Chapter 190: brothers! Go!

Chapter 190 Brother! Go!
The spleen is the most easily injured organ in the abdomen, and the amount of bleeding after injury is extremely large. Moreover, the rescue principle for this type of compound injury is to save lives first and retain organs second. When Zhang Fan probed, he already knew that neither the spleen nor the left kidney could be retained.
It's hard! Cruel! Dying or kidney or spleen? Such a young body will be broken from now on. Sickness accompanies a lifetime, and what Fan Fan can do now is to minimize the injuries of the wounded on the premise of ensuring the soldier's life.
The spleen artery must be ligated first to reduce blood loss, so that a large amount of blood in the spleen flows into the circulating blood, becoming the best autologous blood transfusion. During operation, Zhang Fan first cut open the gastrocolonic ligament and gastrosplenic ligament one by one to ligate the blood vessels in the ligament, enter the small omentum cavity, and expose the pancreas body and tail.
Touch the pulsating splenic artery at the upper edge of the pancreas, and select a spleen artery bulge at the junction of the pancreas body and tail. The posterior peritoneum is incised, and the splenic artery is carefully separated with right-angle forceps and ligated with thick silk threads. The ligation of the splenic artery should be performed two times. The ligation should not be too tight, so as to close the lumen to avoid tearing the artery wall. In addition, care should be taken to avoid damaging the parallel splenic vein below.
Only Ye Bo can help a little in this operation. The remaining two doctors can only pull the hook. On Fan Fan's side, during the emergency operation, I only heard the loud voice of Lao Zhao on the table next to Zhao Quanping: "Quick! Push quietly, Silentland push! Fast." Hearing out, Lao Zhao was anxious and helpless.
"Director Zhao is dead! The drug has no obvious effect!" Said the anesthesiologist.
"Shock rhythm!"
"Bang! Bang!" The sound of electric cardioversion. Zhao Quanping looked at the monitor with anticipation, how he hoped that the soldier's heart beat again, and after a while, he did not rescue him! Zhao Quanping clenched his hands tightly.
"You send him!" Old Zhao said softly, the damage was too serious, the soldier's luck was really bad, after the shrapnel entered the abdomen, it caused great damage, but cruelty was cruel, it was not directly fatal, Instead, the soldier suffered great pain before he died.
Suture the wounds on his body, and the nurse gently wipes the blood on his face, arranges the broken military uniform, and lifts it onto the flat car! Covered with a white cloth sheet, slowly pushed out of the operating room.
It's not a sad time, surgery is still waiting, and wounded are waiting to be rescued. "Doctor Zhang, how about it?" Zhao Quanping gathered his frustration a little and asked Zhang Fan standing under the operating table.
His meaning is clear: do you need help! Zhang Fan is not a young doctor outside of them. Zhang Fan's skills are no worse than that of him. The inquiries are respect for doctors at the same level.
"The bleeding is too bad. I have just ligated the arteries of the spleen and the kidneys have not yet been processed. You can quickly go to the stage to help me." Zhang Fan can scold his assistant with a temper, but he can't say that the assistant will not work for those who have not participated in the operation. That's shame!
The assistant was a bit out of step, and Lao Zhao changed his surgical gown and returned to power. Once he came up, it was different, and Zhang Fan didn't have to explain deliberately what he should do, hooking, sucking blood, clamping, knotting, and the two were particularly tacit. The speed is much faster, the spleen is removed, the kidneys are removed, and the abdominal cavity is cleared.
Modern firearms are too powerful, and rubbing one side can cause a section of intestines to erode, necrotic, and lose function. "Ah! This wounded would not dare to eat a full meal in the future, it is really a pity!" The intestinal injury was also very severe. Zhang Fan intercepted a long section of the intestine, and Zhang Fan said lonely after interception.
"Okay, the abdomen I rescued was directly smashed into the belly, and the wound was not big, and there was not much bleeding. But the inside of the abdominal cavity had turned into a ball. Hey! So young, I guess my children are a little older than him Let ’s go to the battlefield to protect our country and defend our country. The thing in my family has been mixed with the Internet for a day! I ca n’t even support myself!
Lao Wang also felt it. People are old, in this special environment, looking at the soldier who has just died, he will think of his child.
