Chapter 435

In the operating room, with the nurses' time report, not to mention the tension of Zhang Fan's operation, even the instrument nurses were nervous, and the speed of transmitting the instruments was a little faster.

"Steady!" Zhang Fan was deeply afraid of an accident and had to say something while doing the operation.

The busier you are, the more chaos will occur, and can this operation make mistakes? There is not much hope of not making mistakes. Now if there is another mistake, the wounded will have no chance to live.

Doctors are a strange profession. Many people think that if they don't send some red envelopes to hospital doctors, they probably won't work hard or deliberately.

In fact, you don't have to. As long as it is an individual, facing the patient on the operating table, he does not say that he is careless. At the moment when the blood ejects, there will be no crooked heart except the technical level. Of course, it is not a person who increases the fee during the operation.

Everyone thinks that doctors' income should be very high. Not to mention others, the income of transferred dogs is estimated to be lower than that of hospital cleaning aunt. Doctors in regular hospitals in the industry actually earn just that.

The really rich doctors are actually some health care doctors who walk among high-ranking families and celebrities. They don't know whether the level is high or not.

However, eloquence and emotional intelligence must be high, and the income is also very high. Such doctors, such as technical dogs such as Zhang Fan, can't do it. They may have conflicts with customers.

"Wet gauze, attractor!" Open the abdominal cavity, which is similar to what Zhang Fan expected. There is a set of confusion in the abdominal cavity. The food for the field troops is much better than in the early years.

However, once there is an emergency, it is still the same compressed dry food and dehydrated vegetables for many years. I think too much about making a fire and eating hot food. There was a puff of smoke on the wilderness, which could be seen a few kilometers away.

This thing tastes good once in a while. It tastes salty and sweet, and the fat is still large. It will be full after a few bites, but it will become a torment if you eat it often.

Therefore, when these soldiers eat, they wash down with water directly. Dehydrated vegetables are like drinking medicine. They tilt their heads and go down.

"This is spinach and diced carrots!" White marching dry food is ground in the stomach and enters the small intestine, mixed with blood and digestive juice. And because of the passage of blood, with the decrease of body temperature.

The mushy food directly becomes a semi coagulant and solidifies in the lower part of the abdominal cavity.

It's like cream waffles in the abdominal cavity, with a large number of non chewed vegetable leaves and diced carrots interspersed in it. It's really like foreign dark cuisine and vegetable cream cheese soup!

Zhang Fan took the wet gauze passed by the nurse and pulled it out one by one. The exudation of digestive juice and the blood in the abdominal cavity are not solidified directly. The ticking blood drops down the gauze and Zhang Fan's palm.

"Add a group of antibiotics to the venous channel." Zhang Fan said to the backup group while holding out the semi solidified digests with his fast hands.

When digestive juice is in the intestine, it is a liquid that helps digest and dissolve. But once this thing leaves the small intestine, it is TM's industrial alkali directly.

Reflux to the stomach and esophagus. If frequent reflux, it will directly burn the esophagus and stomach. Long term reflux is cancerous and can't run away.

Once it leaks out, it will cause severe pain. This is also the reason why patients with intestinal perforation can suffer from pain to shock. What can be decomposed by a belly of alkali and digestive enzymes? Can it not hurt.

Turn! Turn! Turn! Zhang Fan inserted his hands between the intestines“ Bend! " Suddenly, there was a trace of happiness in Zhang Fan's voice, and the instrument nurse quickly passed it on.

"Clang!" A black piece of iron was put into the bending plate.

"The kinetic energy was exhausted and did not enter other organs, but stayed in the abdominal cavity. There's another one. It's estimated that it didn't enter other organs. "

Zhang Fan was excited. He was so excited that he thought he couldn't do well. He either cut his kidney or his spleen. As a result, he won the grand prize, and the shrapnel did not hurt other organs.

Hearing ten thousand times, I didn't see a shock. Lu Ning also had a lot of operations during his postgraduate study and before his doctor graduated, but he saw this bomb injury for the first time.

"The damage is too big." He looked at his abdominal cavity and was really shocked.

That's it. Zhang Fan is very happy. If the shrapnel protrudes a few centimeters, the back is either the kidney or the pancreas. These organs are not easy to match. Once it is broken, it really should not be called every day or the ground.

"Salt water! Salt water! A lot of salt water. " Zhang Fan is energetic. He is as excited as he suddenly drank Red Bull. When he doesn't see shrapnel, he is like a bomb that is about to explode at any time. No one knows when it will explode.

Now it is clear that other organs have not been damaged, so don't worry too much“ Ten minutes! "

"Ha ha, don't tell the time! Don't tell the time. " Lao Zhao, a general foreigner, said to the itinerant nurse that director Zhao was as happy as a child.

"Yes, don't tell the time. Director Ren, raise your blood pressure and take cardiotonic. Don't be afraid. Now I want to find a bleeding point and raise your blood pressure." If it wasn't a mask, you could definitely see the cracked corners of Zhang Fan's mouth.

Lu Ning's eyes are wet. When the wounded are most dangerous, everyone is nervous and dare not relax for a moment. He is deeply afraid that the wounded will die. There is no time to sigh.

But suddenly I heard that he was saved, as if the relaxed nerve had stimulated the lacrimal gland, sour and astringent. The operating room suddenly entered the dog days from the cold thirty-nine days, and the atmosphere was warm.

