Is The Nurse’s Girlfriend Cute? She Stabs People And Avoids Vital Points
Chapter 101 I’Ve Heard About Cases Within Cases, And It’S The First Time I’Ve Heard About Illnesses
Looking at the severed finger in Ding Xiaolei's belly, Lu Ming fell into deep thought.
This can be considered a rare situation, a coincidence among coincidences.
However.
When Lu Ming looked at Ding Xiaolei's palm, she found that there was something wrong with the wound where the finger was separated.
"Wait a moment."
"this.....…"
"It seems like an old injury?"
Because of the distance, Lu Ming couldn't see clearly.
Simply, Lu Ming temporarily suspended the imaging examination.
After pushing Ding Xiaolei out, Lu Ming immediately observed the fingers of her forearm.
"Is this... a stitch mark?"
Lu Ming was shocked to find that there were traces of surgical sutures where Ding Xiaolei's finger was severed!
Lu Ming closed his eyes and rubbed his temples. His head was a little confused now.
What is going on?
Is this finger originally broken?
Then why does it go into the stomach?
Broken finger...
At7......
Could it be.........
Lu Ming already has some inferences.
The next moment, he lifted up Ding Xiaolei's blood-stained clothes.
I saw a wound on Ding Xiaolei's stomach.
If you are not careful, it is easy to mistakenly think that this is the wound caused by Ding Xiaolei's car accident.
But after careful inspection, Lu Ming found that this was not a car accident wound.
But a very regular surgical wound!
When she saw the surgical wound on her stomach, Lu Ming took a deep breath and understood what was going on.
"Finger-breaking foster care!"
"Front foster care?"
Some of the medical staff nearby had heard of this thing, while others had not, with a little confusion in their eyes.
"Finger-fragmentation foster care is a form of foster care, the purpose is to repair the damaged "833" tissue of the body.
“Not only can severed fingers be fostered, but also severed toes, even soles of feet and palms can be fostered.
Lu Ming explained.
"What does it mean?"
"Could it be said that the finger in the patient's stomach was put in intentionally?"
"Instead of being swallowed by her by chance?"
A young nurse asked doubtfully.
"Yes, it was put in the stomach deliberately for foster care.
"To be precise, it should be placed in a leather tube for foster care."
“A cortical tube is a tube-shaped pedunculated tissue formed by skin, subcutaneous tissue, and fat.”
“If you put your broken finger there, it can come back to life.
Finger care is a less common form of treatment.
Of course, it means that it is not well known by people, but it is still widely used in clinical applications.
If the finger is severed and is not suitable for replantation, this method will generally be considered.
If the fingers of the left hand are severed, an incision about 2 cm long is made on the skin of the patient's right lower abdomen.
Then cut a cavity diagonally in the fat layer along the edge of the knife, and then "plant" the index finger into it, which is "nurturing".
Finally, sew the index finger and the incision to secure it.
Note, it does not mean that only the broken fingers are put in for foster care, but the entire hand will be fixed.
In other words, the broken finger will be put back on the palm first, and then the broken finger will be buried in the stomach.
After the surgery is completed, the patient's entire arm will be immobilized.
Use your left hand to touch the belly button. After the finger removal surgery is completed, the patient will probably maintain this movement image.
"In other words, the car accident caused Ding Xiaolei's originally foster finger to be severed again?"
After listening to Lu Ming's explanation, a young nurse asked.
"Yes."
"After the car accident, Ding Xiaolei's hand was forcibly pulled out of her stomach, possibly due to external force."
"While forcibly pulling it away, for some reason, for example, the sutured severed finger got stuck by the bone, so the finger was severed again, and the severed finger was left in the stomach."
"This led to us mistakenly believing that the patient's finger was broken in the car accident and then accidentally swallowed by her."
Lu Ming analyzed.
"So, this is actually a disease within a disease?"
"We thought it was just a car accident problem, but in fact the patient himself was suffering from the disease?"
A disease within a disease?
Lu Ming was stunned for a moment, but it was understandable.
"Now what?"
a medical staff asked.
"It would be best to know her previous medical history."
"She has no medical records in our hospital, and her severed finger care should have been done in other hospitals.
"Unfortunately, she and her companions both fainted, so we have no way of knowing which hospital they were in."
Just when Lu Ming had a headache, the traffic police contacted Ding Xiaolei's parents in time.
After communicating with Ding Xiaolei’s parents, Lu Ming learned which hospital it was.
