428 Fight, do whatever you want!

No matter what the situation is, whether it is serious or not, Ouyang has to give an explanation to the leaders of the wounded. Although the city hospital is now the only hospital in this area, it is necessary to have the necessary procedures.

"I'm going to cut it short for now, the situation is not optimistic, and I've got the best of the experts and doctors in the whole staff to do their best. Ouyang faced the military, armed police, and police leaders and quickly explained the situation briefly.

"Do you need to have a doctor from the main hospital or a doctor from another large hospital in Bird City to assist with the treatment? I can ...... now" The soldiers' faces are blue.

"It's too late. You solve the problem of blood source first, there is not enough blood in the blood bank now!" Ouyang directly interrupted the other party's proposal, the experts of Bird City, even if they take a rocket, there is not enough time now.

"Don't worry if the blood is not enough, I will pull a regiment, is it enough! However, you must save my soldiers, and you must go all out. The military leader almost crumpled the hat in his hand into a rag.

"Yes, we'll do our best. After speaking, Ouyang didn't ink, turned around and entered the operating room, and organized a large-scale consultation before the operation.

The police leaders have already started to call, and the family members of the injured policemen are in Chasu City, "Xiao Li, you take the people from the office, go to a few more people, and invite Wang Jun's family to the hospital." The situation is not encouraging. ”

Then he called the government leaders again to report.

"Take the team into the city, our soldiers now need blood for surgery. Make the situation clear to the fighters. The regimental leadership and officers at all levels took the lead in donating blood. ”

"Yes!"

The soldier arranged work, hung up the phone, and directly called the Lanshi Military Region Headquarters in Bird City.

"Chief, my soldiers have just exchanged fire with a certain warlike who has infiltrated our country to wreak havoc. Eight people were killed, there were no people alive, they had radio stations with them, all kinds of foreign weapons, leaflets to be distributed, and all kinds of propaganda pamphlets.

My soldier was injured in order to save a policeman in the station, and the condition was very serious, and the director of the Chasu City Hospital personally told me that the situation was not optimistic, and I now needed specialists from the army hospital. The soldier didn't listen to Ouyang at all, he couldn't resign himself to fate, and he didn't worry about Chasu City Hospital.

"Okay, I know, the experts of the General Hospital of the Military Region will come to the tea as soon as possible, and we must save the lives of our soldiers, as long as there is a glimmer of hope, we must work hard. Also, please do a good job of comforting the family. ”

"Yes!"

Ouyang entered the operating room and began to organize a large-scale preoperative consultation.

What is a preoperative large-scale consultation, in fact, is to organize the most cutting-edge doctors in the hospital to discuss the problems faced by patients during surgery, or to find special intervention methods so that patients can get better treatment.

"The soldiers and comrades of the People's Liberation Army not only suffered severe wounds from shrapnel in the abdominal cavity, but also suffered certain impact injuries, which can be said to be in danger.

We have to come up with a predetermined plan before, during, and after surgery, as well as a plan for emergency measures. Just in front of the operating door where the wounded were operating, Ouyang said to the experts gathered around.

If the warrior is a single abdominal injury, there is no need for such a scale of consultation, it is enough to have a cardiology and respiratory specialist, assisted by a doctor from the general public, but the soldier still has impact injuries.

American-style military grenades, not heavy, only more than 1,300 grams, but this thing can not only produce more than 700 pieces of 5mm fragments, with a killing range of about 18 meters, but also a special defensive grenade, that is, shockwave directional grenades.

What exactly does this impact injury mean, in fact, it is the explosion that produces a huge amount of energy, which spreads rapidly through air, water, and soil, and it is also a high-pressure and high-speed wave.

This kind of overpressure injury mainly causes bleeding and rupture of the eyes, ear canal, lungs, and gastrointestinal tract, and has the greatest damage to the liver, spleen, kidneys and other substantial organs.

Modern weapons, area attacks, rely on this thing to kill. It takes a single shot to kill a few people, and the country of Maruko was attacked by nuclear weapons, and the number of people killed was not as many as this kind of shock wave.

This kind of injury, do not look at the facial features, only look at the surface of the body, there is no external injury, even the skin will not break a little, but the organs in the fixed cavity can not be seen.

The brain can be directly shocked into tofu flowers, or mixed with spicy oil, stirring tofu flowers with chopsticks for a long time. The liver, kidneys, and spleen are all coffee-colored popcorn, and you can't see what they looked like.

Although the impact of the grenade was not much, the explosion at close range directly caused the soldier to suffer edema in the lungs and hemorrhage in the liver, kidneys, and spleen. Then there is the abnormality of the function of multiple organs.

To put it simply, the knife cuts on the back of the hand, although the blood is rubbed, and if the knife edge is deep, you can still see the bones of the white bones, in fact, for the doctor, this is nothing, and it will be finished when you sew it up.

But if you hit it with a hammer on the back of your hand, as long as the force is strong enough, it will be a troublesome thing, and this damage can directly cause the cell to rupture, and then a large amount of ions in the cell will overflow.

As long as the range is large enough, it is directly fatal, and the potassium ions in the cells entering the blood and heart are directly fatal. And it's not easy to treat!