Six patients, and finally rescued three people, one of Zhang Fan. One of the orthopedics, the orthopaedic disease number is that the thigh was injured, there is no way to amputate directly. The other one was shot in the upper chest. Fortunately, a single hole passed directly through the tip of the lungs, and the scapula was smashed. Although the injury was serious, it was not fatal.
Zhang Fan looked at the wounds of these soldiers and wondered. The contact surface was a large sesame wound, but he could turn it over and see that there was a large watermelon wound on his back. This kind of injury is really too difficult to deal with, the bleeding is fierce, and the organs fail particularly quickly, and some even smash the organs directly. This is where all the experts from the city hospital are dispatched. Otherwise, the results today will be even more Miserable!
The county hospital has vacated two wards specifically to house all rescue equipment. Various instruments are gathered in this ward. Soldiers who have survived the surgery can't leave the hospital yet. They can only observe treatment here.
The doctors and nurses of the city hospital have taken over them, and they are accompanied 24 hours a day. The leaders of the municipal party committee specifically explained to Ouyang, "People who dedicate themselves to peace are more valuable. They have already done what a hero can do. I ca n’t let the heroes bleed and cry. I do n’t understand the specific majors, but I ’ll take a stand here and let them recover at all costs. Contact me directly if there are any problems. The municipal party committee fully cooperates!

After all, it was an emergency, and the superior leaders of the armed police have not arrived yet. This is the leader of the city!
In the hall of the hospital, there were three flat cars covered by a brushed white cloth sheet. On the flat cars were very young soldiers. Best efforts, but still did not take back their lives from the death.
The captain of the armed police, the iron man cried like a child. These are all his soldiers, one by one. They all ate together yesterday and trained together, but they were lying cold today.
"Get up! You all get up! It's a man who stands up!" Whimpering voice, bitter tears.
The iron-blooded soldier bleeds without tears, but he does not reach his heart. The laughter, sweating during training, tears flowed across the iron soldiers. A group of pale-faced soldiers defended the chaotic border with blood and sweat. What it is for is to allow people to walk freely and peacefully on the street.
It's over, it's over! Armed policemen in police uniforms and white coats stood by flat cars and saw off these heroes.
"Brother! Let's go!" He saluted and bowed. The crying captain of the captain, who was also guilty, was trained by his own hands! His heartache is generally incomprehensible, but there is no regret medicine in the world! He sent him to the battlefield and he buried him! Not soldiers cannot understand!
Pensions, disability costs, chronic pain associated with a lifetime, and the distress of being unable to integrate into society are all the pains they have to endure. Is the poison (a) terrible? It's quite scary. This thing brings not only an addictive problem, but the evil effects accompanying it are too many, too. AIDS and social instability are brought about by this thing.
Once the most beautiful frontier city, the number of AIDS patients is huge! Why? It is these chaotic countries that bring about a large number of smuggling, selling (a) prostitution, and communicating with the language of many people. Once infected, spread through various channels, the speed of broadcast is quite amazing. Poison (a) and AIDS became a dark cloud over this Taoyuan.
Old Zou woke up and it's over! When the operation was over, the county party directly ordered his deanship to be removed. Shi Lei's position, this former surgeon, sitting in the dean's executive chair, is a thorough and technical post to say goodbye.
The director of the city hospital's ICU and the director of the respiratory department, general surgery, and orthopedics each left a doctor to continue to treat the surviving fighters. Others rushed back to the city overnight because they had to go to work and clinic the next day. No one's passing can stop the sun from rising the next day.
On the way back, Zhang Fan and Zhao Quanping were in a car. Inside the car for a long time, Zhao Quanping said softly, "What should their parents do?"
"Yeah!" Zhang Fan stared out of the window with no eyes. This disability was really shocking. They lived in a peaceful environment. They were really shocked.
Now they can only talk in the car, because Ouyang had already issued a password before getting on the car. This is because he fears that it will cause panic among ordinary people. The war is so close. If the people learn about it, they will definitely have a sense of fear.
Normal life and peaceful work, Zhang Fan began to study English hard. After passing the fourth grade of English in his junior year, he never touched English. He was almost forgotten English, so start from the beginning.
On the weekend, the director of Dida's affiliate Puwai Li took his team and patients to the Chasu City Hospital. The hospital's entrance, outpatient building, and surgical building are full of banners, all of which are based on the reputation of Dida Affiliated Hospital to raise the city hospital's slogan.
