godfather of surgery

Nurse Cai immediately ran to the ward after receiving the call and told Lan Xueping and Wang Xiaojing the good news.

''Both Fang Liu and Lao Xiao are fine. They are both alive, but their lungs are slightly damaged. They have been sent to the emergency department of our hospital. Professor Yang is responsible for their treatment. "

If the news that just came from all directions that firefighters had sacrificed a lot was like a thunderbolt from the blue, which devastated Lan Xueping and Wang Xiaojing, this news was like another thunderbolt, pulling them back from despair and worry.

"What did you say?" Wang Xiaojing and Lan Xueping asked the head nurse almost at the same time.

The head nurse said with a smile: "Everyone is fine. They had all evacuated to a safe area before the explosion. It was just the air wave from the explosion that damaged their lungs. Their lives are not serious. They should have been sent to the ICU by now." Treatment, I will send someone to take you to have a look later, don’t worry! It’s okay! Professor Yang specially asked someone to call back to tell the good news.”

Wow!

The two women couldn't bear it any longer and were so excited that they cried. They had been holding it in for too long and had been trying hard not to let their emotions collapse.

At this point, I couldn't hold it in any longer, and my emotions were released instantly.

The head nurse hugged them: "It's okay, it's okay, don't be afraid. Professor Yang will take our doctors to personally take over their diagnosis and treatment. Professor Yang asked me to tell you that he promises to leave your life to you, don't worry, don't be afraid!"

"Yeah! It's okay!" Wang Xiaojing and Lan Xueping said.

In lung blast injury, the high-pressure air wave formed by the explosion hits the chest, causing the chest wall to hit the lung tissue, causing lung parenchymal contusion. The negative pressure immediately following the high-pressure air wave causes the lung tissue to hit the chest wall again, causing lung parenchymal contusion for the second time. Two traumas can cause pulmonary hemorrhage and edema, pulmonary capillary hemorrhage, small bronchi and alveolar rupture, extensive infiltration of lung tissue, pulmonary edema, and sometimes can lead to gas embolism.

Combining the history of injury, physical examination, and X-rays or CT, diagnosis is very easy and treatment is simple.

Inhale oxygen to ensure smooth airways and remove secretions, including sputum, blood, etc.; provide infection prevention treatment to prevent lung infection; if lung function damage occurs, causing difficulty in breathing, respiratory support treatment, such as a ventilator, can be provided Assist breathing; if hemothorax or pneumothorax is caused, provide closed chest drainage to reduce bleeding and pneumothorax.

Now Fang Liu and Lao Xiao have difficulty breathing, so Yang Ping immediately put them on a ventilator, which can maintain their normal breathing and allow the injured lungs to rest temporarily, which is conducive to recovery.

Fortunately, Fang Liu, Lao Xiao and their teammates were all only injured by explosions and had no other fatal injuries.

Maybe the explosion caused them to fall into coma. On the way to the ICU, Fang Liu's hands kept groping for something. He wanted to speak, but couldn't for the time being.

Yang Ping said to him: "We have notified your fiancée and reported that she is safe."

At this time, Fang Liu stopped groping and lay down on the flat car with great peace of mind.

Lao Xiao's situation was much better than that of Fang Liu, because he was outside the fire scene at the time. When he received the emergency evacuation notice, it was more convenient for him to evacuate, so he was least affected by the explosion.

"Call my wife -" Lao Xiao could speak and still remembered his wife's phone number.

"I've had a fight, don't worry, I've already informed your wife that she's safe."

''I want to talk to him! "

Seeing that he was in good condition, Yang Ping immediately called the head nurse and asked Lao Xiao's wife to answer the phone. The head nurse happened to be beside Wang Xiaojing and handed the phone to her.

Lao Xiao's drowsy voice came from the phone: "Honey, I'm fine. Don't worry. Tell Lan Xue that Pingliu is fine too. It's just that his lungs are more serious than mine. He can't speak for the time being. Everyone is fine and alive."

Hearing Lao Xiao's voice, Wang Xiaojing trembled all over. It was excitement. Once again, she heard that Fang Liu was fine, but could not speak for the time being. Lan Xueping was also so excited that she didn't know what to say. It was as if they had experienced a life-and-death separation. , as if in a dream.

In order to reassure them, Sisi's mother and the nurse took Lanxueping and Wang Xiaojing to the ICU. Through the glass corridor, they could see Fang Liu and Lao Xiao from a distance. Yangping also came out of the ICU to explain the condition to them in person and told Lanxue Ping and Wang Xiaojing's lives are not in danger, but the explosion only damaged their lungs and will take some time to recover. They usually have good physical fitness and can return to normal soon.

