191 Modest Ouyang
"Don't cry! Everything has a father, you see that your eyes are swollen, you are not injured!" Lao Lu took pity on his daughter in his arms, how many years, Jiajia has not relied on him so much since high school, and his very independent daughter is really frightened today! Lao Lu is distressed and is all together.
"I went out of the bathroom to wash my hands, a hooligan came to pester me, after Zhu Bing knocked him down, he quickly let me into the box, and when I came out, he was already lying in a pool of blood. Woo ~ Woo ~ Woo!" Lu Renjia finally said the sadness in his heart, but who can he talk to about the guilt and regret in his heart!
In the operating room, the director of the chest surgery said to Zhang Fan: "Doctor Zhang, are you or am I going up?"
"Director, I'll go up, this person is my friend. I'm also here today, and if I don't do something for him, I'm very uncomfortable. Zhang Fan said to the director outside the chest with a straight face.
"Okay, then you go. I'll be your assistant. The director on the chest nodded. There is no way, the other doctors in the hospital don't need to ask when he goes to the chest surgery, he directly takes charge of the surgery, but Zhang Fan can't, Zhang Fan's level is not worse than him, and the technique is more stable, because Zhang Fan is younger.
At the beginning of the operation, this kind of surgery is generally to take the fifth rib into the chest, especially for this kind of critically ill patients, without considering the bleeding of the chest wall, directly open the chest, fortunately Zhu Bing is a mirror person. The mirror person refers to the "heart on the right side and the liver on the left", all the five internal organs are fully reversed, just like the imaging principle of a plane mirror. It is common sense that the main internal organs of the human body are "the heart, spleen, and stomach on the left, and the liver and gallbladder are on the right", and this situation is extremely rare in mirror people, and the probability of all organs being reversed is only one in a few million.
That is, Zhu Bing is a descendant of martyrs, otherwise it would be almost impossible for him to enter the police force in this situation, and the first round of physical examination was brushed off.
After the thoracotomy, Zhang Fan removed the blood clot, and then found the bleeding point, although it is not a very big blood vessel, but it is also a small blood vessel, Zhang Fan quickly pressed with his fingers, and said to the anesthesia and the tour nurse: "Speed up the infusion, dexamethasone directly into the pot static point." ”
Then we start dealing with the hemorrhage, which has a lot of compensatory vessels, and there is no need to connect it, and there is no time to connect it, because the intercostal artery and the internal thoracic artery are also bleeding. After stitching up the bleeding point in his chest, Zhang Fan asked, "How are the vital signs?" ”
The anesthesiologist hurriedly said: "I couldn't measure it just now, but now it can be measured, 80/50mmHg, and it is estimated that it will improve after this liquid input." ”
"Okay!" Zhang Fan didn't talk nonsense, and directly began to suture the intercostal artery and the internal thoracic artery, the human body has evolved too advanced, a blood vessel is ligated, and the blood vessels in all directions will compensate to improve circulation. The bleeding in the lung tissue was severe, and Zhang Fan couldn't stop the bleeding on his own after stitching, because this was a large interpulmonary blood vessel, although the bleeding was much smaller than before the stitching, it still kept bleeding.
Zhang Fan hesitated, he didn't want to cut off this lung lobe, Zhu Bing is too young, and he is also a criminal policeman, lung lobe preservation surgery, as long as Zhu Bing recovers, there is no difference from a normal person, there will be an additional postoperative scar, and if a lung lobe is cut off, it is estimated that Zhu Bing will leave the criminal police team in the future!
Seeing that Zhang Fan stopped the operation, the assistant was the director of the chest and asked, "What's wrong, Dr. Zhang." Is there something wrong?" As soon as he said this, the anesthesiologist hurriedly looked at the monitor and said, "Dr. Zhang, my blood pressure has risen to 100/60mmHg, and my breathing and heart rate have stabilized. ”
"It's not. Director Liu, I wonder whether this lobe will be removed or not. Zhang Fan said to the director outside the chest.
"Although it is stitched, you can see that it is still bleeding, and this one cannot be kept. ”
"As long as everything, this person will not have a chance to be a criminal police officer in the future. Zhang Fan said with a little pity.
"Doctor Zhang, I'm really super lucky this time, and I still think about these things!" The director outside the chest said without hesitation at all.
"Then cut it!" Zhang Fan said regretfully. At this moment, the head nurse of the operating room came in, she looked at the itinerant nurse, the itinerant nurse nodded to the head nurse, the meaning is very clear, that is, the operation went smoothly and the patient was saved!
Then the head nurse stood behind Zhang Fan, gently pressed against Zhang Fan's back, and stretched out her head to look at the progress of the operation. The young woman's breath is obvious, and when she enters the operating room, she must wear a surgical gown, and her clothes are particularly thin!
