Chapter 772

In medicine, there is a famous saying: our doctors will commit sins and accumulate virtue; There will be setbacks and success. The evils we have done are often unavoidable in our work and, of course, irreparable.

In fact, medicine is not a precise subject. Our work object is a living, breathing and complex person, not a jar containing chemical mixtures.

This sentence was said by an emergency chief in the United States.

Ordinary diseases and routine diseases often make doctors think and think again.

This sudden accidental injury is even more difficult. The treatment at this time is not to do multiple-choice questions. I can abandon the bad answers.

Human organs are not leeks, so it is very difficult to choose. Sometimes it's really hard for doctors.

If you want to save your life, you may have to give up a kidney or part of your liver. It is often an empty dream to save your life and keep some organs.

Really, after years of such medical work, the hearts of many doctors are as hard as cold stones.

This is not innate, it is created by the whole industry. He has to be hard, he has to choose.

Operating room, one, two, three, four, five, bang! Bang! Bang, like stuffed steamed bread, the children were sent to the operating room.

From the emergency center to the operating room, Zhang Fan's pressure is almost out of force. This kind of rescue, especially cardiopulmonary resuscitation, is best done by a professional person from beginning to end.

The doctor is a little tired and has nothing to do. It's a big deal to have more rest after finishing. But for patients, a slight pause may cause irreparable brain damage.

Therefore, we often see such a scene. Countless doctors gather together and watch a doctor rescue. That's the truth.

Ordinary, thoughtful and their own patients were shunted at the door of the operating room. Everyone agreed to leave the most serious patient to Zhang Fan.

In the operating room, relatively light children slowly wake up at this time.

Look around all the people with blue hats, blue masks and green clothes, and then look at others holding knives, scissors and sharp needles.

Fright, blood, pain, strange and terrible environment make children who have not experienced anything curl up together.

The little heart swayed and jumped fast. Coupled with the wound on his body, he didn't even dare to cry, just like a cub separated from the herd, he looked at these strange people pitifully.

Itinerant nurses are usually a little older. Looking at the poor child, she wants to come forward to comfort her.

As a result, before taking two steps, the director of general foreign studies stopped with a sound“ Don't worry, these bastards should scare, or something big will happen in the future. "

Rough words, but good intentions.

On the operating table of cardiothoracic surgery, the director looked at the wound and couldn't say anything.

The child here is a little older. When the explosion, he stood a little farther away, but the damage was not small.

The air energy of the explosion tore his clothes like a big hand, and then the cracked glass debris pierced his chest like a rainstorm pear needle.

On the small chest, there are countless blood holes, either point or sheet, just like the lips painted with red lipstick on the chest. With the child's very weak breathing, these lips keep spitting red ideas.

At this time, the child's chest bulges like a toad to sing.

Originally frozen purple chest, this time because of ischemia, become purple blue.

The other two children are much lighter, but sharp glass is inserted in their faces and necks.

The child on Zhang Fan's side was the most serious. His stomach directly hit the first wave of the explosion.

The wound is like a sunken flower. The meat on the wound is directly the meat strips coming out of the meat grinder, which adhere to the stomach like rags, rising and falling with the blood in the stomach.

Plus the broken intestines, the undigested food flowing out.

Green vegetable leaves, chylous food residues, and digested yellow stool, obediently, stained on the floating meat strips.

The green, yellow and gray ones are really like the instant boiled mutton in the Shabu Shabu with sesame paste and coriander.

The smell of blood and stool is really like that of pigs dissected in a slaughterhouse.

The child's water electrolyte has been disordered and has long entered a state of shock.

Now there is no time to detect the extent of his lack of body fluid. All drugs depend on estimation and the experience of doctors.

Ren Li is the host of the rescue. "3% hypertonic saline is input. Be ready to click. If atrioventricular fibrillation occurs, electric shock cardioversion will be carried out at the first time.

ECG report! "

"Arrhythmia, QT shortening, ST-T wave bending..." the deputy director of Cardiology reported the results of ECG for the first time.

