Great Doctor Ling Ran

In the big room, Lei Beisha executed the concept of playing eight sticks and gave a sweet date, and comforted him: "At the beginning of the internship, everyone mainly observes, pays attention to the study of methods, works hard, and works hard. Today, it ’s mainly a demonstration for everyone. In the future, you will have time to spend in the practice room. At that time, you do n’t want to come.

Seeing Lei Beisha's attitude improve, Wang Zhuangyong quickly raised his hand in white gloves and asked, "Director Lei, this white mouse has a broken tail. How difficult is it and what is the difficulty?"

"How difficult, how do you say this?" Lei Beisha thought for a moment and said: "I describe, the hand surgery of our Yunhua Hospital, in addition to the internship of students from your medical school, also receives close to 100 provinces each year. Doctors from other hospitals come to practice and learn. When these doctors leave, they can complete the broken tail connection, and the blood flow rate of 95% is only a single digit. "

The students exclaimed together.

The doctors who can go back and forth to Yunhua are even weaker than the medical students who have never been to the operating table. With such a judgment, students will be even more awed by watching the broken tail of white rats.

A few minutes later, Kang Jiuliang and Ling Ran sat at each side of the table. The objective lens of the double binocular microscope faces the tail of the white mouse, and the two ends of the upper machine each provide a pair of eyepieces for Kang Jiuliang and Ling Ran.

"When we practice normally, we will cut the tail of the rat into 60 to 80 segments. We are in a special situation today, so we cut a little less." Kang Jiuliang turned on the microphone on the side of the table to speak, and took up the scalpel.

"How cute is the white rat, don't cut its tail." A girl hid in the crowd and shouted.

Although she was joking, Kang Jiuliang explained it seriously: "Experimental animals are the unknown heroes of our medical school. Everyone uses experimental animals to practice in order to improve technology and better improve human well-being. Within the scope of abilities, Everyone should also make the best use of every experimental opportunity to reduce the pain of experimental animals within the scope of their ability, so when doing exercises, you must be serious ... What are you doing, classmate? "

Ji Kangjiuliang's effort in speaking, saw that Ling Ran had cut the tail of the anesthetized rat into dozens of segments ...

"You said that today I cut a little bit, I cut 42 segments, is it too little?" Ling Ran's scalpel flashed silver.

The students at the bottom of the table were even more eager to see, including the girl who just said, "Is the white rat spicy?" I was so excited that I just moved the knife.

"Cut it, just cut it, then you have to listen to the command." Kang Jiuliang looked at the pile of broken tails, and he couldn't let him fight again.

No, they are now ready to fight.

"I'll do a demonstration first." Kang Jiuliang held the tweezers in his left hand and the needle holder in his right hand, and said, "We are using micro-medical instruments. Many students have probably not touched them. The characteristics are mainly small. The thickness of the suture is only one-tenth of human hair ... This classmate, by the way, what's your name? "

"Ling Ran." Ling Ran answered.

"Don't like talking?"

"Okay."

"I will love talking in the future. When surgeons do surgery, they always talk stubbornly." Kang Jiuliang changed obviously during and before the operation.

Ling Ran said "Oh".

Ji Kangjiu couldn't help but said, "You don't wonder why?"

"Because it's boring," Ling Ran answered.

Interns laughed softly.

Ji Kangjiu hesitated for a moment and asked, "Is the question I asked too boring?"

是 "Because the surgeon was too boring when performing the operation."

"It's true that the operation takes a long time and it's really boring. When we perform a hand surgery, we usually do it for 10 hours, and for 20 hours, you don't want to talk, and people next to you want to talk." Tangling Ling Ran's puns again, while talking and operating, it seemed that the two didn't interfere.

At least in the eyes of interns, the rhythm of Kang Jiuliang's hand is very different from the rhythm on his mouth.

The so-called practice makes perfect, that's about it.

