Chapter 743

In the past, when Zhang Fan was in Fangdong hospital, he sometimes heard the hospitalized sailors boast during the ward round.

"The Bohai Sea is a bathhouse!" At first, Zhang Fan felt that these people were really bragging. Is your bathhouse so big?

But this time, he realized that the other party was right. The ocean is really different from the sea. When China tossed in the Bohai Sea, it never said anything.

The navy is the Navy, but when it rushed out of the Bohai Sea, it began to say dark blue troops. Large ships are like dumplings. One by one, China began to say dark blue.

What's more, it's quite exquisite. Our dark blue is not attacking, but to see the stars and the sea!

Binding people is fastidious. In particular, some people who are not engaged in medical treatment have trauma and are far away from the hospital. They are in a hurry, and then they take a thin rope and start strangling.

Bleeding, arteriole and venule bleeding. If there are no first-aid items, look for a large towel at the first time. When you can't find it, the clothes sleeve is also a perfect tourniquet.

Don't take a thin rope and tie your limbs. If you bleed, you won't die. I don't know. The hospital doesn't need to stop bleeding for a long time. You can amputate your limbs directly.

Human organs are not pig feet with sauce. This thing needs blood with oxygen. It needs to breathe.

Especially for people with special hobbies, it's too late to cry at it if it's broken.

After Zhang Fan and his assistants were tied with a wide abdominal band, Zhang Fan firmly felt the loveliness of the earth mother.

With the increasing number of cars and traffic accidents in society, there are more and more injuries. Sometimes, don't be careless.

Zhang Fan encountered a case in the hospital. A car hit an old man. The driver got off the bus and checked it quickly. He looked at it. Hey, the other party had nothing to do and didn't even scratch the skin.

The driver was also reasonable and said it was all right. He got up and jumped in place. The driver was sorry and gave him 100 yuan as compensation.

Then the driver drove away. As a result, the old man had just entered the door when he came home. Before he opened his mouth, he fell to the ground in shock.

The family members were also quick. They were sent to the hospital at the first time and then called the police. As a result, the spleen was broken and the old man was fated. Xue Fei was saved. After waking up, the traffic police confirmed that the driver was released, otherwise it would be a hit and run.

The two wounded, young fishermen, looked as if they were quite serious. They were full of blood donation and kept dripping.

People are so weak that they are like fish jumping on the shore. They breathe with their mouth open. They look very serious. Look at the other one. There are no other symptoms except that the face is like gold foil.

Inexperienced, a look at this situation, it is estimated that the heart has made difficult choices, which one to save!

Preoperative consideration is very important in such emergencies. Sometimes, this consideration is more important than surgical technology.

The injury caused by external mechanical energy (not to mention scald) can be roughly divided into blunt injury and penetrating injury.

The mechanism of penetrating injury is relatively simple. During the operation, ensure a traumatic life chain. Those who can not die will never die. If they really want to die, they will not be sent to the hospital, such as directly hitting the great artery.

The mechanism of blunt injury is more complex than penetrating injury. Apart from others, the shear moment generated by a pressure is not easily diagnosed by ordinary doctors.

This thing is like a deviated shell. No one knows where to shoot or where to hit.

Often blunt injuries bring systemic damage to organs connected to organs. If there was shear force, the left abdomen was damaged. As a result, a hole was opened in the right kidney thousands of miles away. It bled like a wronged doll.

"You take the health worker to quickly deal with abdominal trauma and give me the shock."

"Good!" Zhang Fan's assistant director is also unambiguous.

The soldier whose face was like gold foil was carried to the chief surgeon. The nurse took off his clothes and opened other unopened passages. The dark red blood transfusion bag had been hung up.

Even blood transfusion bags and infusion bottles are fixed above by gauze circle by circle as if they were bandaged.

When Zhang Fan worked as a nurse, he thought while disinfecting. When we have an operation in the hospital, we seem to think that the patient enters the hospital, then carries it on the operating table, asks the doctor to open his stomach and cut off the broken organs.

In fact, it is not. When a patient is admitted to the hospital, he should first check and make a clear diagnosis. Then at the morning meeting of the Department the day before the operation, we began to discuss the operation plan.

Whether to cut horizontally or vertically is almost predetermined in advance. Even consider some emergencies.

This is also the reason why patients undergoing surgery are often painted by doctors where they need to use a knife. This is the predetermined incision, but don't wipe it off with your hands.

But in this sudden and poorly equipped situation, Zhang Fan now considers only two things: first, after his stomach is open, whether the physique of the wounded is strong enough to explore comprehensively.

2、 If the wounded is not allowed to operate under such conditions after opening his stomach, will he be able to fight again in the future!

