The extrathoracic disposition is ineffective, and now it depends on the ability of Zhang Fan and the director of cardiothoracic surgery. There was once a saying that car mechanics were not convinced by cardiac surgeons.

"It's also engine repair, why do you earn more than me?"

"Because the engine I repaired was repaired on the job!"

This is not to mention anything else, first of all, it shows a problem, the heart can't stop beating, even if it stops beating, the effect is not very good even after the chest is opened, and this decision to open the chest is generally not good.

It is easy to say that the chest cavity is opened, and it is easy to say that people are alive, but what about people who are dead? And there is another problem, cardiac surgery and brain surgery, these two departments are not developing well in the northwest.

Because these two departments have too high requirements for doctors, doctors who have a little future in these two departments will definitely not be retained by the general Northwest Hospital.

This has become a joke, and cardiac interventional surgery has been promoted all over the world, and even some county-level hospitals have carried it out. However, there is a premise for cardiac intervention, that is, the hospital must have a strong cardiothoracic surgery as the backing.

In other words, cardiac intervention at the county or even city level is a very dangerous thing, once there is heavy bleeding, there is not even a thoracotomy doctor, so you can only wait for death!

What do you say about the cardiothoracic surgery department of the city hospital, whether it is good or not, whether it is good or not, but Director Li of the cardiothoracic surgery department is quite a bit of a standard in terms of cardiology.

Director Li has been rooted in cardiothoracic surgery for decades, and has worked hard in his early years, studying everywhere. Now that he is in cardiothoracic surgery, he can be regarded as a leader at the level of the city, but the problem is that he is dead.

This department is very strange, and the director has only one attending doctor, and the rest are all hospitalized! Because cardiothoracic surgery is too difficult, and almost all the doctors in the early years of the city hospital were only undergraduates, no one wants to do cardiothoracic surgery.

The graduate students of cardiothoracic surgery do not come to the city-level hospital at all, so the department relies on Director Li alone.

At the beginning, Lao Huang also felt that he could not develop, and the cardiothoracic surgery department had been hanging in the emergency department, and he had a rib fracture in one day.

After Ouyang came to power, he specially recruited two graduate students in major colleges and universities, and several doctors who were interested in cardiothoracic surgery, but they were all just a few days after leaving school.

Zhang Fan's system did not open cardiothoracic surgery, so Zhang Fan generally rarely performed this part of the operation, and this part of the operation is not a matter of practice. Its comprehensive basic requirements for a doctor are indeed super perverted.

However, Zhang Fan's liver in the past two years has not been in vain, although the system has not been opened, now let Zhang Fan open his chest for heart surgery, and it is estimated that Zhang Fan will not be able to do it to stop bleeding in the major arteries.

However, it is still possible to let Zhang Fan open his chest and massage his heart. In terms of human anatomy, it is estimated that there are not many doctors who can surpass Zhang Fan at present. This is the foundation, this is the reserve, this is the result of these two years.

"Zhang Yuan, it's too late, look at the heart rate......" Director Li's brows furrowed into steps, he thought that opening his chest now is death, and not opening his chest is also death, so he simply doesn't open his chest, and it is a kind of kindness to let the child walk calmly.

However, Zhang Fan did not give up. It is really not a lie that there are few people and high morale, and that people are old and their morale is declining, which of them is right? People are right to save Zhang Fan, and people can't save Director Li is right.

Are they wrong, no? That's the difference in medical means. Nothing to do with anything else!

"It's too late, let's start!" Zhang Fan gritted his teeth and said firmly, the patient was transferred from the emergency room to the operating room of the trauma center, brushing his hands, Zhang Fan silently went through the structure near the heart again and again.

"Zhang Yuan, it is impossible to enter the heart within five minutes. And the child has lost such a large amount of blood, the trauma of the operation is tantamount to adding insult to injury. Let's think again. ”

Director Li was also brushing his hands quickly, but he still dissuaded Zhang Fan. He is not selfish, and he is not afraid of responsibility, so he gives advice to Zhang Fan according to a purely senior surgeon.

Because he knew that he wouldn't be able to enter the chest cavity within ten minutes, not to mention that Zhang Fan had never set any benchmark in cardiothoracic surgery, so he was a little worried that Zhang Fan would not consider it.

"Director Li, believe me, I will definitely be able to enter!" Zhang Fan looked at Director Li and said affirmatively.

"Uh!" Director Li looked at Zhang Fan's firm eyes, he knew that Zhang Fan was determined to open his chest, "Okay, I will definitely be your assistant, don't worry!"

"Thank you!"

"Click!" the shadowless light came on, and the child lay on the operating table like a poor puppy. Channels opened in the thin limbs, and the fluid was constantly being fed. The incisions all over the body have been covered with suture excipients.

The white accessories are horizontal and vertical, just like a broken inflatable doll glued together by a single Wang with white plaster. There was still unwiped blood left on the pale skin.

"Let's go!" Zhang Fan said through gritted teeth. Thoracotomy, the most suitable place is the outer side of the fourth or fifth intercostal space of the chest, if time permits, this kind of surgery is very particular, the incision should be about 15 degrees.

However, it is too late now, and you can only use the fastest speed. The child is a girl, and in order not to damage her breast (a) gland, Zhang Fan cut directly into the left edge of the child's sternum under the armpit.

The pectoralis major, pectoralis minor muscles, serratus anterior, intercostal muscles, these muscles are the protective muscles and respiratory muscles of the chest. The pectoralis major muscle is the most famous, as it seems to be said to be a sexy representation now.

Open, enter, Zhang Fan is too skilled in the anatomy of the human body, the shape of the muscles, the passage of blood vessels, the avoidance of what should be avoided, and the time is lost little by little.

The child's heart rate is getting weaker and weaker, Ren Li nervously watched Zhang Fan's operation, the effect of the cardiotonic is getting worse and worse, if it doesn't enter the chest cavity before the heart stops......

The older a person's grade, the less likely they are to have cardiac arrest. The simplest problem is that after the heart stops, blood clots will form clots such as platelets in the blood.

Once there is a blood clot, the consequences are super terrible, the heart is saved, but the embolus enters the brain and lungs, which is a fatal thing, so it must be entered before the heart stops.

"Hurry, hurry, hurry!" Ren Li watched Zhang Fan's operation while looking at the ECG monitoring.

Director Li outside the chest is sweating down, it is fake not to be nervous, and it is not too cautious to be cautious in thoracotomy surgery. And now, Zhang Fan is directly driving a flying car, the speed is getting faster and faster, Lao Li is afraid, this one is a matter of the car overturning and dying.

Zhang Fan's brain is clear, not ambiguous at all, and the cooperation of his hand and brain directly brings the accuracy to the extreme. The bleeding of the muscles, too late to stop the bleeding, directly on the hemostat clamp, enter, enter, accelerate the entry.

Finally, when the child was about to have cardiac arrest, Zhang Fan entered the chest cavity, and it was too difficult to enter the chest cavity dangerously. When Zhang Fan entered the chest cavity before the child's heartbeat stopped, Ren Li choked up a little.

It's not easy. How many people and how many doctors, after trying their best to save for such a long time, it is impossible to have no hope. In fact, most people still yearn for beauty.

Open the chest cavity and open the left lung. The heart comes out, the heart, how big is the human heart, raise your fist, your heart is about the same size as your fist.

The pink lungs, after Zhang Fan opened it. The child's heart was exposed.