natural doctor
Chapter 274 Just pretend
On the film reader, there is an X-ray photo of the shoulder blade. A bullet slightly larger than a peanut is in the center of the shoulder blade. It turns out that Chang Tiejun suffered a gunshot wound, but when Gu Feng saw that it was in this position , My head couldn't help but ache.
Gu Feng, who has already learned a lot of anatomical knowledge, knows that at this location, there are branches of the deep brachial artery, axillary artery, common carotid artery, long thoracic nerve, ulnar nerve, costal nerve and choroidal nerve. In bombing surgery, if you accidentally cut an artery or a nerve, it is very likely to cause irreversible consequences.
Although the difficulty of the bomb retrieval operation is very high, these experts are all experts in surgery, and any one of them can remove the bullet within an hour. However, this is not the most serious problem now.
The bullet has been deeply embedded in the scapula. According to the X-ray lateral view, the bullet has penetrated into the bone, stuck in the fossa of the scapula, penetrated into the muscle layer, and buried in the plexus of blood vessels and nerves. It can only be done by peeling off the layers, and the blood loss is unavoidable if the layers are to be opened, and blood transfusion is unavoidable.
Besides, Chang Tiejun had already lost a lot of blood before this, so blood transfusion became the top priority. Without blood transfusion, no one would dare to perform such an operation.
The problem lies in the blood transfusion process. Chang Tiejun is a rh negative blood type patient.
We all know (well, there may be people who don't know, here is a simple explanation)
Rh Yin blood type is a very rare blood type.
us) the first two letters of the foreign name.In 1940, when scientists such as Landsteiner conducted animal experiments, they found that rh blood group antigens existed on the red blood cells of rhesus monkeys and most humans, so they were named.Those who have rh antigen (also known as d antigen) on red blood cells of human blood are called rh negative.In this way, people with the four main blood types of red blood cells, a, b, o, and ab, are divided into two and divided into two types: rh positive and negative.
According to relevant information, rh-positive blood type accounts for about 99.7% of Han and most ethnic groups in my country, and about 90% of individual ethnic minorities.In some foreign nationalities, about 85% of people with Rh-positive blood type, among them, about 15% of people with Rh-negative blood type among European and American Caucasians.
There are four types of rh-negative blood: rh-negative blood type a, rh-negative blood type b, rh-negative blood type o, and rh-negative blood type ab. Their ratios are: rh3:3:3:1.
Shencheng belongs to the province of Guangxi, and the population here is overwhelmingly Han. There are very few foreign minorities, and there are even fewer people with Rh-negative blood type, not even one out of 10 people. Therefore, in the blood bank center in Shencheng, all The reserve volume of Rh-negative blood is only about [-]ml, and the least proportion of Rh-negative and Ab-type blood is only [-]ml.
Unfortunately, Chang Tiejun was the patient with the rarest Rh-negative Ab blood, but what was even more unfortunate was that the only [-]ml of Rh-negative Ab blood in the blood bank had already been used by another injured person yesterday.
As a result, the difficulty of the operation has also increased, to the point where even a group of experts are helpless.
After listening to the four-eyed expert, Gu Feng was the first and the second big. Although he had performed a lot of surgeries in the laboratory under Yan Xinyue's special guidance, most of them were animal specimens. He didn't know much about Ben, so he could be said to be a novice at first, and in addition to encountering such force majeure conditions, his eyes turned black even more.
Several experts saw that Gu Feng didn't react at all after hearing about the illness, and thought that he was frightened by such a difficult illness, so they ignored him and continued their discussion.
"Dean Zhao, do you think this will work? Let's ligate several large arteries at the front, back, and top to stop the blood from flowing, and then start the operation, so that blood transfusions will no longer be needed?" the four-eyed expert asked. Said to the bald Dean Zhao.
Dean Zhao shook his head and asked back: "Director Sun, you have ligated your blood vessels, how long is it expected to take the bullet out!"
"According to the position of the bullet, it will take four or ten minutes at least!" Director Sun with four eyes replied.
"Stop supplying blood and oxygen to the surrounding muscle plexus for four to 10 minutes. Not only will muscle necrosis occur, but kidney failure may also occur. No, this method will not work!" Another short and fat expert immediately vetoed it.
""
A group of experts was discussing in a hurry, with different opinions and different opinions, but they still couldn't think of a good way. At this moment, Gu Feng, a small character who had been forgotten by a group of experts, suddenly opened his mouth and said: "If If the front doesn’t work, can you try the back?”
"Ah?!!" As soon as the words came out, everyone in the audience was shocked!
Gu Feng stepped forward and gestured to the four-eyed Director Sun to step aside, then pointed to the X-ray photo and said slowly: "The bullet entered from the chest, passed through the muscle layer, and hit the The deepest scapular fossa is stuck in the middle, hidden in densely packed layers of complex tendon plexus. If you cut it from the front, you need to peel it off layer by layer, and it is inevitable to lose a lot of blood, but when you cut it from the back, it will become It’s extremely simple, the back has mostly shoulder and back muscles, and there are no complicated nerves and blood vessels, as long as the muscle layer is opened to expose the shoulder blade, and a small piece of shoulder blade is cut along the edge of the bullet, won’t the bullet be taken out?”