"Use furosemide, come on, furosemide! Zhang Yuan, can the patient get an electric shock now? "

A series of disposal, all in the preservation of the child's heart, or all in the preservation of the child's circulatory system.

However, the loss is always more than the input.

"Yes or no?" Zhang Fan is not sure at all. Really, medical things are often not absolute.

Without electric cardioversion, heart failure that cannot run away, electric cardioversion, aggravating bleeding, is still a heart failure.

Biting his teeth, Zhang Fan biting his teeth, holding gauze in both hands, desperately plugging into the abdominal cavity, constantly plugging. White gauze is stuffed into the child's stomach one by one.

Itinerant nurses and equipment nurses kept passing gauze.

"Electric shock! There's only one chance. Who's on it? " Zhang Fan is already wearing sterile gloves and sterile surgical clothes.

"I'll come!" Ren Li had to stand aside and grasp the overall situation. At this time, that flower stood up.

"Remember, just one chance, absolutely no second chance!" Zhang Fan stared at the flower and said.

The flower closed her mouth tightly, looked at Zhang Fan, nodded and took a deep breath. Hold the electric shock in both hands and put it on the child.

Boom! A lot of gauze came out of my stomach. At this time, I was so nervous that I couldn't breathe well.

Her ears are almost erect like a Hu. She didn't dare to watch ECG monitoring. She was worried that an electric shock would cause more bleeding, and then directly lead to the death of the child.

"Valid! Rewind! " The anesthesiologist exclaimed softly, this sentence, this sentence, the excited red flower really reached the peak of adrenal hormone. If she shouted, she would definitely roar through the sky.

Zhang Fan listens and is effective. Then he quickly took the doctors of general surgery to start.

Fill in the white gauze, quickly take it out, white, white, then half white, half red, then red, green and yellow.

Take it out piece by piece.

"Continue to correct acid-base poisoning, cut open organs and get on the ventilator.

Adrenaline, digoxin, dobutamine injection, ready to dilate blood vessels... "

Internal and external departments are carried out at the same time. Now physicians go all out to create a weak and short-term balance environment.

Now it's time to see Zhang Fan and them. If you can't deal with the damage in a short time, the environment won't last much time. After losing this balance, death will follow, and there is no redundant alternative.

For a normally healthy person, if you have abdominal pain for more than six hours, you don't have to think about it. This is acute abdomen. Hurry to the hospital.

For surgeons, nothing is more terrible than gastrointestinal anastomotic leakage except massive postoperative bleeding.

Think about it. A leak in an anastomotic stoma can frighten surgeons, not to mention this child full of flowers.

This kind of digestive tract is broken in a large area. Let's not talk about the blood or the loss of intestinal fluid. The infection and poisoning caused by the bacteria in the stool diffused in the abdominal cavity made the surgeon's head explode.

This thing is not a point now, but the function of the whole body is facing collapse, just between the lines.

"Come on, find the broken glass pieces!" Zhang Fan, with a doctor from general surgery, lowered his head and found it very difficult to find broken bones and fragments.

I dare not think fast. This kind of trauma, especially when a large area of foreign bodies and sharp tools enter the abdominal cavity, is really quite overbearing.

You need to find the ulcer quickly, don't you, but dare you? afraid to!

There may be a piece of glass under the twelve intestines. If you are a little quick and careless, the old hole is not found, and the new hole comes out again.

"Warm salt water!" Zhang Fan now doesn't rely on his eyes. He relies on his hands. Like rubbing mahjong, he stuffed it into the child's abdominal cavity, groping slowly and moving bit by bit.

With the long-term exposure of the abdominal cavity, the child's temperature is also slowly decreasing. Even the fat on the mesentery in the abdominal cavity begins to slowly change, just like eating the remaining braised meat, and starts to slowly change!

