On the operating table in the operating room, as if entering the telecommunications department, patients are hung with monitoring instruments.

ECG monitoring, blood oxygen monitoring, oxygen intubation, gastric tube intubation, urethral drainage, vasculature of the suction device, intravenous suspension of plasma and fluids on the extremities.

Although the line is not dense, it also makes people's scalp tingle when they look at it.

In particular, the transparent liquid and the red blood vasculature are divided into two ends like wires.

The invention of intravenous infusion can be said to be an invention that can pull patients back from the line of death at a critical moment.

Many people often wonder why the infusion is not in the artery but in the vein.

First of all, the arteries are afraid of death, and the larger arteries are generally hidden deeper, and it is generally very difficult to find them in an emergency, while the veins are relatively superficial.

Secondly, the arterial pressure is relatively large, and it cannot be infused without external pressure, and if it is pressurized, it may also lead to the rupture of red blood cells in the blood vessels.

Therefore, for general emergency infusions, the choice is intravenous, as long as the liquid bottle is raised over the skull, it is fine.

When the artery is selected, for example, when the patient's vein can no longer be selected, arterial infusion, to be honest, will be implemented as a last resort.

But nowadays, many addicts, in order to obtain more rapid satisfaction, will pierce the artery injection in the groin, really, this way, once careless, leads to arterial hemorrhage, the consequences are ......

Intravenous infusion, a life-saving treatment that is fully paved for the treatment of the common cold, makes people speechless.

Is it good to treat a cold with medication?

No!

This thing is a self-healing disease, the common cold, you don't care about it, it will recover, and the treatment is just to reduce the symptoms, such as nasal congestion, cough.

In other words, with and without medicine, there is no difference between a cold and a cold.

"Knife!" The preparation for the operation was very fast, and there was almost no pause in the connection of steps.

The patient's blood loss was so severe that the fluid infused could not withstand the patient's outflow at all.

Zhang Fan took the scalpel and began to expand along the wound in the back part of the patient's back.

If there is a fixed format for some abdominal surgeries such as appendix and gallbladder.

This kind of traumatic rescue surgery is a surgery that the doctor is free to play.

It may seem like it's easier to play free, but in fact, it's harder to play free.

Over the years, generations of doctors have discovered almost all the unexpected situations that can occur near the organs, either actively or passively.

Therefore, as long as you are serious and have a solid foundation, there will generally be no such thing as cutting blood vessels and damaging nerves.

And this kind of free play will not work. Once one is not careful, it is a matter of making things worse for the patient.

The male owner of the optical store had a wound on his back, and the white fascia and red muscles had been turned out.

Like a little kid, he pouted and puffed out his lips, revealing the red lining of his lips.

The patient's wound was now spitting blood.

The abdominal cavity of the human body is slightly larger than the atmosphere, and the average person probably has never seen it.

When a sharp weapon enters the abdomen, the wound is like a fart, and when you snort, it will emit a gas that does not smell bad, but it does not smell good.

This smell can be called sassy! It's like the smell of rat urine evaporating on your hands.

"The blood doesn't coagulate, the organ is injured, how are the vital signs?"

Zhang Fan made an incision along the wound, and looked at the non-coagulated bruises, and he was also anxious.

"The blood pressure can't be measured, the cardiotonic drug has been used!"

That flower was assigned to Zhang Fan's side to participate in the patient's shock correction, and Ren Li went to another operating room.

Now everyone knows that the life of a patient is on the line of life and death, and any slightest accident will lead to the death of a patient.

When the patient lies on his stomach on the operating table, and when he cuts his abdominal cavity along the wound, the blood flows out like a pot of watery meat.

"Quick, big curved pliers!" Sure enough, inside the wound, the patient's spleen was inserted into a large opening, directly like a broken apple, and the wound was in a petal-like state.

After taking the bending pliers, Zhang Fan directly stuffed his left hand into the spleen, with the palm up and the back of the hand facing down.

Then with a slight force, the nearby tissues and the injured spleen gate were freed, and in an instant, Zhang Fan's palms were filled with bright red blood.

Without a little hesitation, Zhang Fan clicked and clamped the entrance vein of the spleen with huge curved forceps.

The forceps bite the veins of the spleen like crocodiles. "Lao Li, attractor!"

"Gauze!" clamped the spleen, this time it was not enough, the wound of the spleen must be filled with gauze.

Lao Li, who acted as a helper, took the suction device and put it into Zhang Fan's left hand, and the suction device was like snorting watermelon juice.

Sneering and sucking the blood quickly, the semi-coagulated blood clots in the blood were like black melon seeds in watermelon juice, which were quickly sucked into the transparent plastic pipe.

