Path of Medicine With a System

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No matter what the situation was, whether it was serious or not, Ouyang had to give an explanation to the leader of the wounded. Although only the city hospital is regarded as the top hospital in this place now, the necessary procedures still have to be in place.

"Let me make a long story short. The situation is not optimistic. I have already asked all the key experts and doctors to go all out." Ouyang quickly explained the situation to the leaders of the army, armed police, and police.

"Do you need doctors from the General Hospital or other large hospitals in Bird City to assist in the treatment. I can now..." The soldier's face turned blue.

"It's too late. You need to solve the problem of blood source first, the blood bank is not enough now!" Ouyang directly interrupted the other party's proposal, the experts in Bird City, even if they take the rocket, they don't have enough time now.

"Don't worry about not having enough blood. I'll bring a regiment. Is it enough? But, you must save my soldiers, and you must go all out." The leader of the army almost crushed his hat into a rag.

"Yes! We will do our best." After finishing speaking, Ouyang turned around and entered the operating room without ink marks, and organized a large-scale consultation before the operation.

The police leader has already started calling, and the family members of the injured policeman are in Chasu City, "Xiao Li, take the people from the office, go to a few more people, and invite Wang Jun's family members to the hospital. The situation is not optimistic."

Then I called the government leaders to report again.

"Lead the team into the urban area. Our soldiers now need blood for surgery. Explain the situation to the soldiers. Regiment leaders and officers at all levels take the lead in donating blood."

"yes!"

The soldier arranged work, hung up the phone, and directly called the headquarters of the Lanshi Military Region in Bird City.

"Chief, my soldiers have just exchanged fire with certain fighters who have sneaked into our country to sabotage. Eight people were killed, and no one was alive. They have radio stations, various foreign standard weapons, and leaflets to be distributed, all kinds of propaganda manual.

My soldier was injured in a serious condition to save a policeman in the station. The director of Chasu City Hospital told me personally that the situation is not optimistic, and I need experts from the Army Hospital now. "The soldier didn't listen to Ouyang at all, he couldn't resign himself to fate, and he didn't worry about Chasu City Hospital.

"Okay, I got it. The experts from the General Hospital of the Military Region will provide tea as quickly as possible. We must save the lives of our soldiers. As long as there is a glimmer of hope, we must work hard. Also, please do a good job of comforting the family members. "

"yes!"

Ouyang entered the operating room and began to organize a large preoperative consultation.

What is a preoperative large-scale consultation? In fact, it is to organize the most advanced doctors in the whole hospital to discuss the problems faced by patients during surgery, or to find special intervention methods so that patients can get better treatment.

"The soldiers of the People's Liberation Army and the comrades of the civilian police not only suffered severe trauma to the abdominal cavity from shrapnel, but also suffered certain impact injuries. It can be said that they are in danger.

We must come up with a predetermined plan before, during, and after the operation, and a plan for emergency measures. "Just in front of the surgery door where the wounded were being operated on, Ouyang said to the surrounding experts.

If the soldier has a single abdominal injury, there is no need for such a large-scale consultation now. It is enough to have a heart and breathing expert assisting a general surgeon, but the soldier still has impact injuries.

The American military grenade is not heavy, only about 1300 grams, but this thing can not only produce more than 700 fragments of 5mm in size, with a killing range of about 18 meters, but also a special defensive grenade, which is a shock wave directional grenade.

What exactly does this impact injury mean? In fact, the explosion generates huge energy, which spreads rapidly through air, water, and soil, and it is also a high-pressure and high-speed wave.

This kind of overpressure injury mainly causes bleeding and rupture of the eyes, ear canal, lung, and gastrointestinal tract, and it has the greatest damage to substantial organs such as the liver, spleen, and kidney.

modern weapons,

The scope attack is to rely on this thing to kill people. Only one bullet can kill a few people. Wanzi Country was attacked by nuclear weapons, and the number of people killed by the blast was not as many as this kind of shock wave.

This kind of injury, don't look at the facial features, just look at the surface of the body, there is no trauma, even the skin will not be broken, but the internal organs in the fixed cavity cannot be seen.

The brain can be directly shaken into tofu flower, or it is mixed with chili oil and stirred with chopsticks for a long time. Substantial organs such as the liver, kidney, and spleen have become brown popcorn, and the original appearance cannot be seen directly.

Although the grenade's concussion injury was not serious, the short-distance explosion directly caused the soldier's lung edema, liver, kidney, and spleen to bleed. Then there is the abnormality of multiple organ function.

To put it simply, the knife cuts the back of the hand. Although the blood is wiped away, if the incision is deep, you can still see the bones. In fact, to the doctor, this is nothing, just sew it up and it will be over.

But if you hit it with a hammer on the back of your hand, as long as the force is strong enough, it will be troublesome. This kind of damage can directly cause the cells to rupture, and then a large amount of ions in the cells will overflow.

As long as the scope is large enough, it will be fatal directly. Potassium ions in the cells entering the blood and entering the heart are directly fatal. And it's not easy to treat!

Although the police shot was not fatal, the standard weapon of the US military was so vicious that the bullet exploded in his body like a small bomb.

