Chapter 746: Hearty and happy

Chapter 746: Heartbreaking Pleasure
In most parts of the world, chest trauma is the business of cardiothoracic surgeons, head trauma is the practice of neurosurgery, and bone and joints are one-third of an acre of orthopedic surgeons.
Gone are the days when a doctor was capable of driving from head to toe. This may be the result of the development of medical technology.
Maybe modern people can't stand being alone, can't stand being lonely, can't stand living without money, and are not willing to deposit.
At that time, if Zhang Fan had no cloth patch in his pocket, there was no way forward. Even if he had a system, he would be slower than he is now.
The human thing, sometimes a fragile group, can sting a person with a gimmick, or even a word of others, can make a person lose confidence in life and go to the extreme.
But sometimes it is quite tough. The ups and downs are just not giving up.
I do n’t believe in this fate. It ’s hard to say if you are successful or not. Once you have seized an opportunity, such a tough person cannot be underestimated.
Zhang Fan in the regional hospital, even in some provincial hospitals, looks pretty good, because there are too few doctors from head to toe. One counts as one, either he has become the dean or he has retired.
In field hospitals, there are too many such doctors, too many. Is this more talented? No, they are forced, and in some cases, they are lonely and have no future.
When there is no team and no rear, you can't do all you can and just watch the wounded sacrifice.
In the operating room, Wu Laoyizhu, Dean of the Field Hospital second assistant, and XXX Hospital director Sansuke.
In this, the old man who really engages in liver and gallbladder is also Wu. In addition, Zhang Fan is registered in orthopedics. The director of the field hospital is outside the brain. The director of XXX hospital is the height of the stomach and intestines. He can also be touched.
Four people, four majors, and one liver surgery together, this situation can only be seen in the field hospital.
"Damage control! Dr. Zhang is too brave!" After the director of the field hospital saw the wounded liver covered with gauze, it was unbelievable, and he said something very surprised to Zhang Fan.
Liver, a long time ago, a doctor used a stop-loss method for liver damage.
What does it mean, simply put, the liver was damaged by a big spit, and blood swelled like fireworks.
He did not choose a liver resection and did not choose a broken repair. Instead, stuff it with gauze and wait for the liver to repair itself.
His record was not recognized at the time. Four operations, three died, and one survived, but the liver that survived was intact.
His technique was considered a cowardly operation at the time. Because the chance of failure is too high.
One hundred years later, the U.S. military once again brought up this surgical method. However, the risks are still huge, and doctors who can perform this operation are few in the US military.
The director of the field hospital is a person who has seen the world. When he saw this method, it was impossible without surprise. This operation, to be honest, is their hospital, and no one dares to get started.
"Huh!" Zhang Fan nodded, and carefully observed the condition of the gauze.
In surgery, when measuring bleeding, there is a standard. It is clear how much blood is in the aspirator, because the drainage bottle has a measurement number.
And how to calculate other bleeding, is to count the gauze, gauze soaked in blood, 200ml a gauze.
"Have Dr. Zhang done this kind of surgery?" Although the field doctor asked Zhang Fan again, he looked at Wu Lao.
Zhang Fan was busy observing the gauze carefully. Before he said it for the first time, he wanted to determine whether the patient's bleeding was stopped or how much bleeding was now.
Wu Lao did not speak, but shook his head.
"I haven't done this, but this is the only way he can keep the liver."
"Are you sure?"
"Have!"
"Comrade, this is not a child's play. I understand your mood, but shall we put survival first?"
The director of the field hospital said a little with regret to Zhang Fan. He admires Zhang Fan's courage to perform stop-loss surgery, but he doesn't agree with a doctor who has no experience in this kind of surgery rashly performs stop-loss surgery.
Of course, this disagreement is not just a verbal disagreement, he will be reflected in the report on the subsequent medical records.
This is not a villain's behavior, but rather a doctor, the most basic one is a professional ethics, which is not covered, is one is one, two is two, everything is based on the facts seen by his eyes.
Wu Lao is also unfamiliar with this type of stop-loss surgery, which is a last resort. There are too many variable conditions in this operation, and it is impossible to use data to form a rule.
"I need ophthalmic surgical instruments now, a doctor who formulates a TEG, and a nurse who reminds me every fifteen minutes. Come fast."
Zhang Fan did not explain or argue with the dean. He was not trying to convince others, but to protect his liver.
"Hi! OK, I'll call the doctor in the hospital's hematology department right now. Head nurse, your task now is to remind Dr. Zhang every fifteen minutes."
"Yes!" The circuit's head nurse saluted while she started timing.