After reading it, he said into Zhang Fan's ear: "Doctor Zhang, how is it, the dean and leaders outside are waiting for news, and the professor of Di University has also been contacted, is it necessary to let Professor Di Da fly over, but I guess it should not be a big problem for you and Director Liu to make a move." ”
This is the treatment of Dana, the head nurse has a very high emotional intelligence, and can use his greatest capital but will not suffer! This slight temptation is not explicit but can make people have a little ripple, if you really want to take it seriously, then it will be low-end. A young woman with high emotional intelligence like her, she loves to play a secret ambiguity and tempt you, but she will never take you seriously! This kind of thing is this kind of fire, and only people will understand and control it after middle age, if Zhang Fan is an old man, he will smile and then smile lightly: "The head nurse is fat again!" and then it will be over.
But now Zhang Fan is a chick, and he was not nervous about the operation, but let the head nurse gently stick it like this, which made his head sweat. The head nurse asked, Zhang Fan didn't speak for a long time, and the director outside the chest said: "Doctor Zhang wants to keep improving, but there is no big problem with the patient." You don't need Professor Di Da to come over, you say Dr. Zhang. ”
"Okay, don't use it. Zhang Fan said in a suppressed voice.
"Hehe, I knew my brother was very good. The head nurse gently patted Zhang Fan's back and turned out of the operating room.
"Really, Dr. Zhang, there is really no need to be entangled, this lung lobe must be removed, the compensatory function of the human body is very strong, and it is not a big problem not to do extreme sports in the future. Director Liu outside his chest thought that Zhang Fan was entangled.
"Okay, then cut!" Zhang Fan said uncomfortably.
The oblique fissure is opened, and the lower lobe is retracted posteriorly, and the upper lobe is retracted anteriorly, revealing the artery of the lower lobe. Because the superior (dorsal) artery and the lingual artery often originate from the left pulmonary artery trunk at the same level, the upper artery is ligated and severed first. The basilar artery is free from below the inferior lingual artery, ligated and sutured, and then severed. The lower lobe is retracted anteriorly, and the inferior ligament of the lung is ligated and severed. The mediastinum pleura is pushed open, the inferior pulmonary vein is dissociated, and the cannula is ligated and sutured before cutting. The lower lobe bronchi is freed, and the dorsal bronchi is cut and sutured first, and then the basal bronchus are treated.
This kind of surgery is not difficult for Zhang Fan, as long as the shock is dealt with, the rest is not a problem, and there is no hurry, when the shock occurs, it must be fast, the action is not slow at all, the bleeding is ferocious and the rescue speed cannot keep up, once it changes from shock to multi-organ failure, it is difficult for the gods to come down.
But once the shock improves, we must be cautious, some people do not understand medical treatment, and always feel that the surgery is done quickly is a master, this can be said: not necessarily.
The simplest, an appendix surgery, once had a rural doctor finish it in more than ten minutes! And a doctor from a tertiary hospital did it for more than half an hour, who has a high level?
The purpose of the operation is to treat the disease, not to drive a flying car, it is not about life when it is still necessary to be cautious and cautious, after ten minutes to do the appendix, he definitely did not enter according to the anatomical level, nor did he suture according to the anatomical level, although it feels super fast, but the later stage is very unfriendly to the patient, the tissue structure is disordered, if there is really something in the future, no one dares to move this place!
Surgery is not mowing the grass, the tissue is cut, it can no longer grow, it can be said that the fault tolerance rate is very low, you can mow the grass and cut the wrong one, you can say: Oops! I didn't pay attention, but can surgery say that?
Zhang Fan's little bit of treatment, the development of science and technology has also made some surgeries easier and much better, lobectomy if in the past, after cutting off the lung lobe, it has to be carefully sutured with stitches and threads, the popular point is to suture the balloon, the suture is not careful, there is air leakage after the operation, the operation will fail, and you have to reopen the chest and suture! If that's the case, let alone the hospital, the patient's family can eat you!
And now it's much simpler. The stapler is a bit expensive to directly anastomosis the severed lung tissue, which is a bit expensive, and it costs 3,000 yuan to click! The domestic one is cheaper than 1,000 yuan, but the domestic one has a drawback, as long as the anastomosis tissue is less, it may fall off, and although the imported one is expensive, as long as the anastomosis tissue is closed, it will not fall off, unless the lung tissue falls. It also makes sense that one lung lobe Zhang Fan clicked eight times.
Outside the operating room, after the head nurse went out, she took off her mask and said to Ouyang with a smile: "Report to the dean, Dr. Zhang and Director Liu said, don't bother the experts of Di Da, the patient has passed the dangerous period, and this kind of operation is not difficult for our hospital!"
Although there are a large number of senior leaders outside the operating room, she doesn't even glance at her, just staring at Ouyang and reporting! This is the reason why her technical level is average, but she has always been the head nurse in the operating room. There are too many people with nine hearts. Technical dogs have low emotional intelligence, so they can only burst their livers, otherwise they really can't get along!