Ling Ling Ran was also in his head, familiar with the details of Kang Jiuliang's operation.

The broken tail of the white rat is a vascular anastomosis.

缝合 To sut up the broken blood vessels, you need to sew six to eight stitches on the small blood vessel section to ensure smooth blood flow, unobstructed and no leakage.

During the process of suture, care must be taken not to create cavities and dead spaces.

To say exactly what a surgeon's technology is, actually look at these specific and minor concerns.

It ’s like a broken tail. The doctor of hand surgery can always connect after two or three years of training. However, whether the operation is normal after surgery, whether there is hidden pain or even complications depends on the status of the rat itself, but also on the status Surgery operation.

In short, it is not easy to sew, and it is more difficult to sew.

"Do you know the stitching method I used?" Kang Jiuliang said to himself that he was bored and asked Ling Ran directly.

"It is a simple intermittent suture." Ling Ran didn't say much.

"Are you familiar?" Kang Jiuliang asked, but he asked himself: "Should be familiar. This is the most common and simplest suture method. It is also called nodular suture, right? One with each stitch. In the end, when I practice at school, this is what I practice most often, how about you? "

"Almost." Ling Ran still answered briefly. He looked at Kang Jiuliang's operation. His mind was full of information, and he didn't want to chat at all.

"That's OK, give you a try." Kang Jiuliang suddenly felt a little upset. Uncle, I'm very busy, okay, I've worked hard to give you a demonstration, and I can't even chat with you.

He used to do more anastomosis a few times to familiarize himself with Ling Ran. Now that he has done a blood vessel anastomosis, he just let go.

Ling Ran nodded for a moment, but didn't think too much, said "OK", and grabbed the needle holder.

Ji Kangjiu's eyes never left his eyepiece, but he couldn't help raising his head and glanced at Ling Ran.

I often say that experts know if they are there. For microsurgery, picking up the needle holder without shaking your hands is the basis for getting started.

In order to sew 8 needles on a blood vessel with a diameter of 0.5 mm, the suture needles they use at this time are only one-fifth the thickness of hair. Ordinary people pinch the needle holder to keep the tip of the needle trembling.

幅度 The amplitude is so large, it looks like dancing under the microscope.

In fact, UU reads www.uukanshu.com. But for those doctors who have n’t specialized in microsurgery, picking up the needle holders under the microscope, people are dizzy and have to hold the exercises for a long time.

医生 Some doctors have to swell their arms in order to practice needles.

As for medical students ...

Ji Kangjiuliang could not help asking, "Yunhua University School of Medicine, are you still practicing microsurgery?"

"I opened a small clinic in my house." Ling Ran said a nonsense, and the needle under the microscope went towards the thin blood vessels in the tail of the mouse.

Ji Kangjiuliang quickly focused his attention, but he saw the blood vessels in the tail of the mouse. Under the microscope, he did not move.

Ji Kangjiu raised an eyebrow.

Under the microscope, the blood vessels are not trembling at all, indicating that they are not pulled by the slightest. This is not a basic requirement, but a very high level.

In order to practice this technique, some doctors put foam in a basin, and then suture and knot the foam. The goal is that the foam cannot move in the slightest.

It also stitches a broken finger. If it is done with such a level of stitching, the finger will be better in terms of recovery ability and future function.

Suddenly, the suture of an anastomosis point is completed.

Ji Kangjiu didn't even notice the specific time. The only judgment was that he was at least faster than himself.

Thinking of this, Kang Jiuliang quickly went to look at the anastomosis of blood vessels under the microscope, and saw that the knots exposed were quite consistent. From the appearance alone, it was pleasing to the eye, and there was no false knot Class error.

This is a textbook-style suturing and knotting of blood vessels. There is nothing wrong with it.

Small clinic? Kang Jiuliang raised his head and glanced at Ling Ran, thinking: How many fingers do you need to chop in your small clinic to develop such a level of suture?