Since 1981 Health School

As soon as he heard that he could be saved, Director Tan became excited, and when he was excited, he talked too much, and held Chen Qi tightly:

"It's fine, it's fine, as long as we can pick up the job, as long as we don't become disabled, we will be satisfied. Dean Chen, please save Master Zheng. It doesn't matter how much it costs. Tell me what medicine you want, and we'll go buy it right away. "

Chen Qi took a deep breath: "If you continue to talk nonsense, the patient will be more dangerous, please let me go."

Factory Manager Tan blushed and stepped aside quickly.

If another doctor dared to say that, Director Tan would definitely lose his temper, but for a capable doctor, Director Tan resolutely admits he is cowardly.

Dean Mao flashed out from the side: "Director Tan, why don't you go to my office first?"

Factory director Tan is a deputy director, but he is a bit reserved towards the deputy director. He just shook his head and said, "I'll just wait here."

Let Dean Mao make a fuss.

In the operating room, all the medical staff are in place, because the fourth hospital has never performed replantation of amputated limbs in history, so everyone is very nervous. You must know that outside the operating room, the three directors and the leader of the machinery factory are waiting. .

Chen Qi took over the command of the operating room:

"Anesthetist, continuous brachial plexus anesthesia for this operation, with 10ml of 0.3% caine plus 10ml of 2% lidocaine.

The anesthesiologist nodded: "Got it, do you need to add some epinephrine routinely?"

"No, adrenaline will cause the blood vessels to spasm continuously, not this time."

"OK!"

"Director Li from the Department of Internal Medicine, help me keep an eye on the patient's vital signs. In addition, the patient is already in hemorrhagic shock. I will leave it to you to expand the capacity."

"Received by Deputy Chen!"

Chen Qi said to Director Bian again: "Old Bian, help me clean your upper limbs and then disinfect them. I will handle the broken palm myself."

"OK!"

Under Chen Qi's command, everyone began to act in an orderly manner, with a clear division of labor.

Chen Qi took the patient's severed palm in his hand, rinsed it repeatedly with a large amount of saline, and then began to wash the edge of the wound with a sterile brush and soapy water. Sanitize twice.

If it was just this step, Chen Qi wouldn't do it himself, any little doctor would be able to do debridement and disinfection.

"Nurse, prepare me 250ML heparin isotonic saline and an 18-gauge flat needle."

The nurse quickly prepared the things Chen Qi needed and handed them to him.

Director Bian was carefully observing Chen Qi's steps while debridement. This is valuable clinical experience. Maybe he will use it next time. Of course, if you don't understand, you have to ask.

"Vice Chen, what's the use of preparing heparin?"

"I'm going to flush the vascular bed now, so I can know whether the integrity of the blood vessels of the severed limb is damaged? If I inject heparin and it leaks everywhere like a sieve, then the palm of my hand will be hard to handle.

In addition, if the severed limb tissue has no blood supply for a long time, it will definitely accumulate a lot of toxic metabolites, and there will be a lot of blood clots in the small blood vessels, so washing it can reduce the body's absorption of toxic substances and provide unobstructed blood vessels for the reconstruction of blood circulation. Time to lay a good foundation. "

Dean Bian was listening and remembering in his heart.

Yan Shifan and Bianmeng were also preparing for the operation while stealing lessons.

After Chen Qi finished all the preparations, the surgery was about to begin. Chen Qi looked back at Ma Shouli, the director of the Department of Orthopedics, and said:

"Director Ma, now the first step is to fix the bones and joints. The effect I need is to bite the ends of the bones into a relative ladder shape and fix them with 1-2 screws. You are an expert in orthopedics. You are the surgeon in this step. .”

After all, Chen Qi is not a professional hand surgeon, and the treatment of bones is definitely not as good as a specialist, so he can only ask for foreign aid. This is also the benefit of multidisciplinary surgery, which can give full play to the strengths of each doctor.

When Director Ma heard it, his tail went up to the sky:

"Don't worry, Ms. Chen, I'm sure you're right to entrust the orthopedics to me, and I promise to complete the task."

Orthopedics work is done by stupid people. This is sawing and punching. After working for a long time, the broken palm and arm are connected with rough steps.

Without a word, Chen Qi immediately sat on the stool, adjusted the microscope to a suitable angle, and said softly:

"Now suture blood vessels immediately, Xiao Bian, take out all the tools used for microsurgery, Lao Yan, prepare your needle and thread."

Vascular anastomosis, rebuilding blood circulation, is a key step in replantation of severed limbs.

If the blood vessels are not anastomotic, the blood supply cannot be restored. In the state of long-term ischemia, tissue cells will be irreversibly damaged.

Therefore, judging whether the limb replantation operation is successful or not, whether it is reincarnated, whether the blood supply is restored, and whether the blood circulation is established, these are the criteria for one-vote veto.

At the same time, this step is the most complicated and most technically challenging. The blood vessels are so thin that you have to suture them one by one. The larger blood vessels under the microscope are fine, but those small blood vessels can only be more careful. One can imagine this The difficulty is great.

