Doctor: It's reasonable to perform surgery on yourself.

"Say less." Academician Chen glared at Wang Fan.

In the ward, such unlucky words were said, which made everyone uncomfortable.

Wang Fan turned around and smiled apologetically, then violently tore off the plastic rings between the slippers, bent down and put them on for the old man who was still sitting on the edge of the bed.

The old man's expression was stunned. He suddenly wiped his eyes and slurred in his mouth. He wanted to say something, but the more anxious he became, the harder it became clear.

"Uncle, don't thank me. It's Brother Xu. He must buy you a pair of slippers."

Wang Fan didn't take any credit and pointed in Xu Qiu's direction.

The old man stood up holding on to the bed. Before he could walk away, Xu Qiu was already approaching and said softly: "Sit down first."

The old man said a few words in an unfamiliar dialect.

Xu Qiu nodded and said, "You have this disease and you need to move more."

Yang Chenxi and others were a little shocked. The old man's accent was very thick, basically a dialect mixed with two or three Mandarin sentences. Xu Qiu actually started talking to him?

Finally, the old man took out a wad of crumpled money from his pocket, which were all loose bills. He took out a large denomination of fifty yuan and wanted to give it to Xu Qiu.

Xu Qiu quickly held down the old man's hand and said, "This is a small effort. It is my greatest hope that you recover as soon as possible and be discharged from the hospital as soon as possible."

The old man kept wiping his tears. He choked and nodded, and repeated the two words "thank you" with trembling lips, which were rare words that could be said well.

…

"You actually understand?" When Xu Qiu handled this episode, Yang Chenxi and others were a little surprised.

Xu Qiu nodded, "Dialect of northern Fujian."

In his previous life, his patients came from all over the world, and he developed an ear that could hear the accents of the south and the north.

"Doctor Xu always surprises us..." Yang Chenxi sighed with emotion.

He felt more and more unable to see through Xu Qiu.

Shaking her head, Yang Chenxi stopped worrying about this matter and came to the bed by the window in the ward.

Lying here is the target patient of this trip.

The nurse briefly introduced the situation.

The patient was transferred here after a car accident. His left lower limb was run over by an earthmoving truck and the damage was very serious.

Earlier, when he was being rescued at another hospital, he was told that his leg would be amputated from the thigh.

However, the patient was unwilling to accept this result and strongly requested limb salvage. After much trouble, he was finally sent to Xiehe Orthopedics.

During the examination, it was discovered that he had an aortic aneurysm.

This is much more dangerous than breaking a leg. Once the aorta ruptures, the amount of blood loss will be very large. Even Xu Qiu's perfect bare-handed hemostasis method may not be able to save it.

There are priorities of illness, and obviously, an aortic aneurysm that could rupture at any time \u003e orthopedic surgery that would cost you a leg at most.

Therefore, the patient stayed in the orthopedics department for several hours and was immediately sent to the cardiac surgery department.

“Currently, we are considering joint surgery with orthopedics and cardiac surgery.

Aortic aneurysm surgery was confirmed.

But for the left lower limb, we recommended amputation, but the patient signed a waiver and wanted to keep the leg even if he died. "

Xu Qiu nodded and assessed.

The patient had an accident in the early morning, and it took some effort to transfer him to another hospital. It has been almost ten hours now.

If the amputated limb is well preserved, there is still the possibility of replantation.

As for the patient’s remaining severed limbs…

Xu Qiu carefully tore open the blood gauze, and underneath was a blur of flesh and blood. Although debridement had been performed once, a lot of necrotic tissue still appeared.

But fortunately, the blood luck seems to be pretty good.

"It can be replanted." Xu Qiu gave a direct judgment.

Yang Chenxi was a little jealous.

Same idea as him!

If replantation is required, a large section of the patient's original blood vessel must be broken, and an artificial blood vessel must be replaced in the middle.

This is also the premise for setting up this special assessment.

But at this time, the director of the Department of Orthopedics of Union Medical College also arrived. He happened to hear Xu Qiu's words. He glanced at the crowd and found that it was a young doctor. He immediately frowned and said, "That's inappropriate."

He walked in with his arms crossed and explained at the same time: "The risk of limb salvage surgery is still too high, it will take at least ten hours.

This patient's injuries were severely contaminated, and the fracture pattern of his left lower limb was too complex, accompanied by extensive soft tissue defects, and several important blood vessels and nerves could not be found.

Forcibly performing limb-salvage surgery can easily lead to complications such as infection, chronic osteomyelitis, bone nonunion or even limb necrosis. At that time, amputation will still be required!

Why torture the patient! "

What the director of orthopedics said makes sense.

Repairing and rebuilding a broken limb is actually like building a house.

There must be a design drawing first, and then every detail must be accurate. If any link is not considered carefully, or the surgeon's skills and experience are not strong enough, it will be immediately reflected on the patient.

Especially in such major combined surgeries, any flaws will be magnified enough to affect the patient's life.

The director of the Department of Cardiology at Union Medical College also nodded and said: "Aortic aneurysm surgery is already very difficult, and then there is the even more difficult task of replantation of a severed limb and artificial blood vessel replacement. Not to mention whether multiple departments can coordinate well, the patient's body I’m afraid I can’t stand it!”

Xu Qiu: "That makes sense."

The director of the Department of Orthopedics breathed a sigh of relief, "So, we will discuss it with the patient..."

Xu Qiu interrupted him and looked at the director: "How do you plan to perform aortic aneurysm surgery?"

Aortic aneurysm, said to be an aneurysm, is actually not a tumor in the conventional sense.

It refers to the local or general expansion of the aorta, which looks like a tumor-like enlargement, so it is called a tumor.

When the diameter is 50% larger than the normal diameter, the aortic aneurysm can be diagnosed. At this time, the aorta is thin and brittle, and a sneeze can cause the thin arterial intima to tear.

With the power of the aorta, the moment of rupture may bleed 2,000 to 5,000 milliliters.

Even if a god comes, he can only watch the fountain.

At present, the mainstream surgeries for the treatment of aortic aneurysms are open-chest and minimally invasive.

The former includes aneurysm resection and artificial blood vessel replacement.

Interventional minimally invasive includes covered stent vascular technology, aortic aneurysm endovascular isolation, etc., with more procedures and higher difficulty.

The director of the Department of Cardiology of Union Hospital sighed and said: "The patient's aortic aneurysm is very complicated. If it is a minimally invasive surgery, the success rate is very low. In the end, it may still have to be open-chest... After our joint consultation, we plan to directly perform conventional open-chest surgery."

"The director of Union Hospital finds it difficult", these words are enough to describe the complexity and danger of the patient's aneurysm.

Fortunately, Union Hospital is an old hospital with a large number of good doctors who master conventional aortic aneurysm surgery. Let them take the stage, the risk and damage will be much smaller than other hospitals.

Only Union Hospital dares to perform limb-saving/amputation surgery in conjunction with orthopedics while performing open-chest aortic aneurysm resection.

Yang Chenxi's eyes fell on Xu Qiu.

He no longer cared whether Xu Qiu would perform the limb-saving surgery or not. He had already made up his mind that he wanted Xu Qiu this time!

Liu Si and Shi Feng, combined, were not as good as Xu Qiu!

Everyone was waiting for Xu Qiu's reply.

Then, he made another shocking statement.