430 Prizes
In the operating room, with the nurse's time signal, not to mention Zhang Fan's nervousness in the operation, even the instrument nurses were nervous, and the speed of delivering the instruments was a little faster.
"Steady!" Zhang Fanshen was afraid of some accidents, so he had to say a word while undergoing surgery.
The busier you are, the more chaotic it will be, and can this kind of surgery go wrong? There is not much hope that it will not go wrong, and if it makes another mistake now, how can the wounded have a chance to live?
Doctor is a strange profession, and many people think that if they don't give some red envelopes to the doctors in the hospital, they probably won't be careful or deliberate when they do the surgery.
Actually, you don't have to. As long as it is a person, in the face of the patient number on the operating table, he does not say that he is not careful, when the blood spurts out, in addition to the level of technology, there will definitely be no crooked heart, of course, it is not a person who adds money during the operation.
Everyone thinks that doctors' incomes should be extremely high. Not to mention anything else, the income of the transferred dog is estimated to be not as high as the salary of the hospital cleaning aunt. Doctors in regular hospitals in the industry actually earn like that.
The really rich doctors are actually some health care doctors who walk among the big families and celebrities, and they don't know whether the level is high or not.
But eloquence and emotional intelligence are definitely high, and the income is also very high, this kind of doctor, such as Zhang Fan, a technical dog, will definitely not be able to do it, and may even have conflicts with customers.
"Wet gauze, suction device!" opened the abdominal cavity, which was similar to Zhang Fan's expectation, and there was a set of numbness in the abdominal cavity. The food of the field troops was much better than in the early years.
But once there is an emergency, it is still compressed dry food and dehydrated vegetables that have remained unchanged for many years. Light a fire and eat a hot meal, thinking too much. A puff of green smoke over the wilderness can be seen from several kilometers away.
This thing, it tastes good when you eat it once in a while, salty and sweet, and the fat is still big, and it will be full after a few bites, but it will become a torment when you eat it often.
Therefore, when these soldiers generally eat, they are directly washed down with water, and the dehydrated vegetables are like drinking medicine, and they tilt their heads and go down.
"It's spinach and diced carrots!" the white marching dry food grinds through the stomach and enters the small intestine mixed with blood and digestive juices. And because of the passage of blood, as the temperature in the body drops.
The paste-like food directly becomes a semi-coagulated substance, which solidifies in the lower part of the abdominal cavity.
It's like a creamy wafer in the abdominal cavity, with large unchewed vegetable leaves and diced carrots interspersed in it, it's really like a dark dish from abroad, and what kind of vegetable cream cheese soup!
Zhang Fan took the wet gauze passed by the nurse and pulled it out one by one, and the blood in the abdominal cavity that oozes out of the digestive juice is directly non-coagulating, and the tick-tock blood drip down the gauze Zhang Fan's palm.
"Intravenous access plus a set of antibiotics. Zhang Fan quickly held out the semi-solidified digest with both hands, and said to the support group.
Digestive juices are dissolved fluids that help digest when they are in the intestines. But once this thing leaves the small intestine, it is directly the industrial base of TM.
If there is frequent reflux in the stomach and esophagus, it will directly burn the esophagus and stomach, and long-term reflux is cancerous and cannot run away.
Once it leaks out, it is severe pain, which is why patients with intestinal perforation can be in pain to the point of shock.
Flip! Flip! Flip! Zhang Fan inserted his hands between the intestines. "Bend!" Suddenly, there was a slight hint of happiness in Zhang Fan's voice, and the instrument nurse quickly passed over.
"Dang!" a piece of black iron was placed in the curved disc.
"The kinetic energy was exhausted, and it did not enter other organs, but stayed in the abdominal cavity. There is another piece, which is probably not in other organs. ”
Zhang Fan was excited, so excited, he originally thought that if he couldn't get it, he would either cut his kidney or cut his spleen. As a result, the jackpot was won, and the shrapnel did not hurt other organs.
I have heard it ten thousand times, and I have not seen it once. Lu Ning also underwent a lot of surgeries during his graduate school and before graduating from his doctorate, but this is the first time he has seen this kind of bomb wound.
"The damage was too great. He looked at his abdomen and was really shocked.
That's it, Zhang Fan couldn't be happy, if the shrapnel protruded a few centimeters, it would be either the kidneys or the pancreas, these organs were not easy to match, once broken, how could it really be called every day, and the earth should not be.
"Salt water! Salt water! Lots of salt water. Zhang Fan was energetic, as excited as suddenly drinking Red Bull, when he didn't see shrapnel, it was like a bomb that was about to explode at any time, and no one knew when it would explode.
Now that we know that other organs have not been damaged, there is no need to worry too much. "Ten minutes!"
"Haha, no need to tell the time! Lao Zhao, Director Zhao was as happy as a child, and said to the itinerant nurse.
"Yes, there is no need to report the time, Director Ren, raise blood pressure, cardiotonics, don't be afraid, now I want to find out the blood spot and let the blood pressure rise. If it weren't for the mask, you could definitely see the corners of Zhang Fan's cracked mouth.
Lu Ning's eyes were moist, and when the wounded were in the most danger, everyone tensed their nerves, and they didn't dare to relax for a moment, for fear that the wounded would die, where would they have time to sigh.
But suddenly I heard that he was saved, as if the relaxed nerves had caused the tear ducts to begin to be stimulated, sour. The operating room is also like suddenly entering the dog days from the cold three or nine days, and the atmosphere is warm.
