Two Hundred and Fifteenth Emperor Empress and Prince

On the operating table in the operating room, as if entering the telecommunications department, patients are covered with monitoring instruments.

Cardiac monitoring, blood oxygen monitoring, oxygen intubation, gastric tube intubation, urethral drainage, aspirator vessels, venous suspension of blood plasma and fluids on extremities.

Although the wiring is not densely packed, it still makes one's scalp tingle.

Especially the transparent liquid and the red blood vessels are divided into two like wires.

The invention of intravenous infusion can be said to be an invention that can bring patients back from death in a critical moment.

Many people often wonder why the infusion is not in the artery but in the vein.

First of all, arteries are afraid of death. Larger arteries are generally hidden deeper. In an emergency, it is generally very difficult to find them, while veins are relatively superficial.

Secondly, the arterial pressure is relatively high, and it cannot be infused without external pressure. If it is pressurized, it may cause the red blood cells in the blood vessel to rupture.

Therefore, for general emergency infusion, the choice is vein, as long as the liquid bottle is raised above the head, it will be fine.

Under what circumstances should the artery be selected? For example, when the patient's veins cannot be selected, arterial infusion, to be honest, is only implemented as a last resort.

But now many addicts, in order to obtain satisfaction more quickly, will inject into the artery in the groin. Really, this method, if not careful, will lead to massive bleeding of the artery, the consequences...

Intravenous infusion, this life-saving treatment method is fully used to treat the common cold, it makes people speechless.

Are colds cured by medicine?

no!

This thing is a self-healing disease, the common cold, if you don't care about it, it will recover, and the treatment is to relieve symptoms, such as nasal congestion and cough.

In other words, taking medicine or not taking medicine is the same for colds.

"Knife!" The preparation for the operation was extremely fast, and there was almost no pause in the connection between steps.

The patient's blood loss was too severe, and the infused fluid couldn't withstand the patient's outflow.

Zhang Fan took the scalpel and began to expand along the wound on the patient's back.

If we say that some abdominal operations such as appendix and gallbladder have a fixed format.

Then this kind of traumatic rescue operation is a free operation of doctors.

It seems that free play is easier, but in fact, free play is more difficult.

Over the years, generations of doctors have actively or passively discovered almost all accidents that can occur near organs.

Therefore, as long as you are serious, as long as you have a solid foundation, there will generally not be such things as cutting blood vessels and damaging nerves.

And this kind of free play will not work. Once one is not careful, it will make things worse for patients.

The wound on the back of the male owner of the optical shop revealed white fascia and red muscles.

Like a little kid, pouted and puffed out the lips, revealing the red inner lining of the lips.

Like spitting saliva non-stop, the patient's wound is now spitting blood non-stop.

The abdominal cavity of the human body is slightly larger than the atmosphere, which most people probably haven't seen before.

When the sharp object enters the abdomen, the wound is like farting, with a puff, it will emit a smelly gas, but it doesn't smell good.

This smell can be called Sao! Like the smell of mouse urine after it evaporates on your hands.

"The blood does not coagulate, and the organs are injured. How are the vital signs?"

Zhang Fan made an incision along the wound and looked at the uncoagulated blood, feeling anxious.

"The blood pressure can't be measured, and the cardiotonic drugs have been used!" Na Duo stared and reported to Zhang Fan.

Naduo was assigned to Zhang Fan's side to participate in the correction of the patient's shock, and Ren Li went to another operating room.

Now everyone knows that the life of the patient is on the verge of life and death, and any accident will lead to the death of the patient.

The patient was lying prone on the operating table, and when the abdominal cavity was cut along the wound, the blood flowed out like boiled meat.

"Quick, big curved pliers!" Sure enough, the patient's spleen was inserted into the wound through a large opening, and the wound was like a shattered apple, and the wound appeared like a petal.

After receiving the curved forceps, Zhang Fan directly stuffed his left hand under the spleen, with the palm up and the back of the hand down.

Then with a slight force, the nearby tissues and the damaged spleen hilum were freed. In an instant, the palm of Zhang Fan's hand was filled with bright red blood.

Without any hesitation, Zhang Fan clicked and clamped the entrance vessel of the spleen with the huge curved forceps.

Like a crocodile, the curved forceps bit the blood vessel of the spleen hilum. "Old Li, attractor!"

"Gauze!" Clamping the door of the spleen is not enough at this time, the wound of the spleen must be stuffed with gauze.

Lao Li, who was acting as a helper, put the suction device into Zhang Fan's left hand, and the suction device was like drinking watermelon juice.

Chi Chi Chi quickly sucked the blood, and the half-coagulated blood clots in the blood were quickly sucked into the transparent plastic pipe like black melon seeds of watermelon juice.