Along the way, Li Jingjin's face was all black. This Ouyang has nothing to do, it's really a bit sloppy. But he couldn't help it, who made him worse than others.
The hospital conference room is just a bit better. The layout here belongs to the equipment vendor. The specifications of the venue are very high. The mineral water is imported. The gift for the doctor in Dixian County is a 200 yuan shopping card per person. This equipment vendor is a rising star, because the leader is young! This is not explained.
So now, in order to open up the market, I also have to make money. There were many doctors, hundreds of people, sitting in the large conference room of the hospital.
Debugging the lens and microphone, Ouyang personally chaired the meeting. "Experts and colleagues, first of all, welcome to the Chasu City Hospital. On behalf of the hospital's medical staff, I would like to extend a warm welcome to your arrival. The doctors in our hospital are fortunate to have the same operation with Professor Di Da today. Experts and scholars give me corrections and criticisms. "Ouyang is full of spirits, can she not be happy! Lao Huang has had a lifetime of surgery and has never been so beautiful before she took office for a few days!
In the operating room, pre-operative preparations are still being done. These things were done by Dr. Li's doctoral disciples. He teased Zhang Fan: "This time I return to Bird City, I think I will be approved. Your dean Ouyang is really too incredible."
What can Zhang Fan say, it's not easy to talk. However, the director of the Department of Anesthesiology answered, "Did the Dean be willing to criticize you? I heard that you have been invited to the capital for surgery a few days ago. You are this outside the border." Stand up.
"Hi! Ashamed, do you guys know what kind of surgery I went to the capital?" Lao Li looked awkward.
"What's wrong!" Zhang Fan was also curious. Zhang Fan is going to help and make some pre-operative preparations, but Lao Li will not let him do it.
"A leader with a special identity in the border area did not know what was going on. He contracted liver hydatid disease. I was diagnosed at the time of diagnosis. I suggested he have surgery at that time, and he said that he would think about it a week later. The old man in the capital Zhongyong called me and said he had a liver hydatid surgery to fly over to do it. Although we are a frontier hospital, hepatic hydatid surgery, but seriously, let alone China, it is estimated that the world It's considered top notch. "
The anesthesiologist asked like an embarrassment: "And then."
"Then it's embarrassing! I flew over in a hurry to see, hey! Isn't this an acquaintance, just that one, he's also embarrassed, embarrassed, hey!"
Several people chatted and waited for preparation before the operation. The two doctors brought by Lao Li were not very happy. They almost did n’t need to do these things when they were attached to the doctor at Dida. As a result, they came to a small city hospital and started to work as a resident. The most exasperating thing was that the main knife was younger than them. Doctors.
They have been in the high-end medical community in a province for more than seven or eight years. Today, this operation is said to be performed by a little doctor in a small frontier city. I really do n’t believe that this completely subverts them as Struggling for more than ten years.
Five years of undergraduate, three years of postgraduate, two years of doctorate, but the result is estimated to be an undergraduate rabbit, where to sit and chat with their mentor and fart, and it seems that their mentor is a bit flattering! Did our book read for nothing?
Those who can be brought out by the instructor for surgery, but also this important operation, are all academic and technical elites. Although many of them are doctors, they can not even recognize the equipment.
Although the dissatisfaction, the tutor is sitting, even if there is a big dissatisfaction, it will not show up, come on stage to see it. For doctors who are still studying, Tian Da Di Mentor is the biggest.
Surgery started. After anesthesia, Zhang Fan went to the table. Now Zhang Fan is really cow. At a city-level hospital in an area, wearing surgical clothes can make the nurse's head nurse Baba come to wear him. It is really cow. The general department directors do not have this treatment.
"Dr. Zhang, what are you going to do today?" Professor Li asked. Zhang Fan was too stable. If you don't ask him, he won't tell you anything. This makes Professor Li a bit depressed, and a professor who has been for many years actively asked a doctor with a low seniority, and he was really blushing!
This is actually wronged by Zhang Fan. He also feels that he is a little doctor and took the initiative to talk to the professor-level doctor about the operation. It is a bit embarrassing. It is really a technical house that was not saved!
"Routine approach. Professor Li, we start surgery?" Zhang Fan asked.
"Start, start!" It was an embarrassing conversation, and both were embarrassed.
"Turn on the camera and the headset! Connect to the conference room!" The staff of the technical department watched the surgeons start the operation, and then turned on the power and informed them to go out.
