184 Compound Injuries
"Quick! There is bleeding in the chest and abdomen! The person is already unconscious!" The most seriously injured one is here! There are serious injuries in the abdomen and chest, and this kind of compound injury is the most dangerous, and if you delay a little, it will cause multiple organ failure, and the rest will be an extracerebral urinary expert! Zhang Fan did not hesitate at all, and rushed over directly. When they saw Zhang Fan rushing up, the experts in urology and brain surgery stopped, they knew that they were not as good as Zhang Fan in this kind of operation!
The disadvantages of being young have come out, Zhang Fan has no one in his hands, and these experts who come are either directors or deputy directors, and they don't need to pick people, as soon as they go up, the backbone of the department will definitely go up. Originally, Zhang Fan had already stood in the ranks of orthopedics, but he was named by Ouyang to become a member of the expert group, and now he is embarrassed!
Although it has been almost a year since he left Quark County Hospital, the story of Zhang Fan is still circulating here! Never underestimate the influence that a medical technology master has left on a hospital! Moreover, now he is even more dazzling, and he can be mixed into the expert group of the city hospital! The old colleagues who know Zhang Fan have a sense of pride!
"Tuxun, Yebo, Ainur, come on. "These doctors are either from the first department of surgery or the second department of surgery, although Zhang Fan is not a doctor in Quark County now, but his words still work. The three of them stepped forward quickly.
This kind of preoperative rescue, a professional doctor is enough, but there should be more nurses, otherwise they will not be busy, Zhang Fan called the three of them to mean that when they come to the stage, the three of them will be assistants.
The wounded soldier was very young, and it was estimated that he had just arrived in his twenties, his eyes were closed, his face was pale, and although his body had been urgently treated by the county hospital, Zhang Fan knew that he was in trouble when he saw his clothes that were rotten and his body was covered with blood!
"Is the blood type matched?" Zhang Fan asked loudly.
"Yes!" An armed police doctor handed over the information to Zhang Fan, Zhang Fan didn't have time to turn it over, and said directly, "Whole blood is matched, and dexamethasone is put into the pot." Open the vein three channels. "Generally, this kind of border public security, after enlisting in the army, this blood type examination is very complete, so I am afraid of accidents.
Zhang Fan said the doctor's order while probing the wound, and the little nurse who came with the car began to tremble with nervousness, and Zhang Fan knew that he couldn't ask anything at a glance. After a quick physical examination, the more I checked, the more my heart sank, the chest bleeding was accompanied by a pneumothorax, and the left side of the chest could not even see the breathing amplitude! The abdomen was more troublesome, and the color of the blood was very light, which indicated that the digestive juices in the abdominal organs were damaged, and the amount was not small.
"Quick, get into the operating room. The little soldier who had just hung up the plasma, after being lifted on a stretcher by his comrades, quickly entered the hall and ran to the elevator. In a group of four people, the movements are unified and coordinated, and the speed is so fast that you don't even need to push the car with the sick number.
There was no sound in the whole scene except the voice of the doctor. The armed police soldiers who had not been assigned tasks just watched quietly, watched quietly, and slaughtered! An extremely calm scene of slaughter.
Shi Lei is very well prepared, whether it is new or old equipment, as long as it can be used, it is placed, although the scene is tense, it is not panicked. An expert is a medical team, and this level of rescue, if you rely on the county hospital alone, it is really difficult for others.
There are only three operating rooms in Quark County Hospital, but fortunately, the operating room area is large enough, and it is more than enough to put two operating beds in one operating room. There is no way that the county hospital has this condition, there is no extra operating room, and it has only been better in the past few years, and there used to be an operating room.
The patient was already in a coma, Zhang Fan and Wang Quanping were in an operating room, and there was no way to start the operation directly at this moment.
"Blood pressure, pulse, breathing. "Anesthesia is an anesthesiologist in the city hospital, and I know Zhang Fan very well. Special treatment in special cases, the wound was thickly bandaged by the doctors of the county hospital for many layers, and in this way, the bleeding was already soaked with gauze.
"Doctor Zhang, you can disinfect this, I can't help me!" Tu Xun, who wanted to save face very much, opened his mouth, and he was scared!" "Okay, Director Tu, you go and brush your hands, Ye Bo also goes, Ainur will help me disinfect." "This kind of injury is really not disinfected by ordinary doctors, whether the gauze wraps the artery or vein, if it is a large artery, if the operation is improper, there is no need to rescue directly.
Zhang Fan said to the anesthesiologist, "Blood pressure!"
"Dr. Zhang, I can't detect it. The heartbeat is very weak. ”
"Cardiotonic Static Push!"
This operation is too dangerous, a typical combined thoracoabdominal injury, shrapnel penetrates directly from the chest into the abdomen, looking at the situation, it is estimated that the abdominal injury is more serious. And this kind of firearm damage must be dealt with as quickly as possible, and this is to race against death again to see who can run faster! When Zhang Fan saw the patient for the first time, he directly ordered him to go to the operating room, and he did not even do an examination. It's too late, and it's too wasted to do the checkups.
Zhang Fan stood in the position of the main knife, and there was no need to discuss with others. Directly open the chest, looking for ballistics, as soon as it was opened, fortunately, the shrapnel penetrated the left lung, grazed the edge of the heart and the major arteries into the abdominal cavity, and a little further to the left, it is estimated that this soldier will not even be able to get off the battlefield. Hurry up and stop the bleeding!
"Hemostats, gauze tamponade. The injured lung is then clamped with a professional clamp, and after this clamping, the patient's left lung begins to have respiratory mobility. "This kind of compound injury, we must explore clearly, and then choose the focus to do, if the exploration is not clear, recklessly go to surgery, not only can not save the living, maybe it will accelerate the death of the patient.
Exploring down the trajectory, the incision was particularly huge, and when he looked down from the shadowless lamp, he almost split the person from the chest! When he entered the abdomen, Zhang Fan's heart sank, and his left kidney, spleen, and part of the small intestine were directly penetrated!
This kidney is no longer salvageable, so it can only be removed. Zhang Fan inserted a pair of forceps directly from the bleeding place, and after a little estimate, he directly clamped a very large piece of tissue, and after ten seconds, there was no big blood flowing out of the abdomen. Anyway, Zhang Fan will not tolerate the kidneys that are going to be given up, "Make a larger gauze bag, stuff and compress to stop bleeding." ”
The damage to the abdomen is too great, and it is not an exaggeration to say that it is messy. The kinetic energy of the firearm is too great, as long as it is rubbed a little, the nearby tissues have to be removed, because these places have been necrotic, and if they are not removed, they are the source of infection.
After tamponade compression stops the bleeding, the chest injury is first treated. The heart and lungs are one, but if the lungs are not good, the heart will have problems immediately afterward, that is, the problem of speed and slowness. After changing his gloves, Zhang Fan began chest surgery.
"Hold on! Ainur, if you can't do it, go down!" Zhang Fan was anxious, and his heart was so anxious that he was angry, this was the first time he had been angry with his assistant on the operating table. At this time, no one cares about this tone, even if it is jealous, it is a matter after getting off the operating table, and now I can't take care of it!
The lower lobe of the left lung was to be cut off, Zhang Fan's quick blessing closed, blessed closed, the speed was very fast, he didn't dare to slow down, and his mind was highly concentrated. The atmosphere in the operating room is depressing and lethal, too depressing. Even the traveling nurses are nervous!
The necrotic lung was removed, which made Zhang Fan calm down a little.