After listening to Gu Feng's words, a group of experts were dumbfounded for a while, unable to recover. It turned out that in their eyes, it was a super difficult or even invincible operation, but in the eyes of young people who could only be their sons at this age, it turned out to be a complete operation. There is no challenge for children without technology.
At this moment, the dean of a group of experts and professors was really embarrassed!
"Well, this one, whoever said that one seems to make sense, we can try to come from behind!" The relatively thick-skinned Dean Zhao was the first to come back to his senses.
"That's right, such a simple solution, why didn't we think of it?" Director Sun of Glasses also interjected.
They have been thinking hard about the operation plan from the front, so why didn't they think of a shortcut and start from the back!A group of experts also looked at Gu Feng one after another, with surprise, admiration, and jealousy in their eyes
Gu Feng didn't say anything more, but he didn't take it seriously in his heart. If you want it, why do you want me as the protagonist!
The operation plan was quickly drawn up in the superfluous discussion among the experts. It is conservatively estimated that the total blood loss during the entire operation is at least [-] milliliters, and the maximum is no more than [-] milliliters. There is no need for blood transfusion at all.
Everything is ready, whether there is rh-negative ab blood is not important, so what are you waiting for, the experts are sharpening their knives, and the operation will begin.
Although this operation plan was proposed by Gu Feng, he is not qualified to operate in front of a group of experts, but they didn't want to drive him out, but let him stay and observe, junior, you always Be generous and give a chance to learn!
Gu Feng didn't dislike it either, and stood aside to watch the performance of a group of experts.
However, an expert is an expert. Although his brain is not very good, he does have a few brushes in his hand.
The chief surgeon was Director Zhao, who was a little bald and a little weak, and he cut Chang Tiejun's shoulder with a knife, no more, no less, exactly five centimeters.
Director Sun, the four-eyed frog, seems to have bad eyesight, but his hands and feet are quite nimble. He picked up the high-frequency electric knife and separated the body tissues in threes and fives.
A few old guys fiddled with each other. In just a few minutes, the shoulder blade was seen, and the bullet that was shot in from the front and stuck on the shoulder blade also showed a little angle. Although it was only a little bit, it was enough for a family of experts Positioned.
After setting the position, the next step is to cut the bone, cut off the bone together with the bone, and sew it up again, then you're done, the whole process may not take 10 minutes!
However, it was at this time when the bone was cut that an accident happened. (Read the novel to the top) 16977 mini games are updated every day with interesting mini games, waiting for you to discover!
Gu Feng, who has already learned a lot of anatomical knowledge, knows that at this location, there are branches of the deep brachial artery, axillary artery, common carotid artery, long thoracic nerve, ulnar nerve, costal nerve and choroidal nerve. In bombing surgery, if you accidentally cut an artery or a nerve, it is very likely to cause irreversible consequences.
Although the difficulty of the bomb retrieval operation is very high, these experts are all experts in surgery, and any one of them can remove the bullet within an hour. However, this is not the most serious problem now.
The bullet has been deeply embedded in the scapula. According to the X-ray lateral view, the bullet has penetrated into the bone, stuck in the fossa of the scapula, penetrated into the muscle layer, and buried in the plexus of blood vessels and nerves. It can only be done by peeling off the layers, and the blood loss is unavoidable if the layers are to be opened, and blood transfusion is unavoidable.
Besides, Chang Tiejun had already lost a lot of blood before this, so blood transfusion became the top priority. Without blood transfusion, no one would dare to perform such an operation.
The problem lies in the blood transfusion process. Chang Tiejun is a rh negative blood type patient.
We all know (well, there may be people who don't know, here is a simple explanation)
Rh Yin blood type is a very rare blood type.
us) the first two letters of the foreign name.In 1940, when scientists such as Landsteiner conducted animal experiments, they found that rh blood group antigens existed on the red blood cells of rhesus monkeys and most humans, so they were named.Those who have rh antigen (also known as d antigen) on red blood cells of human blood are called rh negative.In this way, people with the four main blood types of red blood cells, a, b, o, and ab, are divided into two and divided into two types: rh positive and negative.
According to relevant information, rh-positive blood type accounts for about 99.7% of Han and most ethnic groups in my country, and about 90% of individual ethnic minorities.In some foreign nationalities, about 85% of people with Rh-positive blood type, among them, about 15% of people with Rh-negative blood type among European and American Caucasians.
There are four types of rh-negative blood: rh-negative blood type a, rh-negative blood type b, rh-negative blood type o, and rh-negative blood type ab. Their ratios are: rh3:3:3:1.
Shencheng belongs to the province of Guangxi, and the population here is overwhelmingly Han. There are very few foreign minorities, and there are even fewer people with Rh-negative blood type, not even one out of 10 people. Therefore, in the blood bank center in Shencheng, all The reserve volume of Rh-negative blood is only about [-]ml, and the least proportion of Rh-negative and Ab-type blood is only [-]ml.
