Chapter 1739 Why is it so fast? It’s too fast.

 Among all traumatic surgeries, craniocerebral trauma surgeries have the highest mortality rate, while thoracic surgery ranks second. This is one of the reasons why almost all hospitals below tertiary level A cannot develop these two departments.

It’s not a bad thing to say. If you have this kind of injury, don’t waste time when choosing a hospital. Go to a tertiary hospital as quickly as possible. Sometimes life or death is actually determined when you choose a hospital.

After the old man was sent to the operating room, all the doctors and nurses in the operating room were like bees seeing the stamens of a flower. They didn’t need to direct what they should do, and they started almost at the same time.

The nurse opens intravenous channels. One channel belongs to the anesthesiologist, one channel is for blood transfusion, and the remaining two channels belong to the surgeon and the reserved physician.

Organ cannulas as thin as sheep intestines are quickly inserted into the patient's organs, and the lungs begin to rise and fall instantly. The most ideal place to ultimately control heart damage is the operating room. No emergency room or disposal room can perform this kind of surgery.

During thoracotomy, the patient's fourth and fifth intercostal spaces, that is, the lower edge of the male breast, are quickly incised, the skin is opened, and the fat is separated. A small rake-like retractor quickly pulls away the fat and skin, exposing the intercostal muscles.

This speed must be extremely fast, and the heart and brain are not separated. Moreover, once there is a problem with the heart, it will not only affect the brain, but may even spread throughout the body.

To put it simply, when many people get older and cannot satisfy the demands of their families or outside their homes, they start to take Liuwei Dihuang Pills, concentrated pills, and beeswax kidney-strengthening and essence-solidifying pills, just like children taking sugar pills. The urine is already golden, but it shouldn’t work, and it still doesn’t work.

 At this time, it was actually a heart problem.

This is why the drugs used to treat the heart have become a savior drug for old men. The root cause of the problem of small heads still has to fall on the heart.

 “Scissors!” Zhang Fan’s chest opening speed was extremely fast, and only then did Lin Qing’an realize the gap between him and Zhang Fan.

In normal times, although an orthopedic surgeon is also performing thoracic surgery, Lin Qing'an feels that Zhang Fan's level is probably about the same as his own, or maybe a little worse.

But today, this kind of emergency surgery immediately made Lin Qingan see the difference. While helping Zhang Fan, Old Lin murmured in his heart: "Maybe it will slow down later. After all, although the ribs are outside the chest, they are also bones. "

As a result, when Zhang Fan took the scissors and cut the intercostal muscles along the ribs, his speed still did not slow down.

  In cardiac surgery, after opening the chest, there are only five steps left to put it bluntly: move the left lung, contact the cardiac tamponade, open the heart for compression, control the hilum, and tighten the descending aorta.

 The muscle is cut open, and the rib retractor is used. The thick rib retractor directly opens the intercostal space, which is like a meat seam, and slowly expands it until it is as big as crotchless pants.

When performing heart compression, Lao Lin thought that Zhang Fan might not be very skilled at this. After all, Zhang Fan was an orthopedic surgeon. Unexpectedly, after pushing away the left lung, Zhang Fan started directly without saying a word.

Lao Lin was vomiting and couldn't swallow anymore. He shouted in his heart: "Brother, this is the heart, not a white steamed bun. Not everyone can put both hands on it."

 Actually, Lao Lin didn't know that Zhang Fan had performed heart compressions on children as young as two years old, let alone adults now.

 Heart compressions, especially open chest compressions, are very particular.

This thing is not something you can press randomly. If you can't squeeze it well, if a room trembles out, it will kill you.

How to say this kind of pressing is similar to the technique of holding a cow to milk it.

Cross your hands and hold the heart in your palms, just like exposing the beans when milking a cow. At this time, the left heart apex should be exposed and do not squeeze hard with your fingers.

This kind of action is dangerous. Not only is it dangerous to press the heart, but it is also dangerous to milk the cow. Your fingers will hurt the cow and people will kick you.

 Must use the thenar and hypothenar planes of the palm of the hand to release stable pressure.

 It’s true that many medical operations, if performed in a beauty salon, can definitely make people feel comfortable regardless of gender. Many medical operations are designed to avoid injuries to the greatest extent.

Zhang Fan pinched his heart with both hands, once, twice, and Lao Lin finally understood why Zhang Fan was so good. Although the patient's heart has not started to beat automatically yet, from the beginning to now, the operation has not made any unnecessary movements, and the speed can be said to be almost It has reached the limit of human beings, and this subject is not his natural subject.

This is how people are, once they discover the gap, the little pride and arrogance that they had in their hearts will slowly disappear, and they will start to become extraordinarily humble.

 It was so quiet in the operating room that you could even hear the breathing of the doctors and nurses. Everyone was staring at Zhang Fan's hands. Suddenly, the fist-sized heart started to fluctuate from the tip of the heart, like a fish.

 The purple-red heart, like a bud curling up, suddenly began to beat in Zhang Fan's hand.

 “Huh!” Zhang Fan took a long breath.

 This kind of surgery depends not only on what level of doctor you are, how perfect the thoracotomy is, and how fast the opening is. The final outcome is that the heart starts beating automatically. Once it cannot beat on its own, all the early efforts will be in vain.

 Even once the patient dies on the operating table, all kinds of troubles will follow.