In a few minutes, not even more than ten minutes, Zhang Fan had to stop thinking because everything was ready and waiting for his operation.

"Start!" Zhang Fan nodded and breathed deeply, "knife!" Weird scenes.

Like the TV shot by a cameraman with Parkinson's disease, nurse Zhang Fan and the patients lying on the operating table shook around at the same frequency.

Zhang Fan took a knife and opened it in the belly of the wounded. In a broad sense, this operation can be called exploratory laparotomy.

The wound goes directly from the xiphoid process to the pubis. Here, maybe after exploration, another cross cutting is needed on the left or right.

How big the wound is, most people can't feel it. The feeling of cutting is absolutely different from that of not cutting.

This incision is particularly similar to this laparotomy when the pig is hung up to take out its internal organs during the new year's kill.

In addition, the pull hooks around are pulled so hard, darling. In this way, there is no problem in putting a half-year-old child in the abdominal incision, let alone a head.

Just like you are wearing clothes, your girlfriend can't get in. You untie the buttons of your clothes, let alone one. Even two can be wrapped inside. It's so broad.

Open your stomach, the blood is mixed with semi solidified blood clots, just like what kind of duck blood is going to be poured into the hot pot, and the soup overflows.

Open the peritoneum, the right side of the liver is like a child's mouth, open his front teeth and laugh.

"Sterile glass bottle!" Zhang Fan said in a word that doctors and nurses might not understand this meaning if they were in an ordinary hospital.

In the hospital, as long as it is a regular hospital, few doctors encounter this situation.

Military hospitals are different. When there is a critical moment, there is no rear and no support. When it is called that every day is ineffective and the ground should not be, this uncontaminated blood is the final guarantee for patients.

The assistant is holding a glass bottle to collect congestion. Although it is impossible to judge whether the blood has been polluted, it is better to collect it than not.

Zhang Fan held a wet salt gauze in his left hand, covered it on the crack of the liver, and then put his right hand into the abdominal cavity, which was like stewing a famous dish in the capital.

Keep reaching into and out of the intestinal tract with your right hand. Now Zhang Fan first determines whether there are other organ injuries and bleeding, and second determines whether the blood is polluted.

There is an iron rule for blood self transfusion. Once the hollow organs break, the blood can not be recovered, whether it is chest or abdominal cavity.

What is a hollow organ? The largest hollow organ is the intestine and stomach. Zhang Fan kept churning in his intestines.

There are rules for this toss. If the intestinal tract is broken, the best examination is abdominal CT and X-ray. You can know the free gas in the stomach as soon as you take a picture. But now there is no such condition.

Zhang Fan's eyes stared like cattle, carefully stared at the congestion in his abdominal cavity, and his ears stood up like a police dog.

Then the right hand is like a butcher washing pig intestines. Starting from the pylorus of the stomach, Zhang Fan pushed his right hand down a little.

What are you doing? In short, you are looking for bubbles and listening to whether the wounded will fart.

It is estimated that older boys had the experience of mending bicycle tires when they were young.

A basin of water, and then turn the tire of the bicycle a little bit around the basin. As soon as you see bubbles, you can determine where it is broken.

Generally speaking, Zhang Fan will do this again now. Pinched the smooth small intestine, pinched the large intestine from bag to bag, did not see bubbles, and there was a sound of exhaust in my ears.

"Yes, ready to filter." Zhang Fan breathed a little. It's really lucky to be able to autotransfusion in this environment.

With autologous blood return, the probability of survival of patients has been improved by several layers.

"Yes!" The itinerant nurse took the recovered blood and began to filter it. Six layers of gauze began to filter the blood bit by bit.

This filtering process is quite slow.

When Zhang Fan first came into contact with chemistry on the third day of junior high school, an experimental class was to learn filtration. The teacher took the sundry liquid mixed with sand and salt and asked Zhang Fan to filter and precipitate them.

Zhang Fan looked at the turbid saline in the flask drop by drop. When he didn't know what prostate was.

Maybe men are naturally disgusted with this ticking thing. Then, without saying a word, Zhang Fan poked a hole in the filter paper with his little thumb.

Men don't like ticking slowly, but they like to poke holes very much.

What window paper and what plastic foam do you believe in? Girls can be transformed into cute things for girls.

And boys definitely use their fingers to insert holes everywhere. This is not that boys like to destroy. This thing is born and carried in genes. It has been practicing and preparing for the future.

When Zhang Fan broke the filter paper with his finger, he was deeply remembered by the teacher. As strong as Wu Song's chemistry teacher, a slap and an old foot.

While fighting and asking, do you like stabbing so much? Ah, do you like stabbing so much. Is this something you can poke? I let you stab! I let you stab!