Ouyang was also shocked, and the dagger stabbed in the heart, which was rescued! This directly subverted her medical knowledge for half of her life, "Really!" She asked hesitantly! ”
"Yes, Dean, when I went in, the wounded's blood pressure had reached 120/70, the vital signs were stable, the chief surgeon was Dr. Zhang, and the first assistant was Director Liu. And Dr. Zhang and Director Liu personally confirmed. ”
On behalf of the Municipal Party Committee and Municipal Government, I would like to thank you, the comrades on the medical front are good, and Dean Ouyang is very level! I am not proud at all, such a difficult and dangerous patient can be rescued in time, I want to celebrate your achievements, but I also want to criticize Dean Ouyang, who is too modest! Really, when you said that your life was endangered, my heart hung in the air for a long time, but this is also good, and it can show that our doctors and our hospital are not arrogant or impatient. "Lao Lu is very happy, not for anything else, he is not happy about his daughter alone, otherwise if he really can't save it, it is estimated that his daughter's character will definitely not be able to get out of this shadow in this life.
"Thank you, leader! We haven't done enough, and we will definitely make persistent efforts." Ouyang's face was red, he had been engaged in cardiology all his life, and he had such a big scandal today.
Although Lu Renjia was born well and is arrogant, she is not a girl who does not understand the world, this moment is not the moment for her to lie in her father's arms for comfort, nor is it the time for her to come out, when she heard that the head nurse was sure again that Zhu Bing was saved, her eyes were hazy with tears, and her body was weak, which was the symptom after the adrenaline peaks and valleys subsided.
At this moment, Shao Hua gently upstaired her, stroked her head, accompanied Lu Renjia to tears, and said slowly: "It's okay, you can rest assured, Zhu Bing is fine!"
"Shao Hua!" There were too many people, Lu Renjia stuffed his head into Shao Hua's arms and cried quietly, full of joy and sorrow!
Knowing the result, the leaders didn't have to guard this place, and after leaving a few policemen, Lao Lu couldn't take care of his daughter, patted her on the back, and then took a group of people directly to the conference room of the hospital.
First of all, he had to report to the secretary, who was also very concerned about this matter, and it alarmed the local military districts. "Secretary, our excellent police comrades have survived the rescue of the doctors and have passed the dangerous period. Uh-huh! ”
"Okay, great! Good news, you don't have to use this side anymore, just supervise the next hunt in the hospital, and you must not let them escape. ”
"Yes!" hung up the phone, Lao Lu's face changed, and a frightening chill welled up on his face. "Now, Director Chen reports on the pursuit, the secretary attaches great importance to it, and it depends on you whether we can give a qualified explanation to the people. ”
"Report to the leader, at present, two people have been arrested, and three more people continue to be pursued, they have entered the area under the jurisdiction of the border police, and I have coordinated with the border police. Moreover, the instructions of the leaders were also informed, and they were shot and killed at the necessary moment. ”
"I'm working here now, and if I let them escape today, I don't think I have the face to go to the city party committee again, and so will you. ”
The office of the manhunt leader was set up in the hospital conference room, and the phone kept ringing.
The police chief, who answered the phone, reported to Lao Lu: "Through the emergency interrogation of the two suspects who arrived at the case, I learned about their criminal past, and this group of people is not only suspected of smuggling, but also has a murder case in their hands. ”
"Tell me to go down and shoot me directly! No need to be appeased. We can't let the masses and the front-line police get hurt for a few scum. Lao Lu sat on the main seat and said with a blue face.
This pursuit team has nothing to do with Ouyang, she is very curious and confused now, when was the hospital surgery so powerful, and few people in the country dared to guarantee that this kind of difficult operation was foolproof. After changing into her hand clothes, hat, and mask, she entered the operating room.
Zhang Fan and the director of the chest are still undergoing surgery, the operation is very fast, and it can be explained clearly in a few words, but it really has to be done, it is very slow, and a little bleeding must be dealt with in time. Not to mention such a major operation.
Ouyang entered the operating room, did not speak, quietly entered, as an internal medicine expert, although she rarely came to the operating room, but she still knew the rules of the operating room.
In the operating room, the anesthesiologist and the director of the chest surgery chatted again, but Zhang Fan didn't speak, "Lao Chen, I heard that you bought a car recently?
"Hey, I regret it, it's no problem to drive, it's just that it's too difficult to park, and there is no place to park when I go back late at night, and sometimes I can't wait to carry the car home." ”
"You're hypocritical, there's no place to park, give it to me, let me drive it every day, there are a lot of parking places in my house, I'll pick you up from work in the morning, and send you back after work." ”
"You just pick~~" Before he finished speaking, he saw Ouyang, "Courtyard~~"
Before he finished speaking, Ouyang raised his hand to stop his words, Ouyang saw that the atmosphere in the operating room was not tense at all, and he was completely relieved, and he was even more relieved when he turned his head to look at the monitor.
"What's going on?" she asked after she turned to Zhang Fan and made sure that Zhang Fan had seen her. Although the old lady is not from a surgical background, she knows everything, and she is clear.
"This Officer Zhu is a mirror person, and his heart is on the right side, otherwise it will be dangerous today!" Zhang Fan said as he did it, at this time the operation was almost over, and he had been left in closed drainage.