"Why, hasn't the bleeding stopped?" Upon hearing Wu Lao, he knew that the bleeding of the wounded was not optimistic.
"There is still some bleeding, Master, and it will take another two hours."
After looking at the gauze, Zhang Fan looked up at Wu Lao.
Wu Lao's heart was also entangled, one side was completely retaining the wounded's liver, and the other was sacrificing.
Really, at this time, the doctors are just like standing in front of the of death, slap the thigh and scold the street to provoke the of death, come, you come, you have the ability to come.
And death is like the Tibetan Mastiff, his teeth grinning and growling.
Sometimes even when the patient has a cough, the iron chain that tied the death will break, and then it will have devastating consequences.
Difficult, often in medical treatment, many, many times, we will face this dilemma.
"I don't agree. He is still very young, Mr. Wu, we are gambling with his life. Now we have a resection. Even if the liver is cut in half, his life can continue."
The director of the field hospital was also anxious. He and Zhang Fan never met. He was definitely not targeting Zhang Fan, he was also for the wounded.
This is the difference in philosophy, the difference in age. Older people tend to be conservative, while younger ones are more radical.
Who is right and who is wrong? It's hard to say.
Wu Lao looked at Zhang Fan, Zhang Fan straightened his body, looked at Wu Lao, and his determined eyes did not need to talk. The tacit understanding cultivated by the two grandfathers, Wu Lao knew that Zhang Fan was confident.
"Time is still up. Let's call someone to make a map first. We are all doctors, all doctors responsible for the wounded. I support Zhang Fan, Director Li, how about you?"
At this time, when Wu Lao chose Zhang Fan, he was a real recognition of Zhang Fan's technology and a real recognition of Zhang Fan's character. He didn't think Zhang Fan would be willful in this matter.
"I'm against it!" The director of the field hospital insisted on his own opinion.
Three people and six pairs of eyes looked at the director of XXX Naval Hospital. The director closed his eyes at this time.
He wasn't running away. At this time, his mind was full of Zhang Fan doing surgery clips at sea, just like playing a movie.
Segment by segment, precise, fast and decisive! Forty years old, he constantly remembered Zhang Fan's surgery.
The eyes slowly opened, but the eyes seemed to be like a flash, "I support Dr. Zhang!"
Speaking of this, it is not something that can be accomplished by touching the upper lip and touching the lip one by one. At this time, every word and every punctuation mark is recorded by the nurse. Then file it, and don't destroy it for twenty years!
Speaking at this time is responsible!
He did not choose a more robust hepatectomy, and he did not consider whether he would be responsible for this sentence in the future.
However, he chose to support Zhang Fan today, only to make the quality of life of the wounded more comfortable in the future. I just want to make him live in this world like a normal person, without the pity of others, without others ...
"Hi! They are young, Mr. Wu, you, hey, I'll contact the support staff now." Although no one supported him, the director of the field hospital began to prepare actively.
This is the disciplinary force.
This is our medical unit that Hua Guo Medical finally guarantees.
As time passed, the TEG chart also began to be described. In the reminder again and again, 2 hours passed.
"Start!" Zhang Fan said after watching TEG.
In the operating room, only the sound of the waves came.
So clear!
Gauze, gauze stuffed in the liver, Zhang Fan gently pressed with both hands, the feeling came from the gauze, Zhang Fan could clearly understand, how much gauze is dry and how much gauze is moist.
This is his ability, this is the super sensitive perception he has trained in the system.
Without three points and three, dare to go to Daliang Mountain?
joke!
Just like rolling dice to open treasure, gently, a piece of gauze was taken out without bleeding.
Although Zhang Fan could perceive how much bleeding there was, he didn't know where to bleed. Just like buying a lottery ticket, he knew that there would definitely be a winning one, but he did not know which one would win.
So every gauze, he was facing the bleeding gauze, slowly, gently, all with tight muscles.
"Brine, ice brine!" After the gauze covering the top surface was taken off, he finally saw the blood-stained gauze.
Almost everyone who has been injured has had the experience of dressing. The larger the wound, the more painful the dressing change.
If you meet an anxious doctor, you can become a pig killer by changing medicine.
The gauze covering the surface of the wound was soaked with blood, and dried over time, and then stuck on the newly grown tender granulation.
During the dressing change, the anxious doctor pulled the gauze and pulled it open. Really, there was no way to describe it.
Just like the meat that has been wrapped in the skin, one day, it was suddenly slammed, pulled out, and then stabbed on the denim, up and down, pain, painful pain, after the pain, and the burning stabbing continuous thorn It hurts, really, anyone who can hurt can't wait to have this meat in their mouth.
