Chapter 773: Fight it (Thanks to the lord: don't smoke when you drink!)

Chapter 773 Spell It (Thanks The Leader: Drink No Smoke!)
There is a famous saying in medicine: our doctors will also create evil and accumulate morals; we will encounter setbacks and succeed. The iniquity we create is often unavoidable in our work, and of course it cannot be repaired.
As a matter of fact, medicine is not yet a precise subject. We work with living, panting and intricate people, not a jar containing chemical mixtures.
This sentence was said by an emergency doctor in the United States.
Ordinary diseases and routine diseases often make doctors think about it.
And this kind of sudden and unexpected damage is even more difficult. The treatment at this time is not like doing multiple choice questions, and I can abandon the bad answers.
The organs of the human body are not leeks, making selection quite difficult. Sometimes doctors are really hard.
If you want to save your life, you may have to abandon a kidney or part of your liver. It is often an empty dream to save your life and save some organs.
Really, after many years of such medical work, the hearts of many doctors are as hard as cold stones.
This wasn't born, it was created by the entire industry, he had to be hard, he had to choose.
Operating room, one two three four five, oh! Huh! Alas, like stuffed buns, the children were sent to the operating room.
From the emergency center to the operating room, Zhang Fan quickly relieved his pressure. This kind of rescue, especially CPR, is best done by a professional person from beginning to end.
The doctor is tiring and has nothing to do. After the event is over, rest for a while, but for the patient, a slight pause may cause irreparable damage to the brain.
Therefore, often people will see such a scene, countless doctors gathered around, watching a doctor rescue, the reason is here.
The general, minded, and individual patients were shunted at the entrance of the operating room. Everyone left the heaviest patient number to Zhang Fan.
In the operating room, the relatively light child also slowly woke up at this time.
Look at the people wearing blue hats, blue masks, and green clothes, and then there are people holding cold knives, scissors, and sharp needles.
Fright, blood, pain, strange and horrifying surroundings, huddled together children who have not yet experienced anything.
The small heart was shaking, jumping fast, and the wounds on his body made him dare not even cry, just like a cub away from the herd, and looked at these strange people poorly.
The visiting nurses are generally a little older, and looking at the poor appearance of the children, she wants to come forward to comfort him.
As a result, the general director immediately gave a stop before taking two steps. "Don't worry, these bunnies should be frightened, or something will happen in the future."
The words are rough, but the heart is kind.
On the operating table over cardiothoracic surgery, the director looked at the wound and wanted to say nothing.
The child here is a little older, and when he exploded, he stood a little farther away, but the damage was not small.
The energy of the blast of air blasted his clothes like a big hand, and then the cracked glass mule stuck to his chest like a raindrop pear needle.
On the small breast, there are countless spots or patches of blood, like lips with red lipstick on the chest. With the child's very weak breath, these lips are constantly spitting red. Sprinkling ideas.
The child's chest at this time bulged like a toad to tweet.
The chest was frozen in the original purple. At this time, because of ischemia, it became purple blue.
The other two children were relatively lighter, but with sharp glasses on their faces and necks.
The child on the side of Zhang Fan was the worst, and the stomach ran directly into the first wave of the explosion.
The wound is like a sunken flower. The meat on the wound is directly from the meat grinder. It sticks to the stomach like a rag strip, and the blood in the stomach falls together.
Coupled with the broken intestine, undigested food flows out.
Green vegetable leaves, chyle-like food residues, and yellow stools that have been digested, obediently, stained on floating meat sticks.
The green, yellow, and gray ones are really like the lamb lamb with sesame sauce and coriander in the shabu-shabu.
The smell of blood and stool was really like the pigs that had been cut in the slaughterhouse.
The child's water and electrolytes are already disordered and she has been in shock for a long time.
There is no time to test to what extent his fluid is lacking. All the medications are estimated by the doctor's experience.
Ren Li was the host of the rescue. "3% hypertonic saline input, ready to click, if there is atrioventricular fibrillation, the first time cardioversion.
ECG report! "
"Arrhythmia, QT shortening, ST-T wave bending ..." The deputy director of the Department of Cardiology reported the results of the electrocardiogram for the first time.