Although the policeman's shot was not fatal, the US military's standard weapon was so vicious that the bullet exploded inside him like a small bomb.

Not to mention the damage, the surrounding tissues are not even possible to repair, and because the bullet fragments are too large and too small, there is no way to completely remove them, unless they are removed on a large scale, otherwise infection will follow. The real one is one ring after another, and it never stops.

It can be said that now the death of the two has been overthrown, and with time, the injury will only get worse and worse, and when the quantitative change reaches the qualitative change, there is no way to correct it.

In the operating room, Zhang Fan was preparing for the preoperative preparations, and the venous access of the warrior was opened four, and when the needle was pricked to the soldier, it was operated at the level of the head nurse, and the inexperienced nurse could not find the blood vessel directly.

"A large number of diuretics are used to reduce the edema of the lungs, and cardiotonics are selectively used, but the dose is not too large, although the warrior is now in a state of heart failure.

However, once the output of cardiac function is increased, it will lead to increased bleeding, so now we can only increase the input volume and maintain a delicate state.

It's up to the surgeon to stop the bleeding before the state is broken. Ren Li, the director of the Department of Cardiology, was about to be pinched by herself.

It's too difficult, there is no way to use medicine, and now it is dancing on a tightrope, and strengthening the heart will accelerate the bleeding, causing the shock to worsen. If you don't have a strong heart, you have heart failure. Both of these are deadly things, and there is no option at all.

The opinions of the directors and experts of each department formed a set of treatment plans in a few minutes.

"Director Ren, Director Jumabek, you take the director of digestion and kidney into the soldier's operating room to assist Dr. Zhang in the surgical treatment. The plan was formed, and Ouyang began to give orders.

"Yes!" The director and deputy high-level with surgical hats and masks entered the operating room where Zhang Fan was.

The deputy director of the cardiology department and the deputy director of the respiratory department entered the operating room of the police.

Generally, there is only one anesthesiologist for surgery, and it is just a student of an anesthesiologist to follow the chores. But today is different, three anesthesiologists came.

Anesthesia for lung impingements is very troublesome, and if you are not careful, it will cause air embolism to form because of the ventilator. The ventilator-induced gas embolus is not some kind of small bubble that the infusion enters.

The principle of the ventilator is actually simple, it is a pump. A certain amount of pressure is used to press oxygen into the lungs and allow the alveoli to exchange. There is pressure, so as long as a blood clot is formed, there is no need to do surgery, and the person can be killed directly.

"A small dose of thiopena induction, and then use 50% nitrous oxide to maintain it, there is no better way, the wounded are in shock, and spinal anesthesia cannot be used. Come on!" the anesthesiologist is also negotiating.

"Dr. Zhang, we can only maintain the patient's current state for 20 minutes, at most half an hour, this is our estimated time, if there is an accident, the time will be less, or direct shock death, or heart failure death. Ren Li, the director of the heart, said solemnly to Zhang Fan.

And the director of the respiratory department, Jumabek, is still taking the doctor to use drugs to maintain the poor balance of the fighters. It is no exaggeration to say that now the warriors are like dead leaves on the water, and the slightest wind will sink to the bottom.

For half an hour, the average doctor couldn't even get into the abdominal cavity. Not to mention this kind of situation, you don't even know how serious the damage to your organs is.

Zhang Fan, the director of the general department, and Lu Ning quickly prepared the electric knife and suction device, and the nurse counted the instruments.

Although there are directors and Lu Ning on the operating table, the director in the heart still regards Zhang Fan as the chief surgeon, and she reported the situation to Zhang Fan.

Zhang Fan listened to Ren Li's words, there was no need to stop under his hands, the director of the general foreign department was flustered, watching the movements of Zhang Fan's subordinates, and continuing to prepare, he almost said that he would not have surgery, the wounded died in the ward and died on the operating table is not the same.

Zhang Fan gritted his teeth and didn't say anything, to do it or not to do it!

Do it, it must be done, as long as there is a glimmer of hope, he will do it, even if the fighter dies on the operating table, he has to gamble.

Whether others don't understand, or complain later, he has done this operation.

If not for anything else, but for the bloody struggle of the soldiers, he fought hard. There are so many surgeries on the liver in the system, if he still doesn't dare to do this surgery.

Don't do anything, open the window and jump off the building! Don't talk about anything else, don't talk about technology, you don't even have the guts to be a doctor.

It may sound fake, but in fact, many critical surgeries are gambles! It can be said to be a big gamble with life.

While Lu Ning was busy preparing for the operation, he was thinking in his mind, was there such an operation case, and if there was a similar operation, he was thinking!

Finally, Lu Ning's eyes lit up and said: "Zhang Fan, the master and the senior brother Zeng Jin also had a similar operation, and an injured person who was crushed by a truck was finally successful. ”

Before he finished speaking, after the operation was completed, the senior brother was invited to the magic capital to become the director of the foreign-related hospital. Which operation is the one that his brother has become famous.

"However, there are still two pieces of shrapnel in his abdomen!" The director of Puwai did not raise the bar, but wanted to make Zhang Fan's thinking clearer.

"I know, I mean you can fight it. ”

Zhang Fan didn't say much, just raised his head briefly and said a word to the itinerant nurse.