"Okay, the operation has begun, please give us a lot of advice!" Ouyang lowered the microphone and sat in her position.
When the picture appeared, some doctors present involuntarily issued a "Hello!" They thought they were the general director of the city hospital. As a result, they were an unknown doctor, and a particularly young doctor, all surprised. They couldn't even close their mouths. These doctors who were particularly surprised were actually doctors from other hospitals in the urban area.
The doctors in the county were also surprised. They did not expect that Dr. Zhang, who had been hired by them, could perform this level of surgery. Some people said involuntarily, "Zhang Fan! Dr. Zhang!" Quite a year, Zhang Fan has become very famous in the county.
In just one year, in the surrounding county hospitals, Zhang Fan has broken out of his own sky. Although there is systematic help, there is no strong liver, and he can give up some benefits. Zhang Fan will never have today. Fame.
When this sound came together, everyone in the venue knew that the main knife was Zhang Fan!
The operation started, and Zhang Fan did it quickly. This operation is already very proficient, and Professor Li has been lying in bed at night after seeing Zhang Fan's huge liver tumor resection operation, and I do not know how many times the simulation has been performed. This is the talents, the talents who are constantly improving, why they can stand at the top of the medical industry in a province, have no hardship and rely on qualifications, which is what you want more!
Zhang Fan did it fast, Professor Li was not bad, and the other two doctors were not given in vain. All kinds of pull hooks, all kinds of good surgical vision, and the considerable force, can almost be compared with the assistant in the system.
Because it is an observing operation, there is almost no communication between the surgeons, and the whole process is silent, and their doctors at this level do not need to communicate. What to do next, let alone Zhang Fan.
Entering the abdominal cavity, Zhang Fan slowed down. When entering the abdominal cavity, he couldn't figure out fast. Slowness is fast. The classic mantra of ordinary foreigners. Start ligation and stop bleeding.
The head nurse of the operating room personally toured Zhang Fan! In the observation hall, when the operation progressed to the abdomen, and everyone saw a huge tumor, they involuntarily whispered their voices. It was too big and the position was so centered. This kind of operation, let alone the surgery textbooks, Writes plainly: "Ill be unwell!"
But now, the operation that subverts their world view has come. This is a small place in the frontier. The sadness of the doctor is regarded as a classic saying or practice. Maybe it is outdated! But they don't know!
"After this operation is completed, the patient can say whether he can get down to the operating table, really! This Professor Li is also a bit ridiculous." The general director of another hospital in the city said to the other director.
"I don't think so, I'm not quite sure. Do you think Ouyang will be so fanatical? I don't know if the operation will be successful, but what I know is that this woman is very powerful. There will be nothing wrong."
A little bit of peeling, a little bit of hemostasis, the terrible part of the tumor is that the boundaries of the tissue are unclear. To remove a one cm tumor, you need to remove at least five cm or more of normal tissue around it.
Talented and IQ-like Zhang Fan has finally reached the pinnacle of the district city hospital. This surgery is his way of preaching.
When he graduated, he was helpless. He was envious of others who had a good dad. He rode a bicycle to search for a job all over the world. At last, he did n’t pay for two years. At this time, on this operating table, he was highly concentrated He is already at the forefront of his age.
Hard-working people live up to their expectations. As long as you struggle and fight, even if you are in a mud pit or rain, you will climb out sooner or later, and sooner or later you will see the rainbow. Don't wait! Don't rely! By the mountains and by everyone, only one who is strong is really strong.
The two doctors of the Dadi Affiliated Hospital were unable to breathe. They knew who invented the operation, they knew the cleverness of the operation, and they knew the difficulty of the operation.
Today, just today, in Chasu City Hospital, a small undergraduate resident doctor gave them a lesson, a lesson that will last forever, what is precision surgery and what is precision liver cancer surgery. Lao Li has the deepest experience. The last time was a bystander. This time it was a participant. Is the operation difficult? It's really difficult. It is estimated that there are not dozens of such operations, and he estimates that he can't do it alone.
Because the tumor is too big, the position is too centered, a little inadvertent, either liver failure or the tumor is not cleaned up. The failure of this operation does not give you a chance to come again. Once the failure is not death, it is tumor cancer diffusion!
Slowly, when the last cut was made, Zhang Fan spoke.
Haha!
Big chapter
One for three
You can make it!
(End of this chapter)