"Increase the amount of input and see if the urine is produced? The wound has been clamped, quickly replenish the blood volume, and immediately raise the blood pressure."

Zhang Fan frowned, while performing the operation, he gave orders to the anesthetist and physician.

"No urine, use diuretics!" The corrective shock team of the internal medicine department felt a lot more relaxed when they heard that Zhang Fan had stopped the bleeding.

If there is no rescue to stop bleeding, filling in a large amount of liquid is like raising soup to stop boiling.

It can only be to maintain the patient's fragile blood pressure and the electrolytic balance facing collapse. There is no way to solve the fundamental problem.

Now, the bleeding from the wound has stopped, and they can show their talents. But Zhang Fan didn't relax a little bit, because the patient's spleen was seriously damaged.

The organs of the human body, in Western medicine, if you choose to represent them, you can use the heart, lungs, liver, kidneys, and brain plus the stomach and intestines to represent them.

The heart and lungs are not separated, representing the respiratory and vascular system, the liver represents the secretory immunity, and the kidneys can represent the urinary system.

The brain can represent the central nervous system, while the gastrointestinal tract represents the digestive system.

So, which system does the spleen belong to?

Traditional Chinese medicine believes that the spleen is used to transform water and grain into essence, which is distributed throughout the body.

The Yellow Emperor's Neijing Suwen said: All dampness and swelling belong to the spleen.

In layman's terms, after a person is swollen, the problem lies in the spleen.

Back then, the ancestors of Huaguo didn't know whether they had cheated or not. How did they think of it? Although it was very general, the explanation was also very general.

However, in recent years, Western medicine has slowly studied what the spleen does.

Earlier, Western scholars believed that the function of the spleen was very important during the fetal period, and it was the hematopoietic system.

After adulthood, its function is replaced by bone marrow, so it is a useless organ in adults.

In the past few years, I have gradually discovered the function of the spleen. First of all, the spleen can not only continue to produce blood in critical situations, but also continue to produce blood when the younger brother's bone marrow fails to produce blood.

It can also filter blood. After the red blood cells of the human body age, the spleen will eat these old red blood cells.

When this function is hyperactive, it not only eats old red blood cells, but also eats healthy red blood cells, causing refractory anemia.

It eats red blood cells while storing blood. When the human body is excited or ischemic, it will release the stored blood.

Therefore, hot blood comes from the spleen.

There is an even more important function: the immune response.

After the human body is infected by bacteria or parasites, various fighting factors in the spleen will be released, and it not only releases fighting factors.

For example, Plasmodium, the spleen can eat it like a jelly bean, which is a very domineering organ.

Therefore, this thing is actually an armament of the body.

However, its texture is not very good, it is very fragile, just like the most tender water radish, if it falls to the bottom, it will definitely break eight petals.

Although it is hidden under the ribs, among all the organs, it is the most vulnerable to damage and rupture.

Moreover, this thing is not only easy to break, but it is especially easy to cause splenectomy if it is injured.

There is a saying in surgery that spleen preservation surgery is thrilling, it only belongs to noble surgery textbooks and should not appear in the operating room.

The spleen is such a flammable, cracking and explosive organ.

In the operating room, the physiological function is the emperor, the anatomical form is the queen, and the doctor, a mature surgeon can only be a prince.

All of this must be done with the consent of the emperor and empress before they can do some sneaky things, such as unspoken rules for a court lady.

The shape of the spleen is like the subway in the rush hour of the meatball country, with a thin coat on the outside.

As if the body is fooling the body, among all the organs, its coat is the thinnest.

Inside this thin coat, the spleen tissue is stuffed to the brim, just like a plump woman who insists on wearing underwear that is one size smaller.

I don't know what the body thought at the beginning.

Under this structure, sometimes, let alone a deliberate blow, an accident will break it.

In the winter, the man pulled his slender girlfriend, but the girlfriend accidentally fell down on her high heels. She thought it was okay, and the woman didn't feel any pain at the time.

Walking and walking, half an hour later, the man patted the woman on the back and said affectionately that the woman is a little fool.

Slapping intimately, even a little bit of strength was useless, but the girlfriend was shocked by a slap!

Scaring can scare people to death. This is because the spleen was shattered the moment he fell, but the clothes outside the spleen were not torn.

When the bleeding became more and more serious, the clothes couldn't hold on any longer, and with a puff, the clothes were swollen and torn, just like bleeding, and the blood pressure dropped instantly.

Therefore, sometimes, such as being rubbed by a car, or pushed from the back by a motorcycle.

Many people are careless, pat their buttocks and say it's okay!

Don't be careless at this moment, it's not about touching porcelain, it's best to go to the hospital for an abdominal CT at this moment.

Because, once the spleen is damaged, it is really difficult to keep the spleen in the operating room.