Anyway, in the eyes of the bystanders, Chen Qi's hand was only shaking slightly, and the movement was too small to be small.

This is also the reason why surgeons do not drink easily. If they drink too much, their hands will shake slightly, and many operations cannot be performed. For example, laparoscopic surgery is a test of the stability of the hand.

Continuous through suture, intermittent through suture, invaginated suture...

Chen Qi used different suturing methods according to different blood vessels, concentrating on it, and the operating room was quiet. Everyone was afraid that even the slightest noise would make the surgeon's hands tremble.

While Chen Qi was busy doing blood vessel anastomosis, a car from the People's Hospital also drove into the Fourth Hospital quickly.

Dean Guo and Zhu Huoyan rushed over as quickly as possible after receiving a call from Hongqi Machinery Factory.

In fact, the two of them are still a little worried, because their skills in replantation of severed limbs are not good enough.

Microsurgery was far from popular in the 1980s, and it was generally carried out in national or provincial hospitals.

There are not many district-level hospitals. One is that there are few disease sources, and there are not many opportunities to practice mobile phones. The second is that the severed palms are not properly preserved, and many patients have no chance to replant when they are sent.

Another thing is that both Dean Guo and Director Zhu are from general surgery. They are basically two different concepts from "hand surgery" under the microscope.

But when they received a call from the company for help, the two of them rushed over. Whether the technology works is one thing, but the attitude is another.

After they got off the car, they walked quickly to the operating room. Director Tan and Dean Mao saw the dean of the People's Hospital coming, and they also went up to greet him.

Dean Guo shook hands with them and asked eagerly, "Where is the patient? How is the situation now?"

Dean Mao quickly replied: "Dean Guo, the patient is already undergoing surgery."

The astonishment of Dean Guo and Zhu Huoyan passed for a moment, and they both wondered when will the Fourth Hospital be able to replant limbs?

"Who is the chief surgeon? Bian Pengfei?"

Uh……

Dean Mao was a little embarrassed for a while, he didn't know the relationship between Chen Qi and these two big leaders, and he just wanted to recommend it to his competitors because he was unwilling.

"President Guo, Director Zhu, Comrade Chen Qi from our hospital is the chief surgeon."

"Chen Qi?"

Dean Guo suddenly chuckled, and his expression was visibly relaxed:

"This kid can do limb replantation? Let's go and see."

Dean Zhu is also full of question marks, thinking that the replanting technique has not been carried out in the Yuezhong area, where did this little apprentice learn it?

One of them was relaxed, the other was puzzled. They quickly changed into surgical gowns, sterilized them and entered the operating room.

Director Bian saw Dean Guo and the others coming in, and just about to say hello, Dean Guo waved his hand and pointed at Chen Qi.

He has already seen that Chen Qi is facing the microscope, concentrating on the delicate operation, and this process cannot be disturbed.

Surgeons like to joke and chat during operations, and they are all very extroverted anyway, but microsurgery does not allow the slightest distraction.

Although Dean Guo doesn't know how to do it himself, he is knowledgeable and knows how to measure.

Director Zhu was more curious about Chen Qi's clinical skills, so he quietly came to Chen Qi's side, squatted down, and carefully observed how Chen Qi treated the wound.

Just two hours into the operation, Professor Wu Jianlin, who came from the First Affiliated Hospital of the provincial capital, arrived with a full set of microsurgical instruments.

Wu Jianlin was one of the first doctors in Haidong Province to carry out hand surgery, and his skills are beyond words.

The Fourth Hospital of Yuezhong University is only 40 kilometers away from the provincial capital. When he received a call for help, he didn't say a word, and it took more than an hour to get there quickly.

The capability of Hongqi Machinery Factory is still very strong.

When Factory Manager Tan heard that a doctor was coming from the provincial capital, he ran to meet him quickly.

"Director Wu, it's great that you're here. You can save this master worker in our factory. He is an eighth-level fitter. There are not many treasures in the entire Yuezhong area."

Wu Jianlin didn't talk nonsense, as he walked quickly to the operating room, he asked:

"How is the patient's condition now? Are the severed limbs well preserved?"

Dean Mao followed quickly and introduced:

"Director Wu, it's like this. The patient was cut off from the wrist by a machine about 2.5 hours ago. He was sent to our hospital 10 minutes after the injury. We carried out rescue work 18 minutes after the injury. Currently, the amputated limb is being resuscitated. implant surgery."

Director Wu stopped suddenly, and asked incredulously:

"What did you say? Replantation of severed limbs is already underway? Who is the chief surgeon?"

Dean Mao replied weakly: "It is Comrade Chen Qi from our hospital who performed the surgery."

"Chen Qi? I haven't heard of it. I can't. There are only a few doctors in Haidong Province who can perform replantation surgery. Why have I never heard of Chen Qi's name? How did he learn the technique? Which expert did you learn from?"

Dean Mao rolled his eyes: "This Comrade Chen Qi was originally a doctor from the Huangtan Health Center below us. He was just transferred to the Fourth Hospital not long ago."

"Ah? Doctors in the health center can do replantation of severed limbs? Isn't this nonsense!"