Warm salt water does not dare to pour more. I'm afraid that more salt water will spread the infection. I can only touch where to pour, and I have to suck it out at the first time. Really, this operation is very difficult for Zhang Fan

Just like a boxer, he can beat each other, but his hands are tied together with a rope, and then he keeps letting his opponent's left hook and right hook shine on his face.

Clang, clang, clang, pieces of glass like pearls and diamonds were touched out by Zhang Fan from the child's abdominal cavity.

Really, glass can only be touched by hand. If you are an iron weapon, you can directly irradiate it on the C-arm. Even if Zhang Fan tries to eat rays, he can quickly find out the iron weapon, but the glass doesn't develop under the C-arm. You can only rely on your hands and feel it with your hands.

Really, Zhang Fan's body was sweating constantly, and even his slippers were wet.

Just then, Ren Li was still anxiously urging, "Zhang Yuan, the blood potassium was obviously abnormal, and the blood transfusion had been 1000cc."

Zhang Fan really wanted to block Ren Li's mouth, but he had to listen to people inform him of the patient's signs at any time.

Hard~

Touch, touch, touch. It's really like washing pig's large intestine at home. Zhang Fan doesn't dare to be careless anywhere, from top to bottom.

Touch it over and over again, and you often have to go back and touch it again. Don't say the intestines are full of grease and mucus.

Even if a needle accidentally plunges into the fat layer of the human body, don't even think about it. Hurry to the radiology department. It will never stay in one place and wait for you to find it.

Therefore, the intestinal peristalsis, coupled with lubricity, glass debris, like naughty children, keeps playing hide and seek with doctors.

"Zhang Yuan, no, I can't maintain it!" Ren Li's voice changed.

Really, sometimes, when rescuing, I watch a life helplessly, and it is clear that it will be rescued soon.

As a result, all of a sudden, just as the king of hell was angry and unwilling, he overturned and trampled down the defense established by the doctor in an instant.

Outside the operating room, the boss of the chemical plant looked at the fluorescent lamp in the corridor as if he had lost his soul.

The parents of children entering the operating room are on pins and needles, neither sitting nor standing. Whenever a nurse or a doctor comes out, their thirsty eyes are really pitiable.

In the morgue, parents who lost their children cried with their children in their arms.

When several of the most serious children were sent to the hospital, there was no need to rescue them, and they had lost their lives.

At this time, parents really cut their hearts with a blunt knife.

Even the child's mother, crying, suddenly wanted to hit the wall.

The women around the side were glad that their children had nothing to do and shed tears of sympathy.

He grabbed the mother who wanted to be short-sighted.

"He hasn't been rescued. My army hasn't been rescued. Even if I can't be rescued, I can suffer a little.

God, God, you are blind, my army. "

The people around me can't even persuade. What they can say and what they can say is useless now. It's too late to say anything.

The leader in charge of safety in the county, with an iron face, stood in Ouyang's office and couldn't say a word. He stared at the phone on Ouyang's desk and stared at Ouyang's phone.

Before he came to the hospital, he was scolded by his superiors. First let him deal with the follow-up in the hospital, and then talk about it when he is finished. Really, he is really exhausted.

He is also wronged. He is too wronged. Originally, there was no flour mill in their county. There was no industry. In the past, I managed several blacksmiths who made iron and knives.

As a result, it seemed that factories in the county had been established overnight. At that time, he felt that it was not a good thing. As a result, the good did not come and the bad came.

"Zhang Yuan..." Ren Li's voice has begun to appear helpless.

Zhang Fan clenched his teeth, "start, start the operation, come on!"

"Zhang Yuan, I still can't guarantee the glass in my body..."

"I'll take care of it, quick, surgery!"

Zhang Fan rudely interrupted the operation assistant.

There's no way. There's really no way. I can only bet that the glass in the child's stomach has been cleaned up.

What else can we do? If we delay, we won't even have a chance for surgery.

Now in surgery, an accident is better than no chance to have an operation. Life is at stake. Zhang Fan is biting his teeth. Even if there is an accident, he would rather take responsibility than let the child lose his life.