"Using furosemide, fast, furosemide push! Zhang Yuan, can the patient be shocked now?"
A series of treatments are all to protect the child's heart, or all to protect the child's circulatory system.
However, there is always more to lose than input.
"Yes, can't?" Zhang Fan didn't have any assurance in his mind. Really, medical matters are often not absolute.
Cardiac failure that can't run away without cardioversion, cardioversion of shock, aggravating bleeding, is still a heart failure.
Gritting his teeth, Zhang Fan gritted his teeth, holding the gauze in his hands desperately toward the abdominal cavity, constantly plugging. White gauze stuffed into the child's belly piece by piece.
The traveling nurses and equipment guards kept passing the gauze.
"Electric shock! There is only one chance. Who are you on?" Zhang Fan was already wearing sterile gloves and sterile surgical gown.
"I'm coming!" Ren Li was still on the side to grasp the overall situation. At this time, the flower came out.
"Remember, there is only one chance, there is absolutely no second!" Zhang Fan said, staring at the flower.
The flower pouted tightly, looked at Zhang Fan, nodded, and took a deep breath. Hold the stunner in both hands and place it on the child.
Huh! There was a lot of gauze in the belly, and the flower at this time was so tense that I could hardly breathe.
Her ears were almost erected like Ahu. She didn't dare to look at ECG monitoring. She was worried that a shock would cause more bleeding and then directly lead to the death of the child.
"Effective! Cardioversion!" The anesthesia doctor exclaimed softly, this sentence, just this sentence, the excited flushed face, the adrenaline really reached its peak, if she let her cry, she Definitely roar the sky.
When Zhang Fan heard it, it worked. Then quickly took the general doctors to get started.
Fill in the white gauze and quickly take it out, white, white, then half-white, half-red, then red-green-yellow.
Take it out piece by piece.
"Continue to correct acid-base poisoning, cut open the organ, and put on the ventilator.
Adrenaline, digoxin, dobutamine injections, ready to dilate blood vessels ... "
Internal medicine and surgery are performed at the same time, and balance, and now physicians go all out to create a weak and transient balance environment.
It's time to see Zhang Fan them. If the damage cannot be dealt with in a short period of time, then this environment will not last much time. After this balance is lost, death is immediately followed by no alternative roads.
For an average healthy person, if the abdominal pain exceeds six hours, don't even think about it, this is acute abdomen, and rush to the hospital.
For the surgeon, there is nothing more terrible than a leaky gastrointestinal anastomosis other than major postoperative bleeding.
Think about it, an anastomotic leak can scare surgeons, let alone a child with a full stomach.
This kind of digestive tract has a large area of ​​ulceration, let alone talk about blood, let alone talk about the loss of intestinal fluid. The infection and poisoning caused by the infection of bacteria in the abdominal cavity caused the bacteria in the surgeon to explode.
This thing is not a point thing now, it is that the function of the whole body is facing collapse, just in the front line.
"Fast, find the break and find the glass fragments involved!" Zhang Fan took the doctor outside and lowered his head, looking for the break and the fragments with difficulty.
I do n’t dare to think about it quickly. This kind of trauma, especially the large-area foreign body weapon entering the abdominal cavity, is really overbearing.
Do you want to quickly find a breach, but do you dare? Dare not!
There is a stomach full of intestines. There may be a glass dumpling hidden under the duodenum. You are a little quicker and a little careless. The old one is not found and the new one comes out again.
"Warm saline!" Zhang Fan now does not rely on his eyes. With all his hands, like rubbing mahjong, he stuffed it into the child's abdominal cavity, slowly fumbled, and moved little by little.
With the long-term exposure of the abdominal cavity, the child's body temperature is also slowly falling, and even the mesentery fat in the abdominal cavity has gradually changed like eating the remaining braised pork, and it has gradually changed!
Warm saline is not afraid to pour too much. I am afraid that too much saline will cause the infection to spread. I can only touch where I fell and where to it out. Really, Zhang Fan who performed this operation is super embarrassed
Just like a boxer, he can clearly hit the opponent, but his hands are tied together with a rope, and then the opponent keeps cracking, cracking left hooks and right hooks on his face.
