Chapter 535: enter

Chapter 535 Enter
The extrathoracic treatment is no longer effective, and now it is up to Zhang Fan and the director of the heart-thoracic department. There was a saying that auto mechanics were not convinced by the doctors of the cardiac surgery.
"I also repair engines. Why do you earn more than me?"
"Because the engine I repaired was repaired at work!"
I don't mention anything else, the first is to explain a problem, the heart can't stop, even after the chest is opened, the effect is not very good, and the decision to open the chest is generally not good.
Opened the chest, people live to say, but people die? And there is another problem, cardiac surgery, brain surgery, these two departments are not well developed in the northwest.
Because these two departments have too high requirements for doctors, and there are some promising doctors in these two departments, the general Northwest Hospital definitely can't keep it.
This has become a joke. The promotion of cardiac intervention surgery is spreading all over the world, and even some county-level hospitals are doing it all. But the premise of cardiac intervention is that the hospital must be backed by a strong cardiothoracic surgery.
In other words, cardiac intervention at the county level or even the city level is very dangerous. Once a major bleeding occurs, there is no doctor who can open the chest, so he can only wait to die!
City Hospital's Cardiothoracic Surgery, how to say, good or bad, Director Li of Cardiothoracic Surgery, this is a bit standard outside the heart.
Director Li has taken root in cardiothoracic surgery for decades. He suffered a lot in the early years and went to study everywhere. Now, he has already been able to perform cardiothoracic surgery at the city level, but the problem is that he is behind him.
This department is very strange, the director only has one attendant, and the rest are all hospitalized! Because cardiothoracic surgery is too difficult, and the early doctors of the city hospital were almost only undergraduates, so no one wanted to do cardiothoracic surgery.
The graduate students of cardiothoracic surgery did not come to the city-level hospital at all, so the department relied on Director Li alone.
At that time, Huang also felt that he could not develop. Cardiothoracic surgery had been hanging in the emergency department. He had a rib fracture in one day. Later, the hospital went to the top three, so he had to release the cardiothoracic surgery.
After Ouyang came to power, he recruited two postgraduates and several doctors who were interested in cardiothoracic surgery, but they were just a few days after they left school. They are young, and the department still relies on Director Li.
Zhang Fan's system did not open cardiothoracic surgery, so Zhang Fan generally rarely performed this operation. This operation is not a matter of practice. Its comprehensive basic requirements for a doctor are indeed super abnormal.
However, Zhang Fan's liver in the past two years was not in vain. Although the system has not been opened, Zhang Fan is now allowed to open his chest for cardiac surgery, and it is estimated that Zhang Fan will not be able to do it.
Yes, let Zhang Fan open the chest heart massage, still can do it. On human anatomy, it is estimated that there are not many doctors who can surpass Zhang Fan. This is the foundation, this is the reserve, and this is the result of the liver over the past two years.
"Zhang Yuan, it's probably too late, look at the heart rate ..." Director Li's brows frowned, he thought that now it is dead to open the chest, it is also dead to open the chest, simply not open the chest, let the child walk calmly It is kindness.
However, Zhang Fan did not give up. There are few people and high spirits. It is really not a lie to say that people are old and ill, who is right? People saved Zhang Fan right, people couldn't save Director Li right.
Are they wrong, no! This is the divergence of medical methods. It has nothing to do with it!
"It's time to start!" Zhang Fan gritted his teeth and said firmly. The patient was transferred from the emergency room to the operating room of the trauma center. Brushing his hands, Zhang Fan silently passed through the structure of the heart once again .
"Zhang Yuan, it is impossible to enter the heart within five minutes. And the blood loss of such a large amount of children, the trauma of the operation is no worse than worse. Consider it again."
Director Li also brushed quickly, but he still discouraged Zhang Fan. He had no selfishness and wasn't afraid to take responsibility. He just advised Zhang Fan according to a purely senior surgeon.
Because he knew that he would not be able to enter the chest within ten minutes, not to mention that Zhang Fan had never set any benchmark in cardiothoracic surgery, so he was a bit worried that Zhang Fan owed consideration.
"Director Li, believe me, I can definitely enter!" Zhang Fan said affirmatively while looking at Director Li.
"Eh!" Director Li looked at Zhang Fan's firm eyes. He knew that Zhang Fan was determined to open his chest. "Okay, I must be your assistant, rest assured!"
"Thank you!"
"Ka!" The shadowless light was on, and the child was lying on the operating table like a poor puppy. Channels were opened on the weak limbs, constantly injecting fluid. The covered incision has been bandaged with suture materials.
The white auxiliary materials are arranged horizontally and vertically, as if the broken inflatable doll was stuck by a single white adhesive tape. On the pale skin there was blood left unwiped.
"Start!" Zhang Fan said, gritting his teeth. The most suitable place to open the chest is the fourth or fifth intercostal space on the outside of the thorax. If time permits, this surgery is very particular. The incision should be opened about 15 °.
However, it is too late to use the fastest speed. The child is a girl. In order not to damage her breast (a), Zhang Fan cut directly to the left edge of the child's sternum under the armpit.
The pectoralis major, pectoralis minor, anterior serratus, and intercostal muscles are all protective and breathing muscles of the chest. The pectoralis major is most famous because it seems to be said to be a representation now.
Open and enter, Zhang Fan is too skilled in the anatomy of the human body, the walking of muscles, the passage of blood vessels, the time to avoid, the loss of time.
The child's heart rate is getting weaker and weaker. Ren Li watched Zhang Fan's operation nervously. The effect of the cardiotonic agent is getting worse and worse.
The older a person is, the less he is afraid of cardiac arrest. The simplest problem is that after the heart stops, blood coagulation cells such as platelets in the blood will form a thrombus.
Once a thrombus appears, the consequences are terrible, the heart is alive, but the emboli entering the brain and the lungs is a terrible thing, so you must enter before the heartbeat stops.
"Quick! Quick! Quick!" While watching the ECG monitoring, Ren Li watched Zhang Fan's operation.
Director Li Khan outside the chest is down, it is false not to be nervous, it is not too much care to open the chest surgery. Now, Zhang Fan is directly driving a car, and the speed is getting faster and faster. Old Li is afraid.
Zhang Fan's brain is clear and unambiguous. The hands and brain cooperate to directly exert the precision to the extreme. Bleeding of muscles is too late to stop bleeding, directly clamp on the hemostat, enter, enter, accelerate entry.
Finally, when Zhang Fan was about to have a cardiac arrest, Zhang Fan entered the chest, and it was very difficult to enter the chest. When Zhang Fan entered the chest before the child's heartbeat stopped, Ren Li choked a little.
It's not easy. With as many doctors as many people rescued for such a long time, it is impossible to expect nothing. People, in fact, most people yearn for beauty.
Open your chest and open your left lung. The heart is out, the heart, how big is the human heart, raise your fist, your heart is about the same size as your fist.
Pink lungs, after Zhang Fan opened. Reveals the child's heart.
(End of this chapter)