"Increase the amount of input and see if the urine is produced? The wound has been clamped, and the blood volume is replenished quickly, and the blood pressure rises as soon as possible. ”

Zhang Fan frowned, and while he was operating the operation, he gave orders to the anesthesiologist and the internist.

"No urine was found, diuretics were used!" The corrective shock team of the internal medicine department also relaxed a lot when they heard that Zhang Fan had stopped bleeding.

There is no rescue to stop the bleeding, and a large amount of liquid is filled, just like raising soup to stop boiling.

It can only be to maintain the patient's fragile blood pressure and the electrolytic balance facing collapse, and there is no way to solve the fundamental problem.

Now that the bleeding from the wound has stopped, they can show their skills. However, Zhang Fan did not relax a little in his heart, because the patient's spleen was seriously damaged.

The organs of the human body, in Western medicine, if you choose a representative, you can use it, and the heart, lungs, liver, kidneys, and brain are represented by a stomach and intestine.

The heart and lungs are not separated, representing the respiratory and vasculature, the liver represents secretory immunity, and the kidneys can represent the urinary system.

The brain can represent the central nervous system, while the gastrointestinal tract represents the digestive system.

So, which system does the spleen belong to?

Traditional Chinese medicine believes that the spleen is transformed into a subtle valley and distributed throughout the body.

The Yellow Emperor said in the Neijing Sutra: All dampness and swelling belong to the spleen.

Generally speaking, when a person is swollen, the problem lies in the spleen.

At that time, the ancestors of Huaguo didn't know if they had opened a plug-in, how did they think of it, although it was very general and the explanation was very general.

However, in recent years, Western medicine has slowly studied what the spleen does.

Earlier, Western scholars believed that during the fetal period, the spleen function is very important, it is the hematopoietic system.

In adulthood, its function is replaced by bone marrow, so it is a useless organ in adults.

In the past few years, the function of the spleen has been slowly discovered, first of all, the spleen can not only be in critical situations, but also when the bone marrow hematopoiesis of the younger brother is not in time, it can continue to make blood.

It can also filter blood, and after the body's red blood cells age, the spleen will eat these old red blood cells.

When this hyperfunction occurs, it eats not only senescent red blood cells, but also healthy red blood cells, and then causes refractory anemia.

It eats red blood cells and stores blood at the same time, and when the body is agitated or ischemic, it will release the stored blood.

Therefore, the blood comes out of the spleen.

There is an even more important function: the immune response.

When the human body is infected by bacteria or parasites, various fighting factors in the spleen are cast, and it does not only cast combat factors.

For example, the malaria parasite, the spleen can eat it like a jelly bean, which is a very domineering organ.

So, this thing is actually the armed part of a body.

However, its texture is not very good, it is very fragile, just like the most tender radish, falling from the bottom, snapping, it can definitely fall eight petals.

Although it is hidden under the ribs, it is the most susceptible to damage and rupture of all organs.

And this thing is not only easy to break, not to mention, as long as it is slightly injured, it is especially easy to lead to splenectomy.

There is a saying in surgery that spleen-preserving surgery is thrilling, and it belongs only to noble surgical textbooks and should not appear in the operating room.

The spleen is such a flammable, crackable and explosive organ.

In the operating room, the physiological function is the emperor, the dissecting form is the empress, and the doctor, a full-fledged surgeon, can only be a prince.

Everything must be agreed by the emperor and empress to do something sneaky, such as the unspoken rule of a palace maid.

The shape of the spleen is like the subway during the rush hour of Maruko's commuting in the country, and it has layers of thin coats on the outside.

Just as the body fools the body, its coat is the thinnest of all organs.

Inside this thin coat, the spleen tissue is stuffed full, just like a plump woman who has to wear a smaller underwear.

I don't know what the body thought at the beginning.

In this structure, sometimes, not to mention a deliberate blow, an accident will make it crack.

In the winter, the man pulled his slender girlfriend, but his girlfriend's high heels accidentally fell, and he felt that there was nothing wrong, and the woman didn't feel the pain of the fall at that time.

Walking and walking, half an hour later, the man patted the woman's back and affectionately said that the woman was a little fool.

Affectionate slapping, a little bit of strength is useless, and as a result, a slap on his girlfriend is shocked!

Scared can scare people to death, this is because the spleen was shattered at the moment of falling, but the clothes outside the spleen were not torn.

When the bleeding became more and more, the clothes couldn't hold on, and with a poof, the clothes were torn, like heavy bleeding, and the blood pressure fell instantly.

So, sometimes, like being rubbed by a car, being pushed from the back by a motorcycle.

A lot of people, carelessly, pat their butts and say it's okay!

Don't be careless at this moment, not to say touch porcelain, it's best to go to the hospital for a laparotoc CT at this moment.

Because, once the spleen is damaged, it is really difficult to save the spleen in the operating room.