Orthopedic surgery requires a strong and irritable person, while outside the brain, it requires careful prediction, and outside the heart, sometimes it’s all about luck.

When your heart is not beating, you kneel down and kowtow to it. If it is not beating, it will not move at all.

Even sometimes, just after opening the chest, pushing out the left lung, and before stretching out the hands, the person starts to start again.

But today is finally a good result.

 As for the two old ladies in the emergency room, they also passed the critical period.

 Sometimes, ordinary people's disasters are often caused by trivial things, and then they are so angry that they cannot restrain themselves, and the consequences are regrettable.

For example, what are you looking at, and then the two of them fight with fists and kicks, and one of them beats the other to death.

Zhang Fan has never had any surprises in scientific research, but the laboratory still gave Zhang Fan unexpected gains.

 It was originally planned to take two or three years to get the HPV vaccine, but at the end of May and the beginning of June, Zhao Yanfang, a pregnant woman, led a group of people and succeeded more than a year in advance.

Although it is a replicative test, this is also quite difficult. Not to mention other things, there is only one tuberculosis vaccine. The whole world now knows that Chasu Hospital has developed it, and it can still suppress refractory tuberculosis. It is satisfactory. There is no country in the world that can copy it in half a year.

Biological medicine, biochemical medicine, and sometimes it’s really mythical medicine.

“Hey, why are you working so hard? If there is a problem, you can’t fight me.”

Zhang Fan looked at Zhao Yanfang, who was wearing an exaggerated maternity dress and flat cloth shoes, and didn't know what to say. He gave her a special one-year holiday. As a result, after the discomfort in the first three months disappeared, she came to work again. .

"It's okay. I am a doctor myself after all, and I know how to behave. Why don't you seem happy at all when I look at you?"

Zhao Yanfang's temper has been much better after she became pregnant. She is no longer so sarcastic, and her speech is much more tolerant. If it were before, I would definitely say that the nose is not the nose, the eyes are not the eyes, and Zhang Fan does not have any scientific literacy.

 Actually, Zhang Fan is not very interested in this kind of replicative experiment, and he is not that excited about doing it. To put it bluntly, this thing is actually like a golden retriever taking a bite of bread, chewing it, mixing it with saliva and various digestive enzymes, then opening your mouth and feeding it to your mouth, saying "eat it," this thing is sweet. of.

“You guys are going too fast!” Zhang Fan looked at the experimental data with a look of helplessness on his face.

 “Why, isn’t it better to hurry up?”

How do you put this thing? Boss Shining gave 10 billion. Currently, Chasu Hospital has not even spent 1 billion before it has achieved results. The remaining 9 billion is just a matter of nonsense.

It's like paying more than 100 yuan to hire a locksmith and opening the door in 20 seconds. This makes the person who paid the money really unwilling to do so!

 In the conference room, Ouyang, Ren Li, Li Cunhou and even Zhao Yanfang and Lu Ning were all called over by Zhang Fan.

 What Zhang Fan was discussing was not the sale of this thing, because this test was actually a customized model, a customized model invested by Shining Shining’s boss and Niaoshi Winery.

Although the hospital can get some, most of it belongs to Boss Shining and Bird Market.

 So, what Zhang Fan is holding a meeting now is to discuss how to digest the remaining 9 billion.

"Your junior brother is really shameless. You want to give away so much money!" Zhao Yanfang slowly stroked her belly like a beard. It was probably a child swimming on her back.

“It’s not easy for him either. If he hadn’t been so picky, would you have been able to use whatever was useful when doing experiments? You used to follow your tutor and never led experimental groups on your own in other schools or hospitals.

 When I was at Jade Bird, the leaders in charge of funding were so stingy that the price and quantity of a test tube were fixed. You don’t know how cautious we were at the beginning, fearing that if we failed too many times, we would have to advance money.

 Look at your laboratory, it makes me sad to see how wasteful it is. "Lu Ning helped Zhang Fan speak while emphasizing the relaxed experimental environment.

"Don't worry, I won't look down on you. Even if your experiment fails, you are still the father of the child. I won't laugh at you. My talent is in the laboratory. Don't feel inferior about this."

Who is Zhao Yanfang? As soon as I heard about it, I knew that Lu Ning was a little jealous of her experimental results. Zhao Yanfang was at Chasu Hospital, and the team she led had already produced two major scientific research results. The first is antiemetics, the second is HPV vaccine, and Lu Ning is still far away from hepatitis B.

 So, in this comparison, Lu Ning felt that his status in the family was becoming increasingly invisible.

 Zhang Fan looked at the two men and women flirting and coughed. Then when he saw Zhao Yanfang's big belly, he glanced at Lu Ning again and said, "I won't do anything serious for a day!"

"Let's all discuss and discuss, one person is trying to outdo one another, how can we tell Boss Shining, how can we make Boss Shining willingly put down the remaining scientific research funds. Don't get hung up on things that have nothing to do with yourself. I have planned all this money in advance. , if Boss Shining takes away the money, many of your plans will probably have financial problems."

Zhang Fan is very aware of this group of people in the hospital, such as Ren Shushu. As long as she has nothing to do with the cardiology department, she will stare wide-eyed, as if she is watching people coming, but in fact, she probably doesn't even open her ears.

 (End of this chapter)