Chapter 857: Emperor Empress and Prince

Chapter 857 Emperor Empress and Prince
On the operating table in the operating room, as if entering the telecommunications department, the patient was covered with monitoring instruments.
ECG monitoring, blood oxygen monitoring, oxygen intubation, gastric tube intubation, urethral drainage, vasculature of the aspirator, venous suspension of plasma and fluid on the limbs.
Although the route is not dense, it looks numb.
In particular, transparent liquid and red blood vessels are divided into two ends like wires.
The invention of intravenous infusion can be said to be an invention that can pull the patient back from the death line at a critical moment.
Many people are often curious why the infusion is not in the artery but in the vein.
First of all, the arteries are afraid of death. Larger arteries are generally hidden deeper. It is usually very difficult to find them in an emergency. The veins are relatively superficial.
Secondly, the arterial pressure is relatively high, and it cannot be lost without applying pressure. If it is pressurized, it may cause the red blood cells in the blood vessel to rupture.
Therefore, for general emergency infusion, the vein is selected, as long as the liquid bottle is raised beyond the head.
What is the choice of arteries, for example, when the patient's vein can no longer be selected, infusion of arteries, to be honest, is only a last resort.
But now many addicts, in order to obtain satisfaction more quickly, they will pierce the artery into the groin for injection. Really, this way, if you are not careful, it will cause massive artery bleeding, the consequences ...
Intravenous infusion, this life-saving treatment method is completely spread on the treatment of common cold, it makes people speechless.
Is cold treatment good for medicine?
No!
This thing is a self-healing disease, a common cold, regardless of it, it will recover, and the treatment is to relieve symptoms, such as stuffy nose, cough.
In other words, there is no difference between using a medicine and not using a medicine for a cold.
"Knife!" The operation was extremely fast, and the steps were almost seamless.
The patient's blood loss is too serious, and the fluid infused cannot withstand the flow out of the patient at all.
Zhang Fan took the scalpel and began to expand along the wound on the patient's back.
If there is a fixed format for abdominal surgery such as the appendix and gallbladder.
Then this traumatic rescue operation is a free operation by doctors.
It seems that free play is easier, but in fact, free play is more difficult.
For many years, fixed-format surgery has caused doctors to discover accidents near organs proactively or passively.
Therefore, as long as you are serious, as long as you have a solid foundation, there is generally no such thing as cutting blood vessels and damaging nerves.
And this free play will not work. If one is not careful, it is a matter of worsening the patient.
A white fascia and red muscles have turned out in the back of the male owner of the optician.
Like a little fart boy, pursed his lips and bulged his lips to reveal the red inner lining of his lips.
Just like spitting, the patient's wound is now spitting blood.
The abdominal cavity of the human body is slightly larger than the atmosphere, and most people have not seen it.
When the sharp weapon enters the abdomen, the wound is just like a fart. If you snort, it will emit a gas that smells but does not smell, but it does not smell bad.
This smell can be called Sao! It's like the smell of mouse urine evaporated on the hand.
"Blood doesn't coagulate, it hurts the organ, how about vital signs?"
Zhang Fan made an incision along the wound while looking at the non-coagulated congestion, and was anxious.
"Blood pressure cannot be measured, cardiac medicine has been used!" That stare to Zhang Fan to report together.
That flower was assigned to Zhang Fan to participate in the patient's shock correction, and Ren Li went to another operating room.
Now everyone knows that the life of the patient is on the line of life and death, and any little accident will lead to the death of the patient.
The patient was lying on the operating table in a prone position, and when the abdominal cavity was cut along the trauma, the blood flowed like a boiled pot of water.
"Quick, big curved pliers!" Sure enough, the patient's spleen was inserted into a big mouth in the wound, just like a broken apple, and the wound showed petals.
After taking the curved pliers, Zhang Fan directly inserted his left hand into his spleen, palms up, and his back down.
Then he exerted a little force to free the nearby tissues and the damaged splenic portal. In an instant, Zhang Fan's palm was filled with bright red blood.
Without any hesitation, Zhang Fan clicked and clamped the entrance vessel of the spleen with huge curved forceps.
The curved forceps bit the blood vessels of the splenic portal like a crocodile. "Lao Li, the attractor!"
"Gauze!" Clamping the spleen door is not enough at this time, and the wound of the spleen must be filled with gauze.
As a helper, old Li took the suction device into Zhang Fan's left hand, and the suction device was like a word of watermelon juice.
He snorted and sucked the blood quickly, and the blood clot in the blood, like the black melon seeds of watermelon juice, was quickly sucked into the transparent plastic pipe.