It's not a top tertiary hospital, I dare not even think about it.

"The blood pressure is up! Zhang Yuan, the blood pressure is up!" The anesthesiologist immediately reported the patient's vital status to Zhang Fan.

"Okay! Naduo, if there is still bleeding, can you guarantee to maintain the patient's current state!"

Zhang Fan turned his head slightly and asked Naduo.

When Naduo heard this, she pondered for a while, and then held an emergency meeting with several other physicians.

"If the bleeding is not very violent, it should be fine, but if there is another heavy bleeding, the patient's medication threshold has almost reached the peak, and it is estimated that it will not be able to keep it."

Naduo told Zhang Fan the result of their discussion to Zhang Fan.

Surgery, especially pay attention to preoperative discussion, such as simple appendix, gallbladder, just say a word at the morning meeting, routine surgery.

For other slightly larger operations, no matter whether you are a doctor in the same group or not, as long as you are a doctor in a department, you must express your opinions at the morning meeting.

However, emergency surgery is not possible. For example, at present, spleen preservation or spleen removal is at Zhang Fan's whim.

Splenectomy, is it difficult? It's too simple, and it was almost taken down by surgeons more than a hundred years ago.

But what about protecting the spleen?

As far as the current technology is concerned, as far as the current medical level is concerned, the weaker top three hospitals dare not mention it.

Don't ask, just ask.

This is not because doctors are irresponsible. When the spleen is damaged destructively, cutting the spleen can save life.

But the spleen preservation operation, if it is done successfully, the operation cost is not as high as the spleen removal operation, and the risk is quite high. If it is not done well, the spleen is not preserved, and even the person cannot be preserved.

Therefore, the spleen is really a different organ in the human body.

Zhang Fan pondered, this was the first time this happened during the operation.

"Zhang Yuan, if it doesn't work, cut it off. The blood transfusion has almost lost thousands of milliliters. It's too dangerous!"

As an old doctor, Lao Li understands Zhang Fan, and he understands what Zhang Fan is hesitating about now.

"How is Director Zhao's surgery?"

Zhang Fan nodded slightly, but still asked one more question unwillingly.

"The operation on their side went smoothly. The patient corrected the shock and repaired the blood vessels. Now it's almost over."

The head nurse in the operating room answered immediately.

"Okay, let Director Zhao come over!" Zhang Fan made up his mind, since he has the ability, he must perform the operation perfectly.

The organs of the human body are not leeks. If this thing is cut off, it will never regenerate.

Now that conditions are available and he is sure, Zhang Fan decides to undergo spleen preservation surgery.

Outside the operating room, the patient's family members cried into tears, and the parents of the owner of the eye shop were out of breath holding the baby girl and crying.

And in the alleyway where the incident happened, the heartbeat of the owner who bought dried fruit couldn't be suppressed.

On weekdays, he can be considered a bully because of his physical strength, but now he can't even hear the sound of metal clashing.

As long as there is a crisp metal impact sound, his desire to urinate wells up in his heart, and he can't hold it back!

In the operating room, Lao Zhao also went to Zhang Fan's operating table. The director of general surgery is not free. Although the surgery is not as good as Zhang Fan's, there is still something alive in his eyes.

Zhang Fan asked Old Zhao to take a look as well.

"How about it?"

Zhang Fan asked a question.

"Zhang Yuan, you can give it a try, and I will help you."

"Okay! Who will be the second assistant?"

"Yuan Zhang, I'm here!" Although Lao Li supported spleen cutting, but now that the chief surgeon and the director decided to protect the spleen, he had to go all out.

This is the hospital, and this is the operating table. Assistants can have opinions, or even reserve them.

However, when the chief surgeon makes a decision, no matter whether you object or not, you must go all out to complete the chief surgeon's order.

Therefore, a qualified surgeon is quite valuable in the department or even in the hospital.

Internal medicine can discuss together around the patient's case and slowly study medication together, but surgery can't. In a short period of time, someone must stand up and take responsibility for what to do and what to do.

Therefore, surgeons pay attention to one inheritance and one up and down, because their experience can be said to be practiced with one life after another.

"Okay, let's start! Start protecting the spleen."

"Start!" Old Zhao also gritted his teeth and roared in a low voice.

Just like the cry before the charge, the low-pitched cry made everyone concentrate.

The wound of the spleen like a petal stamen was displayed in front of them. They started spleen preservation surgery.

The female owner of the eye shop also woke up slowly under the urging of the anesthesiologist.

Looking at the white wall above, her heart was full of regrets, all kinds of regrets mixed together.

Tears welled up in her eyes, looking at the nurse beside her, she didn't even have the courage to ask her husband.

She dared not ask, for fear of hearing the bad news.

Really, the hardest thing to buy in this world is regret medicine.