Unfortunately, Chang Tiejun was the patient with the rarest Rh-negative Ab blood, but what was even more unfortunate was that the only [-]ml of Rh-negative Ab blood in the blood bank had already been used by another injured person yesterday.
As a result, the difficulty of the operation has also increased, to the point where even a group of experts are helpless.
After listening to the four-eyed expert, Gu Feng was the first and the second big. Although he had performed a lot of surgeries in the laboratory under Yan Xinyue's special guidance, most of them were animal specimens. He didn't know much about Ben, so he could be said to be a novice at first, and in addition to encountering such force majeure conditions, his eyes turned black even more.
Several experts saw that Gu Feng didn't react at all after hearing about the illness, and thought that he was frightened by such a difficult illness, so they ignored him and continued their discussion.
"Dean Zhao, do you think this will work? Let's ligate several large arteries at the front, back, and top to stop the blood from flowing, and then start the operation, so that blood transfusions will no longer be needed?" the four-eyed expert asked. Said to the bald Dean Zhao.
Dean Zhao shook his head and asked back: "Director Sun, you have ligated your blood vessels, how long is it expected to take the bullet out!"
"According to the position of the bullet, it will take four or ten minutes at least!" Director Sun with four eyes replied.
"Stop supplying blood and oxygen to the surrounding muscle plexus for four to 10 minutes. Not only will muscle necrosis occur, but kidney failure may also occur. No, this method will not work!" Another short and fat expert immediately vetoed it.
""
A group of experts was discussing in a hurry, with different opinions and different opinions, but they still couldn't think of a good way. At this moment, Gu Feng, a small character who had been forgotten by a group of experts, suddenly opened his mouth and said: "If If the front doesn’t work, can you try the back?”
"Ah?!!" As soon as the words came out, everyone in the audience was shocked!
Gu Feng stepped forward and gestured to the four-eyed Director Sun to step aside, then pointed to the X-ray photo and said slowly: "The bullet entered from the chest, passed through the muscle layer, and hit the The deepest scapular fossa is stuck in the middle, hidden in densely packed layers of complex tendon plexus. If you cut it from the front, you need to peel it off layer by layer, and it is inevitable to lose a lot of blood, but when you cut it from the back, it will become It’s extremely simple, the back has mostly shoulder and back muscles, and there are no complicated nerves and blood vessels, as long as the muscle layer is opened to expose the shoulder blade, and a small piece of shoulder blade is cut along the edge of the bullet, won’t the bullet be taken out?”
After listening to Gu Feng's words, a group of experts were dumbfounded for a while, unable to recover. It turned out that in their eyes, it was a super difficult or even invincible operation, but in the eyes of young people who could only be their sons at this age, it turned out to be a complete operation. There is no challenge for children without technology.
At this moment, the dean of a group of experts and professors was really embarrassed!
"Well, this one, whoever said that one seems to make sense, we can try to come from behind!" The relatively thick-skinned Dean Zhao was the first to come back to his senses.
"That's right, such a simple solution, why didn't we think of it?" Director Sun of Glasses also interjected.
They have been thinking hard about the operation plan from the front, so why didn't they think of a shortcut and start from the back!A group of experts also looked at Gu Feng one after another, with surprise, admiration, and jealousy in their eyes
Gu Feng didn't say anything more, but he didn't take it seriously in his heart. If you want it, why do you want me as the protagonist!
The operation plan was quickly drawn up in the superfluous discussion among the experts. It is conservatively estimated that the total blood loss during the entire operation is at least [-] milliliters, and the maximum is no more than [-] milliliters. There is no need for blood transfusion at all.
Everything is ready, whether there is rh-negative ab blood is not important, so what are you waiting for, the experts are sharpening their knives, and the operation will begin.
Although this operation plan was proposed by Gu Feng, he is not qualified to operate in front of a group of experts, but they didn't want to drive him out, but let him stay and observe, junior, you always Be generous and give a chance to learn!
Gu Feng didn't dislike it either, and stood aside to watch the performance of a group of experts.
However, an expert is an expert. Although his brain is not very good, he does have a few brushes in his hand.
The chief surgeon was Director Zhao, who was a little bald and a little weak, and he cut Chang Tiejun's shoulder with a knife, no more, no less, exactly five centimeters.
Director Sun, the four-eyed frog, seems to have bad eyesight, but his hands and feet are quite nimble. He picked up the high-frequency electric knife and separated the body tissues in threes and fives.
A few old guys fiddled with each other. In just a few minutes, the shoulder blade was seen, and the bullet that was shot in from the front and stuck on the shoulder blade also showed a little angle. Although it was only a little bit, it was enough for a family of experts Positioned.
After setting the position, the next step is to cut the bone, cut off the bone together with the bone, and sew it up again, then you're done, the whole process may not take 10 minutes!
However, it was at this time when the bone was cut that an accident happened. (Read the novel to the top) 16977 mini games are updated every day with interesting mini games, waiting for you to discover!
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