Five Hundred Thirty One Enter

The treatment outside the thoracic cavity is no longer effective, and now it depends on the skills of Zhang Fan and the director of the thoracic surgery. There used to be a saying that auto mechanics were not convinced by doctors in cardiac surgery.

"They are also engine repairers. Why do you earn more than me?"

"Because the engine I repaired was repaired on the job!"

Not to mention anything else, first of all, it explains a problem, the heart cannot stop beating, even if the heart stops beating, the effect will not be very good, and the decision to open the chest is generally not easy to make.

With the chest cavity opened, it's easy to say that a person is alive, but what about a person who is dead? And there is another problem, cardiac surgery and brain surgery, these two departments are not well developed in Northwest China.

Because the requirements for doctors in these two departments are too high, the general Northwest Hospital will definitely not be able to keep doctors who have a little future in these two departments.

This has become a joke. Cardiac interventional surgery is promoted all over the world, and even some county-level hospitals are carrying out it in a hurry. However, there is a prerequisite for other people's cardiac interventional surgery, that is, the hospital must have a strong cardiothoracic surgery as the backing.

That is to say, heart intervention at the county level or even at the city level is very dangerous. Once there is a hemorrhage, there is not even a doctor to open the chest, so they can only wait to die!

How about the cardiothoracic surgery department of the city hospital, whether it is good or not, but Director Li of the cardiothoracic surgery department is quite good in terms of extracardiac surgery.

Director Li has been in cardiothoracic surgery for decades. He suffered a lot in the early years and studied everywhere. The current him, cardiothoracic surgery at the city level can be regarded as a leader, but the problem is that he has passed away behind him.

This department is very strange, the director only has one attending, and the rest are hospitalized! Because cardiothoracic surgery is too difficult, and almost all the doctors in the city hospital in the early years were only undergraduates, no one wanted to do cardiothoracic surgery.

And postgraduate students in cardiothoracic surgery do not come to the city's first-level hospitals at all, so the department relies on Director Li alone.

At the beginning, Lao Huang also felt that he could not develop. The cardiothoracic surgery department was always in the emergency department, and he suffered a rib fracture in one day. Later, he was admitted to the top three hospitals, so he had to release the cardiothoracic surgery department.

After Ouyang came to power, he specially recruited two postgraduates from major universities and several doctors who were interested in cardiothoracic surgery, but they were all just leaving school for a few days.

Cardiothoracic surgery is not enabled in Zhang Fan's system, so Zhang Fan seldom performs this type of surgery, as practice makes perfect. Its comprehensive basic requirements for a doctor are indeed super abnormal.

However, Zhang Fan's liver work in the past two years is not in vain. Although the system is not activated, Zhang Fan is now asked to open his chest for heart surgery and stop bleeding from the aorta. It is estimated that Zhang Fan will not be able to do it.

However, it is still possible to let Zhang Fan open his chest and massage his heart. In terms of human anatomy, it is estimated that there are not many doctors who can surpass Zhang Fan. This is the foundation, this is the reserve, and this is the result of the past two years.

"Zhang Yuan, it may be too late, look at the heart rate..." Director Li frowned into a step. He thinks that the chest surgery is dead now, and it is death if the chest is not opened. It's kind of kind.

However, Zhang Fan did not give up. It is really not a lie that there are fewer people but high spirits, and people are old and weak. Which one of them is correct? It is correct that people saved Zhang Fan, but it is correct that people cannot save Director Li.

Are they wrong, no! This is the difference in medical means. Nothing else!

"It's time, let's start!" Zhang Fan gritted his teeth and said firmly. The patient was transferred from the emergency room to the operating room of the trauma center. After brushing his hands, Zhang Fan silently went through the structures near the heart and brain again. .

"Zhang Yuan, it is impossible to enter the heart within five minutes. Moreover, the child lost such a large amount of blood, the trauma of the operation is like adding insult to injury. Let's think about it again."

Director Li was also brushing his hands quickly, but he still tried to dissuade Zhang Fan. He has no selfish intentions, and he is not afraid of taking responsibility. He just gives advice to Zhang Fan as a purely senior heart surgeon.

Because he knew that he would not be able to enter the chest cavity within ten minutes, and Zhang Fan had never set any benchmarks in cardiothoracic surgery, so he was a little worried that Zhang Fan would not be considerate.

"Director Li, trust me, I will definitely be able to enter!" Zhang Fan looked at Director Li and said affirmatively.

"Uh!" Director Li looked at Zhang Fan's firm eyes, he knew that Zhang Fan was determined to open his chest, "Okay, I will be your assistant well, don't worry!"

"thanks!"

"Crack!" The shadowless light came on, and the child was lying on the operating bed like a poor puppy. Channels were opened on the slender limbs, and the liquid was continuously input. The incisions all over her body have been bandaged with sutures.

The horizontal and vertical white accessories are like a broken inflatable doll that was glued together by the single Wang with white adhesive plaster. There was still unwiped blood on the pale skin.

"Start!" Zhang Fan gritted his teeth and said. For thoracotomy, the most suitable place is the fourth or fifth intercostal space on the outside of the chest cavity. If time permits, this kind of operation is very particular, and the incision should be cut at about 15°.

But, it's too late now, so I can only use the fastest speed. The child was a girl. In order not to damage her mammary (a) gland, Zhang Fan cut directly to the left edge of the child's sternum under the armpit.

The pectoralis major, pectoralis minor, serratus anterior, and intercostal muscles are the protective and respiratory muscles of the chest. The pectoralis major is the most famous, because it seems to be a sexy representative now.

Open, enter, Zhang Fan is too proficient in the anatomy of the human body, the shape of the muscles, the passage of the blood vessels, avoid what should be avoided, and the time is lost bit by bit.

The child's heart rate was getting weaker and weaker. Ren Li nervously watched Zhang Fan's operation. The effect of the cardiotonic was getting worse and worse. If it hadn't entered the chest before the heart stopped...

The older a person is, the less he dares to have a heart stop beating. The simplest problem is that after the heart stops beating, blood coagulation cells such as platelets will form thrombus.

Once a thrombus occurs, the consequences are terrible. The heart is saved, but the embolus enters the brain and lungs, which is a fatal thing, so it must be entered before the heartbeat stops.

"Quick! Quick! Quick!" Ren Li watched Zhang Fan's operation while watching the ECG monitor.

Director Li was sweating outside his chest, it was a lie that he was not nervous, and he couldn't be overly cautious during the thoracotomy. But now, Zhang Fan is directly driving the speeding car, the speed is getting faster and faster, Lao Li is afraid, this one careless thing is the car overturned and killed.

Zhang Fan's brain is clear and unambiguous at all. With the cooperation of hand and brain, he directly brought his precision to the extreme. For muscle bleeding, it is too late to stop the bleeding, and the hemostat is directly clamped, entering, entering, and speeding up.

Finally, Zhang Fan entered the chest cavity just as the child was about to stop beating. It was too difficult to enter the chest cavity. When Zhang Fan entered the chest cavity before the child's heartbeat stopped, Ren Li choked up a little.

It's not easy. So many people and so many doctors have tried their best to rescue him for such a long time, it is impossible to have no expectations. People, in fact, most still yearn for the good.

Open the chest cavity and open the left lung. The heart comes out, the heart, how big is the human heart, raise your fist, your heart is about the same size as your fist.

After Zhang Fan opened the pink and tender lungs. The child's heart was exposed.