The same is true for the liver. Anesthesia is painful. The most difficult thing is secondary bleeding.
The protein in the blood clots the blood vessels, but it also sticks to the gauze.
At this time, the gauze is not the small area where you change the medicine, but the whole block.
Once one is careless, the former work is abandoned.
The salt water ticked, the ticks fell, and the gauze coagulated with blood, let alone not absorb water.
This is also one of the difficulties that this surgery is not easy to solve. Not only to prevent unclosed bleeding, but also to prevent secondary bleeding after adhesion, which is too difficult.
"Dr. Zhang, fifteen minutes have passed!"
"Huh!" Zhang Fan nodded, the wounds were exposed for longer and longer, and the chance of infection became greater and greater.
"Tweezers!" Zhang Fan took the tweezers, and everyone in the operating room held their breath.
Tick, tick.
Lightly, at this time, other people can't help Zhang Fan a little, even if they can help, they can only pray in their hearts.
too difficult.
There should not be a slight tremor in your hand. Once you hold the gauze with the tweezers, once you tremble, no one can guarantee that it may be an artery in the invisible joint.
Slowly, my heart hung up, opened my mouth, and my throat was a beating heart.
People with bad quality can scare death here.
Once, once, a piece of gauze was completely taken out by Zhang Fan.
Just like a pink letterhead that was crumpled into a ball, when Zhang Fan threw it inside the curved plate, he made a loud noise.
You can think about how hard this gauze can be, Zhang Fan can completely remove the gauze without bleeding the liver in all directions. At this level, how high is this technique.
After the gauze was taken out by Zhang Fan, the director of the field hospital became more confident in Zhang Fan.
Just when everyone was able to breathe a little bit smoothly, oh! Bleeding, Zhang Fan, who was almost resting on his liver, was sprayed with blood.
"Hurry up, I can't see it anymore!" It was a three-pointer, and blood fell into Zhang Fan's eyes. It's really worse.
The warm blood, like the tongue of a beautiful woman, has temperature and viscosity. Zhang Fan desperately wants to open his eyes, but his eyelids can't be opened.
This wound can only be seen by the main knife, because the area is too small, and other people can't see the specific wound inside.
And Zhang Fan's eyes were covered with blood. The head nurse of the circuit, like a leopard, stunned, a distance of two or three meters, and arrived in a blink of an eye.
One held Zhang Fan's head back, slammed her chest up, and one fixed Zhang Fan's head on her chest.
Then the other hand held Xin Jieer's gauze and directly touched Zhang Fan's eyes.
And Zhang Fan, after shouting his voice, was like a big with a chopped head.
His head was resting on his chest, and he didn't feel it, nor did he feel when his eyes were covered with Jie Er. The head seems to be not his own, without a little resistance.
But the body and hands didn't stop. Zhang Fan's eyes hadn't reacted yet at the moment when blood came out, but his hands were already shot.
The tongs hit the blood-jetting vessels just like the most accurate missile.
In just a few breaths, Zhang Fan immediately asked: "Master, look at it, look at it, is there any bleeding?"
His heart hung up, he couldn't see, he didn't know if he had clamped the bleeding in the first place. Panic, panicked like thousands of wild dogs chasing elephants with bare buttocks.
"Stop, stop, don't move, don't move!" Shibo's voice began to tremble.
Blood vessels, blood vessels that can hold blood, are definitely arteries, and arteries, like earthworms hiding in a cave and spitting out, are slightly loose, and he can definitely recover.
Once retracted, the liver can only be cut.
The hand, holding the hand of the vascular forceps, rests on the wound surface of the liver.
The eyes finally saw, "How's it, see?"
"can!"
Then, Zhang Fan didn't dare to move. He didn't know what his posture was now.
Gently, the head nurse gently pushed Zhang Fan's head away gently and pushed it to the normal position.
Zhang Fan blinked his eyes, "Hemostatic forceps!"
One piece, one piece, there is no danger, really there is no danger, slowly, all the gauze is taken out.
The wound on the liver is just like the bowl licked by Er Ha.
"Shh!" Wu Lao breathed out a long breath.
"Great!"
"Place the drainage tube and close the abdomen!"
...
Cool! Too cool, Zhang Fan looked at the young wounded, breathing smoothly, slowly recovering his face.
Although it was dangerous and dangerous to come along, he felt too cool. In particular, this refreshing feeling of loss of force is like the pores of the whole body are opened, and the whole muscles are shaking slightly.
Cool enough to make Zhang Fan shout, cool enough to make Zhang Fan reluctant to leave this feeling.
(End of this chapter)