Not to mention the damage, the surrounding tissues may not even be repaired, and because the fragments of the bullet are too many and too small, there is no way to completely remove it. Unless it is removed on a large scale, infection will follow immediately. The real thing is that there is a ring within a ring, and there is no end to death.

It can be said that the death of the two has been overturned. As time goes by, the injury will only get worse. When the quantitative change reaches the qualitative change, there is no way to correct it.

In the operating room, Zhang Fan was preparing for the operation. Four of the soldier's veins were opened. When the soldier was given the needle, it was performed by a head nurse. Inexperienced nurses couldn't find the blood vessels directly. .

"A large number of diuretics are used in shock to reduce pulmonary edema, and cardiotonic agents are used selectively, but the dose should not be too large. Although the soldiers are already in a state of heart failure.

However, once the output of cardiac function is increased, the bleeding will intensify, so now we can only increase the input to maintain a delicate state.

It depends on whether the surgeon can stop the bleeding before this state is broken. "Ren Li, the director of the Cardiology Department, was almost pinched green by herself.

It's too difficult, and there's no way to use medicine. Now I'm dancing on a wire rope. A strong heart will accelerate bleeding and lead to aggravated shock. If the heart is not strong, it is heart failure. Both of these are terrible things, and there is no choice at all.

The opinions of the directors and experts of each department formed a set of treatment plans within a few minutes.

"Director Ren, Director Jumabek, you take the director of digestion and kidney into the operating room of the soldiers, and assist Dr. Zhang in the surgical treatment." The plan was formed, and Ouyang began to give orders.

"Yes!" Wearing surgical hats and masks, the director and deputy director entered the operating room where Zhang Fan was.

The deputy director of the heart department and the deputy director of the respiratory department entered the police operating room.

There is only one anesthetist for general operations, and a student of the anesthetist will do odd jobs along with him. But today is different, three anesthesiologists came.

Pulmonary percussion anesthesia is very troublesome, and if you don't pay attention to it, it will cause air embolism due to the ventilator. The gas emboli caused by the ventilator are not some kind of small air bubbles that enter the infusion.

The principle of the ventilator is actually simple, it is an air pump. Use a certain pressure to press oxygen into the lungs to allow the alveoli to exchange. There is pressure, so as long as a blood clot forms, there is no need for surgery, and the person can be killed directly.

"A small dose of thiopentonate is used for induction, and then 50% nitrous oxide is used for maintenance. There is no other way, the wounded is in shock, and spinal anesthesia cannot be used. Come on!" The anesthesiologist is also negotiating.

"Dr. Zhang, we can only maintain the patient's current state for 20 minutes, at most half an hour. This is our estimated time. If there is an accident, the time will be less, or he will die from shock or heart failure." Heart Ren Li, the internal director, said seriously to Zhang Fan.

Director Jumabek of the Respiratory Department is still leading the doctor to use drugs to maintain the soldiers' poor balance. It is not an exaggeration to say that soldiers are now like dead leaves on the water, sinking to the bottom even with the slightest wind.

An average doctor can't even enter the abdominal cavity for half an hour. What's more, this kind of situation doesn't even know how serious the damage to the organs is.

Zhang Fan, the director of general surgery, and Lu Ning quickly prepared the electric knife and suction device, and the nurse counted the equipment.

Although there are directors of general surgery and Lu Ning on the operating table, the director in her heart still regards Zhang Fan as the chief surgeon, and she just reported the situation to Zhang Fan.

Zhang Fan listened to Ren Li's words, and there was no need to stop his subordinates. The director of general surgery was stunned, watching the actions of Zhang Fan's subordinates, and continued to prepare. He almost said not to perform surgery. The wounded died in the ward and on the operating table. above is different.

Zhang Fan gritted his teeth and said nothing, to do it or not to do it!

Do it, must do it, as long as there is a glimmer of hope, he will do it, even if the soldier dies on the operating table, he will take a gamble.

Whether others don't understand it, or if it causes complaints in the future, he has decided on this operation.

For nothing else, he fought bloody battles for the soldiers, and he did it all. With so many surgeries in the system at the bottom, if he didn't dare to do this surgeries.

No need to do anything, open the window and jump off the building! Don't talk about other things, don't talk about technology, don't even have the courage to be a doctor.

It sounds fake, but in fact, many critical operations are gambling! It can be said that it is a gamble with life.

While Lu Ning was busy preparing for the operation, he was thinking in his mind, is there any such operation case, is there a similar operation, he is thinking!

Finally, Lu Ning's eyes lit up, and he said, "Zhang Fan, the master and master brother Zeng Jin also performed a similar operation back then. The operation was successful on a wounded person who was crushed by a truck."

Before he finished speaking, after the operation that year was completed, the elder brother was invited to Shanghai to become the director of the foreign-related hospital. Which surgery was the one that his senior brother became famous for.

"But, there are still two pieces of shrapnel in his abdomen!" The director of the general surgery did not raise an argument, but wanted to make Zhang Fan's thinking clearer.

"I know, I mean it can be done."

Zhang Fan didn't say much, but simply raised his head and said something to the itinerant nurse.