"Oh, I have to sit for a while. I can't stand. The lower legs and stomach tremble a little. " Juma Buick also smiled, rubbed his calf belly and said with a smile that he was too nervous. The drop of adrenaline brought endless fatigue.

"Hemostatic forceps!" With the delivery of equipment nurses, Zhang Fan "Ka! Click! Click! " Start clamping along the intestinal bleeding point“ Is your blood pressure up? How's your heart rate? " With Zhang Fan's clamping, there was no obvious bleeding in the operation field. After that, Zhang Fan asked.

"Get up! I have got up. The blood pressure rises and the heart rate begins to drop! " Ren Li said excitedly.

Holding her chest in both hands, she then said, "the sound of Doctor Zhang clamping blood vessels is the best sound I've heard in recent decades. It's too crisp to go around the beam!

No wonder male doctors are willing to do surgery. They have a great sense of achievement. It's really exciting to take life from death. " As she spoke, Ren Li, who had rescued countless people, couldn't go on.

"Ha ha!" Zhang Fan is also happy. Isn't surgery just to save people? Now that people live, they can be happier than any praise.

"The blood vessels are clamped, the blood pressure is up, the heart rate is down, and the remaining shrapnel is like catching a turtle in a jar. I don't worry about where it can go." Lao Zhao is very sure of what he said.

"Did you find it?" Lu Ning couldn't see the inside of the abdominal cavity and asked anxiously.

"Hey! Not found. " Lao Zhao said strangely. He was a little embarrassed. What he just said was a little too full.

Although the space of the abdominal cavity is limited, the various organs fixed in it, the fat of the intestinal tract, and a small shrapnel are really hard to find if they are sandwiched in the fat somewhere.

"Push the orthopaedic C-arm! Direct abdominal fluoroscopy. " After clamping the blood vessel of intestinal bleeding, Zhang Fan wrapped the broken intestinal tract with wet gauze and said to the itinerant nurse.

"No more aimless flipping." Zhang Fan said to Lao Zhao and Lu Ning.

"Well, good!" The intestinal tract is sometimes very delicate. After turning it over several times, when the abdomen is closed, maybe it will give you no peristalsis.

The itinerant nurse pushed in the C-arm, which is usually used most in orthopaedics, so it is usually placed in the orthopaedic operating room.

"You go in and hide!" Lao Zhao said to Zhang Fan.

"Director Zhao, you go in and I'll come." Zhang Fan didn't promise.

"Why don't I..." Lu Ning felt embarrassed and said.

"It's all right. You all go in and hide. Just give it to me." Zhang Fan refused directly, and everyone hid behind the lead wall.

What are they robbing? We're scrambling for C-arm positioning. The abdominal cavity is not a bone. As long as the bone is not manually reset, the steel plate is on the bone, and I don't worry about it running away.

But the abdomen is different. It can be said to be a three-dimensional thing with several layers. So to do perspective, we must first locate. For surgery, there is a rule that whoever has the patient is responsible.

But let the elder martial brother who came to help boxing eat rays. Zhang fan can't do it. Let Lao Zhao, who is not young, eat rays. He can't do it. Zhang fan can only do it himself.

"Go down a little." Zhang Fan took the Kirschner wire and followed the C-arm while moving and positioning. With the sound of remote control switch hiding behind the lead plate, Zhang Fan was exposed to the X-ray and looked at the monitor carefully.

"Go on, stop! I found it. " Fortunately, the position is relatively high, otherwise, Zhang Fan will have to eat a lot of rays again.

A polygonal black high-density object appears on the display. Zhang fan fixed the position with a Kirschner wire, and the people came out from behind the lead wall.

"Why don't I do it? You take a break. " Lu Ning said to Zhang Fan.

"It's all right, elder martial brother!" Zhang Fan rejected Lu Ning.

"Let the operation? impossible. Our Doctor Zhang can let everything, but surgery can't let it. " The anesthesiologist smiled and said to Luning.

"Ha ha, as like as two peas, the operation will not allow surgery. No wonder the teacher said I didn't do clinical momentum. I didn't understand it before.

Now I know that it's necessary to have the momentum to be responsible for clinical surgery. " Lao Lu doesn't care. He has seen too many domineering doctors.

"Ha ha!" Zhang Fan smiled and said nothing. He glanced at the monitor and began to look for shrapnel. The foreign body in the abdominal cavity is very difficult to find.

Because there is a lot of intestinal fat, just like lubricating fluid, it is still in this place for a few seconds, but with the peristalsis of the intestinal tract, maybe the next second it will move like a snow rabbit, and move to other places along the fat like skiing.

And you can't throw out your clothes one by one if you can't find them, just like you can't throw out your intestines.

Zhang Fan has been gently and gently inserting his hand into the intestines, but he doesn't dare to move too much. With the increase of blood pressure, the clamping of blood vessels, and the intestinal temperature rises slowly.

When the temperature rises, the intestines become more lubricated. If you don't find it quickly, it is estimated that it will be more difficult to find it over time. No matter how good the anatomical knowledge is, you can construct the abdominal structure in your mind. You can't use it at this time, because it's a fucking uncertain movement.

Zhang Fan raised his head slightly, half closed his eyes, and stuffed his hand between his intestines in his abdominal cavity, just like touching a prize. The people around him were quietly waiting for his news.