After meeting Fang Liu and Lao Xiao, Professor Yang came out to explain the condition in person. The two women felt more reassured now that as long as they were alive, everything would be fine.

In addition to the blast injuries to their lungs, Fang Liu and Lao Xiao also suffered injuries to other internal organs, but they were much lighter than the lungs. They only needed to be nursed for a while and they would be fine. The biggest problem was the lungs, but there was no need to worry too much.

In the doctor's office in the ICU, Fang Liu's chest CT pictures were hung on the reading light. Yang Ping looked at their pictures carefully one by one.

The hilar shadows are enlarged, the lung textures are thickened and the edges are blurred, and flaky ground glass-like shadows can also be seen in the lungs.

At present, in addition to using ventilators to assist breathing and intravenous antibiotics to prevent lung infections, some lung protection drugs are also used, such as sivelast sodium, and dexamethasone and other glucocorticoids can be used when necessary.

Yang Ping carefully estimated the area of ​​the injured lungs and found that they were still within the compensatory capacity. Even in the worst case scenario, these damaged lungs would not be able to recover and would permanently lose their function. The remaining lung tissue could still take on the role. Breathing works, so the lives of Fang Liu, Lao Xiao and these firefighters will not be seriously endangered.

One after another, some news has been announced on TV. Thank God, no one was killed in this fire.

The evacuation was very timely, and all the surrounding people were evacuated in time. Fang Liu saved the lives of all the firefighters because he was the first to notice something was wrong after entering the fire scene. Judging from the flames and smoke, there were explosives inside, so He immediately reported the situation. At this time, all firefighters began to evacuate urgently. The explosion occurred only after all evacuations. By then, the people trapped inside had been rescued, and the firefighters involved in putting out the fire had also evacuated to a safe distance in time.

Even for the injured firefighters, the injuries were only caused by the air waves generated by the explosion. Relatively speaking, they were not very serious. Some injuries were caused by broken glass and other debris splashed by the explosion.

There are many injured people, probably more than 100, who were sent to various hospitals, but judging from the current news, no one has died yet.

Lan Xueping and Wang Xiaojing returned to the ward. It began to rain heavily outside the window. With the help of the rain, the thick smoke in the distance slowly decreased.

"Let me tell you some good news. No one died in this fire explosion. All our firefighters evacuated in advance. Now all the firefighters injured due to the explosion have been sent to the hospital for treatment. All our people have been evacuated. It's raining now. The fire will be under control. I will rush to the hospital to visit our firefighters now——" The host was so excited that he shed tears because he was frightened by the explosion just now, and it was rumored that many firefighters did not evacuate in time and died inside. Everyone is extremely sad in their hearts, and now we have received reliable news that no one died, no one died!

When the citizens watching in front of the TV heard the news, they all rushed to tell each other, as happy as the Chinese New Year.

Yang Pingdu and his team are busy in the ICU. He is personally responsible for the diagnosis and treatment of these firefighters, hoping to make them recover quickly.

At that time, there was overwhelming news that many firefighters had died. Zhang Lin made up a random message saying, "The firefighters are fine, all evacuated safely." Unexpectedly, because of this news, his status in the hospital was unprecedentedly improved, because only his internal The news was accurate and what everyone wanted, and it was finally confirmed to be true.

Even Song Zimo and Xu Zhiliang, who have always hated Zhang Lin's loud mouth, admired him very much: "Your inside information is really good!"

"That's right, and there are some inside stories that I, Zhang Lin, don't know about."

Zhang Lin was very proud. At that time, he just didn't want to hear the sad news, so he just said it casually.

Zhang Lin has always had a nickname: "The News" of Sanbo Hospital. In the past, this nickname was a derogatory term, equivalent to "big mouth". Now, "The News" has become a positive connotation.

After a busy day, Yang Ping confirmed that the vital signs of each firefighter were stable. He arranged for Song Zimo and Xu Zhiliang to take turns waiting in the ICU, and then he returned to the department with confidence.

When he returned to the department, he immediately went to visit Lao Xiao's wife and Lan Xueping with the head nurse. At this time, Sisi's mother and two nurses were accompanying them.

Seeing Yang Ping coming for ward rounds, Lan Xueping and Wang Xiaojing stood up immediately, their eyes full of gratitude.