"Increase the input volume and see if the urine is generated? The wound has been clamped, and the blood volume is quickly replenished, so that the blood pressure is raised immediately."
Zhang Fan frowned and gave orders to the anesthesiologist and physician while performing the operation.
"No urine, see diuretics!" Internal medicine's corrective shock group heard Zhang Fan stopped the bleeding and relaxed a lot.
Without hemostasis, fill in a lot of liquid, just like Yangtang stops boiling.
It can only be used to maintain the fragile blood pressure of the patient and the electrolytic balance facing the collapse, and the fundamental problem cannot be solved.
Now that the bleeding from the wound has stopped, they can show their talents. But Zhang Fan didn't relax a little, because the patient's spleen was seriously injured.
The organs of the human body, in Western medicine, if you choose a representative, you can use, heart, lung, liver, kidney and brain plus a gastrointestinal to represent.
Heart and lung are not separated, representing the respiratory and vasculature, the liver represents secretory immunity, and the kidney can represent the urinary system.
The brain can represent the central nervous system, and the gastrointestinal tract represents the digestive system.
So, which system does the spleen belong to?
Chinese medicine believes that the spleen turns the water valley into the subtle, and it spreads to the whole body.
The Huangdi Neijing Neijing Suwen asked: All the dampness is swollen and belongs to the spleen.
In layman's terms, the problem is with the spleen after the person is swollen.
At that time, the ancestors of the Chinese nation did not know whether the plug-in was opened. How did they think about it? Although it was very general, the explanation was very general.
However, in recent years Western medicine has slowly studied what the spleen is doing.
Earlier, Western scholars believed that spleen function is very important during fetal period, it is the hematopoietic system.
After adulthood, its function is replaced by bone marrow, so it is a useless organ in adults.
In the past few years, the function of the spleen has been slowly discovered. First, not only can the spleen not only be able to continue hematopoiesis when the young man ’s bone marrow is hematopoietic in a critical situation, but he can do so.
It can also filter blood. When the human red blood cells age, the spleen will eat these aged red blood cells.
When this function is hyperactive, it not only eats aging red blood cells, but also eats healthy red blood cells, and then causes refractory anemia.
While eating red blood cells, it also stores blood. When the body is agitated or ischemic, it will release the stored blood.
So, blood is on top, this blood comes out of the spleen.
There is a more important function: immune response.
After the human body is infected with bacteria or parasites, various fighting factors in the spleen will be released, and it will not only release fighting factors.
For example, the malaria parasite can be eaten like a jelly bean by the spleen. It is an overbearing organ.
Therefore, this thing is actually an armed part of the body.
However, its texture is not very good, it is very fragile, just like the most fresh water radish, falling down, snapping, it can definitely fall eight petals.
Although it is hidden under the ribs, it is the most prone to damage and rupture among all organs.
And this thing is not only easy to break, as long as it is injured, it is particularly easy to cause splenectomy.
There is such a saying in surgery that the spleen-preserving surgery is thrilling. It belongs to noble surgical textbooks and should not appear in the operating room.
The spleen is such an inflammable, cracked, and explosive organ.
In the surgical operating room, the physiological function is the emperor, and the dissection form is the queen, and the doctor, a mature surgeon, can only be a prince.
All things must be done with the consent of the emperor and the empress, in order to do sneaky things, such as unspoken rules of a court lady.
The shape of the spleen is like the subway at the peak of commuting time in Maruko-gu, with a thin layer of coat on the outside.
Like the body fooling the body, of all the organs, its coat is the thinnest.
In this thin coat, the spleen tissue was full of stuff, just like a full-bodied female who had to wear underwear with a smaller size.
I don't know how the body thought.
Under this structure, sometimes, let alone a deliberate blow, an accident will cause it to break.
In the winter, the man pulled his slender girlfriend. As a result, his girlfriend's high-heeled shoes fell accidentally and felt nothing. The woman didn't feel any pain at the time.
Walking and walking, half an hour later, the man patted the woman's back, sweetly said that the woman is a little idiot.
Intimate flapping, a little effort is useless, and the result is a slap shock to his girlfriend!
Frightening can scare people. This is because the spleen that had fallen was shattered, but the clothes outside the spleen were not broken.
When there was more and more bleeding, the clothes couldn't hold on, and the clothes were swollen. The blood pressure instantly fell like a big bleeding.
So, sometimes, for example, it is rubbed by a car, and it is lifted from the back by a motorcycle.
Many people, carelessly, pat on the and say nothing!
Don't be careless at this time. It's not that you touch the porcelain. It's better to go to the hospital for a abdominal CT at this time.
Because, once the spleen is injured, it is really difficult to keep the spleen in the operating room.