Dang Dang, Dang Dang, Dang Ding, one by one, like glass and pearl diamonds, Zhang Fan felt them out of the child's abdominal cavity.
Really, glass can only be touched by hand. If it is a type of iron, directly irradiate the C-arm. Even if Zhang Fan is trying to eat rays, he can quickly find out the iron. But the glass is under the C-arm. Can only rely on the feeling of both hands.
Really, Zhang Fan's body of cold sweat kept on sweating, even the slippers under his feet were wet.
Just now, Ren Li was still anxiously urging, "Zhang Yuan, the blood potassium is obviously abnormal, and 1000 cc of blood has been transfused."
Zhang Fan really wanted to plug Ren Li's mouth, but he had to listen to the patient's physical signs at any time.
difficult! ~
Touch, touch, touch. It's really like washing the pig's large intestine at home. From the beginning to the end, from top to bottom, Zhang Fan dare not care about it anywhere.
Touch it again and again, and often touch it again. Don't say that the gut is full of grease and mucus.
Even if a needle is accidentally plunged into the fat layer of the human body, don't even think about it, quickly pull it to the radiology department. It will never stay in one place honestly, waiting for you to find it.
Therefore, with the intestinal motility and lubricity, the glass dumplings are just like naughty children, who are constantly doing hide-and-seek with doctors.
"Zhang Yuan, no more, can't keep it!" Ren Li's voice changed.
Really, sometimes, at the time of rescue, I watched a life so consciously that I was about to be rescued soon.
In the end, all of a sudden, just like Yan Wang was angry and unwilling, the defense that the doctor had managed to establish was immediately overthrown and stepped down.
Outside the operating room, the owner of the chemical plant seemed to have lost his soul, staring blankly at the fluorescent lights in the aisle.
Parents whose children entered the operating room, such as sitting on a needle felt, neither sitting nor standing, every time a nurse comes out, a doctor comes out, their anxious eyes really make people feel sorry.
In the morgue, parents who lost their children cried with their children in their arms and cried.
When some of the worst children were sent to the hospital, there was no need to rescue them, and they had lost their lives.
Parents at this time are really like cutting their hearts with a blunt knife on their apex.
Even the mother of the child, crying and crying, suddenly wanted to hit the wall.
The women around them were grateful for the sympathy of their children while crying.
Grasp the mother who is looking for short-term.
"He hasn't been rescued. My soldiers haven't been rescued. Even if they can't be rescued, I feel better.
Oh my god, you are blind, my army. "
The people around me couldn't even persuade them, what they could say, what they could say, and now it's useless to say anything, it's too late to say anything.
The county leader in charge of security, with a blue face and a blue face, stood in Ouyang's office and could not say a word, staring at the phone on Ouyang's desk and staring at Ouyang's phone.
Before he came to the hospital, he had been scolded by his superiors, letting him deal with the follow-up in the hospital, and then talked when he was done, really, he was really struggling.
He is also wronged, and he is too wronged. Originally in their county, there wasn't even a flour mill for grinding noodles. Where can there be industry? In the past, he also managed a few blacksmiths who made iron and made knives.
As a result, it seemed like the factories in the county were set up overnight, and he felt that it was not a good thing at the time. As a result, the good did not come, the bad came.
"Zhang Yuan ..." Ren Li's voice had begun to feel helpless.
Zhang Fan gritted his teeth. "Start, start the operation, fast!"
"Zhang Yuan, I can't guarantee the glass in my body ..."
"What happened, I'm in charge. Hurry, surgery!"
Zhang Fan rudely interrupted the assistant's speech.
There is no way, there is really no way out, you can only bet, the glass in the child's belly has been cleaned up.
How can you fight it, and if you delay, you will lose the chance of surgery.
It is better to have an accident now than to have an opportunity to perform an operation. His life is close. Zhang Fan gritted his teeth and figured out that he would rather take responsibility than let the child lose his life.
Thank you, Grandpa
(End of this chapter)