"Ouch, I've got to sit for a while, I can't stand. My calves and stomach are shaking a little. Jumabek also smiled, rubbed his calves, and said with a smile, too nervous, the adrenaline rush brought endless fatigue.
"Hemostat!" With the delivery of the instrument nurse, Zhang Fan began to clamp along the intestinal bleeding point with "click! click! "Has your blood pressure risen, and how is your heart rate?" Zhang Fan asked after Zhang Fan clamped and closed and there was no obvious bleeding in the surgical field.
"Get up, get up, blood pressure up, heart rate starts to drop!" Ren Li said excitedly.
Holding her hands on her chest, she then said: "The sound of Dr. Zhang's instrument clamping blood vessels is the best sound I have heard in recent decades, it is so crisp that it can go around the beam!"
It's no wonder that male doctors are willing to do surgery, it's so fulfilling. It's really exciting to take your life from the hands of death. Saying that, Ren Li, who has rescued countless people, is a little speechless.
"Hehe!" Zhang Fan was also happy, isn't the operation just to save people, now that people are alive, they can make these people happy more than any praise.
"The blood vessels are clamped, the blood pressure is up, the heart rate is down, and the remaining shnel is like catching a turtle in an urn, and I don't worry about where it can go. "Lao Zhao is very sure of what he said.
"Did you find it?" Lu Ning couldn't see the situation inside the abdominal cavity and asked anxiously.
"Hey! I can't find it. Lao Zhao said strangely, he was slightly embarrassed, what he just said was a little too full.
Although the abdominal cavity has limited space, it is really difficult to find the various organs fixed in it, the fat of the intestines, and a small shrapnel if it is caught in the fat somewhere.
"Go push the orthopedic C-arm! After Zhang Fan clamped the vascular of intestinal bleeding, wrapped the broken intestine with wet gauze, and said to the itinerant nurse.
"You can't do it like this aimlessly. Zhang Fan said to Lao Zhao and Lu Ning.
"Well, okay!" "The intestinal thing is sometimes very squeamish, after turning it over a few more times, when the stomach is closed, maybe, it will not squirm for you.
The itinerant nurse pushed the C-arm in, which is usually used most in orthopedics, so it is usually placed in the orthopedic operating room.
"You go in and hide!" Lao Zhao said to Zhang Fan.
"Director Zhao, you go in, I'll come. Zhang Fan didn't agree.
"Or I'll ......" Lu Ning felt embarrassed and said a word.
"It's okay, you all go in and hide, just give it to me. Zhang Fan directly refused, and everyone hid behind the lead wall.
What are they grabbing? What are they grabbing for C-arm positioning? The abdominal cavity is not a bone, and as long as the bone is not reduced manually, the steel plate is on the bone, and there is no worry about it running away.
But the abdomen, it's different, this thing can be said to be a three-dimensional thing with several layers. So to do perspective, you must first position. For surgery, there is a rule, whose sick number is responsible.
But let the senior brother who came to help the boxer eat the ray, Zhang Fan couldn't do it, and let the old Zhao, who was already not young, eat the ray, he couldn't do it, so Zhang Fan could only do it himself.
"Go down a bit. Zhang Fan took the K-wire and followed the C-arm to move and position. With the sound of the remote control switch hiding behind the lead plate, Zhang Fan was exposed to the X-ray and looked at the monitor carefully.
"Go on, stop! "Fortunately, the location is relatively high, otherwise, Zhang Fan would have to eat a lot of rays.
A polygonal, black, high-density object appears on the display. Zhang Fan used a K-wire to set the position, and everyone walked out from behind the lead wall.
"Why don't I do it? Lu Ning said to Zhang Fan.
"It's okay, senior brother!" Zhang Fan rejected Lu Ning.
"Let the surgery be impossible. Our Dr. Zhang can let anything, but he can't let the operation. The anesthesiologist said to Lu Ning with a smile.
"Hehe, it's exactly the same as the teacher's temper, and I won't let the operation go to surgery. No wonder the teacher said that I didn't have the momentum of clinical practice, and I didn't understand it before.
Now I know that this clinical operation must have the momentum of being unyielding. "Lao Lu doesn't care, he's seen too many of these domineering doctors.
"Hehe!" Zhang Fan laughed, and without saying much, he glanced at the monitor and began to look for shrapnel. Foreign bodies in the abdominal cavity are very difficult to find.
Because there is a large amount of intestinal fat, like lubricating liquid, it is still in this place for a few seconds, but with the peristalsis of the intestines, maybe the next second it will be like a snow rabbit moving, following the fat like skiing, moving to other places.
And you can't just throw out the clothes one by one like going through the closet, you can't find it, and you can't throw out the intestines.
Zhang Fan has been gently inserting his hand between the intestines, not daring to move too much, with the increase of blood pressure, the clamping of blood vessels, and the temperature of the intestines slowly rising.
When the temperature rises, the intestines are more lubricated, and if you don't find it out quickly, it is estimated that it will be more difficult to find it over time. No matter how good the anatomical knowledge is, no matter how much the abdominal structure can be constructed in the mind, it will not be used at this time, because this is a fucking uncertain movement.
Zhang Fan raised his head slightly, half-closed his eyes, and stuffed his hand into the intestines of the abdominal cavity, as if touching a prize. The people around him waited quietly for news from him.