It's not a top tertiary hospital, I can't even think about it.

"Blood pressure is up! Zhang Yuan, blood pressure is up!" The anesthesiologist immediately reported the patient's vital state to Zhang Fan.

"Okay, if there is still bleeding now, can you guarantee that the patient's current state will be maintained!"

Zhang Fan turned his head slightly and asked which one.

When Naduo heard this, she groaned slightly, and then held an emergency meeting with several other internists.

"If the bleeding is not very violent, it should be fine, but if there is another major bleeding, the patient's medication threshold is almost at its peak, and it is estimated that it will not be saved. ”

The one who faced Zhang Fan informed Zhang Fan of the results of their discussion.

Surgery, especially pay attention to preoperative discussions, such as a simple appendix, gallbladder is also said in the morning meeting, routine surgery.

For other slightly larger surgeries, whether you are a doctor of the same group or not, as long as you are a doctor of the department, you have to give your opinion at the morning meeting.

However, emergency surgery is not possible, for example, now, saving the spleen or cutting the spleen is just a thought of Zhang Fan.

Is it difficult to remove the spleen? It's so simple, it's almost taken by surgeons more than 100 years ago.

But what about protecting the spleen?

As far as the current science and technology and the current level of medical care are concerned, the weaker tertiary hospitals dare not mention it.

Don't ask, if you ask, you will cut.

It's not that doctors are irresponsible, when there is devastating damage to the spleen, cutting the spleen can save life.

However, the spleen-preserving surgery is not as expensive as the spleen-cutting surgery, not to mention the high cost of the spleen-cutting operation, and the risk is quite high.

Therefore, the spleen is really an outlier in the human body.

Zhang Fan pondered, this was the first time this had happened during the operation.

"Zhang Yuan, if it doesn't work, just cut it, the blood transfusion has almost lost thousands of ml, it's too dangerous!"

Lao Li, as an old doctor, understands Zhang Fan, and he understands what Zhang Fan is hesitating about now.

"Director Zhao, how was their surgery?"

Zhang Fan nodded slightly, but still asked unwillingly.

"The operation went smoothly over there, the patient corrected the shock, repaired the blood vessels, and now it's almost over. ”

The head nurse of the operating room answered immediately.

"Okay, let Director Zhao come over!" Zhang Fan made up his mind, since he has the ability, he must do the operation perfectly.

The organ of the human body is not a leek, this thing cuts a stubble, and it will never regenerate.

Now that there are conditions and a certain degree of certainty, Zhang Fan decided to do spleen-sparing surgery.

Outside the operating room, the patient's family members cried into tears, and the parents of the owner of the eye shop were out of breath crying while holding the little send-off girl.

And in the alley where the incident occurred, the boss who bought dried fruits couldn't suppress his heartbeat.

On weekdays, he relies on his physical strength and can be regarded as a tyrant, but now he can't hear the sound of metal hitting.

As long as there is a crisp sound of metal impact, his urine will come to his heart, and he can't hold it back!

In the operating room, Lao Zhao also went to Zhang Fan's operating table. The director of the general surgery was not given for nothing, although the operation was not as good as Zhang Fan's, but there was still life in his eyes.

Zhang Fan asked Lao Zhao to look at it too.

"How?"

Zhang Fan asked.

"Zhang Yuan, you can give it a try, I'll give you a hand. ”

"Okay, who's going to help?"

"Zhang Yuan, I'll come!" Although Lao Li supported the cutting of the spleen, now that the chief surgeon and the director have decided to save the spleen, he will also go all out.

This is the hospital, this is the operating table, and the assistant can have an opinion, and even have an opinion.

However, when the chief knife makes a decision, whether you oppose it or not, you must go all out to complete the main knife's order.

Therefore, a qualified surgeon is quite valuable in the department and even in the hospital.

Internal medicine can discuss around the patient number and slowly study the medication together, but surgery can't, in a short period of time, what to do, what to do, someone must stand up and take this responsibility.

Therefore, surgeons pay attention to a lineage, pay attention to a top and bottom, because their experience can be said to be practiced with one life after another.

"Okay, let's go! ”

"Let's go!" Lao Zhao also gritted his teeth and roared quietly.

Just like the cry before the charge, the low shout made everyone's spirit engrossed.

The wound of the spleen, like the stamen of a flower, was displayed in front of them. They began spleen-sparing surgery.

The female owner of the eye shop also woke up slowly under the urging of the anesthesiologist.

Looking at the white wall above, her heart was full of regrets, all kinds of regrets mixed together.

Tears filled her eyes, and looking at the nurse next to her, she didn't even have the courage to ask her husband.

She didn't dare to ask, for fear of hearing bad news.

Really, what is hard to buy in this world is regret medicine.