I can extract side effects

Chapter 410 A small test, the military is tempted

"Yin Yuan, guess what good things I saw today?"

As soon as Guo Shimin returned to 120 Hospital, he rushed to the director's office excitedly.

Dean Yin was wearing a military uniform with a neat hat, and the golden branches and leaves and a gold star on his shoulders were particularly eye-catching.

His temples were already a little gray, and his face with Chinese characters was not angry and prestige, he glanced at Guo Shimin, and said indifferently.

"I remember that you were going to be a judge for the provincial equipment bidding meeting. What's the matter, what's new?"

After speaking, he took a sip of boiling tea and took a sip.

Guo Shimin put a small silver stainless steel box in front of Dean Yin, and said with a smile, "I borrowed this for trial use. Sanqing Group's new portable color ultrasound is a good thing."

With a click, the box was opened, revealing a whole set of equipment inside.

Dean Yin showed a playful smile: "Sanqing? The Sanqing who developed a super hemostatic agent? They entered the field of equipment? This is good news."

Guo Shimin quickly installed the probe, turned on the device, and was about to punch his neck.

"I tried it on site, and it's really easy to use. It's just such a gadget that can image 4D images. The most important thing is the price. How much do you think?"

Dean Yin snatched it over with a wave of his hand, squinted his eyes and played with it carefully, and asked casually, "How much?"

"A high-end portable color ultrasound that only sells for 200,000 yuan! You say it's awesome."

Dean Yin's calm face finally showed surprise: "Really?"

Guo Shimin nodded like a chicken pecking at rice, and said: "Absolutely, I'm on the scene, but this is the wholesale price, at least you have to buy more than 100 units to get this price. If the quantity is small, the price should be 280,000."

Dean Yin's face was even more surprised: "The price is really good, if the function is as good as you said."

He pondered for a moment, put the color ultrasound instrument into the box, closed it with a click, and walked out with it.

Guo Shimin hurried to catch up: "Dean, where are you going?"

"Go to the emergency room, I have to try the quality of this portable color ultrasound first."

"Okay," Guo Shimin rubbed his hands excitedly: "I've already learned this stuff, let me get started later."

"Hehe, you step aside, such a good thing, of course I have to try it myself first." Dean Yin's hearty laughter echoed in the corridor.

"Ah?" Guo Shimin quickly reacted: "It's okay, you use it first, and I'll just watch it from the side."

While the two were talking, they had arrived at the emergency room.

As soon as I entered, I saw an unconscious soldier lying on the hospital bed inside, his clothes and sheets were stained red with blood.

A doctor stood beside him anxiously examining the soldiers, while the nurses frantically connected the sensors.

"Didididi..." The alarm sound of the monitor reached everyone's ears.

Dean Yin strode over and looked at the monitor first. The heartbeat was still there, but the blood pressure was relatively low. A wound was visible on the abdomen, and blood was coming out.

"The bleeding must be stopped immediately!" At this time, the doctor had already taken out some surgical instruments and was instructing the nurse: "Otherwise, he won't last long. Closely observe the vital signs and give blood transfusion and fluid replacement immediately."

"How did he get injured?" Dean Yin asked another soldier standing next to him, who seemed to be the patient's companion.

The soldier looked at his epaulets, immediately gave a military salute, and replied respectfully: "That's right, something happened to him during an actual combat exercise. A piece of shrapnel entered his abdomen and he bled profusely. Arrived at the hospital."

The doctor had checked it once, and said, "Yin Yuan, I don't know where the injury is at the moment. It may require laparotomy to find a hemostasis point."

Dean Yin also saw the condition of the wound, he saw a blur, and there was still blood oozing out, he couldn't help frowning, and said, "I'm going to check with the equipment to see if I can roughly determine where the shrapnel is. .”

The doctor suddenly turned pale with shock: "Dean, the patient may not be able to endure the torment, so let's transfuse blood first to avoid hemorrhagic shock."

Dean Yin put the box in his hand on the hospital bed, took out a portable color ultrasound, and said: "Use a portable color ultrasound, this should work, if you can't find the shrapnel, you can't find the hemostatic point, and you will continue to lose blood, no matter how much blood you transfuse. It's no use either."

The doctor hesitated: "Can color ultrasound work? This thing is not omnipotent."

The general color Doppler ultrasound can check the heart, liver and kidney, and the fetus, but it is still a little difficult to check the stomach and lungs.

Because the cavities of these organs are filled with air, ultrasound waves cannot easily penetrate and reflect.

And the injured part of this soldier happened to be in the abdomen, which happened to be a place that was not easy to check.