Lu Ming immediately contacted the doctor who performed the surgery on Ding Xiaolei's amputated finger.
turn out to be.
Three weeks ago.
Ding Xiaolei encountered an accident while working.
Her left index finger was crushed by a machine, and the index finger was severed from the second phalanx.
In other words, a section of the finger is broken.
Ding Xiaolei was immediately sent to the nearest hospital, but unfortunately the nearest hospital had limited capacity.
The doctor could only help Ding Xiaolei to deal with the severed finger briefly, clean it, wrap it with clean gauze, put it in a box, and then add ice cubes to maintain the low temperature.
This will help increase the chance of survival after the severed finger is reattached.
After dealing with the severed finger, Xiaolei was sent to a large hospital.
After seeing the condition of Ding Xiaolei's finger, doctors from major hospitals said that there was no condition for replantation.
Because the severed part of Ding Xiaolei’s finger was equivalent to being pulled out!
The nerves and blood vessels of the finger were all pulled out and left on the broken finger, making it difficult to simply sew it back together.
Therefore, doctors from major hospitals designed two treatment plans for Ding Xiaolei.
The first option is to perform skin flap transplantation.
Skin tissue with nerves and blood vessels is removed from the abdomen or thighs.
The skin tissue with blood vessels and nerves is then sutured to the index finger.
However, after the operation, the fingers will be significantly swollen and the skin is not wear-resistant enough.
The thickness of skin in various parts of the human body is different.
The skin on the thighs and abdomen is not as thick as the skin on the fingers.
Therefore, later repair surgery is required to restore the appearance, which is quite troublesome.
Moreover, it is difficult to restore the function of the fingers to their original state.
Option two is to put the severed finger into foster care.
First, sew the broken finger part back together.
Then it is "fostered" into the belly, and the blood from the belly is used to nourish the severed finger.
Under the moistening of the abdomen, the body will automatically "docking" to help the severed finger survive, and the severed nerves and blood vessels will automatically "climb back" into the severed finger.
In the end, as long as it survives, both the appearance and practicality of the finger can be restored to its original state to the greatest extent.
The entire "finger-fragmentation fostering" process will probably last up to 4 weeks.
During this period, you are not allowed to take a bath, do any strenuous exercise, etc., and avoid falling.
Return to the hospital after 3 weeks and take out the severed finger to see if it survives.
It's a pity that Ding Xiaolei couldn't wait until that day and had a car accident on the way.
Now, Ding Xiaolei's situation is more complicated.
Not only do you have to deal with the injuries caused by the car accident, but you also have to consider the issue of a severed finger.
After knowing the specific situation, all medical staff looked at Lu Ming, waiting for him to formulate a treatment plan.
However.
Ding Xiaolei's body seemed to be a bit unsatisfactory.
Her body began to bleed!
Ding Xiaolei's lips and the ends of her limbs turned purple at a speed visible to the naked eye.
Blood pressure is also falling.
The face is pale and the hands and feet are cold.
Lu Ming speculated that the spleen was ruptured.
Upon inspection, it was true.
Spleen rupture is a very common injury in car accidents.
The human spleen is actually very fragile and can easily rupture under slight external force.
The spleen is also the organ in the abdominal cavity that is most susceptible to rupture due to trauma.
Fortunately, Ding Xiaolei's spleen rupture was not the most serious one.
It is considered moderate, so "partial splenectomy" can be performed.
In other words, only part of the spleen needs to be removed.
Its purpose is mainly to stop bleeding and to preserve some spleen function to a certain extent.
However, before the operation, Ding Xiaolei's heart, lungs, kidneys and other organs must be evaluated. Only when there are no problems with these organs can partial splenectomy be performed.
Fortunately, after examination, it was found that there were no major problems with Xiaolei's other organs.
So, Ding Xiaolei took the green channel and was rushed to the operating room.
Operating room.
After completing all preoperative preparations, the anesthesiologist began to administer anesthesia.
Although Ding Xiaolei was already unconscious, anesthesia still had to be applied in order to prevent her from waking up and feeling pain during the operation.
While waiting for the anesthesia to take effect, Lu Ming actually had not yet thought of the absolutely perfect surgical plan.
There is no doubt that partial splenectomy must be done.
But what about that severed finger?
Just stay in Ding Xiaolei's belly?
That’s obviously inappropriate!
Therefore, we have to consider whether to remove Ding Xiaolei's severed finger, reattach it to her, and then foster the severed finger again.