Not the top three hospitals, I dare not think about it.
"Blood pressure is up! Zhang Yuan, blood pressure is up!" The anesthesiologist reported the patient's life status to Zhang Fan immediately.
"Okay! That flower, if there is still bleeding, can you guarantee to maintain the current state of the patient!"
Zhang Fan turned his head slightly and asked to the flower.
As soon as that flower heard, he groaned a little, and then had an emergency small meeting with several other physician physicians.
"If the bleeding is not very fierce, it should be ok, but if the major bleeding occurs again, the patient's medication threshold has almost reached the peak, it is estimated that it cannot be maintained."
That flower confronted Zhang Fan and informed Zhang Fan of the results of their discussion.
Surgery, with particular attention to preoperative discussion, such as simple appendix, gallbladder will say something in the morning meeting, routine surgery.
For other slightly larger operations, whether you are a group of doctors or not, as long as you are a doctor in the department, you must express your opinions at the morning meeting.
However, emergency surgery is not feasible, for example, now, spleen preservation or spleen cutting is between Zhang Fan's thoughts.
Is it difficult to cut the spleen? It's too simple. It was almost taken by the surgeon more than 100 years ago.
But what about protecting the spleen?
As far as the current technology and current medical level are concerned, the weaker top three hospitals dare not mention it.
Don't ask, just ask.
This is not because doctors are irresponsible. When the spleen shows devastating damage, cutting the spleen can save lives.
But the spleen-preserving operation is successful. The cost of the operation is not as high as the cost of the spleen-cutting operation, and the risk is still quite high.
Therefore, the organ of the spleen is really alien in the human body.
Zhang Fan was thinking for the first time during the operation.
"Zhang Yuan, if you can't, just cut it. The blood transfusion has almost lost thousands of ml. It's too dangerous!"
As an old doctor, Lao Li knew Zhang Fan, he knew what Zhang Fan was hesitating now.
"Director Zhao, what about their surgery?"
Zhang Fan nodded slightly, but asked unwillingly.
"The operation on their side was quite smooth. The patient corrected the shock and repaired the blood vessel, which is now over."
The head nurse in the operating room answered the question as soon as possible.
"Okay, let Director Zhao come!" Zhang Fan made up his mind that since he is capable, he must make the operation perfect.
The organs of the human body are not leeks. If you cut this stuff, you will never regenerate it.
Now that there are conditions and certain certainty, Zhang Fan decided to perform spleen preservation surgery.
Outside the operating room, the patient's family cried into tears, and the eyes shop owner's parents hugged the little girl crying out of breath.
In the alleyway where the incident happened, the boss who bought the dried fruit couldn't hold back his heartbeat.
On weekdays, he relies on his strong body, and he is also regarded as a hegemon, but now he can't hear the sound of metal bumps.
As long as there was a crisp sound of metal impact, his urinary urges came to his heart, and he could not hold his breath!
In the operating room, Lao Zhao also went to Zhang Fan's operating table. The director of Puwai was not given in vain. Although Zhang Fan did not do well in the operation, he still had alive in his eyes.
Zhang Fan asked Old Zhao to take a look too.
"how about it?"
Zhang Fan asked.
"Zhang Yuan, you can give it a try, I will help you."
"OK! Who will the second help come?"
"Zhang Yuan, I'm coming!" Although Lao Li supported cutting the spleen, but now the chief knife and the director decided to protect the spleen, he also had to go all out.
This is the hospital, this is the operating table, and assistants can have opinions or even reserve opinions.
However, when the main knife makes a decision, whether you are opposed or not, go all out to complete the command of the main knife.
Therefore, a qualified surgeon is very valuable in the department and even in the hospital.
Internal medicine can discuss the disease together and slowly study the medication together, but surgery is not feasible. In a short period of time, what must be done and what should be done, someone must stand up to bear this responsibility.
Therefore, surgeons pay attention to one lineage, one line to the other, because their experience can be said to have been trained by one person after another.
"Okay, start! Spleen protection begins."
"Start!" Lao Zhao also groaned with his teeth clenched.
Just like the cry before the charge, the low cry made everyone's spirits fully absorbed.
The wounds of the spleen like petals and stamens appeared in front of them. They started spleen preservation surgery.
The female boss of the eye shop also woke up slowly under the awakening of the anesthesia doctor.
Looking at the white wall above, her heart was full of regrets, all kinds of regrets mixed together.
Tears filled her eyes and looked at the nurse beside her. She didn't even have the courage to ask her husband.
She didn't dare to ask, deeply afraid of hearing the bad news.
Really, the hardest thing to buy in this world is regret medicine.
(End of this chapter)