"Don't worry, they are not seriously ill and will not have any sequelae. Both lungs were injured by the blast. I have estimated the area of ​​damage. It will not affect their lives or their future breathing function. The purpose of using ventilators is to allow them to Recover as soon as possible, and you can be weaned off the machine in about three days. Other organs, including the liver, gallbladder, pancreas, spleen, and kidneys, all suffered minor contusions. They were all caused by the explosion air wave, but the damage was minor and no surgery was required. Just absolute bed rest. Just rest. Anyway, they have been in the ICU for the past few days and have been cured by the way, so don’t worry, they will be alive and kicking in less than two weeks."

''Langöping, you have to continue to do rehabilitation treatment, especially muscle strength training. Now the balance ability of the cerebellum has been greatly improved. What's left is to improve muscle strength. Fortunately, you have been doing rehabilitation training in the past. At present, your muscles are not too strong. There is obvious atrophy, so the effect of this operation is immediate. Once the cerebellar balance is enhanced, the lower limbs will have enough muscle strength to support the body, so you can stand up and walk within a few days after the operation. "

"When I picked up Fang Liu, he was in a daze and kept looking for his cell phone. I said, stop looking for it. We have informed Lan Xueping that she knows you are fine. This kid has never messed up again. Touch the phone.”

"Old Xiao can still speak. We need to put him on a ventilator. Guess what he said? He shouted wife, wife, wife! I said, stop shouting, save your energy at this time and don't let him go. I'll give it up later. Your wife comes to see you."

"I am now their doctor in charge, and I will personally diagnose and treat the whole process, so you can rest assured. It is best to wait until Fang Liu is transferred out. Lan Xueping, you can walk to see him by yourself and give him a surprise."

Yang Ping's humorous expression made Lan Xueping and Wang Xiaojing feel a lot more relaxed. Originally, Yang Ping was like a miracle doctor in their hearts. Now that Fang Liu and Lao Xiao are in Yang Ping's hands, they are naturally relieved and smiles bloom on their faces.

I heard that the Institute of Surgery was very busy. Director Gao of the Sports Medicine Center and Director Fang of the General Surgery Department rushed over immediately after hearing the news. They left all Cory's affairs to their assistants and hurried to the Institute of Surgery to help. After all, they both He is a supernumerary doctor here.

Director Fang did not forget to rush here carrying two boxes of cherries. He always had two boxes of cherries, one for the doctor and one for the nurse.

"Head nurse, your leg has healed so quickly. I saw you in a wheelchair yesterday. How come you can walk today?" Director Fang looked at the head nurse in surprise.

The nurse girl glared at Director Fang and said angrily: "What's better? Because of the big rescue today, our head nurse is working in pain."

Director Fang was very confused. Isn't this good? He didn't show any pain at all. He was walking as fast as flying. These little girls were really difficult to take care of. They sent cherries every now and then, but they still didn't give him a good look.

Director Fang had just finished speaking. Director Gao looked very serious and scolded the little nurse:

''Head nurse, you can't do this. How can you walk normally so early after only a few years? You see the ankle joint is so swollen. You can't lose the crutches in less than three months. I am engaged in sports medicine. Do you listen to me? Wrong, how can anyone walk normally so early? No, no, absolutely not. How do you take care of the head nurse? Didn’t you say you should protect me for three months? Now let the head nurse walk around. Look, the ankle joints are swollen. So big. "

Wearing shoes and socks, wrapped up tightly, do you see that the ankle joint is swollen? What about your X-ray eyes? Three months for an ankle sprain? How the hell did you become the director of sports medicine?

Director Fang looked confused. Is this Gao Yuan a parallel import? Open your eyes and tell lies.

Not only was the little nurse not angry at Director Gao's reprimand, but she was very obedient and immediately went to get the crutches: "Thank you, Director Gao, for reminding me. We must pay attention to it in the future, we must pay attention!"

This is strange. When he came here with nothing in his hands, Gao Yuan pretended to be an uncle and scolded the nurses. These little girls actually greeted him with smiles. He was carrying imported cherries and even asked for a cold look. Gao Yuan Is it magic, or has the world changed?

Director Fang placed Che Lizi at the nurse's station and was puzzled.

"Lao Gao? Did you see that the ankle joint is swollen?"

"Yes!"

"Three months for an ankle sprain?"

''Head nurse, this sprain is special and may not be cured in three months. "

"Is this your new view on sports medicine? Why wasn't it like this when I was studying?"

''Aren't we now focusing on the biopsychosocial medical model? Many things cannot be viewed purely from a biological perspective, but must be viewed from multiple perspectives and in a three-dimensional manner. "

Director Fang became more and more confused as he listened to Director Gao's remarks.