But if you do this, the surgical risks you need to bear will be greater...
It is equivalent to two surgeries combined into one.
It’s not that Lu Ming is unsure, it’s that he is worried that Ding Xiaolei won’t be able to hold on!
The anesthetic worked.
Lu Ming stopped thinking.
He decided to take out the severed finger and sew it back together for Ding Xiaolei.
Partial splenectomy is generally performed through a paramedian incision in the left upper quadrant or through a transrectus abdominis incision.
However, because there was an incision on Ding Xiaolei’s left abdomen for the care of severed fingers, Lu Ming started directly from this incision.
He did not choose to remove the severed finger first, but performed a partial splenectomy first.
If the severed finger is taken out now, it will be difficult to put the broken finger back together after being exposed.
Warming it in the body first is the best choice.
Following the original left abdominal incision, Lu Ming went deeper.
The branches of the splenic segmental artery and vein were quickly found.
Before removing part of the spleen, the nearby arteries and veins should be ligated to prevent massive bleeding during the operation.
Next, some tissue surrounding the resected part of the spleen is separated.
After the separation is completed, the corresponding part of the spleen is removed.
After it is taken out, it is sutured to stop the bleeding and the two wounds are sutured together.
Finally, the excess blood from the wound is drained out, and then the wound is sutured, and the partial splenectomy is completed.
only.
Lu Ming did not do this last step.
He just did this step.
Because, he still had to take out the severed finger and retract it for Ding Xiaolei.
Some of Ding Xiaolei's medical records have been transferred by that hospital.
Lu Ming also knows where Ding Xiaolei's severed finger is kept.
But because of a car accident, my finger was broken.
It has shifted and is no longer in its original position.
Therefore, Lu Ming used tools to carefully pull it.
Finally, I found the small amputated finger near my belly button.
Lu Ming used tweezers to pick out the severed finger.
"This is.…………"
Lu Ming was surprised to find that the surface of the severed finger was wrapped by intra-abdominal fascial tissue.
After peeling off the fascial tissue, blood oozed from the surface of the severed finger.
This shows that the foster care of severed fingers was successful!
But it’s a pity………….
There was a car accident at the last moment, causing the finger to be severed again...
This can be considered a failure.
Lu Ming held her severed finger with tweezers and was in a daze, not knowing what she was thinking.
After a moment, he focused on the separation of his little finger.
He asked someone to lift Ding Xiaolei's palm slightly.
Lu Ming stared at the break.
"HE..."
Lu Ming was delighted to discover that there were blood vessels and nerves where Ding Xiaolei's finger was severed!
In other words, blood vessels and nerves have actually grown back!
That’s easy to do, just put the broken finger back on!
explain.
Ding Xiaolei's previous finger was severed, and the blood vessels and nerves were uprooted and fell on the severed finger.
Later, after the 5.4 seam was closed, the severed finger was cured.
The blood vessels and nerves have grown back together, just like before they were severed.
But this time the finger was accidentally severed for the second time, and the blood vessels and nerves were not brought out again!
This means that as long as the wound is sutured and the blood vessels and nerves in the wound are connected, there is a high probability that the fingers of the forearm can survive.
This is really good news!
Lu Ming didn't waste any time and immediately started to reattach Ding Xiaolei's severed finger.
During the connection process, the blood vessels should be matched.
Although it was a bit troublesome, Lu Ming had rich technical experience, so he got it done in a short time.
After the sutures were completed, they were bandaged, and Ding Xiaolei's fingers were connected.
As for whether the function can be completely restored in the future, it can only depend on Ding Xiaolei's own recovery.
But it shouldn't be a big problem to restore 70% to 80% of the functionality.
If you are lucky, you can even recover more than 95% of the functions, and you can practice playing the piano without any problem.
Lu Ming walked out of the operating room, and Ding Xiaolei's parents immediately gathered around to ask about the situation.
Lu Ming said that Ding Xiaolei has no big problem.
The biggest problem of ruptured spleen has been solved and the severed finger has been reattached.
As for other soft tissue contusions and surface abrasions of the body, these are minor matters and can be recovered later by relying on the body's self-healing ability.
Shortly after.
Ding Xiaolei was pushed out of the operating room.
Ding Xiaolei's parents were surprised when they saw the connected finger.
"It moved!"
suddenly.
Ding Xiaolei's connected finger flicked slightly.
This made Ding Xiaolei’s parents extremely excited!
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