What did you learn?
How to stroke the pliers, how to help you wipe your sweat...
Dr. Mu was embarrassed....
After the whole operation, he only helped with forceps, helped Xia wipe his sweat once, and helped with dozens of stitches.
"Ahem."
"Xiao Xia, good job."
patted Xia Xia on the shoulder, and Dr. Mu's old face turned red.
At that moment, a small nurse rushed in and shouted at the two.
"Operating Room 3 needs the help of two doctors."
"The patient's right foot is completely broken, the severed limb has been two hours, the patient has been kept in the ice bucket, Dr. Li can't get off the No. 5 operating room, are you two okay?"
"If it's okay, please turn the table immediately."
Without saying a word, the two immediately rushed towards the No. 3 operating room.
In the operating room.
The patient's right foot was cut off from the ankle, the muscles were torn, the Achilles tendon and blood vessels were all ruptured, the fracture was bruised and blackened, and there was a strong smell of blood in the operating room.
Suddenly.
Drip, drip!
The detector flashed red, blood pressure, and the heart all tended to zero.
"It's not good, the patient has ventricular fibrillation."
"What about Dr. Mu?"
Ventricular fibrillation, equivalent to cardiac arrest, the heart loses the ability to invigorate blood, resulting in ischemia in all tissues and organs of the body, especially the brain, which is the most sensitive to ischemia, once it exceeds 4min, the brain red causes irreversible damage.
After 10 minutes, the patient's survival is equivalent to zero.
The patient was in good condition before anesthesia, he was relatively young, only 29 years old, had no history of heart disease, and no one in the operating room thought of ventricular fibrillation.
For a moment, Dr. Mu was stunned.
Then.
Summer rushed up and immediately gave the patient chest compressions.
At the same time shouted at the nurse.
"A shot of amiodarone."
"Fast !!"
After the amiodarone injection, the patient gradually regained his heartbeat after two minutes of cardiac emergency treatment
in the summer.
"Okay, okay, the patient is back."
The little nurse exclaimed.
Everyone in the entire operating room breathed a sigh of relief at the same time.
I don't look relaxed in summer.
"The patient lost so much blood that it led to hemorrhagic shock, and the operation had to be done within an hour."
"Otherwise, the patient will be at risk of a second ventricular fibrillation."
"Doctor Mu, let's get ready for surgery."
The whole foot is broken, in addition to the bone, the Achilles tendon, nerves, and blood vessels, all have to be connected, this is a very complicated operation, Dr. Mu has done three such surgeries, the fastest one took three and a half hours.
An hour... He simply couldn't do it.
"Nope."
"In an hour, I won't be able to complete the operation."
"The patient's condition is unstable, and the operation can be considered after stabilization."
Summer vetoed it in one bite.
"The highest survival rate of organs out of the body is less than six hours, and the patient has been delayed for two hours, and he has no more time."
"If he waits any longer, he won't be able to catch his feet."
"It has to be operated on right now."
Within six hours, the survival rate was the highest, and as the deputy director of the Department of Orthopedics, Dr. Mu certainly understands this.
But....
The problem is, he can't do it.
He also wants to save the patient, but what can he do about it?
He frowned and said faintly, "The operation can't be completed within an hour."
"It can be done."
Xia didn't say a word, went directly to the stage, and said to Dr. Mu: "Take four bone nails, and hit the bone nails first." "
Step 1.
Bone.
The patient's wound is not crushed, the fracture is intact, and only the broken bone needs to be connected with a bone nail.
Ding Ding Ding !!
In the operating room, there was a sound of hammers and nails.
Ten minutes later, the four bone nails were laid.
Next, take the Achilles tendon.
Take a longitudinal incision 2 cm inside the midline of the Achilles tendon, bring the broken end of the Achilles tendon closer together, and suture it at about 30 degrees.
Eight minutes.
The last five stitches remained, Xia said to Dr. Mu.
"Doctor Mu, prepare for the suturing of the blood vessels."
After two minutes, the Achilles tendon is attached.
Dr. Mu found the fracture of the blood vessel, and because there were many blood vessels and they were relatively small, the two sutured at the same time.
Dr. Muk, 35, has been a surgeon for 10 years.
He thinks his suturing technique is top-notch.
A slender blood vessel only takes about three minutes, a total of more than a dozen blood vessels, large and small, half an hour, two people can connect all the blood vessels.
After suturing a blood vessel, Dr. Mu glanced at Summer.
I saw that Summer had already picked up the third blood vessel and sutured it.
He's very fast and steady.
The gaze is steadfast, without the slightest nervousness.
It's like an emotionless stitching machine.
It's too fast!!
Ten minutes later, Dr. Mu sutured four blood vessels, nine in the summer, and the last slender blood vessel was left in the summer, and the summer did not say a word, but directly sutured.
A minute later.
All blood vessels are sutured.
Summer said: "Look at the blood flow. "
It's the most critical step.
The bones, the Achilles tendon, are very easy to connect, but whether you can save this foot depends on the bleeding, because there is no blood inflow, the broken foot has taken on a black and blue color.
Thirty seconds later.
Dr. Mu was a little anxious.
"Why hasn't it changed?"
"Wait." Summer Road.
Another twenty seconds passed.
The severed foot of the black blue gradually turned bloody, and the color also turned to bruised.
"Great!"
"Dr. Xia is awesome!"
"The foot was saved."
There was a cheer in the operating room, everyone was very excited, and then, there was one last step.
Pick up the nerves!
If the foot is saved, whether it can be used or not depends on the recovery of the nerves.
"Doctor Mu, clamp the nerve break, and I'll stitch it up."
Dr. Mu laid his hands and sutured in the summer.
The nerve is slender and difficult to suture.
Coupled with the importance of nerves to a person, I was very careful when stitching in the summer, and the speed was a little slower, and it took a full fifteen minutes.
Subsequently.
Suture the torn skin.
The wound is disinfected, and the fracture is fixed with a splint until it is all done.
Summer glanced at the time and said to everyone.
"The operation was over, and it took 55 minutes."
"Everybody's great."
In the operating room, life and death can be seen every day, but as medical staff, there is a strong sense of satisfaction for them to do a successful operation and heal patients.
"Doctor Xia, you're the best."
"Thanks to Dr. Xia."
"Doctor Xia, there is a patient with a fractured tibia and fibula outside, shall we turn the table with you?"
The little nurses in the emergency room are looking at the summer with stars in their eyes.
Summer smiled.
"Absolutely."
"Doctor Mu, let's go over together."
Operating Room 21.
Ye Zimo completed the first operation.
"The operation was over, and it took one hour and 45 minutes."
Wang Boyi touted on the side: "Senior Brother Ye is so powerful, it takes more than an hour to complete the bone grafting operation, and it takes at least three hours for ordinary doctors, right?" "
I'm really good.
Leaf ink chest confident, but the surface remains understated.
"An hour and 45 minutes is not the fastest, but it can only be regarded as good."
"There is a sky outside the sky, and there are people outside the people."
"In the capital, you can see all kinds of genius doctors, and if you have the opportunity to go to the capital, you can meet them."
At this time, a little nurse said lightly.
"You don't have to go to the capital to see it."
"It only took 55 minutes for Dr. Xia to graft the bones."
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