Zhang Fan was beaten from the head of the classroom to the end of the classroom. Now the chemistry teacher estimates that if he meets a student like Zhang Fan, he won't hit anyone anymore, because he is now at the age of prostate rebellion.

While collecting blood, the itinerant nurse drops anticoagulants into the boat without shaking. The glass bottle has its own rhythm! Hold the bottle in your hand and it will move by itself.

After turning over the intestines, Zhang Fan's left hand is still pressed out of the crack in his liver, which is also due to the great Kung Fu of Zhang Fan's hand.

Greasy intestines, like fish with mucus on their bodies, are quite slippery. This kind of examination can't be light or heavy. When it's light, the intestines slip away accidentally. If it's heavy, it may cause intestinal damage.

After touching the intestines and spleen, the rupture of spleen ranks first among the closed abdominal injuries. According to a group of data, the mortality of simple spleen rupture is 10%. If there is multiple injury, the mortality can directly soar to 50%.

So don't take it seriously when your abdomen is hit violently. Go to the hospital for examination. It won't be much trouble.

Why don't these non hollow organs hurt after being broken, and they won't have shock immediately.

It's simple. These organs are dressed in coats. These coats, like expensive apples bought in the supermarket, are wrapped with a layer of plastic film.

At the beginning, when the bleeding overflowed from the organ wound, this film blocked the blood. Although the organ was broken, the clothes were not broken, and the brain thought this thing was complete.

Then, just like the water in the condom, it gets bigger and bigger, and then it blows.

If the condom is broken, the brain and blood pressure are worried. Just like the roller coaster, the blood pressure can fall from 200 to undetectable.

The blood pressure dropped sharply. This is clearly a good person. He was hit and said with a smile that it was all right. After half an hour, he suddenly lay on the ground and touched the carotid artery. It's over. The person has hung up!

Blunt impact, the probability of damage to hollow organs is particularly small, such as the intestine, such as the stomach.

This thing comes with its own buffer. The stomach and intestines contain a lot of gas. Not only do they carry gas, but also the food is mixed with various digestive juices. In the process of digestion, this is the gas production tank directly.

Some people have breath. They brush their teeth eight times a day, but their breath can still smoke and vomit their girlfriend.

There's something wrong with the digestive tract. Go and try some Hawthorn pills. Don't stare at the toothpaste.

But not the substantive organs. Such as spleen, kidney, liver. Among these organs, the spleen is the most vulnerable.

Because this organ is not valued in the human body. You say the kidney handle. Although there is no air cushion, people have cotton padded jacket.

Men like to eat big kidneys. Two big kidneys and a bottle of beer on the barbecue stand are not changed for the gods. In fact, what they like to eat is not the kidneys, but the cotton padded jacket outside the kidneys.

If the fat near the kidney is evolving, it is estimated that it can evolve into tendons. You can imagine the toughness of this fat.

The spleen is not so good treatment, let alone impact. Sometimes the posterior hiccup is severe, involving the ligaments of the stomach. The stomach is fine. As a result, the spleen is torn open.

After turning over the intestines, Zhang Fan explored the spleen at the first time“ Alas, the spleen is broken! "

After probing the spleen, Zhang Fan directly asked, "did the urine come out?"

"Come out, come out!"

"Is there blood?"

"No! No obvious blood was found. "

"Good potassium supplement, directly clamp the spleen vessels!"

Before the 1980s, as long as the spleen was slightly damaged, it was generally not repaired but directly cut. At that time, doctors knew this thing and it would be useless when they grew up.

In fact, the spleen has many functions. The simplest and most useful function is to filter bacteria in the blood, which is quite cow force.

The spleen is a food, red blood cells, white blood cells and bacteria! Therefore, people can't eat too much, or they may be abandoned one day, just like the spleen.

"Can't you keep it?"

"There's no way. It's too big." Zhang Fan shook his head. It's cruel. It's really cruel, but medical treatment is like this. Sometimes, cruelty is to let patients survive longer.

"Vascular forceps!" Card, card. Like a crocodile's mouth, the vascular forceps directly clamp the blood vessels in and out of the spleen.

"Repair the liver!" The organs that have to be abandoned are not in a hurry now.

Zhang Fan took off the gauze on his left hand and took a breath directly.

At the beginning, in order to explore the surgical injury as soon as possible, Zhang Fan didn't look at the liver carefully.

When looking back at the liver at this time, Zhang Fan's face was as uncomfortable as thousands of ants marching.

This feeling is not numbness, but the feeling of goose bumps standing up. It's trembling!

The wounded's liver wound was not big, at most, the mouth of a three-year-old child, but when Zhang Fan gently separated with his index finger and middle finger, um! This action, well, men should understand.

Soft, quite soft, crispy, like the liver of a green apple, slowly separated.

The shadowless lamp hit the wound