Moreover, the shrapnel enters the human body in rotation, and the last place to stay may not be at the external wound, but deep in the abdomen, making it even more difficult to find.

In the doctor's eyes, the most urgent thing is to transfuse the blood first, and then open the laparotomy to stop the bleeding.

"Listen to me," Dean Yin said decisively, he quickly opened the portable color ultrasound, chose a large convex probe and put it on.

The large convex probe is larger than ordinary probes, and the curved surface is like a goose egg. Unlike other probes that are all pure electronic devices, it has a motor inside, which will deflect the crystal to a certain extent, scan the signal from various angles, and then After synthesis, a three-dimensional image is obtained, which is suitable for exploring the abdomen and fetus.

After choosing the probe, he found that the system was easy to operate, and he quickly selected the high-frequency and high-current mode, which means that the intensity of the sound waves emitted will also be greatly increased, so that he can probe deeper.

However, this high-frequency mode should not be used for a long time, otherwise it will cause damage to the equipment.

Dean Yin is undoubtedly experienced, his fingers turned into an afterimage, operating on the color ultrasound handle, familiar with various angles and parameters.

As the probe moved away, bright shadows appeared on the screen.

Everyone stared at the screen, and had to figure out which part was displayed on the screen in a very short time, and whether this part was normal.

"Hurry up! Switch to PW mode to see the blood flow."

Dean Yin watched for more than ten seconds, and finally determined an area by distinguishing the condition of the wound, immediately switched the inspection mode, and delineated a location.

A red area instantly appeared on the screen, but there was no sign of reflow.

"The bleeding point is here." The doctor said beamingly.

Guo Shimin and the soldiers beside him breathed a sigh of relief, it seemed that the bleeding point would be found soon.

Dean Yin couldn't help but nodded, this portable color ultrasound is quite easy to use, and he was lucky enough to find the bleeding point in less than a minute.

It is actually very difficult to find the bleeding point in the vast abdomen, because the internal organs are intertwined and can easily block people's sight.

But in front of the high-definition and high-frequency color Doppler ultrasound, all bleeding points are invisible.

Dean Yin is very good at reading films, explaining while operating.

"This is the location of the liver. The human liver has a very rich blood supply and a lot of arteries. The shrapnel enters from the right abdomen, passes through the intestines, and rubs against the left liver lobe. You can see an irregular bright spot here, which should be the shrapnel. gone."

Even doctors, not everyone knows how to read films, and they need to be trained to understand. Like this doctor in the emergency department, his eyes are staring at this moment, with a confused expression on his face.

The brightness on the screen represents the power of the ultrasonic waves. This area is very bright, which means that the reflection of sound waves is very strong, and the shrapnel is metal, and its ability to transmit and reflect sound waves is much stronger than that of the human body, so it is naturally easy to distinguish.

"Now that the location is found, can the bleeding be stopped?" The soldier next to him asked anxiously.

Therefore, the patient has been bleeding for a long time now, and the companion is very worried.

"Now that the point of hemostasis is known, we can perform laparotomy to stop the bleeding." The doctor nodded and got up to prepare for the operation.

"The patient seems to be in a bad condition." The nurse exclaimed.

Dean Yin glanced at the monitor, and found that the blood pressure and body temperature began to drop, and immediately said firmly: "It's too late, first use a cotton ball to press him to stop the bleeding, and then send him to the operating room immediately."

Then he said to the doctor: "You operate it, hurry up, otherwise the patient will go into shock immediately, and I will use color Doppler ultrasound to point you to the specific location."

The doctor opened his mouth wide in surprise, is that okay?

But he didn't say much, and immediately picked up a pair of long clamps, and after disinfection, picked up a large piece of sterile gauze, and carefully sent it through the wound on the patient's abdomen.

Press the bleeding point with the hemostatic gauze between the instruments, although it cannot solve the problem fundamentally, it is still no problem to temporarily stop the bleeding.

But in this case, the internal situation cannot be seen, and it is difficult to put the gauze on the correct bleeding port.

Only by using color Doppler ultrasound to guide the way, can the operation of hemostasis be completed without opening the stomach.

Just like amniocentesis in the past, if you can't see the internal condition, you can do it directly. It is very dangerous to hurt the baby, but with the color ultrasound as a guide, the safety of the inspection is greatly improved.

Both are the same reason.

Dean Yin put the probe on the abdomen again, and a bright spot appeared on the screen, which was the clamp in the doctor's hand.

Fortunately, he is very familiar with human organs. He knows where there are organs and which places are relatively empty.

