

The greasy intestines, like a fish with mucus on the body, are quite slippery, and this kind of examination cannot be light or heavy, and the intestinal tube will slip away if you are not careful. If it's heavy, it may cause intestinal damage.

After touching the intestines and spleen, the spleen is the first to be felt. According to some data, the mortality rate for simple splenic rupture is 10%, and if there are multiple injuries, the mortality rate can soar to 50%.

So, when you get hit hard in the abdomen, don't take it personally. Go to the hospital for a check-up, it won't be much trouble.

Why don't these non-cavity organs hurt after they are broken, and they won't go into shock immediately?

Quite simply, these organs are tuned. These coats, like the more expensive apples bought in the supermarket, are wrapped in a layer of plastic film.

In the beginning, when the bleeding spilled out of the wound of the organs, the membrane blocked the blood, and although the organs were broken, the clothes were not torn, and the brain thought the thing was intact.

Then, like water in a condom, it gets bigger and bigger, and then it pops.

The set is broken, the brain and blood pressure are anxious, and it is like a roller coaster, and the blood pressure can fall from 200 to undetectable.

Blood pressure dropped sharply, this is a person who is obviously good, he was hit, and said with a smile that it was okay, after half an hour, he suddenly lay on the ground, touched the carotid artery, and it was over, the person was already hanging!

With blunt impact, there is a particularly small chance of damage to hollow organs, such as the intestines and stomach.

This thing is inherently cushioned. The gastrointestinal tract contains a lot of gas, not only its own gas, but also food mixed with various digestive juices, in the process of digestion, this is directly the gas production tank.

Some people have bad breath, brush their teeth eight times a day, and their teeth are brushed out, but their breath can still smoke and vomit their girlfriends.

This is a problem with the digestive tract, go eat some hawthorn pills and try it, don't stare at the toothpaste and make trouble.

The physical organs are not good. For example, the spleen, kidneys, liver. Of these organs, the spleen is the most susceptible to injury.

Because this organ is not very valued in the human body. You just say that the kidneys put it, although there is no air buffer, but people have padded jackets.

Men love to eat big waists, and two big waists and a bottle of beer on the barbecue stall are not changed for the gods, in fact, what they like to eat is not the waist, but the layer of cotton jacket outside the waist.

If the fat near the kidneys evolves, it is estimated that it can evolve into tendons, and you can imagine the toughness of this fat.

And the spleen is not so well treated, let alone the impact, sometimes the back hiccups are so bad that the ligaments of the stomach are involved, and the stomach is fine, and the spleen is torn open.

Turning over the intestines, Zhang Fan explored the spleen as soon as possible. "Hey, my spleen is broken!"

After probing his spleen, Zhang Fan asked directly, "Is the urine coming out?"

"It's out, it's out!"

"Is there blood?"

"No! No significant blood was seen. ”

"Good potassium supplementation, directly clamp the spleen vasculature!"

Before the 80s, as long as the spleen was slightly damaged, it was generally not repaired, and it was cut directly, and the doctors at that time knew that this thing was useless when they became adults.

In fact, the spleen has many functions, and the simplest and most useful function is to filter bacteria in the blood, which is quite awesome.

The spleen is a foodie, red blood cells, white blood cells, and bacteria! So, people, you can't eat too much, otherwise you will be like the spleen, and you may be abandoned one day.

"Can't you keep it?"

"There's no way, it's too big. Zhang Fan shook his head, cruel, really cruel, but medical treatment is like this, sometimes, cruelty is to allow patients to survive longer.

"Vascular clamp!" card, card. Like a crocodile's mouth, vascular clamps directly clamp the passage of blood vessels in and out of the spleen.

"Mend the liver!" "Organs that are already about to be given up are not in a hurry now.

Zhang Fan took off the gauze in his left hand and took a breath directly.

At the beginning, in order to explore the surgical damage as soon as possible, Zhang Fan did not carefully examine the liver.

When he looked back at his liver at this time, Zhang Fan's face was as uncomfortable as thousands of ants marching.

This feeling is not tingling, but the feeling of goosebumps standing up. It's trembling!

The wounded man's liver wound is not big, at most the size of a three-year-old child's mouth, but when Zhang Fan gently separates his index finger and middle finger, um! This action, well, the man should understand.

Gently, quite gently, the liver that was as brittle as a green apple slowly parted.

The shadowless lamp penetrated the wound......