So within the field of vision given by the color ultrasound, the doctor was constantly guided to avoid the intestines skillfully, and gradually extended the hemostatic gauze to the hemostasis point.

The doctor's basic skills are also very solid. Although his movements are very slow, only one or two millimeters inward at a time, his hands are very steady without the slightest tremor.

Dean Yin has to switch to PW mode every few seconds to check the location of the bleeding point, and then switch to B mode to guide the doctor to the bleeding point. It can be said that he is very busy.

The probe moves with the position of the clamp, and he must judge the situation from the image at the fastest speed and provide precise assistance.

And when the doctor stops moving, he will switch to 4D mode to let everyone take a closer look at the situation inside the abdomen.

A minute passed, and the hemostatic gauze was finally delivered to the bleeding point, and it was pressed gently.

Without signaling, Dean Yin quickly switched to PW mode to see if he was still bleeding.

At this critical moment of life and death, the cooperation between the two is quite tacit.

The jumping red and blue blocks appeared on the display again, but this time the display was very balanced. It was obvious that the blood flow had begun to flow, and it was no longer the way it hadn't flowed back before.

"Great, the bleeding has stopped!" The doctor exclaimed ecstatically.

This short minute is probably the longest minute he has ever lived in his life.

At this moment, his forehead was covered with sweat, dripping down.

Because he couldn't relax yet, he had to keep pressing with this strength to stop the bleeding.

The onlookers also breathed a sigh of relief, and their hanging hearts were finally relieved.

The nurse gently wiped the doctor's sweat with a piece of gauze.

Dean Yin was also very happy, and said: "The cooperation this time is very well done, let's send it to the operating room immediately."

The two sat on the hospital bed, one on the left and the other on the right, never relaxing.

The doctor has to maintain moderate strength to suppress the bleeding point, while Dean Yin has to hold the color ultrasound all the time, and check intermittently to see if the blood flow remains normal.

In this way, the two were sent to the operating room with the patient.

Guo Shimin carried the box and trotted all the way to the door of the operating room.

After waiting for a few minutes, Dean Yin came out with a color ultrasound instrument in his hand and a smile on his face.

Guo Shimin reached out to take the portable color ultrasound, and said in surprise: "This device is not hot, only a little warm."

Dean Yin looked at his right hand and found that everything was as usual, but the palm was a little red after using it for a long time.

He also said in surprise: "Just now, after using this high-frequency supercurrent for so long, the temperature didn't rise too much. Sanqing's color Doppler ultrasound is really good."

Guo Shimin said proudly: "Dean, you see, this thing is really useful. I'm not wrong at all. The price is also very good, and the price-performance ratio is really high."

Dean Yin nodded approvingly: "It's really easy to use."

Guo Shimin rubbed his hands excitedly: "Then when shall we buy a few?"

"Hehe," Dean Yin glanced at him, and said angrily, "Is it okay to be a little promising? Judging by your appearance, you are too small."

"Of course you have to buy it, but it's not a few, but a batch. I will report to the above later and strive for a centralized purchase."

"Portable color ultrasound is very important in field rescue. Such a powerful portable color ultrasound will definitely be a big weapon for our army in the future. With it on the battlefield, the success rate of soldiers receiving treatment after injury will be greatly improved."

"However, these are far from enough."

Dean Yin looked at Guo Shimin with a half-smile: "How is Sanqing's technical level in equipment?"

Guo Shimin was a little puzzled: "It should be quite strong, isn't it? The portable color ultrasound and portable monitor are all popular and have a good reputation. Although they are rookies in the equipment market, they are obviously outstanding. kind."

Dean Yin said thoughtfully: "Well, then we can consider in-depth cooperation."

"Before I heard that Sanqing customized a portable monitor for the space center, so there must be such a thing."

"That's right, the portable monitor was originally designed for astronauts, it was a great success on the space station, and then it was used by civilians."

Dean Yin suddenly showed a satisfied smile: "That's a good idea, I just have a brand new idea, and I need a powerful manufacturer to realize it, so that's it, let's try it with them first."

"Dean, what's the idea?" Guo Shimin asked cautiously, aroused by curiosity.

Dean Yin glanced at him lightly.

Guo Shimin's head shrank suddenly: "If it involves secrets, just pretend I didn't ask."

"Hehe, it's not a secret. The idea of ​​a military medical all-in-one machine has been around for a long time, but it was limited to technical problems before and couldn't find a cooperative manufacturer, so it has never been realized."

Dean Yin's eyes flickered brightly: "However, the appearance of Sanqing gave me a glimmer of hope."

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